16 health deficiencies
Top issue: Nutrition and Dietary (8 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Beachwood, OH
1-star overall rating with 1-star inspections with 16 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
23900 Chagrin Blvd, Beachwood, OH
(216) 464-1000
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
101
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.33
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.95
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.86
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.14
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
2.86
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
3.00
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
10,161
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
21.29
Composite VBP score used to determine payment impact.
Payment multiplier
0.9826
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
1.16
Baseline 61.70% · Performance 58.95% · Measure score 1.16 · Achievement 1.16 · Improvement 0.25
Adjusted total nurse staffing
3.1
Baseline 3.33 hours · Performance 3.96 hours · Measure score 3.1 · Achievement 3.1 · Improvement 2.06
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.98% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 36 · Observed rate 8.33% · Lower 95% interval 6.53% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 94.37% |
95.27%
0.9 pts worse
|
Numerator 67 · Denominator 71 |
| Falls with major injury | 1.41% |
0.77%
0.6 pts worse
|
Numerator 1 · Denominator 71 |
| Discharge self-care score | 35.14% |
53.69%
18.5 pts worse
|
Numerator 13 · Denominator 37 |
| Discharge mobility score | 43.24% |
50.94%
7.7 pts worse
|
Numerator 16 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 71 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 66.67% |
8.2%
58.5 pts better
|
Numerator 80 · Denominator 120 |
| Staff flu vaccination coverage | 31.69% |
42%
10.3 pts worse
|
Numerator 45 · Denominator 142 |
| Discharge function score | 43.24% |
56.45%
13.2 pts worse
|
Numerator 16 · Denominator 37 |
| Transfer of health information to provider | 78.57% |
95.95%
17.4 pts worse
|
Numerator 22 · Denominator 28 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 17.14% |
25.2%
8.1 pts worse
|
Numerator 6 · Denominator 35 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.7% |
92.4%
4.7 pts worse
|
93.4%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 81.5% · Q2 92.2% · Q3 94.4% · Q4 83.0% · 4Q avg 87.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.0% |
94.5%
0.5 pts worse
|
95.5%
1.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
3.3%
2.5 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.1% · Q3 1.1% · Q4 1.1% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 34.6% |
26.1%
8.5 pts worse
|
11.4%
23.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 29.7% · Q3 37.5% · Q4 64.3% · 4Q avg 34.6% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
6.2%
1.3 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 8.5% · Q3 7.6% · Q4 6.8% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.6% |
25.4%
10.8 pts better
|
19.6%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 15.3% · Q3 13.8% · Q4 13.6% · 4Q avg 14.6% |
| 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 9.5% · Q2 9.4% · Q3 9.3% · Q4 6.7% · 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 | 4.6% |
7.7%
3.1 pts better
|
16.3%
11.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 7.7% · Q3 6.0% · Q4 0.0% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.5% |
6.2%
0.7 pts better
|
14.9%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 4.9% · Q3 5.1% · Q4 5.8% · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.2%
0.2 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.5%
0.5 pts better
|
1.7%
1.7 pts better
|
Long 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 long-stay residents with new or worsened bowel or bladder incontinence | 21.0% |
21.7%
0.7 pts better
|
19.8%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 20.0% · Q3 19.3% · Q4 24.6% · 4Q avg 21.0% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
3.7%
0.7 pts worse
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 3.4% · Q3 4.3% · Q4 2.7% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 43.1% |
78.1%
35 pts worse
|
81.7%
38.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 45.0% · Q3 68.9% · Q4 51.2% · 4Q avg 43.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.9% |
12.5%
2.6 pts better
|
12.0%
2.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.9% · Observed 11.1% · Expected 12.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.2%
0.8 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 0.0% · Q3 0.0% · Q4 4.3% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 19.8% |
75.6%
55.8 pts worse
|
79.7%
59.9 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 19.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 39.2% |
25.1%
14.1 pts worse
|
23.9%
15.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 39.2% · Observed 46.7% · Expected 28.4% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (8 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (7 deficiencies)
Top issue: Environmental (3 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-09-24
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-09-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-09-24
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-11-13
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-09-24
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-11-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-09-24
Fire Safety
Meet other general requirements that are deficient.
Corrected 2024-09-24
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-09-24
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-11-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-13
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 2024-09-24
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2024-09-24
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2022-04-15
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-04-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-04-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-04-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-04-15
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 2022-04-15
Fire Safety
Have exits that are accessible at all times.
Corrected 2022-04-15
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-04-15
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-04-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-04-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-04-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-04-15
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2022-04-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-04-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-06-24
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-06-24
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2019-06-24
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-06-24
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-06-24
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-06-24
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-06-24
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2019-06-24
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2019-06-24
Inspection history
Health
Dispose of garbage and refuse properly.
Corrected 2025-10-03
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-10-03
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2025-10-03
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-10-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-10-03
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-10-03
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-31
Health
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2025-01-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-13
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 2024-11-13
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-11-13
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-11-13
Health
Respond appropriately to all alleged violations.
Corrected 2024-11-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-11-13
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 2024-11-13
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2024-09-25
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2024-11-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-13
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 2024-09-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-25
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2024-09-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-25
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-09-25
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-25
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-09-25
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-06
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-03-06
Health
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected 2024-03-06
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-08
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-08-31
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-08-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-08-31
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-31
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-31
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2023-08-31
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-08-31
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2023-08-31
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-04-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-04-15
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 2019-06-24
Penalties and ownership
Payment Denial · denial start 2024-10-23 · 21 days
21 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
Beachwood, OH
2-star overall rating with 1-star inspections with 22 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
Shaker Heights, OH
5-star overall rating with 4-star inspections with $35,863 in total fines with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
Cleveland, OH
1-star overall rating with 1-star inspections with abuse icon flag with $193,748 in total fines with 16 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle
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