Copley, OH

Concordia At Sumner

3-star overall rating with 2-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

970 Sumner Parkway, Copley, OH

(330) 664-1000

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 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

Non-Profit

Publicly displayed owner type

Chain

Concordia Lutheran Ministries

Operator or chain grouping

Approved since

2004-01-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

8 facilities

Chain averages 3 overall / 3 health / 3 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

0.44

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.44

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.83

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.71

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.88

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.28

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

0.09

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.63

CMS adjusted total nurse staffing hours

Case-mix index

1.40

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,015

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

Performance score

34.28

Composite VBP score used to determine payment impact.

Payment multiplier

0.9883

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.23

Baseline 22.95% · Performance 21.93% · Measure score 1.23 · Achievement 0 · Improvement 1.23

Healthcare-associated infections

5.43

Baseline 5.89% · Performance 6.21% · Measure score 5.43 · Achievement 5.43 · Improvement 0

Total nurse turnover

4.29

Baseline 49.12% · Performance 46.15% · Measure score 4.29 · Achievement 4.29 · Improvement 0.72

Adjusted total nurse staffing

2.76

Baseline 3.76 hours · Performance 3.86 hours · Measure score 2.76 · Achievement 2.76 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.23%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 139 · Observed rate 8.63% · Lower 95% interval 7.2%
Discharge to community	69.57%	50.57% 19 pts better	Better than the National Rate · Eligible stays 128 · Observed rate 64.84% · Lower 95% interval 60.34%
Medicare spending per beneficiary	0.71	1.02 0.3 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 84 · Denominator 84
Falls with major injury	1.19%	0.77% 0.4 pts worse	Numerator 1 · Denominator 84
Discharge self-care score	42.11%	53.69% 11.6 pts worse	Numerator 24 · Denominator 57
Discharge mobility score	61.4%	50.94% 10.5 pts better	Numerator 35 · Denominator 57
Pressure ulcers or injuries, new or worsened	1.19%	2.29% 1.1 pts better	Numerator 1 · Denominator 84 · Adjusted rate 1.49%
Healthcare-associated infections requiring hospitalization	6.21%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 59 · Observed rate 3.39% · Lower 95% interval 3.49%
Staff COVID-19 vaccination coverage	0.48%	8.2% 7.7 pts worse	Numerator 1 · Denominator 208
Staff flu vaccination coverage	20.99%	42% 21 pts worse	Numerator 34 · Denominator 162
Discharge function score	50.88%	56.45% 5.6 pts worse	Numerator 29 · Denominator 57
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 53 · Denominator 53
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 20 · Denominator 20
Resident COVID-19 vaccinations up to date	31.37%	25.2% 6.2 pts better	Numerator 16 · Denominator 51

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.5%	92.4% 5.1 pts better	93.4% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 97.0% · Q3 96.8% · Q4 100.0% · 4Q avg 97.5%
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	1.6%	3.3% 1.7 pts better	3.3% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.7%	26.1% 23.4 pts better	11.4% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 2.7%
Percentage of long-stay residents who lose too much weight	7.2%	6.2% 1 pts worse	5.4% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 9.1% · Q3 4.8% · 4Q avg 7.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.8%	25.4% 14.6 pts better	19.6% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 13.6% · Q3 14.3% · 4Q avg 10.8%
Percentage of long-stay residents who received an antipsychotic medication	1.5%	11.5% 10 pts better	16.7% 15.2 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 1.5% · 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 need for help with daily activities has increased	8.8%	6.2% 2.6 pts worse	14.9% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 4.8% · Q3 5.0% · 4Q avg 8.8% · 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	30.0%	21.7% 8.3 pts worse	19.8% 10.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 28.3% · Q3 26.2% · Q4 36.4% · 4Q avg 30.0%
Percentage of long-stay residents with pressure ulcers	2.3%	3.7% 1.4 pts better	5.1% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 3.4% · Q3 3.4% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.5%	78.1% 15.4 pts better	81.7% 11.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 87.7% · Q2 87.9% · Q3 98.1% · Q4 100.0% · 4Q avg 93.5%
Percentage of short-stay residents who had an outpatient emergency department visit	14.9%	12.5% 2.4 pts worse	12.0% 2.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.9% · Observed 14.3% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.3%	1.2% 0.9 pts better	1.6% 1.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	88.1%	75.6% 12.5 pts better	79.7% 8.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 88.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	35.9%	25.1% 10.8 pts worse	23.9% 12 pts worse	Short Stay · 20240701-20250630 · Adjusted 35.9% · Observed 34.9% · Expected 23.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-26 · Fire 2024-02-26

8 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-02-24 · Fire 2022-02-24

9 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

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

6 health deficiencies

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

4 fire-safety deficiencies

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

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-02-26

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-22

F · Potential for more than minimal harm 2024-02-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-22

F · Potential for more than minimal harm 2022-02-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-03-30

F · Potential for more than minimal harm 2022-02-24

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2022-03-30

E · Potential for more than minimal harm 2022-02-24

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 2022-03-30

E · Potential for more than minimal harm 2022-02-24

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-03-30

E · Potential for more than minimal harm 2022-02-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-03-30

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

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-07-01

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

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 2019-07-01

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

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-07-01

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

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-07-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-13

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 2025-12-01

D · Potential for more than minimal harm 2025-08-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-25

F · Potential for more than minimal harm 2025-02-13

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 2025-03-10

E · Potential for more than minimal harm 2025-02-13

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-03-10

D · Potential for more than minimal harm 2024-07-24

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-08-13

F · Potential for more than minimal harm 2024-02-26

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 2024-03-22

F · Potential for more than minimal harm 2024-02-26

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-26

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-26

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 2024-03-22

D · Potential for more than minimal harm 2024-02-26

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-22

D · Potential for more than minimal harm 2024-02-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-22

D · Potential for more than minimal harm 2023-07-06

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 2023-07-27

D · Potential for more than minimal harm 2023-07-06

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 2023-07-27

F · Potential for more than minimal harm 2022-02-24

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 2022-03-30

F · Potential for more than minimal harm 2022-02-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-03-30

F · Potential for more than minimal harm 2022-02-24

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2022-03-30

E · Potential for more than minimal harm 2022-02-24

F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2022-03-30

D · Potential for more than minimal harm 2022-02-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-03-30

D · Potential for more than minimal harm 2022-02-24

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 2022-03-30

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

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2019-07-01

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

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2019-07-01

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-07-01

C · Minimal harm 2019-05-30

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2019-07-01

Penalties and ownership

What sits behind the stars

Ownership

Concordia Care Network

5% Or Greater Direct Ownership Interest · Organization

100% 6 facilities 2022-09-01

Barkley, Stephanie