Chardon, OH

Mapleview Country Villa

2-star overall rating with 2-star inspections with 11 recent health deficiencies

775 South Street, Chardon, OH

(440) 286-8176

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

92

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Health Services

Operator or chain grouping

Approved since

2015-08-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 3 overall / 3 health / 2 staffing / 5 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

Hours and turnover

RN hours / resident day

0.59

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.03

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.55

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.16

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.62

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.87

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.57

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

0.54

CMS adjusted RN staffing hours

Adjusted total hours

2.89

CMS adjusted total nurse staffing hours

Case-mix index

1.50

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

62%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,393

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

Performance score

23.76

Composite VBP score used to determine payment impact.

Payment multiplier

0.9833

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.69

Baseline 21.96% · Performance 19.40% · Measure score 4.69 · Achievement 4.38 · Improvement 4.69

Healthcare-associated infections

4.20

Baseline 6.17% · Performance 6.58% · Measure score 4.20 · Achievement 4.20 · Improvement 0

Total nurse turnover

0.61

Baseline 64.21% · Performance 61.18% · Measure score 0.61 · Achievement 0.61 · Improvement 0.27

Adjusted total nurse staffing

0

Baseline 2.79 hours · Performance 2.88 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.07%	10.72% 1.3 pts worse	No Different than the National Rate · Eligible stays 163 · Observed rate 13.5% · Lower 95% interval 8.85%
Discharge to community	56.25%	50.57% 5.7 pts better	No Different than the National Rate · Eligible stays 160 · Observed rate 52.5% · Lower 95% interval 48.27%
Medicare spending per beneficiary	0.91	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 79 · Denominator 79
Falls with major injury	1.27%	0.77% 0.5 pts worse	Numerator 1 · Denominator 79
Discharge self-care score	61.19%	53.69% 7.5 pts better	Numerator 41 · Denominator 67
Discharge mobility score	50.75%	50.94% 0.2 pts worse	Numerator 34 · Denominator 67
Pressure ulcers or injuries, new or worsened	1.27%	2.29% 1 pts better	Numerator 1 · Denominator 79 · Adjusted rate 1.44%
Healthcare-associated infections requiring hospitalization	6.58%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 82 · Observed rate 4.88% · Lower 95% interval 3.29%
Staff COVID-19 vaccination coverage	54.55%	8.2% 46.3 pts better	Numerator 60 · Denominator 110
Staff flu vaccination coverage	18.75%	42% 23.2 pts worse	Numerator 42 · Denominator 224
Discharge function score	49.25%	56.45% 7.2 pts worse	Numerator 33 · Denominator 67
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 27 · Denominator 27
Transfer of health information to patient	97.67%	96.28% 1.4 pts better	Numerator 42 · Denominator 43
Resident COVID-19 vaccinations up to date	27.03%	25.2% 1.8 pts better	Numerator 10 · Denominator 37

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	85.9%	92.4% 6.5 pts worse	93.4% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 64.4% · Q2 84.0% · Q3 100.0% · Q4 97.1% · 4Q avg 85.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.1%	94.5% 1.6 pts better	95.5% 0.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.1%
Percentage of long-stay residents experiencing one or more falls with major injury	3.2%	3.3% 0.1 pts better	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 4.0% · Q3 1.5% · Q4 1.4% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	13.0%	26.1% 13.1 pts better	11.4% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 11.4% · Q3 22.6% · Q4 15.6% · 4Q avg 13.0%
Percentage of long-stay residents who lose too much weight	5.7%	6.2% 0.5 pts better	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 11.1% · Q3 2.1% · Q4 3.9% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	35.1%	25.4% 9.7 pts worse	19.6% 15.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.6% · Q2 42.6% · Q3 31.9% · Q4 29.4% · 4Q avg 35.1%
Percentage of long-stay residents who received an antipsychotic medication	7.9%	11.5% 3.6 pts better	16.7% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.4% · Q3 10.0% · Q4 10.0% · 4Q avg 7.9% · 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	4.3%	7.7% 3.4 pts better	16.3% 12 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 0.0% · Q3 11.5% · Q4 3.0% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	2.5%	6.2% 3.7 pts better	14.9% 12.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 4.5% · Q4 4.2% · 4Q avg 2.5% · 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	1.1%	0.5% 0.6 pts worse	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.5% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.2%	21.7% 3.5 pts worse	19.8% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 21.8% · Q3 19.2% · Q4 29.3% · 4Q avg 25.2%
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 3.4% · Q2 2.8% · Q3 1.8% · Q4 2.1% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	77.7%	78.1% 0.4 pts worse	81.7% 4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 72.4% · Q2 77.3% · Q3 82.6% · Q4 77.3% · 4Q avg 77.7%
Percentage of short-stay residents who had an outpatient emergency department visit	4.2%	12.5% 8.3 pts better	12.0% 7.8 pts better	Short Stay · 20240701-20250630 · Adjusted 4.2% · Observed 4.1% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.2% 0.3 pts worse	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.7% · Q4 2.9% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	73.6%	75.6% 2 pts worse	79.7% 6.1 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 73.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.2%	25.1% 3.1 pts worse	23.9% 4.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.2% · Observed 27.0% · Expected 22.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-22 · Fire 2024-05-22

11 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-05-18 · Fire 2023-05-18

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2021-04-20 · Fire 2021-04-20

3 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-05-18

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-23

F · Potential for more than minimal harm 2021-04-20

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2021-05-07

E · Potential for more than minimal harm 2021-04-20

K222 · Egress Deficiencies

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 2021-05-07

E · Potential for more than minimal harm 2021-04-20

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2021-05-07

E · Potential for more than minimal harm 2021-04-20

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2021-05-07

E · Potential for more than minimal harm 2021-04-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-05-07

E · Potential for more than minimal harm 2021-04-20

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-05-07

E · Potential for more than minimal harm 2021-04-20

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2021-05-07

Inspection history

Recent health citations

G · Actual harm 2025-06-16

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-07-08

E · Potential for more than minimal harm 2025-06-16

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-06-16

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-06-16

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-06-16

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 2025-07-08

D · Potential for more than minimal harm 2025-06-16

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-06-16

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-07-08

D · Potential for more than minimal harm 2025-06-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-08

D · Potential for more than minimal harm 2024-11-07

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-11-07

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 2024-11-15

F · Potential for more than minimal harm 2024-05-22

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 2024-05-31

D · Potential for more than minimal harm 2024-05-22

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 2024-05-31

D · Potential for more than minimal harm 2024-05-22

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-05-31

F · Potential for more than minimal harm 2023-11-28

F803 · Nutrition and Dietary Deficiencies

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 2023-12-08

F · Potential for more than minimal harm 2023-11-28

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 2023-12-08

F · Potential for more than minimal harm 2023-05-18

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 2023-05-23

E · Potential for more than minimal harm 2021-04-20

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2021-05-07

Penalties and ownership

What sits behind the stars

Ownership

Oh 10 Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 10 facilities 2022-07-06

Cc Oh10 Opco LLC