North Olmsted, OH

O'neill Healthcare North Olmsted

2-star overall rating with 3-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

4800 Clague Road, North Olmsted, OH

(440) 734-9933

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

67

Certified beds

Average residents

52

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

O'neill Healthcare

Operator or chain grouping

Approved since

2003-06-12

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 4 overall / 4 health / 2 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

Hours and turnover

RN hours / resident day

0.56

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

1.88

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.47

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.58

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.02

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

0.12

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.48

CMS adjusted RN staffing hours

Adjusted total hours

2.98

CMS adjusted total nurse staffing hours

Case-mix index

1.59

Higher values indicate more complex resident acuity

RN turnover

100%

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

11,995

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

Performance score

14.39

Composite VBP score used to determine payment impact.

Payment multiplier

0.9813

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.34

Baseline 20.15% · Performance 20.81% · Measure score 1.34 · Achievement 1.34 · Improvement 0

Healthcare-associated infections

1.10

Baseline 5.35% · Performance 7.51% · Measure score 1.10 · Achievement 1.10 · Improvement 0

Total nurse turnover

2.14

Baseline 60.00% · Performance 54.93% · Measure score 2.14 · Achievement 2.14 · Improvement 0.94

Adjusted total nurse staffing

1.18

Baseline 3.86 hours · Performance 3.41 hours · Measure score 1.18 · Achievement 1.18 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.5%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 201 · Observed rate 11.94% · Lower 95% interval 8.86%
Discharge to community	53.68%	50.57% 3.1 pts better	No Different than the National Rate · Eligible stays 186 · Observed rate 50.54% · Lower 95% interval 46.43%
Medicare spending per beneficiary	0.86	1.02 0.2 pts better
Drug regimen review with follow-up	98.63%	95.27% 3.4 pts better	Numerator 144 · Denominator 146
Falls with major injury	0.68%	0.77% 0.1 pts better	Numerator 1 · Denominator 146
Discharge self-care score	67.02%	53.69% 13.3 pts better	Numerator 63 · Denominator 94
Discharge mobility score	48.94%	50.94% 2 pts worse	Numerator 46 · Denominator 94
Pressure ulcers or injuries, new or worsened	5.56%	2.29% 3.3 pts worse	Numerator 8 · Denominator 144 · Adjusted rate 5.54%
Healthcare-associated infections requiring hospitalization	7.51%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 117 · Observed rate 7.69% · Lower 95% interval 4.52%
Staff COVID-19 vaccination coverage	3.7%	8.2% 4.5 pts worse	Numerator 5 · Denominator 135
Staff flu vaccination coverage	6.76%	42% 35.2 pts worse	Numerator 15 · Denominator 222
Discharge function score	56.38%	56.45% 0.1 pts worse	Numerator 53 · Denominator 94
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 41 · Denominator 41
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 91 · Denominator 91
Resident COVID-19 vaccinations up to date	14.71%	25.2% 10.5 pts worse	Numerator 10 · Denominator 68

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	81.1%	92.4% 11.3 pts worse	93.4% 12.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 67.6% · Q2 67.6% · Q3 91.7% · Q4 97.4% · 4Q avg 81.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	77.5%	94.5% 17 pts worse	95.5% 18 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 77.5%
Percentage of long-stay residents experiencing one or more falls with major injury	6.8%	3.3% 3.5 pts worse	3.3% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.1% · Q2 8.1% · Q3 8.3% · Q4 2.6% · 4Q avg 6.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	41.4%	26.1% 15.3 pts worse	11.4% 30 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 8.6% · Q3 64.7% · Q4 86.5% · 4Q avg 41.4%
Percentage of long-stay residents who lose too much weight	5.6%	6.2% 0.6 pts better	5.4% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 10.7% · Q3 0.0% · Q4 4.5% · 4Q avg 5.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.0%	25.4% 13.4 pts better	19.6% 7.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 10.3% · Q3 8.0% · Q4 9.1% · 4Q avg 12.0%
Percentage of long-stay residents who received an antipsychotic medication	2.0%	11.5% 9.5 pts better	16.7% 14.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · 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	9.9%	7.7% 2.2 pts worse	16.3% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.6%	6.2% 0.6 pts better	14.9% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 6.9% · Q3 0.0% · Q4 0.0% · 4Q avg 5.6% · 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	24.4%	21.7% 2.7 pts worse	19.8% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.0% · Q2 21.0% · Q3 21.8% · Q4 21.9% · 4Q avg 24.4%
Percentage of long-stay residents with pressure ulcers	3.4%	3.7% 0.3 pts better	5.1% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 4.2% · Q3 1.9% · Q4 3.0% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	71.7%	78.1% 6.4 pts worse	81.7% 10 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 56.2% · Q2 63.6% · Q3 83.6% · Q4 86.4% · 4Q avg 71.7%
Percentage of short-stay residents who had an outpatient emergency department visit	9.4%	12.5% 3.1 pts better	12.0% 2.6 pts better	Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 8.9% · Expected 10.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	1.2% 0.8 pts worse	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 2.9% · Q4 4.3% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	49.2%	75.6% 26.4 pts worse	79.7% 30.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 49.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.1%	25.1% 1 pts better	23.9% 0.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 23.2% · Expected 22.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-09 · Fire 2025-04-09

9 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2023-10-05 · Fire 2023-10-05

5 health deficiencies

Top issue: Resident Rights (3 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2021-07-13 · Fire 2021-07-13

6 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-09

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-05

E · Potential for more than minimal harm 2025-04-09

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-05-05

F · Potential for more than minimal harm 2023-10-05

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-10-27

F · Potential for more than minimal harm 2023-10-05

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-10-27

F · Potential for more than minimal harm 2023-10-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-27

F · Potential for more than minimal harm 2023-10-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-10-27

F · Potential for more than minimal harm 2023-10-05

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-10-27

E · Potential for more than minimal harm 2023-10-05

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2023-10-27

E · Potential for more than minimal harm 2023-10-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-10-27

F · Potential for more than minimal harm 2021-07-13

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2021-09-08

F · Potential for more than minimal harm 2021-07-13

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2021-09-08

F · Potential for more than minimal harm 2021-07-13

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-09-08

F · Potential for more than minimal harm 2021-07-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-09-08

F · Potential for more than minimal harm 2021-07-13

K751 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of flammable curtains.

Corrected 2021-09-08

F · Potential for more than minimal harm 2021-07-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2021-09-08

E · Potential for more than minimal harm 2021-07-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-09-08

Inspection history

Recent health citations

G · Actual harm 2025-04-09

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 2025-05-05

E · Potential for more than minimal harm 2025-04-09

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-05-05