Frankfort, OH

Embassy Of Valley View

3-star overall rating with 3-star inspections with $10,586 in total fines with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

3363 Ragged Ridge Road, Frankfort, OH

(740) 998-2948

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

46

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Embassy Healthcare

Operator or chain grouping

Approved since

1996-08-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

37 facilities

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

0.51

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.74

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.71

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

2.96

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.25

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.66

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.46

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.56

CMS adjusted RN staffing hours

Adjusted total hours

3.24

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,276

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

Performance score

24.19

Composite VBP score used to determine payment impact.

Payment multiplier

0.9834

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

4.84

Performance 43.90% · Measure score 4.84 · Achievement 4.84 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

0

Baseline 3.32 hours · Performance 3.10 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 20 · Denominator 20
Falls with major injury	5%	0.77% 4.2 pts worse	Numerator 1 · Denominator 20
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 20 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	80%	8.2% 71.8 pts better	Numerator 40 · Denominator 50
Staff flu vaccination coverage	8.7%	42% 33.3 pts worse	Numerator 6 · Denominator 69
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · 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	87.5%	92.4% 4.9 pts worse	93.4% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 68.3% · Q2 87.8% · Q3 97.7% · Q4 95.3% · 4Q avg 87.5%
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	7.1%	3.3% 3.8 pts worse	3.3% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 7.3% · Q3 7.0% · Q4 2.3% · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.8%	26.1% 19.3 pts better	11.4% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 5.7% · Q3 5.4% · Q4 2.6% · 4Q avg 6.8%
Percentage of long-stay residents who lose too much weight	4.3%	6.2% 1.9 pts better	5.4% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.6% · Q3 3.3% · Q4 6.9% · 4Q avg 4.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	35.0%	25.4% 9.6 pts worse	19.6% 15.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 50.0% · Q2 32.3% · Q3 25.8% · Q4 33.3% · 4Q avg 35.0%
Percentage of long-stay residents who received an antipsychotic medication	19.3%	11.5% 7.8 pts worse	16.7% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q2 21.7% · Q3 28.6% · Q4 19.0% · 4Q avg 19.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	9.5%	0.1% 9.4 pts worse	0.1% 9.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 9.8% · Q3 9.3% · Q4 11.6% · 4Q avg 9.5%
Percentage of long-stay residents whose ability to walk independently worsened	8.0%	7.7% 0.3 pts worse	16.3% 8.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 4.7% · Q3 6.8% · Q4 6.6% · 4Q avg 8.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.3%	6.2% 4.1 pts worse	14.9% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 19.2% · Q3 3.6% · Q4 3.4% · 4Q avg 10.3% · 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	0.6%	0.5% 0.1 pts worse	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.5%	21.7% 7.8 pts worse	19.8% 9.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 34.3% · Q2 28.6% · Q3 20.7% · Q4 34.4% · 4Q avg 29.5%
Percentage of long-stay residents with pressure ulcers	2.9%	3.7% 0.8 pts better	5.1% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.4% · Q3 4.1% · Q4 3.1% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	46.5%	78.1% 31.6 pts worse	81.7% 35.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 12.5% · 4Q avg 46.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-30 · Fire 2024-05-30

5 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2022-03-07 · Fire 2022-03-07

13 health deficiencies

Top issue: Resident Rights (6 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-08-01 · Fire 2019-08-01

2 health deficiencies

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

2 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 2024-05-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-30

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 2024-06-19

E · Potential for more than minimal harm 2024-05-30

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-19

F · Potential for more than minimal harm 2022-03-07

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-04-25

F · Potential for more than minimal harm 2022-03-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-04-25

F · Potential for more than minimal harm 2022-03-07

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-04-25

F · Potential for more than minimal harm 2019-08-01

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2019-09-13

F · Potential for more than minimal harm 2019-08-01

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 2019-09-13

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-05-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-05-30

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 2024-06-19

D · Potential for more than minimal harm 2024-05-30

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-06-19

D · Potential for more than minimal harm 2024-05-30

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-06-19

C · Minimal harm 2024-05-30

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-06-19

F · Potential for more than minimal harm 2022-03-07

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2022-04-25

F · Potential for more than minimal harm 2022-03-07

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 2022-04-25

F · Potential for more than minimal harm 2022-03-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-04-25

E · Potential for more than minimal harm 2022-03-07

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2022-04-25