Lakeview, OH

Indian Lake Rehabilitation Center

5-star overall rating with 5-star inspections with 7 fire-safety deficiencies in the latest cycle

14442 State Route 33 West, Lakeview, OH

(937) 843-4929

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

37

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Saber Healthcare Group

Operator or chain grouping

Approved since

1985-10-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

126 facilities

Chain averages 3 overall / 3 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

0.96

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.50

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.80

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.26

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.76

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.59

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

1.01

CMS adjusted RN staffing hours

Adjusted total hours

3.44

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,969

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

Performance score

28.24

Composite VBP score used to determine payment impact.

Payment multiplier

0.9849

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.93

Performance 20.54% · Measure score 1.93 · Achievement 1.93 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

4.68

Performance 6.44% · Measure score 4.68 · Achievement 4.68 · This facility did not have sufficient data to calculate a baseline period measure result.

Total nurse turnover

2.95

Baseline 36.00% · Performance 51.61% · Measure score 2.95 · Achievement 2.95 · Improvement 0

Adjusted total nurse staffing

1.72

Baseline 3.24 hours · Performance 3.57 hours · Measure score 1.72 · Achievement 1.72 · Improvement 0.78

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.4%	10.72% 1.3 pts better	No Different than the National Rate · Eligible stays 65 · Observed rate 7.69% · Lower 95% interval 6.35%
Discharge to community	62.12%	50.57% 11.5 pts better	No Different than the National Rate · Eligible stays 45 · Observed rate 53.33% · Lower 95% interval 46.13%
Medicare spending per beneficiary	0.7	1.02 0.3 pts better
Drug regimen review with follow-up	90.24%	95.27% 5 pts worse	Numerator 37 · Denominator 41
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 41
Discharge self-care score	40.91%	53.69% 12.8 pts worse	Numerator 9 · Denominator 22
Discharge mobility score	27.27%	50.94% 23.7 pts worse	Numerator 6 · Denominator 22
Pressure ulcers or injuries, new or worsened	2.44%	2.29% 0.1 pts worse	Numerator 1 · Denominator 41 · Adjusted rate 1.98%
Healthcare-associated infections requiring hospitalization	6.44%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 5% · Lower 95% interval 3.64%
Staff COVID-19 vaccination coverage	1.92%	8.2% 6.3 pts worse	Numerator 1 · Denominator 52
Staff flu vaccination coverage	22.81%	42% 19.2 pts worse	Numerator 13 · Denominator 57
Discharge function score	40.91%	56.45% 15.5 pts worse	Numerator 9 · Denominator 22
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	40%	25.2% 14.8 pts better	Numerator 12 · Denominator 30

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.7	1.8 0.9 pts worse	1.9 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.2 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.6	1.8 0.2 pts better	1.8 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.3 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.1%	92.4% 6.7 pts better	93.4% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.6% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1%
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	7.8%	3.3% 4.5 pts worse	3.3% 4.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 10.3% · Q3 7.4% · Q4 3.6% · 4Q avg 7.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	27.1%	26.1% 1 pts worse	11.4% 15.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 37.0% · Q3 16.0% · Q4 37.0% · 4Q avg 27.1%
Percentage of long-stay residents who lose too much weight	6.1%	6.2% 0.1 pts better	5.4% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 0.0% · Q3 4.8% · Q4 4.3% · 4Q avg 6.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	39.3%	25.4% 13.9 pts worse	19.6% 19.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 37.0% · Q3 37.5% · Q4 42.3% · 4Q avg 39.3%
Percentage of long-stay residents who received an antipsychotic medication	4.7%	11.5% 6.8 pts better	16.7% 12 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.8% · Q4 5.0% · 4Q avg 4.7% · 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	7.6%	7.7% 0.1 pts better	16.3% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.4%	6.2% 5.2 pts worse	14.9% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 18.5% · Q3 8.3% · Q4 4.0% · 4Q avg 11.4% · 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	0.9%	0.5% 0.4 pts worse	1.7% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.1%	21.7% 4.6 pts better	19.8% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 18.0% · Q3 15.8% · Q4 29.6% · 4Q avg 17.1%
Percentage of long-stay residents with pressure ulcers	2.2%	3.7% 1.5 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 4.6% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	89.5%	78.1% 11.4 pts better	81.7% 7.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 85.4% · Q2 78.9% · Q3 92.4% · Q4 98.5% · 4Q avg 89.5%
Percentage of short-stay residents who had an outpatient emergency department visit	18.9%	12.5% 6.4 pts worse	12.0% 6.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 19.6% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.3%	1.2% 0.1 pts worse	1.6% 0.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.0%	75.6% 9.4 pts better	79.7% 5.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.9%	25.1% 1.8 pts worse	23.9% 3 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.9% · Observed 29.4% · Expected 26.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-20 · Fire 2024-06-20

0 health deficiencies

No concentrated health issue counts in this cycle.

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2021-12-16 · Fire 2021-12-16

1 health deficiencies

Top issue: Administration (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-05-02 · Fire 2019-05-02

15 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-20

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-07-05

F · Potential for more than minimal harm 2024-06-20

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 2024-07-05

F · Potential for more than minimal harm 2024-06-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-07-05

E · Potential for more than minimal harm 2024-06-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-05

E · Potential for more than minimal harm 2024-06-20

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-07-05

E · Potential for more than minimal harm 2024-06-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-07-05

E · Potential for more than minimal harm 2024-06-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-07-05

F · Potential for more than minimal harm 2023-09-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-13

F · Potential for more than minimal harm 2023-09-11

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2023-09-13

F · Potential for more than minimal harm 2021-12-16

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-01-14

F · Potential for more than minimal harm 2021-12-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-01-14

F · Potential for more than minimal harm 2021-12-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-01-14

F · Potential for more than minimal harm 2021-12-16

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 2022-01-14

F · Potential for more than minimal harm 2021-12-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-01-14

E · Potential for more than minimal harm 2021-12-16

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 2022-01-14

F · Potential for more than minimal harm 2019-05-02

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2019-05-28

F · Potential for more than minimal harm 2019-05-02

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-05-28

F · Potential for more than minimal harm 2019-05-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-05-28

F · Potential for more than minimal harm 2019-05-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-05-28

F · Potential for more than minimal harm 2019-05-02

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2019-05-28

F · Potential for more than minimal harm 2019-05-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-05-28

E · Potential for more than minimal harm 2019-05-02

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-05-28

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-10-23

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 2023-11-07

D · Potential for more than minimal harm 2023-10-23

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-11-07

D · Potential for more than minimal harm 2021-12-16

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2022-01-14

F · Potential for more than minimal harm 2019-05-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-05-28

E · Potential for more than minimal harm 2019-05-02

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 2019-05-28

E · Potential for more than minimal harm 2019-05-02