Cycle 1
Health 2024-09-19 · Fire 2024-09-19
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
North Ridgeville, OH
O'neill Healthcare North Ridgeville
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
38600 Center Ridge Rd, North Ridgeville, OH
(440) 327-1295
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
150
Certified beds
Average residents
129
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
O'neill Healthcare
Operator or chain grouping
Approved since
1986-05-23
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
0.38
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.06
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.08
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.52
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.44
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.14
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.26
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
0.35
CMS adjusted RN staffing hours
Adjusted total hours
3.22
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,425
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.79
Composite VBP score used to determine payment impact.
Payment multiplier
0.9843
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 24.08% · Performance 23.95% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.76
Baseline 9.85% · Performance 7.30% · Measure score 4.76 · Achievement 1.80 · Improvement 4.76
Total nurse turnover
5.24
Baseline 54.96% · Performance 42.25% · Measure score 5.24 · Achievement 5.24 · Improvement 3.72
Adjusted total nurse staffing
0.72
Baseline 3.35 hours · Performance 3.28 hours · Measure score 0.72 · Achievement 0.72 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.63% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 246 · Observed rate 14.23% · Lower 95% interval 9.05% |
| Discharge to community | 48.2% |
50.57%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 269 · Observed rate 40.89% · Lower 95% interval 42.9% |
| Medicare spending per beneficiary | 0.92 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 89.16% |
95.27%
6.1 pts worse
|
Numerator 148 · Denominator 166 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 166 |
| Discharge self-care score | 58.41% |
53.69%
4.7 pts better
|
Numerator 66 · Denominator 113 |
| Discharge mobility score | 58.41% |
50.94%
7.5 pts better
|
Numerator 66 · Denominator 113 |
| Pressure ulcers or injuries, new or worsened | 0.6% |
2.29%
1.7 pts better
|
Numerator 1 · Denominator 166 · Adjusted rate 0.54% |
| Healthcare-associated infections requiring hospitalization | 7.3% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 160 · Observed rate 7.5% · Lower 95% interval 4.88% |
| Staff COVID-19 vaccination coverage | 14.35% |
8.2%
6.2 pts better
|
Numerator 34 · Denominator 237 |
| Staff flu vaccination coverage | 17.89% |
42%
24.1 pts worse
|
Numerator 56 · Denominator 313 |
| Discharge function score | 72.57% |
56.45%
16.1 pts better
|
Numerator 82 · Denominator 113 |
| Transfer of health information to provider | 55.24% |
95.95%
40.7 pts worse
|
Numerator 58 · Denominator 105 |
| Transfer of health information to patient | 50% |
96.28%
46.3 pts worse
|
Numerator 14 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | 4.76% |
25.2%
20.4 pts worse
|
Numerator 4 · Denominator 84 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.5 |
1.8
0.7 pts worse
|
1.9
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 3.6 · Expected 2.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.8
0.4 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.6 · Expected 1.9 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.7% |
92.4%
7.3 pts better
|
93.4%
6.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.9% · Q4 100.0% · 4Q avg 99.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 67.0% |
94.5%
27.5 pts worse
|
95.5%
28.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 67.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.3%
0.7 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 4.3% · Q3 5.3% · Q4 4.4% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 46.8% |
26.1%
20.7 pts worse
|
11.4%
35.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 34.1% · Q3 57.3% · Q4 64.3% · 4Q avg 46.8% |
| Percentage of long-stay residents who lose too much weight | 3.9% |
6.2%
2.3 pts better
|
5.4%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 4.8% · Q3 3.7% · Q4 4.8% · 4Q avg 3.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 40.6% |
25.4%
15.2 pts worse
|
19.6%
21 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.0% · Q2 45.2% · Q3 42.7% · Q4 34.5% · 4Q avg 40.6% |
| 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 12.1% · Q2 13.2% · Q3 9.7% · Q4 11.4% · 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 | 2.0% |
7.7%
5.7 pts better
|
16.3%
14.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 2.2% · Q4 2.2% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.6% |
6.2%
3.6 pts better
|
14.9%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 1.3% · Q3 2.6% · Q4 2.5% · 4Q avg 2.6% · 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 | 27.0% |
21.7%
5.3 pts worse
|
19.8%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 40.3% · Q2 26.8% · Q3 25.6% · Q4 16.0% · 4Q avg 27.0% |
