5 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Twinsburg, OH
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
2610 East Aurora Road, Twinsburg, OH
(330) 963-3600
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
96
Certified beds
Average residents
79
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sprenger Health Care Systems
Operator or chain grouping
Approved since
2007-07-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 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
0.45
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.08
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.90
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.44
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.07
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.42
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
0.45
CMS adjusted RN staffing hours
Adjusted total hours
3.38
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
43%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
3,173
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.61
Composite VBP score used to determine payment impact.
Payment multiplier
0.9989
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.01
Baseline 19.00% · Performance 19.11% · Measure score 5.01 · Achievement 5.01 · Improvement 0
Healthcare-associated infections
5.76
Baseline 6.18% · Performance 6.11% · Measure score 5.76 · Achievement 5.76 · Improvement 0.05
Total nurse turnover
5.26
Baseline 56.00% · Performance 42.19% · Measure score 5.26 · Achievement 5.26 · Improvement 3.93
Adjusted total nurse staffing
2.21
Baseline 2.91 hours · Performance 3.68 hours · Measure score 2.21 · Achievement 2.13 · Improvement 2.21
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.02% |
10.72%
0.7 pts better
|
No Different than the National Rate · Eligible stays 59 · Observed rate 8.47% · Lower 95% interval 6.12% |
| Discharge to community | 43.1% |
50.57%
7.5 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 35.29% · Lower 95% interval 33.05% |
| Medicare spending per beneficiary | 1.06 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 84.62% |
95.27%
10.6 pts worse
|
Numerator 33 · Denominator 39 |
| Falls with major injury | 2.56% |
0.77%
1.8 pts worse
|
Numerator 1 · Denominator 39 |
| Discharge self-care score | 24.14% |
53.69%
29.5 pts worse
|
Numerator 7 · Denominator 29 |
| Discharge mobility score | 31.03% |
50.94%
19.9 pts worse
|
Numerator 9 · Denominator 29 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 39 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.11% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 27 · Observed rate 0% · Lower 95% interval 3.11% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 44 |
| Staff flu vaccination coverage | 32.87% |
42%
9.1 pts worse
|
Numerator 47 · Denominator 143 |
| Discharge function score | 27.59% |
56.45%
28.9 pts worse
|
Numerator 8 · Denominator 29 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · 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 | 22.73% |
25.2%
2.5 pts worse
|
Numerator 5 · Denominator 22 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
92.4%
7.2 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.4% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| 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 | 1.2% |
3.3%
2.1 pts better
|
3.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.6% · Q4 1.5% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.0% |
26.1%
15.1 pts better
|
11.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 7.5% · Q3 6.9% · Q4 13.6% · 4Q avg 11.0% |
| Percentage of long-stay residents who lose too much weight | 4.7% |
6.2%
1.5 pts better
|
5.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 0.0% · Q3 3.7% · Q4 9.3% · 4Q avg 4.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 41.4% |
25.4%
16 pts worse
|
19.6%
21.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 44.4% · Q2 43.4% · Q3 40.7% · Q4 37.0% · 4Q avg 41.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.1% |
11.5%
2.4 pts better
|
16.7%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 5.0% · Q3 7.3% · Q4 9.5% · 4Q avg 9.1% · 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 | 0.0% |
7.7%
7.7 pts better
|
16.3%
16.3 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 whose need for help with daily activities has increased | 0.5% |
6.2%
5.7 pts better
|
14.9%
14.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · 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 | 0.0% |
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 | 21.4% |
21.7%
0.3 pts better
|
19.8%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 21.2% · Q3 27.8% · Q4 21.8% · 4Q avg 21.4% |
| Percentage of long-stay residents with pressure ulcers | 1.9% |
3.7%
1.8 pts better
|
5.1%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 2.7% · Q4 2.2% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
78.1%
21.7 pts better
|
81.7%
18.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 99.0% · Q4 100.0% · 4Q avg 99.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.1% |
12.5%
1.4 pts better
|
12.0%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 11.6% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.2%
0.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.7% |
75.6%
17.1 pts better
|
79.7%
13 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 18.4% |
25.1%
6.7 pts better
|
23.9%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 18.4% · Observed 20.9% · Expected 27.2% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-02
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-02
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-08-02
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-08-02
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-05-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-05-17
Fire Safety
Use approved construction type or materials.
Corrected 2022-05-17
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 2022-05-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-05-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-05-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-05-17
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-05-17
Fire Safety
Have restrictions on the use of flammable curtains.
Corrected 2022-05-17
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 2019-04-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-04-12
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-04-12
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-04-12
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2019-04-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-04-12
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-04-12
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-02
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-08-02
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-08-02
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 2024-08-02
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 2024-08-02
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-06
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 2023-06-30
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 2022-05-17
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 2022-05-17
Health
Provide and implement an infection prevention and control program.
Corrected 2022-05-17
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-05-17
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 2022-05-17
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2022-05-17
Health
Respond appropriately to all alleged violations.
Corrected 2022-05-17
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2022-05-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-05-17
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-05-17
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-05-17
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2022-05-17
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 2022-05-17
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-05-17
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2022-05-17
Health
Post nurse staffing information every day.
Corrected 2022-05-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-04-12
Health
Dispose of garbage and refuse properly.
Corrected 2019-04-12
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-04-12
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-04-12
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Twinsburg, OH
1-star overall rating with 1-star inspections with $108,855 in total fines with 27 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Twinsburg, OH
3-star overall rating with 2-star inspections with $25,488 in total fines with 4 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
Macedonia, OH
2-star overall rating with 2-star inspections with $23,140 in total fines with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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