Cleveland, OH

Hillside Plaza

4-star overall rating with 3-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

18220 Euclid Ave, Cleveland, OH

(216) 486-6300

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 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

47

Certified beds

Average residents

36

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Health Services

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

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

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.94

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.15

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

3.91

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

2.09

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.22

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.49

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.80

CMS adjusted RN staffing hours

Adjusted total hours

3.36

CMS adjusted total nurse staffing hours

Case-mix index

1.60

Higher values indicate more complex resident acuity

RN turnover

75%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

60%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,850

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

Performance score

18.89

Composite VBP score used to determine payment impact.

Payment multiplier

0.9821

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

3.78

Baseline 84.48% · Performance 58.97% · Measure score 3.78 · Achievement 1.15 · Improvement 3.78

Adjusted total nurse staffing

0

Baseline 2.66 hours · Performance 2.57 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 7 · 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 6 · 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 Not Available
95.27%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 7 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 3.92%
8.2%
4.3 pts worse
Numerator 2 · Denominator 51
Staff flu vaccination coverage 26.67%
42%
15.3 pts worse
Numerator 24 · Denominator 90
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 6 · 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 100.0%
92.4%
7.6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 3.7% · 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 62.3%
26.1%
36.2 pts worse
11.4%
50.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 70.8% · Q2 65.4% · Q3 69.0% · Q4 44.4% · 4Q avg 62.3%
Percentage of long-stay residents who lose too much weight 6.8%
6.2%
0.6 pts worse
5.4%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 0.0% · Q3 9.4% · Q4 6.9% · 4Q avg 6.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 15.4%
25.4%
10 pts better
19.6%
4.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 16.1% · Q3 12.5% · Q4 17.2% · 4Q avg 15.4%
Percentage of long-stay residents who received an antipsychotic medication 2.6%
11.5%
8.9 pts better
16.7%
14.1 pts better
Long Stay · 2024Q4-2025Q3 · Q3 4.5% · Q4 4.8% · 4Q avg 2.6% · 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 0.0%
6.2%
6.2 pts better
14.9%
14.9 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 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 4.2%
21.7%
17.5 pts better
19.8%
15.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 3.2% · Q3 2.7% · Q4 0.0% · 4Q avg 4.2%
Percentage of long-stay residents with pressure ulcers 4.5%
3.7%
0.8 pts worse
5.1%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.9% · Q3 2.8% · Q4 9.5% · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.6%
78.1%
9.5 pts better
81.7%
5.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 75.3% · Q2 94.0% · Q3 92.3% · Q4 92.9% · 4Q avg 87.6%
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 · 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 who were assessed and appropriately given the seasonal influenza vaccine 95.2%
75.6%
19.6 pts better
79.7%
15.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-19 · Fire 2025-05-19

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-07-20 · Fire 2022-07-20

19 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-05-16 · Fire 2019-05-16

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-19

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2025-05-27

F · Potential for more than minimal harm 2025-05-19

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-05-27

F · Potential for more than minimal harm 2025-05-19

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 2025-05-27

F · Potential for more than minimal harm 2025-05-19

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-27

F · Potential for more than minimal harm 2025-05-19

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-27

F · Potential for more than minimal harm 2022-07-20

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-09-21

F · Potential for more than minimal harm 2022-07-20

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-09-21

F · Potential for more than minimal harm 2022-07-20

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2022-09-21

F · Potential for more than minimal harm 2022-07-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-09-21

F · Potential for more than minimal harm 2022-07-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-21

F · Potential for more than minimal harm 2022-07-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-09-21

F · Potential for more than minimal harm 2022-07-20

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-09-21

F · Potential for more than minimal harm 2019-05-16

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2019-05-27

E · Potential for more than minimal harm 2019-05-16

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-05-27

D · Potential for more than minimal harm 2019-05-16

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-05-27

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-08

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-09-24

F · Potential for more than minimal harm 2025-05-19

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 2025-05-27

D · Potential for more than minimal harm 2025-05-19

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-05-19

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-05-19

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-05-27

D · Potential for more than minimal harm 2025-05-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-27

D · Potential for more than minimal harm 2024-12-17

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-12-23

D · Potential for more than minimal harm 2024-12-17

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 2024-12-23

D · Potential for more than minimal harm 2024-12-17

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-23

F · Potential for more than minimal harm 2024-11-14

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-11-25

F · Potential for more than minimal harm 2024-11-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-25

F · Potential for more than minimal harm 2024-11-14

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2024-11-25

D · Potential for more than minimal harm 2024-11-14

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 2024-11-25

D · Potential for more than minimal harm 2024-11-14

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 2024-11-25

D · Potential for more than minimal harm 2024-11-14

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 2024-11-25

D · Potential for more than minimal harm 2024-11-14

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-23

D · Potential for more than minimal harm 2024-11-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-25

D · Potential for more than minimal harm 2023-07-18

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 2023-08-01

F · Potential for more than minimal harm 2022-07-20

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-09-21

E · Potential for more than minimal harm 2022-07-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-09-21

D · Potential for more than minimal harm 2022-07-20

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-09-21

D · Potential for more than minimal harm 2022-07-20

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-09-21

D · Potential for more than minimal harm 2022-07-20

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 2022-09-21

D · Potential for more than minimal harm 2022-07-20

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2022-09-21

D · Potential for more than minimal harm 2022-07-20

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2022-09-21

D · Potential for more than minimal harm 2022-07-20

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2022-09-21

E · Potential for more than minimal harm 2019-05-16

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2019-05-27

C · Minimal harm 2019-05-16

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2019-05-27

C · Minimal harm 2019-05-16

F839 · Administration Deficiencies

Health

Employ staff that are licensed, certified, or registered in accordance with state laws.

Corrected 2019-05-27

B · Minimal harm 2019-05-16

F582 · Resident Rights Deficiencies

Health

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

Corrected 2019-05-27

Penalties and ownership

What sits behind the stars

Ownership

Oh 10 Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 10 facilities 2022-07-06
Cc Oh10 Opco LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2022-07-06
Chavos221 Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2022-07-06
Chavos221 Irrv Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2022-07-06
Lionsview Opco Nr LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2022-07-06
Lionsview Sc LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2022-07-06
Living26 Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2022-07-06
Living26 Irrv Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2022-07-06
Sapphire143 Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2022-07-06
Sapphire143 Irrv Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 10 facilities 2022-07-06
Sharvit, Eliav

Corporate Officer · Individual

0% 8 facilities 2007-06-22
Stump, Barry

Corporate Officer · Individual

0% 10 facilities 1998-05-14
Stump, Barry

W-2 Managing Employee · Individual

0% 10 facilities 2019-06-07

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Staffing
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Staffing
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Fines
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#3

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Overall
4 / 5
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Staffing
4 / 5
Fines
$0

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