14 health deficiencies
Top issue: Resident Rights (3 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Medina, OH
3-star overall rating with 3-star inspections with 14 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
2400 Columbia Rd, Medina, OH
(330) 483-3131
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
156
Certified beds
Average residents
109
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1967-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 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
0.80
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.31
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.84
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.45
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.68
CMS adjusted total nurse staffing hours
Case-mix index
1.43
Higher values indicate more complex resident acuity
RN turnover
22%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
2,008
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
52.33
Composite VBP score used to determine payment impact.
Payment multiplier
1.0068
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.89
Baseline 20.17% · Performance 18.70% · Measure score 5.89 · Achievement 5.89 · Improvement 4.16
Healthcare-associated infections
5.90
Baseline 8.05% · Performance 6.09% · Measure score 5.90 · Achievement 5.83 · Improvement 5.90
Total nurse turnover
6.92
Baseline 29.29% · Performance 35.40% · Measure score 6.92 · Achievement 6.92 · Improvement 0
Adjusted total nurse staffing
2.22
Baseline 3.39 hours · Performance 3.71 hours · Measure score 2.22 · Achievement 2.22 · Improvement 0.85
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.34% |
10.72%
0.6 pts worse
|
No Different than the National Rate · Eligible stays 119 · Observed rate 13.45% · Lower 95% interval 8.36% |
| Discharge to community | 58.02% |
50.57%
7.5 pts better
|
No Different than the National Rate · Eligible stays 107 · Observed rate 47.66% · Lower 95% interval 46.39% |
| Medicare spending per beneficiary | 0.95 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 99.07% |
95.27%
3.8 pts better
|
Numerator 107 · Denominator 108 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 108 |
| Discharge self-care score | 71.62% |
53.69%
17.9 pts better
|
Numerator 53 · Denominator 74 |
| Discharge mobility score | 66.22% |
50.94%
15.3 pts better
|
Numerator 49 · Denominator 74 |
| Pressure ulcers or injuries, new or worsened | 1.85% |
2.29%
0.4 pts better
|
Numerator 2 · Denominator 108 · Adjusted rate 2.05% |
| Healthcare-associated infections requiring hospitalization | 6.09% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 79 · Observed rate 3.8% · Lower 95% interval 3.59% |
| Staff COVID-19 vaccination coverage | 2.82% |
8.2%
5.4 pts worse
|
Numerator 6 · Denominator 213 |
| Staff flu vaccination coverage | 9.47% |
42%
32.5 pts worse
|
Numerator 32 · Denominator 338 |
| Discharge function score | 86.49% |
56.45%
30 pts better
|
Numerator 64 · Denominator 74 |
| Transfer of health information to provider | 98.04% |
95.95%
2.1 pts better
|
Numerator 50 · Denominator 51 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 29 · Denominator 29 |
| Resident COVID-19 vaccinations up to date | 17.14% |
25.2%
8.1 pts worse
|
Numerator 12 · Denominator 70 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.8
0.2 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.2 · Expected 2.1 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.8
About the same
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.0% |
92.4%
1.6 pts better
|
93.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 91.0% · Q3 94.2% · Q4 99.0% · 4Q avg 94.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 86.4% |
94.5%
8.1 pts worse
|
95.5%
9.1 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 86.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.0% |
3.3%
2.7 pts worse
|
3.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 8.0% · Q3 5.8% · Q4 5.0% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 19.1% |
26.1%
7 pts better
|
11.4%
7.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 20.7% · Q3 16.3% · Q4 22.7% · 4Q avg 19.1% |
| 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 11.2% · Q2 11.8% · Q3 10.0% · Q4 2.3% · 4Q avg 8.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 37.4% |
25.4%
12 pts worse
|
19.6%
17.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.2% · Q2 36.4% · Q3 39.1% · Q4 37.5% · 4Q avg 37.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 16.9% |
11.5%
5.4 pts worse
|
16.7%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 16.9% · Q3 17.6% · Q4 12.9% · 4Q avg 16.9% · 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 · Q1 23.7% · Q2 13.7% · Q3 10.2% · Q4 5.9% · 4Q avg 13.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.7% |
6.2%
7.5 pts worse
|
14.9%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 26.4% · Q2 13.0% · Q3 7.3% · Q4 9.8% · 4Q avg 13.7% · 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 | 0.3% |
0.5%
0.2 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.8% |
21.7%
6.1 pts worse
|
19.8%
8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.6% · Q2 31.4% · Q3 25.3% · Q4 23.6% · 4Q avg 27.8% |
| 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 3.9% · Q2 6.8% · Q3 4.8% · Q4 2.6% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 54.2% |
78.1%
23.9 pts worse
|
81.7%
27.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 72.2% · Q2 47.7% · Q3 44.9% · Q4 56.5% · 4Q avg 54.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.6% |
12.5%
2.9 pts better
|
12.0%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 9.6% · Expected 11.2% · 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 3.8% · Q2 2.3% · Q3 0.0% · Q4 2.1% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 42.6% |
75.6%
33 pts worse
|
79.7%
37.1 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 42.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.1% |
25.1%
1 pts better
|
23.9%
0.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 22.3% · Expected 22.1% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (3 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (3 deficiencies)
18 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
7 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-02-28
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-02-28
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-02-28
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 2024-02-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-28
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-02-28
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-02-28
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-02-28
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 2024-02-28
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-10-28
Fire Safety
Implement emergency and standby power systems.
Corrected 2021-10-28
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2021-10-28
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 2021-10-28
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-10-28
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-10-28
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-10-28
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2021-10-28
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-10-28
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-10-28
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-10-28
Fire Safety
Use approved construction type or materials.
Corrected 2021-10-28
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2021-10-28
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-10-28
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2021-10-28
Fire Safety
Have a properly installed and maintained dumbwaiter or escalator.
Corrected 2021-10-28
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2021-10-28
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2021-10-28
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-10-04
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-10-04
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 2019-10-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-10-04
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-10-04
Fire Safety
Meet other general requirements that are deficient.
Corrected 2019-10-04
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-10-04
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-28
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-28
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 2024-02-28
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 2024-02-28
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-02-28
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-02-28
Health
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2024-02-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-28
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 2024-02-28
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-02-28
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2024-02-28
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-28
Health
Dispose of garbage and refuse properly.
Corrected 2024-02-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-10-28
Health
Have enough backup water supply for essential areas of the nursing home.
Corrected 2021-10-28
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 2021-10-28
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2021-10-28
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2021-10-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-10-28
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 2021-10-28
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2021-10-28
Health
Give residents a notice of rights, rules, services and charges.
Corrected 2021-10-28
Health
Provide and implement an infection prevention and control program.
Corrected 2019-10-04
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-10-04
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-10-04
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2019-10-04
Health
Provide activities to meet all resident's needs.
Corrected 2019-10-04
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-10-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-10-04
Health
Implement a program that monitors antibiotic use.
Corrected 2019-10-04
Penalties and ownership
5% Or Greater Direct Ownership Interest · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
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Medina, OH
4-star overall rating with 3-star inspections with $55,035 in total fines with 7 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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