7 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Richmond Heights, OH
2-star overall rating with 2-star inspections with $137,255 in total fines with 7 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Three Merit Dr, Richmond Heights, OH
(216) 261-9600
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
176
Certified beds
Average residents
143
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Communicare Health
Operator or chain grouping
Approved since
1995-07-11
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
122 facilities
Chain averages 3 overall / 2 health / 2 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
RN hours / resident day
0.32
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.16
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.82
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.30
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.49
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
2.97
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.19
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
0.30
CMS adjusted RN staffing hours
Adjusted total hours
3.10
CMS adjusted total nurse staffing hours
Case-mix index
1.46
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
4,095
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9942
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.57
Baseline 19.92% · Performance 18.85% · Measure score 5.57 · Achievement 5.57 · Improvement 3.2
Healthcare-associated infections
6.55
Baseline 5.14% · Performance 5.88% · Measure score 6.55 · Achievement 6.55 · Improvement 0
Total nurse turnover
3.53
Baseline 62.99% · Performance 49.25% · Measure score 3.53 · Achievement 3.53 · Improvement 3.10
Adjusted total nurse staffing
0.86
Baseline 2.81 hours · Performance 3.21 hours · Measure score 0.86 · Achievement 0 · Improvement 0.86
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.3% |
10.72%
1.6 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 22.03% · Lower 95% interval 8.74% |
| Discharge to community | 47.42% |
50.57%
3.1 pts worse
|
No Different than the National Rate · Eligible stays 61 · Observed rate 31.15% · Lower 95% interval 33.99% |
| 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 57 · Denominator 57 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 57 |
| Discharge self-care score | 67.65% |
53.69%
14 pts better
|
Numerator 23 · Denominator 34 |
| Discharge mobility score | 52.94% |
50.94%
2 pts better
|
Numerator 18 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 1.75% |
2.29%
0.5 pts better
|
Numerator 1 · Denominator 57 · Adjusted rate 1.4% |
| Healthcare-associated infections requiring hospitalization | 5.88% |
7.12%
1.2 pts better
|
No Different than the National Rate · Eligible stays 32 · Observed rate 0% · Lower 95% interval 3.09% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 200 |
| Staff flu vaccination coverage | 26.15% |
42%
15.9 pts worse
|
Numerator 51 · Denominator 195 |
| Discharge function score | 64.71% |
56.45%
8.3 pts better
|
Numerator 22 · Denominator 34 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 34 · Denominator 34 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 62.5% |
25.2%
37.3 pts better
|
Numerator 15 · Denominator 24 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.9% |
92.4%
2.5 pts better
|
93.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 84.9% · Q2 97.8% · Q3 98.4% · Q4 99.2% · 4Q avg 94.9% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.4% |
94.5%
2.9 pts better
|
95.5%
1.9 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.9% |
3.3%
0.4 pts better
|
3.3%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.9% · Q3 2.4% · Q4 4.0% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.8% |
26.1%
21.3 pts better
|
11.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.7% · Q3 9.1% · Q4 5.1% · 4Q avg 4.8% |
| Percentage of long-stay residents who lose too much weight | 1.8% |
6.2%
4.4 pts better
|
5.4%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.7% · Q3 0.9% · Q4 1.9% · 4Q avg 1.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.4% |
25.4%
9 pts better
|
19.6%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 15.0% · Q3 19.1% · Q4 18.3% · 4Q avg 16.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.1% |
11.5%
4.4 pts better
|
16.7%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 8.2% · Q3 4.6% · Q4 9.7% · 4Q avg 7.1% · 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 | 6.8% |
7.7%
0.9 pts better
|
16.3%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 3.1% · Q3 8.7% · Q4 7.1% · 4Q avg 6.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.0% |
6.2%
1.2 pts better
|
14.9%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 5.2% · Q3 8.5% · Q4 3.0% · 4Q avg 5.0% · 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 | 0.2% |
0.5%
0.3 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 11.1% |
21.7%
10.6 pts better
|
19.8%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 9.6% · Q3 9.2% · Q4 14.7% · 4Q avg 11.1% |
| Percentage of long-stay residents with pressure ulcers | 3.0% |
3.7%
0.7 pts better
|
5.1%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 1.6% · Q3 3.1% · Q4 2.3% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.5% |
78.1%
4.4 pts better
|
81.7%
0.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 60.9% · Q2 87.0% · Q3 92.6% · Q4 92.6% · 4Q avg 82.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.7% |
12.5%
3.8 pts better
|
12.0%
3.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 9.7% · Expected 12.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.2%
0.6 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.4% · Q3 1.4% · Q4 1.9% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 87.6% |
75.6%
12 pts better
|
79.7%
7.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 87.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.6% |
25.1%
1.5 pts worse
|
23.9%
2.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.6% · Observed 29.0% · Expected 26.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Top issue: Quality of Life and Care (11 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2025-03-26
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-03-26
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-03-26
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-08-05
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-08-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-08-05
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-08-05
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-08-05
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-08-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-08-05
Fire Safety
Meet other general requirements.
Corrected 2019-07-09
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-07-09
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-07-09
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 2019-07-09
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2019-07-09
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 2019-07-09
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-07-09
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-07-09
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-07-09
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-07-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-07-09
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2019-06-19
Inspection history
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-12-01
Health
Provide and implement an infection prevention and control program.
Corrected 2025-12-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-15
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-08-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-26
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-03-26
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-07
Health
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected 2025-01-07
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-01-07
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-01-07
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-07
Health
Respond appropriately to all alleged violations.
Corrected 2025-01-07
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-07
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-18
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-10-18
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-10-18
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-07-02
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-07-17
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-07-17
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-07-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-07-17
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-05-31
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-03-23
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-08-05
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 2022-08-05
Health
Provide activities to meet all resident's needs.
Corrected 2022-08-05
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-08-05
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2022-08-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-07-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-07-09
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-07-09
Penalties and ownership
Fine · fine $93,152
Fine
Fine · fine $22,425
Fine
Fine · fine $21,678
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Nearby options
Highland Heights, OH
2-star overall rating with 2-star inspections with $28,276 in total fines with 13 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Richmond Heights, OH
2-star overall rating with 2-star inspections with 9 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Mayfield Village, OH
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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