London, OH

London Health & Rehab Center

2-star overall rating with 3-star inspections with 11 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

218 Elm St, London, OH

(740) 852-3100

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

78

Certified beds

Average residents

73

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Saber Healthcare Group

Operator or chain grouping

Approved since

1970-02-19

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

0.32

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.88

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.10

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.29

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.19

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

0.18

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.31

CMS adjusted RN staffing hours

Adjusted total hours

3.27

CMS adjusted total nurse staffing hours

Case-mix index

1.38

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,903

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

Performance score

34.64

Composite VBP score used to determine payment impact.

Payment multiplier

0.9885

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.5

Baseline 20.96% · Performance 20.27% · Measure score 2.5 · Achievement 2.5 · Improvement 1.26

Healthcare-associated infections

5.36

Baseline 6.12% · Performance 6.23% · Measure score 5.36 · Achievement 5.36 · Improvement 0

Total nurse turnover

3.53

Baseline 51.06% · Performance 49.25% · Measure score 3.53 · Achievement 3.53 · Improvement 0.19

Adjusted total nurse staffing

2.47

Baseline 3.24 hours · Performance 3.78 hours · Measure score 2.47 · Achievement 2.47 · Improvement 1.61

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.96%	10.72% 2.2 pts worse	No Different than the National Rate · Eligible stays 60 · Observed rate 20% · Lower 95% interval 9.16%
Discharge to community	50.34%	50.57% 0.2 pts worse	No Different than the National Rate · Eligible stays 51 · Observed rate 45.1% · Lower 95% interval 36.91%
Medicare spending per beneficiary	0.89	1.02 0.1 pts better
Drug regimen review with follow-up	94.44%	95.27% 0.8 pts worse	Numerator 51 · Denominator 54
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 54
Discharge self-care score	50%	53.69% 3.7 pts worse	Numerator 18 · Denominator 36
Discharge mobility score	52.78%	50.94% 1.8 pts better	Numerator 19 · Denominator 36
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 54 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.23%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 44 · Observed rate 2.27% · Lower 95% interval 3.59%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 106
Staff flu vaccination coverage	42.86%	42% 0.9 pts better	Numerator 48 · Denominator 112
Discharge function score	52.78%	56.45% 3.7 pts worse	Numerator 19 · Denominator 36
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 23 · Denominator 23
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	15.38%	25.2% 9.8 pts worse	Numerator 4 · Denominator 26

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.8%	92.4% 4.4 pts better	93.4% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 94.0% · Q2 100.0% · Q3 97.0% · Q4 96.7% · 4Q avg 96.8%
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	6.7%	3.3% 3.4 pts worse	3.3% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 10.3% · Q3 4.5% · Q4 1.6% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	20.9%	26.1% 5.2 pts better	11.4% 9.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 31.7% · Q3 23.0% · Q4 13.5% · 4Q avg 20.9%
Percentage of long-stay residents who lose too much weight	13.8%	6.2% 7.6 pts worse	5.4% 8.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 10.0% · Q3 16.4% · Q4 14.3% · 4Q avg 13.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.5%	25.4% 7.9 pts better	19.6% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 12.0% · Q3 12.7% · Q4 32.1% · 4Q avg 17.5%
Percentage of long-stay residents who received an antipsychotic medication	17.9%	11.5% 6.4 pts worse	16.7% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 16.7% · Q3 16.7% · Q4 16.3% · 4Q avg 17.9% · 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	5.8%	7.7% 1.9 pts better	16.3% 10.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · 4Q avg 5.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.7%	6.2% 2.5 pts better	14.9% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 7.0% · Q3 2.0% · Q4 3.9% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.2% 0.4 pts worse	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 0.0% · Q4 1.1% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.4%	0.5% 1.9 pts worse	1.7% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.4% · Q3 4.5% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.0%	21.7% 2.7 pts better	19.8% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 12.9% · Q3 22.6% · Q4 18.9% · 4Q avg 19.0%
Percentage of long-stay residents with pressure ulcers	2.6%	3.7% 1.1 pts better	5.1% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.7% · Q3 1.3% · Q4 6.1% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	77.1%	78.1% 1 pts worse	81.7% 4.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 91.5% · Q2 82.9% · Q3 76.5% · Q4 59.8% · 4Q avg 77.1%
Percentage of short-stay residents who had an outpatient emergency department visit	21.9%	12.5% 9.4 pts worse	12.0% 9.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 22.7% · Expected 11.6% · 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	88.8%	75.6% 13.2 pts better	79.7% 9.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 88.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	35.0%	25.1% 9.9 pts worse	23.9% 11.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 35.0% · Observed 36.4% · Expected 24.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-29 · Fire 2025-05-29

11 health deficiencies

Top issue: Infection Control (3 deficiencies)

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2022-10-13 · Fire 2022-10-13

5 health deficiencies

Top issue: Environmental (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2020-01-02 · Fire 2020-01-02

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-01

F · Potential for more than minimal harm 2025-05-29

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-07-01

F · Potential for more than minimal harm 2025-05-29

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-07-01

E · Potential for more than minimal harm 2025-05-29

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 2025-07-01

E · Potential for more than minimal harm 2025-05-29

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-07-01

F · Potential for more than minimal harm 2022-10-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-11-28

F · Potential for more than minimal harm 2022-10-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-28

F · Potential for more than minimal harm 2022-10-13

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-11-28

F · Potential for more than minimal harm 2022-10-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-11-28

F · Potential for more than minimal harm 2020-01-02

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2020-01-31

F · Potential for more than minimal harm 2020-01-02

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-01-31

F · Potential for more than minimal harm 2020-01-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-01-31

F · Potential for more than minimal harm 2020-01-02

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 2020-01-31

F · Potential for more than minimal harm 2020-01-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2020-01-31

E · Potential for more than minimal harm 2020-01-02

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2020-01-31

E · Potential for more than minimal harm 2020-01-02

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 2020-01-31

E · Potential for more than minimal harm 2020-01-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-01-31

E · Potential for more than minimal harm 2020-01-02

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 2020-01-31

E · Potential for more than minimal harm 2020-01-02

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2020-01-31

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-05-29

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-07-01

E · Potential for more than minimal harm 2025-05-29

F584 · Resident Rights Deficiencies

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 2025-07-01

E · Potential for more than minimal harm 2025-05-29

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 2025-07-01