| Percentage of long-stay residents with pressure ulcers | 1.2% |
3.7%
2.5 pts better
|
5.1%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 2.1% · Q3 1.8% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.2% |
78.1%
8.1 pts better
|
81.7%
4.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 88.6% · Q2 84.3% · Q3 83.9% · Q4 88.5% · 4Q avg 86.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.1% |
12.5%
4.4 pts better
|
12.0%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.1% · Observed 8.4% · Expected 11.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.2%
0.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 0.5% · Q3 0.5% · Q4 0.5% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 54.1% |
75.6%
21.5 pts worse
|
79.7%
25.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 54.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.8% |
25.1%
0.7 pts worse
|
23.9%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 27.9% · Expected 25.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-02-22 · Fire 2022-02-22
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2019-04-25 · Fire 2019-04-25
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-19
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-09-19
K321 · Smoke Deficiencies
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 2024-10-18
F · Potential for more than minimal harm
2024-09-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-09-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-09-19
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-19
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-10-18
F · Potential for more than minimal harm
2022-02-22
K331 · Smoke Deficiencies
Fire Safety
Construct fire resistant interior walls.
Corrected 2022-04-25
F · Potential for more than minimal harm
2022-02-22
K922 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2022-04-25
E · Potential for more than minimal harm
2022-02-22
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 2022-04-25
E · Potential for more than minimal harm
2022-02-22
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-04-25
E · Potential for more than minimal harm
2022-02-22
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-04-25
F · Potential for more than minimal harm
2019-04-25
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2019-06-14
C · Minimal harm
2019-04-25
E30 · Emergency Preparedness Deficiencies
Fire Safety
List the names and contact information of those in the facility.
Corrected 2019-06-14
C · Minimal harm
2019-04-25
E32 · Emergency Preparedness Deficiencies
Fire Safety
Provide primary/alternate means for communication.
Corrected 2019-06-14
C · Minimal harm
2019-04-25
E42 · Emergency Preparedness Deficiencies
Fire Safety
Meet the requirements of an integrated health system.
Corrected 2019-06-14
C · Minimal harm
2019-04-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-06-14
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-16
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.
Not marked corrected
D · Potential for more than minimal harm
2024-09-19
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-10-10
E · Potential for more than minimal harm
2022-02-22
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 2022-04-25
D · Potential for more than minimal harm
2022-02-22
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 2022-04-25
D · Potential for more than minimal harm
2022-02-22
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2022-04-25
D · Potential for more than minimal harm
2022-02-22
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2022-04-25
D · Potential for more than minimal harm
2019-04-25
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-06-14
D · Potential for more than minimal harm
2019-04-25
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2019-06-14
D · Potential for more than minimal harm
2019-04-25
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 2019-06-14
D · Potential for more than minimal harm
2019-04-25
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-06-14
Penalties and ownership
What sits behind the stars
Ownership
Carlow LLC
5% Or Greater Direct Ownership Interest · Organization
Oneill, John
5% Or Greater Indirect Ownership Interest · Individual
Oneill, Deborah
5% Or Greater Indirect Ownership Interest · Individual
Ziska, Doreen
5% Or Greater Indirect Ownership Interest · Individual
Brown, Trisha
Contracted Managing Employee · Individual
O'neill Management, LLC
Operational/Managerial Control · Organization
O'neill, David
Contracted Managing Employee · Individual
Oneill, Deborah
Corporate Director · Individual
Oneill, Deborah
Corporate Officer · Individual
Oneill, John
Corporate Director · Individual
Oneill, John
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Northridge Health Center, The
North Ridgeville, OH
2-star overall rating with 1-star inspections with 27 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Life Care Center Of Elyria
Elyria, OH
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Wesleyan Village
Elyria, OH
1-star overall rating with 1-star inspections with $219,798 in total fines with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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