8 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Newton Falls, OH
3-star overall rating with 3-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
2200 Milton Boulevard, Newton Falls, OH
(330) 872-1990
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Country Club Rehabilitation Campus
Operator or chain grouping
Approved since
1991-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
7 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
RN hours / resident day
0.80
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.52
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.81
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.13
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.32
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
0.61
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.85
CMS adjusted RN staffing hours
Adjusted total hours
3.34
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
12,709
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.93
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.56
Baseline 22.91% · Performance 22.28% · Measure score 0.56 · Achievement 0 · Improvement 0.56
Healthcare-associated infections
0
Baseline 8.89% · Performance 9.62% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
2.92
Baseline 52.08% · Performance 51.72% · Measure score 2.92 · Achievement 2.92 · Improvement 0
Adjusted total nurse staffing
0.89
Baseline 3.27 hours · Performance 3.33 hours · Measure score 0.89 · Achievement 0.89 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.49% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 57 · Observed rate 15.79% · Lower 95% interval 8.26% |
| Discharge to community | 42.23% |
50.57%
8.3 pts worse
|
No Different than the National Rate · Eligible stays 79 · Observed rate 32.91% · Lower 95% interval 32.27% |
| Medicare spending per beneficiary | 1.3 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 52 · Denominator 52 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 52 |
| Discharge self-care score | 73.53% |
53.69%
19.8 pts better
|
Numerator 25 · Denominator 34 |
| Discharge mobility score | 82.35% |
50.94%
31.4 pts better
|
Numerator 28 · Denominator 34 |
| Pressure ulcers or injuries, new or worsened | 7.69% |
2.29%
5.4 pts worse
|
Numerator 4 · Denominator 52 · Adjusted rate 9.35% |
| Healthcare-associated infections requiring hospitalization | 9.62% |
7.12%
2.5 pts worse
|
No Different than the National Rate · Eligible stays 46 · Observed rate 17.39% · Lower 95% interval 6.21% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 80 |
| Staff flu vaccination coverage | 4.11% |
42%
37.9 pts worse
|
Numerator 3 · Denominator 73 |
| Discharge function score | 73.53% |
56.45%
17.1 pts better
|
Numerator 25 · Denominator 34 |
| Transfer of health information to provider | 96.88% |
95.95%
0.9 pts better
|
Numerator 31 · Denominator 32 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 4% |
25.2%
21.2 pts worse
|
Numerator 1 · Denominator 25 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.2% |
92.4%
1.8 pts better
|
93.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 75.7% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 94.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.7% |
94.5%
3.2 pts better
|
95.5%
2.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.3%
0.7 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 2.6% · Q3 0.0% · Q4 2.5% · 4Q avg 2.6% · 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 5.6% · Q2 2.9% · Q3 5.4% · Q4 5.1% · 4Q avg 4.8% |
| Percentage of long-stay residents who lose too much weight | 8.8% |
6.2%
2.6 pts worse
|
5.4%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 9.1% · Q3 8.6% · Q4 13.5% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.7% |
25.4%
12.7 pts better
|
19.6%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 5.9% · Q3 17.1% · Q4 15.4% · 4Q avg 12.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.3% |
11.5%
8.2 pts better
|
16.7%
13.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 0.0% · Q3 3.1% · Q4 2.9% · 4Q avg 3.3% · 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 | 3.8% |
7.7%
3.9 pts better
|
16.3%
12.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.5% |
6.2%
1.7 pts better
|
14.9%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.1% · Q3 5.9% · Q4 5.4% · 4Q avg 4.5% · 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 | 0.7% |
0.5%
0.2 pts worse
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.6% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.7% |
21.7%
4 pts worse
|
19.8%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 27.0% · Q3 17.2% · Q4 33.8% · 4Q avg 25.7% |
| Percentage of long-stay residents with pressure ulcers | 12.8% |
3.7%
9.1 pts worse
|
5.1%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 14.7% · Q3 12.2% · Q4 14.5% · 4Q avg 12.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.2% |
78.1%
3.1 pts better
|
81.7%
0.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 63.0% · Q2 80.0% · Q3 93.1% · Q4 88.3% · 4Q avg 81.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.8% |
12.5%
1.7 pts better
|
12.0%
1.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 10.6% · Expected 11.0% · Used in QM five-star |
| 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 | 89.0% |
75.6%
13.4 pts better
|
79.7%
9.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 36.0% |
25.1%
10.9 pts worse
|
23.9%
12.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 36.0% · Observed 31.9% · Expected 21.1% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-28
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 2025-07-28
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 2023-05-04
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-05-04
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-05-04
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-05-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-05-04
Inspection history
Health
Dispose of garbage and refuse properly.
Corrected 2025-07-28
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 2025-07-28
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-28
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2025-07-28
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-28
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-07-28
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-07-28
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-10-08
Health
Provide and implement an infection prevention and control program.
Corrected 2024-06-20
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-05-04
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-04
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-05-04
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-05-04
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-04
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-05-04
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
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