Wheelersburg, OH

Concord Health & Rehab Ctr

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

1242 Crescent Drive, Wheelersburg, OH

(740) 574-8441

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

Foundations Health Solutions

Operator or chain grouping

Approved since

2009-11-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

63 facilities

Chain averages 4 overall / 4 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

0.55

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.82

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.94

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.31

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.98

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.35

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.44

CMS adjusted RN staffing hours

Adjusted total hours

2.61

CMS adjusted total nurse staffing hours

Case-mix index

1.74

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

31%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,491

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

Performance score

26.60

Composite VBP score used to determine payment impact.

Payment multiplier

0.9842

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.87

Baseline 20.05% · Performance 20.10% · Measure score 2.87 · Achievement 2.87 · Improvement 0

Healthcare-associated infections

1.45

Baseline 5.33% · Performance 7.40% · Measure score 1.45 · Achievement 1.45 · Improvement 0

Total nurse turnover

6.24

Baseline 45.45% · Performance 38.18% · Measure score 6.24 · Achievement 6.24 · Improvement 3.03

Adjusted total nurse staffing

0.08

Baseline 2.56 hours · Performance 2.75 hours · Measure score 0.08 · Achievement 0 · Improvement 0.08

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.06%	10.72% 1.3 pts worse	No Different than the National Rate · Eligible stays 101 · Observed rate 16.83% · Lower 95% interval 8.99%
Discharge to community	42.49%	50.57% 8.1 pts worse	No Different than the National Rate · Eligible stays 74 · Observed rate 36.49% · Lower 95% interval 34.67%
Medicare spending per beneficiary	1.01	1.02 About the same
Drug regimen review with follow-up	98.21%	95.27% 2.9 pts better	Numerator 55 · Denominator 56
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 56
Discharge self-care score	25.93%	53.69% 27.8 pts worse	Numerator 7 · Denominator 27
Discharge mobility score	29.63%	50.94% 21.3 pts worse	Numerator 8 · Denominator 27
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 56 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.4%	7.12% 0.3 pts worse	No Different than the National Rate · Eligible stays 61 · Observed rate 8.2% · Lower 95% interval 4.31%
Staff COVID-19 vaccination coverage	16.3%	8.2% 8.1 pts better	Numerator 15 · Denominator 92
Staff flu vaccination coverage	23%	42% 19 pts worse	Numerator 23 · Denominator 100
Discharge function score	48.15%	56.45% 8.3 pts worse	Numerator 13 · Denominator 27
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 20 · Denominator 20
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	7.14%	25.2% 18.1 pts worse	Numerator 2 · Denominator 28

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.8	1.8 1 pts better	1.9 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.9 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	1.8 About the same	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.1%	92.4% 4.7 pts better	93.4% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 98.6% · Q3 97.2% · Q4 95.4% · 4Q avg 97.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.8%	94.5% 1.3 pts better	95.5% 0.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.8%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.3% 0.8 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 4.3% · Q3 0.0% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	73.2%	26.1% 47.1 pts worse	11.4% 61.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 69.6% · Q2 78.8% · Q3 76.6% · Q4 68.0% · 4Q avg 73.2%
Percentage of long-stay residents who lose too much weight	4.2%	6.2% 2 pts better	5.4% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 8.3% · Q3 3.4% · Q4 1.8% · 4Q avg 4.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	51.9%	25.4% 26.5 pts worse	19.6% 32.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 48.4% · Q2 54.1% · Q3 55.0% · Q4 50.0% · 4Q avg 51.9%
Percentage of long-stay residents who received an antipsychotic medication	12.0%	11.5% 0.5 pts worse	16.7% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 10.6% · Q3 12.8% · Q4 8.5% · 4Q avg 12.0% · 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	7.1%	7.7% 0.6 pts better	16.3% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 12.4% · Q3 3.5% · Q4 7.8% · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.6%	6.2% 2.6 pts better	14.9% 11.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 5.3% · Q3 5.6% · Q4 2.0% · 4Q avg 3.6% · 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	12.9%	21.7% 8.8 pts better	19.8% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.3% · Q2 18.2% · Q3 11.2% · Q4 6.7% · 4Q avg 12.9%
Percentage of long-stay residents with pressure ulcers	0.5%	3.7% 3.2 pts better	5.1% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 1.1% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	77.0%	78.1% 1.1 pts worse	81.7% 4.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 84.8% · Q2 78.6% · Q3 68.2% · Q4 73.3% · 4Q avg 77.0%
Percentage of short-stay residents who had an outpatient emergency department visit	12.0%	12.5% 0.5 pts better	12.0% About the same	Short Stay · 20240701-20250630 · Adjusted 12.0% · Observed 11.6% · Expected 10.9% · 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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.6%	75.6% 21 pts better	79.7% 16.9 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.9%	25.1% 5.2 pts better	23.9% 4 pts better	Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 20.9% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-12 · Fire 2024-09-12

2 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2022-07-18 · Fire 2022-07-18

12 health deficiencies

Top issue: Resident Assessment and Care Planning (5 deficiencies)

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2019-10-31 · Fire 2019-10-31

8 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

1 fire-safety deficiencies

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

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-09-23

E · Potential for more than minimal harm 2024-09-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-09-23

E · Potential for more than minimal harm 2024-09-12

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-23

E · Potential for more than minimal harm 2024-09-12

K917 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure electrical receptacles or cover plates have distinctive color or marking.

Corrected 2024-09-23

F · Potential for more than minimal harm 2022-07-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-08-16

F · Potential for more than minimal harm 2022-07-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-08-16

F · Potential for more than minimal harm 2022-07-18

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2022-08-16

F · Potential for more than minimal harm 2022-07-18

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2022-08-16

F · Potential for more than minimal harm 2022-07-18

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 2022-08-16

F · Potential for more than minimal harm 2022-07-18

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2022-10-18

F · Potential for more than minimal harm 2022-07-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-08-16

E · Potential for more than minimal harm 2022-07-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-08-16

E · Potential for more than minimal harm 2022-07-18

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-08-16

E · Potential for more than minimal harm 2019-10-31

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-11-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-09-12

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-09-12

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-02-08

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 2024-02-12

D · Potential for more than minimal harm 2024-02-08

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-02-12

D · Potential for more than minimal harm 2024-02-08

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-02-12

D · Potential for more than minimal harm 2023-08-23

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 2023-09-01