Sandusky, OH

Concord Care And Rehabilitation Center

4-star overall rating with 3-star inspections with 2 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

620 W Strub Rd, Sandusky, OH

(419) 626-5373

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aom Healthcare

Operator or chain grouping

Approved since

1992-08-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 facilities

Chain averages 3 overall / 2 health / 2 staffing / 5 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

0.75

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.63

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

3.23

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.83

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.57

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.77

CMS adjusted RN staffing hours

Adjusted total hours

3.33

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

80%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,139

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

Performance score

21.33

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

How the VBP score is built

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

3.61

Baseline 78.18% · Performance 56.25% · Measure score 3.61 · Achievement 1.82 · Improvement 3.61

Adjusted total nurse staffing

0.65

Baseline 3.52 hours · Performance 3.26 hours · Measure score 0.65 · Achievement 0.65 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.95%	10.72% 0.2 pts worse	No Different than the National Rate · Eligible stays 31 · Observed rate 12.9% · Lower 95% interval 7.57%
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	1.2	1.02 0.2 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 14 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 46
Staff flu vaccination coverage	9.62%	42% 32.4 pts worse	Numerator 5 · Denominator 52
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	92.4% 7.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.2%	3.3% 2.1 pts better	3.3% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 2.3% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	43.3%	26.1% 17.2 pts worse	11.4% 31.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 38.1% · Q3 47.4% · Q4 66.7% · 4Q avg 43.3%
Percentage of long-stay residents who lose too much weight	5.9%	6.2% 0.3 pts better	5.4% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q2 7.9% · Q3 8.1% · Q4 2.6% · 4Q avg 5.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	44.2%	25.4% 18.8 pts worse	19.6% 24.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 48.8% · Q2 47.4% · Q3 44.7% · Q4 35.9% · 4Q avg 44.2%
Percentage of long-stay residents who received an antipsychotic medication	17.6%	11.5% 6.1 pts worse	16.7% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 20.0% · Q3 23.1% · Q4 19.2% · 4Q avg 17.6% · 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	6.0%	7.7% 1.7 pts better	16.3% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.5%	6.2% 0.3 pts worse	14.9% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 5.3% · Q3 2.6% · Q4 5.1% · 4Q avg 6.5% · 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	8.9%	21.7% 12.8 pts better	19.8% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 18.3% · Q3 4.7% · Q4 4.3% · 4Q avg 8.9%
Percentage of long-stay residents with pressure ulcers	1.8%	3.7% 1.9 pts better	5.1% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.3% · Q3 0.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.2%	78.1% 19.1 pts better	81.7% 15.5 pts better	Short Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 100.0% · 4Q avg 97.2%
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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.5%	75.6% 19.9 pts better	79.7% 15.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-05 · Fire 2024-09-05

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

13 fire-safety deficiencies

Top issue: Miscellaneous (4 deficiencies)

Cycle 2 Health 2022-04-25 · Fire 2022-04-25

23 health deficiencies

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

10 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-05-30 · Fire 2019-05-30

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-05

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-09-27

F · Potential for more than minimal harm 2024-09-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-27

F · Potential for more than minimal harm 2024-09-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-27

F · Potential for more than minimal harm 2024-09-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-27

F · Potential for more than minimal harm 2024-09-05

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-09-27

F · Potential for more than minimal harm 2024-09-05

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-09-27

F · Potential for more than minimal harm 2024-09-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-27

F · Potential for more than minimal harm 2024-09-05

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 2024-09-27

F · Potential for more than minimal harm 2024-09-05

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-09-27

F · Potential for more than minimal harm 2024-09-05

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-09-27

E · Potential for more than minimal harm 2024-09-05

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 2024-09-27

E · Potential for more than minimal harm 2024-09-05

K321 · Smoke Deficiencies

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 2024-09-27

E · Potential for more than minimal harm 2024-09-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-09-27

F · Potential for more than minimal harm 2022-04-25

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-05-06

F · Potential for more than minimal harm 2022-04-25

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-05-06

F · Potential for more than minimal harm 2022-04-25

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-05-06

F · Potential for more than minimal harm 2022-04-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-05-06

F · Potential for more than minimal harm 2022-04-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-05-06

F · Potential for more than minimal harm 2022-04-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-05-06

F · Potential for more than minimal harm 2022-04-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-05-06

F · Potential for more than minimal harm 2022-04-25

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-05-06

E · Potential for more than minimal harm 2022-04-25

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-05-06

E · Potential for more than minimal harm 2022-04-25

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-05-06

F · Potential for more than minimal harm 2019-05-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-06-19

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-09-05

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 2024-09-27

D · Potential for more than minimal harm 2024-09-05

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 2024-09-27

E · Potential for more than minimal harm 2024-06-03

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 2024-06-05

D · Potential for more than minimal harm 2024-06-03

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-06-05

D · Potential for more than minimal harm 2024-06-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-05

D · Potential for more than minimal harm 2023-12-28

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-01-10

D · Potential for more than minimal harm 2023-04-13

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 2023-04-28

D · Potential for more than minimal harm 2023-03-20

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-29

D · Potential for more than minimal harm 2023-03-20

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-03-29

D · Potential for more than minimal harm 2023-03-20

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-03-29

F · Potential for more than minimal harm 2022-04-25

F801 · Nutrition and Dietary Deficiencies

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 2022-05-06

F · Potential for more than minimal harm 2022-04-25

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-05-06

F · Potential for more than minimal harm 2022-04-25

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2022-05-06

F · Potential for more than minimal harm 2022-04-25

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2022-05-06

E · Potential for more than minimal harm 2022-04-25