3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Parma, OH
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
6765 State Road, Parma, OH
(440) 843-7800
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
153
Certified beds
Average residents
139
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Franciscan Communities
Operator or chain grouping
Approved since
1996-08-02
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 4 overall / 4 health / 4 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
RN hours / resident day
0.49
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.29
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.93
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.63
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.57
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.50
CMS adjusted RN staffing hours
Adjusted total hours
4.03
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
41%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
44%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
11,456
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
16.73
Composite VBP score used to determine payment impact.
Payment multiplier
0.9817
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 22.32% · Performance 24.18% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.68% · Performance 10.34% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.83
Baseline 59.75% · Performance 43.95% · Measure score 4.83 · Achievement 4.83 · Improvement 4.03
Adjusted total nurse staffing
1.86
Baseline 4.12 hours · Performance 3.61 hours · Measure score 1.86 · Achievement 1.86 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.52% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 347 · Observed rate 10.95% · Lower 95% interval 9.01% |
| Discharge to community | 45.8% |
50.57%
4.8 pts worse
|
No Different than the National Rate · Eligible stays 348 · Observed rate 41.67% · Lower 95% interval 40.19% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 92.24% |
95.27%
3 pts worse
|
Numerator 214 · Denominator 232 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 232 |
| Discharge self-care score | 46.01% |
53.69%
7.7 pts worse
|
Numerator 75 · Denominator 163 |
| Discharge mobility score | 62.58% |
50.94%
11.6 pts better
|
Numerator 102 · Denominator 163 |
| Pressure ulcers or injuries, new or worsened | 3.02% |
2.29%
0.7 pts worse
|
Numerator 7 · Denominator 232 · Adjusted rate 3.01% |
| Healthcare-associated infections requiring hospitalization | 10.34% |
7.12%
3.2 pts worse
|
Worse than the National Rate · Eligible stays 233 · Observed rate 11.59% · Lower 95% interval 7.46% |
| Staff COVID-19 vaccination coverage | 4.14% |
8.2%
4.1 pts worse
|
Numerator 13 · Denominator 314 |
| Staff flu vaccination coverage | 22.28% |
42%
19.7 pts worse
|
Numerator 82 · Denominator 368 |
| Discharge function score | 54.6% |
56.45%
1.9 pts worse
|
Numerator 89 · Denominator 163 |
| Transfer of health information to provider | 96.74% |
95.95%
0.8 pts better
|
Numerator 89 · Denominator 92 |
| Transfer of health information to patient | 98.98% |
96.28%
2.7 pts better
|
Numerator 97 · Denominator 98 |
| Resident COVID-19 vaccinations up to date | 18.18% |
25.2%
7 pts worse
|
Numerator 22 · Denominator 121 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.8
0.5 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.9 · 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 1.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
92.4%
7.6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.3% |
94.5%
3.8 pts better
|
95.5%
2.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.4% |
3.3%
1.9 pts better
|
3.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.9% · Q3 0.9% · Q4 0.9% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.5% |
26.1%
25.6 pts better
|
11.4%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 1.0% · 4Q avg 0.5% |
| Percentage of long-stay residents who lose too much weight | 9.2% |
6.2%
3 pts worse
|
5.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 20.0% · Q3 8.5% · Q4 5.5% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.6% |
25.4%
12.8 pts better
|
19.6%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 12.4% · Q3 12.4% · Q4 12.1% · 4Q avg 12.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.6% |
11.5%
0.1 pts worse
|
16.7%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 11.0% · Q3 14.1% · Q4 7.7% · 4Q avg 11.6% · 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 | 8.5% |
7.7%
0.8 pts worse
|
16.3%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 2.4% · Q3 4.1% · Q4 18.3% · 4Q avg 8.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 10.1% |
6.2%
3.9 pts worse
|
14.9%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 11.1% · Q3 8.0% · Q4 14.5% · 4Q avg 10.1% · 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 0.0% · Q3 1.6% · Q4 0.7% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
0.5%
0.3 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.5% |
21.7%
7.8 pts worse
|
19.8%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.5% · Q2 26.1% · Q3 18.0% · Q4 35.1% · 4Q avg 29.5% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
3.7%
0.6 pts worse
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.8% · Q3 5.9% · Q4 3.2% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
78.1%
21.5 pts better
|
81.7%
17.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.6% · Q2 99.2% · Q3 99.6% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.0% |
12.5%
2.5 pts better
|
12.0%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 9.0% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.6% · Q3 0.6% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.5% |
75.6%
16.9 pts better
|
79.7%
12.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 32.3% |
25.1%
7.2 pts worse
|
23.9%
8.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 32.3% · Observed 30.3% · Expected 22.4% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (1 deficiency)
9 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Nutrition and Dietary (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
27 fire-safety deficiencies
Top issue: Emergency Preparedness (13 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-01-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-01-31
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-01-31
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-01-31
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-01-31
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-01-31
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-01-31
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-01-31
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-01-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-07-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-15
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2022-07-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-07-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-07-15
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-10-09
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 2019-10-09
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-10-09
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-10-09
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-10-09
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2019-10-09
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 2019-10-09
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2019-10-09
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-10-09
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-10-25
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-10-09
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2019-10-09
Fire Safety
Develop Emergency Preparedness policies and procedures.
Not marked corrected
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Not marked corrected
Fire Safety
Establish policies and procedures including evacuation.
Not marked corrected
Fire Safety
Establish policies and procedures for volunteers.
Not marked corrected
Fire Safety
Establish roles under a Waiver declared by secretary.
Not marked corrected
Fire Safety
Develop a communication plan.
Not marked corrected
Fire Safety
List the names and contact information of those in the facility.
Not marked corrected
Fire Safety
Provide emergency officials' contact information.
Not marked corrected
Fire Safety
Provide a means of sharing information on occupancy/needs.
Not marked corrected
Fire Safety
Establish emergency prep training and testing.
Not marked corrected
Fire Safety
Establish staff and initial training requirements.
Not marked corrected
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Not marked corrected
Fire Safety
Address patient/client population and determine types of services needed.
Not marked corrected
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Not marked corrected
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Not marked corrected
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-20
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 2024-11-20
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-20
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 2024-09-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-18
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-01-31
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2024-01-31
Health
Provide and implement an infection prevention and control program.
Corrected 2022-07-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-07-15
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2019-10-09
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2019-10-09
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-10-09
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2019-10-09
Health
Respond appropriately to all alleged violations.
Corrected 2019-10-09
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-10-09
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-10-09
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-10-09
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
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Parma, OH
3-star overall rating with 2-star inspections with $14,680 in total fines with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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