Niles, OH

Autumn Hills Care Center

2-star overall rating with 2-star inspections with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

2565 Niles Vienna Rd, Niles, OH

(330) 652-2053

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

107

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Continuing Healthcare Solutions

Operator or chain grouping

Approved since

1986-03-31

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.40

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.04

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.65

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.09

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.44

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.84

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.25

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.36

CMS adjusted RN staffing hours

Adjusted total hours

2.82

CMS adjusted total nurse staffing hours

Case-mix index

1.50

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,133

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

27.70

Composite VBP score used to determine payment impact.

Payment multiplier

0.9847

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.41

Baseline 23.21% · Performance 21.41% · Measure score 2.41 · Achievement 0 · Improvement 2.41

Healthcare-associated infections

3.31

Baseline 9.17% · Performance 7.58% · Measure score 3.31 · Achievement 0.85 · Improvement 3.31

Total nurse turnover

5.36

Baseline 61.29% · Performance 41.77% · Measure score 5.36 · Achievement 5.36 · Improvement 4.86

Adjusted total nurse staffing

Baseline 2.61 hours · Performance 2.58 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.23%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 114 · Observed rate 12.28% · Lower 95% interval 7.23%
Discharge to community	52.73%	50.57% 2.2 pts better	No Different than the National Rate · Eligible stays 121 · Observed rate 45.45% · Lower 95% interval 41.89%
Medicare spending per beneficiary	1.03	1.02 About the same
Drug regimen review with follow-up	93.02%	95.27% 2.2 pts worse	Numerator 80 · Denominator 86
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 86
Discharge self-care score	48.08%	53.69% 5.6 pts worse	Numerator 25 · Denominator 52
Discharge mobility score	46.15%	50.94% 4.8 pts worse	Numerator 24 · Denominator 52
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 86 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.58%	7.12% 0.5 pts worse	No Different than the National Rate · Eligible stays 82 · Observed rate 8.54% · Lower 95% interval 4.89%
Staff COVID-19 vaccination coverage	6.3%	8.2% 1.9 pts worse	Numerator 8 · Denominator 127
Staff flu vaccination coverage	10.61%	42% 31.4 pts worse	Numerator 14 · Denominator 132
Discharge function score	51.92%	56.45% 4.5 pts worse	Numerator 27 · Denominator 52
Transfer of health information to provider	97.3%	95.95% 1.3 pts better	Numerator 36 · Denominator 37
Transfer of health information to patient	94.44%	96.28% 1.8 pts worse	Numerator 34 · Denominator 36
Resident COVID-19 vaccinations up to date	6.52%	25.2% 18.7 pts worse	Numerator 3 · Denominator 46

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.0%	92.4% 4.6 pts better	93.4% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 91.2% · Q2 100.0% · Q3 97.6% · Q4 98.9% · 4Q avg 97.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.8%	94.5% 3.3 pts better	95.5% 2.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.8%
Percentage of long-stay residents experiencing one or more falls with major injury	0.6%	3.3% 2.7 pts better	3.3% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 1.2% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.3%	26.1% 18.8 pts better	11.4% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 5.2% · Q3 9.2% · Q4 10.8% · 4Q avg 7.3%
Percentage of long-stay residents who lose too much weight	7.1%	6.2% 0.9 pts worse	5.4% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 10.9% · Q4 13.4% · 4Q avg 7.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	41.3%	25.4% 15.9 pts worse	19.6% 21.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 42.6% · Q3 42.2% · Q4 40.3% · 4Q avg 41.3%
Percentage of long-stay residents who received an antipsychotic medication	8.7%	11.5% 2.8 pts better	16.7% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.7% · Q3 8.3% · Q4 10.6% · 4Q avg 8.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	4.2%	7.7% 3.5 pts better	16.3% 12.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.3%	6.2% 1.9 pts better	14.9% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 3.5% · Q3 3.4% · Q4 4.8% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	0.2% 0.7 pts worse	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 2.2% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.2%	0.5% 0.7 pts worse	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.2% · Q3 1.2% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.9%	21.7% 0.8 pts better	19.8% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 24.8% · Q3 22.1% · Q4 22.4% · 4Q avg 20.9%
Percentage of long-stay residents with pressure ulcers	2.2%	3.7% 1.5 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.5% · Q3 3.4% · Q4 3.4% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	91.1%	78.1% 13 pts better	81.7% 9.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 94.5% · Q2 91.4% · Q3 94.2% · Q4 82.3% · 4Q avg 91.1%
Percentage of short-stay residents who had an outpatient emergency department visit	8.0%	12.5% 4.5 pts better	12.0% 4 pts better	Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 8.5% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.5%	75.6% 15.9 pts better	79.7% 11.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	36.7%	25.1% 11.6 pts worse	23.9% 12.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 36.7% · Observed 40.8% · Expected 26.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-05 · Fire 2025-05-05

14 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2022-08-18 · Fire 2022-08-18

17 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-08-28 · Fire 2019-08-28

10 health deficiencies

Top issue: Resident Rights (4 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-05-05

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-05-05

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2025-05-16

E · Potential for more than minimal harm 2022-08-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-30

E · Potential for more than minimal harm 2022-08-18

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-08-30

E · Potential for more than minimal harm 2022-08-18

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-08-30

F · Potential for more than minimal harm 2019-08-28

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-10-28

F · Potential for more than minimal harm 2019-08-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-10-28

E · Potential for more than minimal harm 2019-08-28

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2019-10-28

E · Potential for more than minimal harm 2019-08-28

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2020-03-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-11-18

E · Potential for more than minimal harm 2025-06-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-06-17

D · Potential for more than minimal harm 2025-06-05

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-06-17

D · Potential for more than minimal harm 2025-06-05

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-06-17

E · Potential for more than minimal harm 2025-05-05

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-05-05

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-05-05

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-05-05

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-05-05

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-05-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-05-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-03-06

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-03-06

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-03-06

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-03-07

G · Actual harm 2025-01-28

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-06

E · Potential for more than minimal harm 2025-01-28

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-03-06

E · Potential for more than minimal harm 2025-01-28

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-03-06

E · Potential for more than minimal harm 2025-01-28

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-01-28

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-01-28

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-03-06

D · Potential for more than minimal harm 2025-01-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-06

D · Potential for more than minimal harm 2024-10-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-15

F · Potential for more than minimal harm 2024-08-15

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-09-05

E · Potential for more than minimal harm 2024-08-15

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-09-05

D · Potential for more than minimal harm 2024-08-15

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-09-05

D · Potential for more than minimal harm 2024-08-15

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-09-05

D · Potential for more than minimal harm 2024-08-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-09-05

C · Minimal harm 2024-08-15

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-09-05

D · Potential for more than minimal harm 2024-07-08

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-09-05

D · Potential for more than minimal harm 2023-05-05

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-05-16

D · Potential for more than minimal harm 2022-08-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-08-30

D · Potential for more than minimal harm 2022-08-18

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2022-08-30

E · Potential for more than minimal harm 2019-08-28