Cycle 1
Health 2025-06-26 · Fire 2025-06-26
0 health deficiencies
No concentrated health issue counts in this cycle.
8 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Concord, OH
Concord Village Skilled Nursing & Rehabilitation
5-star overall rating with 5-star inspections with 8 fire-safety deficiencies in the latest cycle
10955 Capital Parkway, Concord, OH
(330) 920-6472
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
72
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Vrc Management
Operator or chain grouping
Approved since
2016-08-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 facilities
Chain averages 4 overall / 4 health / 3 staffing / 4 quality stars
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
0.66
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.75
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.51
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.76
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.96
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
0.10
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.63
CMS adjusted RN staffing hours
Adjusted total hours
4.33
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
81%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,357
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
6.20
Composite VBP score used to determine payment impact.
Payment multiplier
0.9806
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 22.32% · Performance 23.04% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.42% · Performance 8.14% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
1.44
Baseline 74.14% · Performance 64.56% · Measure score 1.44 · Achievement 0 · Improvement 1.44
Adjusted total nurse staffing
1.04
Baseline 3.77 hours · Performance 3.37 hours · Measure score 1.04 · Achievement 1.04 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.44% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 435 · Observed rate 8.28% · Lower 95% interval 7.31% |
| Discharge to community | 66.69% |
50.57%
16.1 pts better
|
Better than the National Rate · Eligible stays 449 · Observed rate 65.26% · Lower 95% interval 62.96% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 284 · Denominator 284 |
| Falls with major injury | 1.06% |
0.77%
0.3 pts worse
|
Numerator 3 · Denominator 284 |
| Discharge self-care score | 38.76% |
53.69%
14.9 pts worse
|
Numerator 69 · Denominator 178 |
| Discharge mobility score | 30.34% |
50.94%
20.6 pts worse
|
Numerator 54 · Denominator 178 |
| Pressure ulcers or injuries, new or worsened | 0.35% |
2.29%
1.9 pts better
|
Numerator 1 · Denominator 284 · Adjusted rate 0.4% |
| Healthcare-associated infections requiring hospitalization | 8.14% |
7.12%
1 pts worse
|
No Different than the National Rate · Eligible stays 297 · Observed rate 7.74% · Lower 95% interval 5.7% |
| Staff COVID-19 vaccination coverage | 13.21% |
8.2%
5 pts better
|
Numerator 14 · Denominator 106 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 29.21% |
56.45%
27.2 pts worse
|
Numerator 52 · Denominator 178 |
| Transfer of health information to provider | 99.12% |
95.95%
3.2 pts better
|
Numerator 224 · Denominator 226 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 33 · Denominator 33 |
| Resident COVID-19 vaccinations up to date | 29.08% |
25.2%
3.9 pts better
|
Numerator 41 · Denominator 141 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 68.9% |
92.4%
23.5 pts worse
|
93.4%
24.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 87.0% · Q2 69.6% · Q3 45.5% · Q4 72.7% · 4Q avg 68.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.0% |
94.5%
1.5 pts better
|
95.5%
0.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.3%
About the same
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 4.5% · Q4 4.5% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
26.1%
26.1 pts better
|
11.4%
11.4 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 who lose too much weight | 5.5% |
6.2%
0.7 pts better
|
5.4%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 10.0% · 4Q avg 5.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.5% |
25.4%
4.9 pts better
|
19.6%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 25.0% · 4Q avg 20.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.0% |
11.5%
2.5 pts worse
|
16.7%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 14.0% · 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 | 0.0% |
7.7%
7.7 pts better
|
16.3%
16.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.0% |
6.2%
3.2 pts better
|
14.9%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.2%
1 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · 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 | 31.8% |
21.7%
10.1 pts worse
|
19.8%
12 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.6% · Q2 19.9% · Q3 28.2% · Q4 50.6% · 4Q avg 31.8% |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
3.7%
3.7 pts better
|
5.1%
5.1 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 short-stay residents assessed and appropriately given the pneumococcal vaccine | 34.5% |
78.1%
43.6 pts worse
|
81.7%
47.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 71.6% · Q2 43.1% · Q3 16.8% · Q4 7.0% · 4Q avg 34.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.9% |
12.5%
1.4 pts worse
|
12.0%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.9% · Observed 13.0% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.1% |
1.2%
1.1 pts better
|
1.6%
1.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 59.2% |
75.6%
16.4 pts worse
|
79.7%
20.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 59.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.5% |
25.1%
4.6 pts better
|
23.9%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.5% · Observed 19.3% · Expected 22.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-01-19 · Fire 2023-01-19
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Cycle 3
Health 2020-01-23 · Fire 2020-01-23
12 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-26
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-26
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-26
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 2025-07-25
E · Potential for more than minimal harm
2025-06-26
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-26
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-26
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-26
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-07-25
E · Potential for more than minimal harm
2025-06-26
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-07-25
F · Potential for more than minimal harm
2023-01-19
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-01-31
F · Potential for more than minimal harm
2023-01-19
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-01-31
E · Potential for more than minimal harm
2023-01-19
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 2023-01-31
E · Potential for more than minimal harm
2023-01-19
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-01-31
F · Potential for more than minimal harm
2020-01-23
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-02-21
F · Potential for more than minimal harm
2020-01-23
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2020-02-21
D · Potential for more than minimal harm
2020-01-23
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 2020-02-21
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-05-22
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-05
E · Potential for more than minimal harm
2024-01-30
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-02-16
D · Potential for more than minimal harm
2023-03-31
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-04-12
F · Potential for more than minimal harm
2020-01-23
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2020-02-21
D · Potential for more than minimal harm
2020-01-23
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-02-21
D · Potential for more than minimal harm
2020-01-23
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 2020-02-21
D · Potential for more than minimal harm
2020-01-23
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-02-21
D · Potential for more than minimal harm
2020-01-23
F711 · Nursing and Physician Services Deficiencies
Health
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected 2020-02-21
D · Potential for more than minimal harm
2020-01-23
F742 · Quality of Life and Care Deficiencies
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2020-02-21
D · Potential for more than minimal harm
2020-01-23
F756 · Pharmacy Service Deficiencies
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 2020-02-21
D · Potential for more than minimal harm
2020-01-23
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 2020-02-21
D · Potential for more than minimal harm
2020-01-23
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2020-02-21
D · Potential for more than minimal harm
2020-01-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-02-21
Penalties and ownership
What sits behind the stars
Ownership
Fanego, Ana
5% Or Greater Direct Ownership Interest · Individual
Francus, Andrew
5% Or Greater Direct Ownership Interest · Individual
Francus, David
5% Or Greater Direct Ownership Interest · Individual
Francus, Michael
5% Or Greater Direct Ownership Interest · Individual
Francus, Rebecca
5% Or Greater Direct Ownership Interest · Individual
Francus, Michael
Operational/Managerial Control · Individual
Hensley, Alicia
Operational/Managerial Control · Individual
Vrc Management, Inc.
Operational/Managerial Control · Organization
Nearby options
Other facilities in reach
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Concord Ridge Health And Rehabilitation
Mentor, OH
3-star overall rating with 4-star inspections with 3 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Embassy Of Painesville
Painesville, OH
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Homestead Ii
Painesville, OH
3-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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