Federal inspection record · CMS data as of October 1, 2026

Mount Saint Joseph Rehab Center

21800 Chardon Road, Euclid, OH · (216) 531-7426

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
90
Residents per day
81
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 18, 1980

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Ohio homes

Mount Saint Joseph Rehab Center carries 19 inspection points. That is fewer than 87% of Ohio's 913 rated homes.

5★4★3★2★1★+28 homes above 24805102550100200inspection points → fewer is better on the leftThis home · 19 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–15 pts
  • 4★ 15–42 pts
  • 3★ 42–69 pts
  • 2★ 69–121.25 pts
  • 1★ over 121.25 pts

Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

13 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 7 4 pts
E 0 8 pts
F 2 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 1 0 pts
C 2 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (1)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    August 29, 2019 · Standard inspection · Quality of Life and Care · F689 · Corrected September 25, 2019

Everything else, by area of care

Resident Rights3D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 5, 2023 · Complaint · F580 · Corrected October 30, 2023

  2. D

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    August 4, 2022 · Standard · F573 · Corrected September 19, 2022

  3. D

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

    August 29, 2019 · Standard · F550 · Corrected September 25, 2019

Administration2F
  1. F

    Provide a neutral and fair arbitration process and agree to arbitrator and venue.

    April 10, 2025 · Standard · F848 · Corrected May 30, 2025

  2. C

    Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

    August 29, 2019 · Standard · F844 · Corrected September 25, 2019

Quality of Life and Care2D
  1. D

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

    October 5, 2023 · Complaint · F684 · Corrected October 30, 2023

  2. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    August 4, 2022 · Standard · F688 · Corrected September 19, 2022

Resident Assessment and Care Planning2D
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    August 29, 2019 · Standard · F657 · Corrected September 25, 2019

  2. B

    Ensure each resident receives an accurate assessment.

    August 29, 2019 · Standard · F641 · Corrected September 25, 2019

Pharmacy Service1D
  1. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    April 10, 2025 · Standard · F756 · Corrected May 30, 2025

Nursing and Physician Services1C
  1. C

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    April 10, 2025 · Standard · F947 · Corrected May 30, 2025

Freedom from Abuse, Neglect, and Exploitation1F
  1. F

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    August 29, 2019 · Standard · F606 · Corrected September 25, 2019

Inspection history

  1. 2025-04-10

    3 health deficiencies · 7 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

  2. 2022-08-04

    2 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (1 deficiency)

  3. 2019-08-29

    8 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (2 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 5 h 4 min of nursing staff time a day, 31 min of it from a registered nurse.

This home

5 h 4 min

Ohio average

3 h 43 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 51% of nursing staff and 30% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.41.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts better1.51.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.9 pts worse76.8%92.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.7 pts worse89.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts worse4.6%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms26.7 pts better4.9%31.6%13.5%
Percentage of long-stay residents who lose too much weight1.3 pts better4.8%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication16.2 pts better9.3%25.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication6.7 pts worse15.2%8.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened4 pts worse9.3%5.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.5 pts worse12.5%5.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.0%0.2%0.7%
Percentage of long-stay residents with a urinary tract infection1.9 pts worse2.3%0.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.7 pts better8.2%20.9%18.3%
Percentage of long-stay residents with pressure ulcers0.7 pts better2.5%3.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine48.1 pts worse30.3%78.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit18.4 pts worse31.0%12.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse1.6%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine52.8 pts worse23.6%76.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission10.7 pts better13.7%24.4%23.4%

·

Who owns and runs it

5 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Gregg, MaryW-2 Managing Employee · Individual0%1 facilities
Gregg, MaryCorporate Director · Individual0%1 facilities
Gregg, MaryCorporate Officer · Individual0%1 facilities
Holzheimer, TimothyCorporate Officer · Individual0%1 facilities
Sovacool, SaraW-2 Managing Employee · Individual0%1 facilities

·

Fire safety

12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4F
  1. F

    Provide properly protected cooking facilities.

    April 10, 2025 · K324 · Corrected May 30, 2025

  2. E

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

    April 10, 2025 · K372 · Corrected May 30, 2025

  3. F

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

    August 4, 2022 · K345 · Corrected September 19, 2022

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    August 4, 2022 · K353 · Corrected September 19, 2022

Miscellaneous3F
  1. F

    Have restrictions on the use of highly flammable decorations.

    April 10, 2025 · K753 · Corrected May 30, 2025

  2. F

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

    April 10, 2025 · K761 · Corrected May 30, 2025

  3. F

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

    August 29, 2019 · K761 · Corrected September 25, 2019

Gas, Vacuum, and Electrical Systems2F
  1. F

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

    April 10, 2025 · K918 · Corrected May 30, 2025

  2. E

    Ensure proper usage of power strips and extension cords.

    April 10, 2025 · K920 · Corrected May 30, 2025

Egress2F
  1. F

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

    August 4, 2022 · K291 · Corrected September 19, 2022

  2. E

    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.

    August 29, 2019 · K222 · Corrected September 25, 2019

Services1F
  1. F

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

    April 10, 2025 · K521 · Corrected May 30, 2025

·

Other homes nearby

  1. Willows Health And Rehab Ctr

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    Worst citation, 3 yrs
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    Nursing / resident / day
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  2. Worst citation, 3 yrs
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  3. Worst citation, 3 yrs
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