20 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
15 fire-safety deficiencies
Top issue: Egress (5 deficiencies)
Maple Heights, OH
2-star overall rating with 1-star inspections with 20 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
19900 Clare Ave, Maple Heights, OH
(216) 662-3343
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
93
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1980-04-15
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.33
Registered nurse staffing
LPN hours / resident day
0.91
Licensed practical nurse staffing
Aide hours / resident day
2.02
Nurse aide staffing
Weekend hours
2.73
Weekend nurse staffing
RN turnover
50%
Annual RN turnover
Total nurse turnover
54%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 55.2% |
92.4%
37.2 pts worse
|
93.4%
38.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.9% |
94.5%
3.4 pts better
|
95.5%
2.4 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.3%
1.6 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 26.8% |
26.1%
0.7 pts worse
|
11.4%
15.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.9% |
25.4%
10.5 pts better
|
19.6%
4.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.5% |
11.5%
1 pts worse
|
16.7%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.6% |
7.7%
5.1 pts better
|
16.3%
13.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.7% |
6.2%
3.5 pts better
|
14.9%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with a urinary tract infection | 0.8% |
0.5%
0.3 pts worse
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.8% |
21.7%
0.9 pts better
|
19.8%
1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 2.1% |
3.7%
1.6 pts better
|
5.1%
3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 44.3% |
78.1%
33.8 pts worse
|
81.7%
37.4 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| 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 |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
15 fire-safety deficiencies
Top issue: Egress (5 deficiencies)
Top issue: Environmental (2 deficiencies)
21 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-08-12
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2024-08-12
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-08-12
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 2024-08-12
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-08-12
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-08-12
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 2024-08-19
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-08-12
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-08-12
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-08-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-12
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-08-12
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-08-12
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-08-12
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-08-12
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-06-06
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-06-06
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 2022-06-06
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-06-06
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-06
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-06-06
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-06-06
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-06-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-06-06
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-06-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-06
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 2022-06-06
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2022-06-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-06
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-06-06
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-06-06
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-06-06
Fire Safety
Meet other general requirements that are deficient.
Corrected 2022-06-06
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-06-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-06-06
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2019-04-16
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 2019-04-16
Fire Safety
Construct fire resistant interior walls.
Corrected 2019-04-16
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 2019-04-16
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-04-16
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-04-16
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-04-16
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2019-04-16
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-04-16
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-04-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-04-16
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2019-04-16
Inspection history
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 2024-08-13
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-08-13
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-08-13
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-13
Health
Implement a program that monitors antibiotic use.
Corrected 2024-08-13
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2024-08-13
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-08-13
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 2024-08-13
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 2024-08-13
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-13
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-08-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-13
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-08-13
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-13
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-08-13
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-08-13
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-08-13
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-08-13
Health
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2024-08-13
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-08-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-08
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-12
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-12-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-06-06
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2022-06-06
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-06-06
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 2022-06-06
Health
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
Corrected 2022-06-06
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-04-16
Health
Provide and implement an infection prevention and control program.
Corrected 2019-04-16
Health
Implement a program that monitors antibiotic use.
Corrected 2019-04-16
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 2019-04-16
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-04-16
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-04-16
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-04-16
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-04-16
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 2019-04-16
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-04-16
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-04-16
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-04-16
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 2019-04-16
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2019-04-16
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-04-16
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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