North Olmsted, OH

Joshua Tree Care Center

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

27500 Mill Rd, North Olmsted, OH

(440) 777-8444

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

36

Certified beds

Average residents

34

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1980-03-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.67

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.90

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

3.38

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.58

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.04

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.38

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.65

CMS adjusted RN staffing hours

Adjusted total hours

3.26

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

33%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,255

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

Performance score

40.67

Composite VBP score used to determine payment impact.

Payment multiplier

0.9936

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

8.13

Baseline 25.00% · Performance 30.44% · Measure score 8.13 · Achievement 8.13 · Improvement 0

Adjusted total nurse staffing

0

Baseline 3.15 hours · Performance 3.03 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 9 · 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 7 · 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 1 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 1 · 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 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	3.51%	8.2% 4.7 pts worse	Numerator 2 · Denominator 57
Staff flu vaccination coverage	27.78%	42% 14.2 pts worse	Numerator 50 · Denominator 180
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.

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	96.6%	94.5% 2.1 pts better	95.5% 1.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6%
Percentage of long-stay residents experiencing one or more falls with major injury	2.5%	3.3% 0.8 pts better	3.3% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.3% · Q4 6.2% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	85.6%	26.1% 59.5 pts worse	11.4% 74.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 92.6% · Q2 84.6% · Q3 77.8% · Q4 87.1% · 4Q avg 85.6%
Percentage of long-stay residents who lose too much weight	0.0%	6.2% 6.2 pts better	5.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	0.0%	25.4% 25.4 pts better	19.6% 19.6 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who received an antipsychotic medication	17.8%	11.5% 6.3 pts worse	16.7% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 19.0% · 4Q avg 17.8% · 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	13.0%	7.7% 5.3 pts worse	16.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 13.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.0%	6.2% 1.8 pts worse	14.9% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 8.7% · Q4 12.0% · 4Q avg 8.0% · 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	27.1%	21.7% 5.4 pts worse	19.8% 7.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.3% · Q2 26.4% · Q3 15.7% · Q4 28.6% · 4Q avg 27.1%
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 0.0% · Q2 0.0% · Q3 3.0% · Q4 6.1% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.7%	78.1% 20.6 pts better	81.7% 17 pts better	Short Stay · 2024Q4-2025Q3 · Q2 100.0% · Q3 100.0% · 4Q avg 98.7%
Percentage of short-stay residents who newly received an antipsychotic medication	4.3%	1.2% 3.1 pts worse	1.6% 2.7 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	90.9%	75.6% 15.3 pts better	79.7% 11.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 90.9%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-15 · Fire 2025-01-15

5 health deficiencies

Top issue: Administration (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-03-09 · Fire 2023-03-09

5 health deficiencies

Top issue: Administration (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2020-01-23 · Fire 2020-01-23

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

7 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-15

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2025-02-14

F · Potential for more than minimal harm 2025-01-15

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-14

F · Potential for more than minimal harm 2025-01-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-14

F · Potential for more than minimal harm 2025-01-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-02-14

F · Potential for more than minimal harm 2023-03-09

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-04-17

F · Potential for more than minimal harm 2023-03-09

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2023-04-17

E · Potential for more than minimal harm 2023-03-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-04-17

E · Potential for more than minimal harm 2023-03-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-04-17

F · Potential for more than minimal harm 2020-01-23

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2020-02-07

F · Potential for more than minimal harm 2020-01-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2020-02-07

F · Potential for more than minimal harm 2020-01-23

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2020-02-07

F · Potential for more than minimal harm 2020-01-23

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2020-02-07

F · Potential for more than minimal harm 2020-01-23

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 2020-02-07

F · Potential for more than minimal harm 2020-01-23

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-02-07

C · Minimal harm 2020-01-23

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2020-02-07

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-01-15

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 2025-02-14

D · Potential for more than minimal harm 2025-01-15

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 2025-02-14

D · Potential for more than minimal harm 2025-01-15

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 2025-02-14

C · Minimal harm 2025-01-15

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-02-14

C · Minimal harm 2025-01-15

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 2025-02-14

F · Potential for more than minimal harm 2023-03-09

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 2023-04-17

F · Potential for more than minimal harm 2023-03-09

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 2023-04-17

F · Potential for more than minimal harm 2023-03-09

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2023-04-17

F · Potential for more than minimal harm 2023-03-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-17

B · Minimal harm 2023-03-09

F582 · Resident Rights Deficiencies

Health

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

Corrected 2023-04-17

F · Potential for more than minimal harm 2020-01-23

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 2020-02-07

Penalties and ownership