Cycle 1
Health 2023-05-24 · Fire 2023-05-24
3 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Poland, OH
Center For Rehabilitation At Hampton Woods The
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
1517 East Western Reserve Road, Poland, OH
(330) 707-1300
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
26
Certified beds
Average residents
27
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2016-05-31
CMS approved date
Coverage
Medicare
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
Hours and turnover
RN hours / resident day
0.94
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.27
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.75
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.96
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
2.21
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.65
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.77
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.86
CMS adjusted RN staffing hours
Adjusted total hours
3.63
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
9,690
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
22.86
Composite VBP score used to determine payment impact.
Payment multiplier
0.9830
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.25
Baseline 25.27% · Performance 24.65% · Measure score 0.25 · Achievement 0 · Improvement 0.25
Healthcare-associated infections
0
Baseline 5.69% · Performance 8.54% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.61
Baseline 38.46% · Performance 36.67% · Measure score 6.61 · Achievement 6.61 · Improvement 0.82
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.77% |
10.72%
3 pts worse
|
Worse than the National Rate · Eligible stays 271 · Observed rate 15.13% · Lower 95% interval 11.32% |
| Discharge to community | 66.71% |
50.57%
16.1 pts better
|
Better than the National Rate · Eligible stays 268 · Observed rate 63.43% · Lower 95% interval 60.65% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.62% |
95.27%
2.4 pts better
|
Numerator 123 · Denominator 126 |
| Falls with major injury | 0.79% |
0.77%
About the same
|
Numerator 1 · Denominator 126 |
| Discharge self-care score | 65.56% |
53.69%
11.9 pts better
|
Numerator 59 · Denominator 90 |
| Discharge mobility score | 56.67% |
50.94%
5.7 pts better
|
Numerator 51 · Denominator 90 |
| Pressure ulcers or injuries, new or worsened | 2.38% |
2.29%
0.1 pts worse
|
Numerator 3 · Denominator 126 · Adjusted rate 2.26% |
| Healthcare-associated infections requiring hospitalization | 8.53% |
7.12%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 150 · Observed rate 8.67% · Lower 95% interval 5.13% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 23 |
| Staff flu vaccination coverage | 4.35% |
42%
37.6 pts worse
|
Numerator 1 · Denominator 23 |
| Discharge function score | 52.22% |
56.45%
4.2 pts worse
|
Numerator 47 · Denominator 90 |
| Transfer of health information to provider | 98.04% |
95.95%
2.1 pts better
|
Numerator 50 · Denominator 51 |
| Transfer of health information to patient | 98.67% |
96.28%
2.4 pts better
|
Numerator 74 · Denominator 75 |
| Resident COVID-19 vaccinations up to date | 5.97% |
25.2%
19.2 pts worse
|
Numerator 4 · Denominator 67 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
78.1%
21.4 pts better
|
81.7%
17.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 99.3% · Q3 100.0% · Q4 99.4% · 4Q avg 99.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.8% |
12.5%
3.7 pts better
|
12.0%
3.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.8% · Observed 7.7% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.2%
0.5 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 98.0% |
75.6%
22.4 pts better
|
79.7%
18.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.5% |
25.1%
7.4 pts worse
|
23.9%
8.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.5% · Observed 28.2% · Expected 20.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-12-28 · Fire 2019-12-28
1 health deficiencies
Top issue: Resident Rights (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2018-10-12 · Fire 2018-10-12
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-05-24
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-06-09
F · Potential for more than minimal harm
2023-05-24
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-06-09
F · Potential for more than minimal harm
2019-12-28
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-02-14
E · Potential for more than minimal harm
2019-12-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-02-14
D · Potential for more than minimal harm
2019-12-28
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-02-14
D · Potential for more than minimal harm
2019-12-28
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-02-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-04-12
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 2024-04-23
E · Potential for more than minimal harm
2023-05-24
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-06-09
D · Potential for more than minimal harm
2023-05-24
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-06-09
D · Potential for more than minimal harm
2023-05-24
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 2023-06-09
Penalties and ownership
What sits behind the stars
Ownership
Prasad, Kathy
5% Or Greater Direct Ownership Interest · Individual
Antalocy, Frank
Corporate Officer · Individual
Antalocy, Frank
W-2 Managing Employee · Individual
Prasad, Kathy
Corporate Director · Individual
Prasad, Kathy
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Hampton Woods Nursing Center, Inc
Poland, OH
3-star overall rating with 2-star inspections with 12 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Greenbriar Center
Boardman, OH
2-star overall rating with 2-star inspections with $14,680 in total fines with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Caprice Health Care Center
North Lima, OH
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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