Napoleon, OH

Northcrest Rehab And Nursing Center

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

240 Northcrest Drive, Napoleon, OH

(419) 599-4070

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Cch Healthcare

Operator or chain grouping

Approved since

1978-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

32 facilities

Chain averages 3 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

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

0.52

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.91

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.23

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.66

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.43

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.03

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.34

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.53

CMS adjusted RN staffing hours

Adjusted total hours

3.67

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,052

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

Performance score

24.88

Composite VBP score used to determine payment impact.

Payment multiplier

0.9836

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.04

Baseline 19.95% · Performance 20.02% · Measure score 3.04 · Achievement 3.04 · Improvement 0

Healthcare-associated infections

4.74

Baseline 8.24% · Performance 6.54% · Measure score 4.74 · Achievement 4.33 · Improvement 4.74

Total nurse turnover

Baseline 56.36% · Performance 72.17% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

2.17

Baseline 2.58 hours · Performance 3.43 hours · Measure score 2.17 · Achievement 1.25 · Improvement 2.17

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.16%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 85 · Observed rate 12.94% · Lower 95% interval 7.84%
Discharge to community	48.43%	50.57% 2.1 pts worse	No Different than the National Rate · Eligible stays 54 · Observed rate 44.44% · Lower 95% interval 38.12%
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	98%	95.27% 2.7 pts better	Numerator 49 · Denominator 50
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 50
Discharge self-care score	27.5%	53.69% 26.2 pts worse	Numerator 11 · Denominator 40
Discharge mobility score	30%	50.94% 20.9 pts worse	Numerator 12 · Denominator 40
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 50 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.54%	7.12% 0.6 pts better	No Different than the National Rate · Eligible stays 32 · Observed rate 3.13% · Lower 95% interval 3.81%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 83
Staff flu vaccination coverage	4.65%	42% 37.4 pts worse	Numerator 4 · Denominator 86
Discharge function score	45%	56.45% 11.5 pts worse	Numerator 18 · Denominator 40
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 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	21.88%	25.2% 3.3 pts worse	Numerator 7 · Denominator 32

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	1.8 0.3 pts worse	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.6 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	1.8 0.5 pts worse	1.8 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.7 · Expected 1.9 · 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	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	3.7%	3.3% 0.4 pts worse	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 3.8% · Q3 1.9% · Q4 1.8% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.1%	26.1% 24 pts better	11.4% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.2% · Q3 2.0% · Q4 2.0% · 4Q avg 2.1%
Percentage of long-stay residents who lose too much weight	8.8%	6.2% 2.6 pts worse	5.4% 3.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 4.7% · Q3 11.1% · Q4 10.9% · 4Q avg 8.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.9%	25.4% 5.5 pts better	19.6% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 24.4% · Q3 17.4% · Q4 19.6% · 4Q avg 19.9%
Percentage of long-stay residents who received an antipsychotic medication	19.8%	11.5% 8.3 pts worse	16.7% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 21.9% · Q3 16.1% · Q4 10.3% · 4Q avg 19.8% · 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	5.0%	7.7% 2.7 pts better	16.3% 11.3 pts better	Long Stay · 2024Q4-2025Q3 · Q2 4.3% · Q3 6.4% · Q4 3.5% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.1%	6.2% 0.1 pts better	14.9% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 7.0% · Q3 6.7% · Q4 8.9% · 4Q avg 6.1% · 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	26.6%	21.7% 4.9 pts worse	19.8% 6.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.9% · Q2 14.9% · Q3 17.6% · Q4 39.0% · 4Q avg 26.6%
Percentage of long-stay residents with pressure ulcers	4.6%	3.7% 0.9 pts worse	5.1% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 4.9% · Q3 5.3% · Q4 3.0% · 4Q avg 4.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.3%	78.1% 19.2 pts better	81.7% 15.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.1% · Q4 92.9% · 4Q avg 97.3%
Percentage of short-stay residents who had an outpatient emergency department visit	17.5%	12.5% 5 pts worse	12.0% 5.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 18.4% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.2%	1.2% About the same	1.6% 0.4 pts better	Short Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 3.3% · 4Q avg 1.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.7%	75.6% 20.1 pts better	79.7% 16 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	10.8%	25.1% 14.3 pts better	23.9% 13.1 pts better	Short Stay · 20240701-20250630 · Adjusted 10.8% · Observed 10.5% · Expected 23.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-23 · Fire 2025-01-23

5 health deficiencies

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

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2022-08-17 · Fire 2022-08-17

17 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-08-02 · Fire 2019-08-02

13 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-23

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-02-04

F · Potential for more than minimal harm 2025-01-23

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 2025-02-04

F · Potential for more than minimal harm 2025-01-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-02-04

F · Potential for more than minimal harm 2025-01-23

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 2025-02-04

E · Potential for more than minimal harm 2025-01-23

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-04

F · Potential for more than minimal harm 2022-08-17

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 2022-09-06

F · Potential for more than minimal harm 2022-08-17

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-09-06

E · Potential for more than minimal harm 2022-08-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-09-06

E · Potential for more than minimal harm 2022-08-17

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-09-06

E · Potential for more than minimal harm 2022-08-17

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2022-09-06

E · Potential for more than minimal harm 2019-08-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-09-03

E · Potential for more than minimal harm 2019-08-02

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-09-03

E · Potential for more than minimal harm 2019-08-02

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-09-03

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-01-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-04

D · Potential for more than minimal harm 2025-01-23

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 2025-02-04

D · Potential for more than minimal harm 2025-01-23

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2025-02-04

D · Potential for more than minimal harm 2025-01-23

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-04

D · Potential for more than minimal harm 2025-01-23

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 2025-02-04

D · Potential for more than minimal harm 2024-10-03

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-07

D · Potential for more than minimal harm 2024-10-03

F690 · Quality of Life and Care Deficiencies

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 2024-10-07

D · Potential for more than minimal harm 2024-10-03

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-10-07

E · Potential for more than minimal harm 2024-09-11

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 2024-10-07

D · Potential for more than minimal harm 2024-09-11

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-10-07

D · Potential for more than minimal harm 2024-09-11

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-10-07

D · Potential for more than minimal harm 2023-12-28

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 2024-01-08

D · Potential for more than minimal harm 2023-12-28

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-08

D · Potential for more than minimal harm 2023-10-12

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-10-18

D · Potential for more than minimal harm 2023-06-08

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-06-08

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-06-08

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-03-02

F690 · Quality of Life and Care Deficiencies

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 2023-03-16

D · Potential for more than minimal harm 2023-03-02

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2023-03-16

G · Actual harm 2022-08-17

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-09-06

E · Potential for more than minimal harm 2022-08-17

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 2022-09-06