East Liverpool, OH

Orchards Of East Liverpool, The

3-star overall rating with 3-star inspections with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

709 Armstrong Lane, East Liverpool, OH

(330) 382-0101

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

The Orchards

Operator or chain grouping

Approved since

2005-02-25

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

2 facilities

Chain averages 4 overall / 4 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

0.47

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.15

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

3.85

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.62

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.38

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.39

CMS adjusted RN staffing hours

Adjusted total hours

3.24

CMS adjusted total nurse staffing hours

Case-mix index

1.62

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,449

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

Performance score

12.19

Composite VBP score used to determine payment impact.

Payment multiplier

0.9811

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.51

Baseline 24.08% · Performance 22.66% · Measure score 1.51 · Achievement 0 · Improvement 1.51

Healthcare-associated infections

3.37

Baseline 10.42% · Performance 8.32% · Measure score 3.37 · Achievement 0 · Improvement 3.37

Total nurse turnover

Baseline 37.78% · Performance 90.91% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

Baseline 3.70 hours · Performance 2.83 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.96%	10.72% 1.2 pts worse	No Different than the National Rate · Eligible stays 145 · Observed rate 13.1% · Lower 95% interval 9.71%
Discharge to community	66.11%	50.57% 15.5 pts better	Better than the National Rate · Eligible stays 147 · Observed rate 59.86% · Lower 95% interval 57.68%
Medicare spending per beneficiary	1.13	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 93 · Denominator 93
Falls with major injury	1.08%	0.77% 0.3 pts worse	Numerator 1 · Denominator 93
Discharge self-care score	69.57%	53.69% 15.9 pts better	Numerator 48 · Denominator 69
Discharge mobility score	56.52%	50.94% 5.6 pts better	Numerator 39 · Denominator 69
Pressure ulcers or injuries, new or worsened	3.23%	2.29% 0.9 pts worse	Numerator 3 · Denominator 93 · Adjusted rate 4.12%
Healthcare-associated infections requiring hospitalization	8.32%	7.12% 1.2 pts worse	No Different than the National Rate · Eligible stays 95 · Observed rate 9.47% · Lower 95% interval 4.15%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 85
Staff flu vaccination coverage	10.64%	42% 31.4 pts worse	Numerator 10 · Denominator 94
Discharge function score	63.77%	56.45% 7.3 pts better	Numerator 44 · Denominator 69
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 64 · Denominator 64
Resident COVID-19 vaccinations up to date	11.32%	25.2% 13.9 pts worse	Numerator 6 · Denominator 53

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
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	97.0%	94.5% 2.5 pts better	95.5% 1.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.2%	3.3% 0.9 pts worse	3.3% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.7% · Q3 3.2% · Q4 3.4% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.3%	26.1% 18.8 pts better	11.4% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 3.6% · Q3 13.8% · Q4 3.7% · 4Q avg 7.3%
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 7.7% · Q2 0.0% · Q3 23.1% · Q4 4.2% · 4Q avg 8.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.1%	25.4% 3.3 pts better	19.6% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 26.9% · Q3 15.4% · Q4 8.3% · 4Q avg 22.1%
Percentage of long-stay residents who received an antipsychotic medication	2.6%	11.5% 8.9 pts better	16.7% 14.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q3 0.0% · 4Q avg 2.6% · 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	28.0%	7.7% 20.3 pts worse	16.3% 11.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 28.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.5%	6.2% 11.3 pts worse	14.9% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.0% · Q2 12.0% · Q3 16.7% · Q4 4.3% · 4Q avg 17.5% · 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	2.5%	0.5% 2 pts worse	1.7% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 0.0% · Q4 6.9% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.7%	21.7% 1 pts worse	19.8% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.6% · Q2 21.9% · Q3 34.6% · Q4 14.4% · 4Q avg 22.7%
Percentage of long-stay residents with pressure ulcers	1.9%	3.7% 1.8 pts better	5.1% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.3% · Q3 2.9% · Q4 1.4% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.2%	78.1% 21.1 pts better	81.7% 17.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 98.8% · Q3 98.9% · Q4 100.0% · 4Q avg 99.2%
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 9.2% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.3%	75.6% 19.7 pts better	79.7% 15.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.3%	25.1% 0.2 pts worse	23.9% 1.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.3% · Observed 23.5% · Expected 22.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-11-25 · Fire 2022-11-25

8 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2019-11-14 · Fire 2019-11-14

20 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2018-09-27 · Fire 2018-09-27

6 health deficiencies

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

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2022-11-25

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 2023-01-10

E · Potential for more than minimal harm 2022-11-25

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 2023-01-10

E · Potential for more than minimal harm 2022-11-25

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-01-10

E · Potential for more than minimal harm 2022-11-25

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-01-10

E · Potential for more than minimal harm 2022-11-25

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2023-01-10

F · Potential for more than minimal harm 2019-11-14

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2020-01-03

F · Potential for more than minimal harm 2019-11-14

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2020-01-03

F · Potential for more than minimal harm 2019-11-14

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-01-03

F · Potential for more than minimal harm 2018-09-27

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2018-11-09

F · Potential for more than minimal harm 2018-09-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2018-11-09

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-10-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-10-30

D · Potential for more than minimal harm 2023-04-28

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2023-05-30

G · Actual harm 2022-11-25

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-10

D · Potential for more than minimal harm 2022-11-25

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 2023-01-10

D · Potential for more than minimal harm 2022-11-25

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 2023-01-10

D · Potential for more than minimal harm 2022-11-25

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 2023-01-10

D · Potential for more than minimal harm 2022-11-25

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-01-10

D · Potential for more than minimal harm 2022-11-25

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2023-01-10

D · Potential for more than minimal harm 2022-11-25

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 2023-01-10

D · Potential for more than minimal harm 2022-11-25

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 2023-01-10

F · Potential for more than minimal harm 2019-11-14

F761 · Pharmacy Service Deficiencies

Health

Corrected 2020-01-03

F · Potential for more than minimal harm 2019-11-14

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2020-01-03

F · Potential for more than minimal harm 2019-11-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-03

E · Potential for more than minimal harm 2019-11-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-01-03

E · Potential for more than minimal harm 2019-11-14

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2020-01-03