8 health deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cleveland, OH
3-star overall rating with 2-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
18621 Neff Rd, Cleveland, OH
(216) 486-0268
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
104
Certified beds
Average residents
80
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1981-10-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
RN hours / resident day
0.81
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.25
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.62
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.68
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
2.06
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
4.27
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.86
CMS adjusted RN staffing hours
Adjusted total hours
4.95
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
2,835
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
47.46
Composite VBP score used to determine payment impact.
Payment multiplier
1.0010
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.93
Performance 19.61% · Measure score 3.93 · Achievement 3.93 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.14
Performance 6.60% · Measure score 4.14 · Achievement 4.14 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
7.22
Performance 34.18% · Measure score 7.22 · Achievement 7.22 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.69
Baseline 4.24 hours · Performance 4.13 hours · Measure score 3.69 · Achievement 3.69 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.5% |
10.72%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 93 · Observed rate 16.13% · Lower 95% interval 7.99% |
| Discharge to community | 49.88% |
50.57%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 41.18% · Lower 95% interval 40.35% |
| Medicare spending per beneficiary | 0.77 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 44 · Denominator 44 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 44 |
| Discharge self-care score | 51.28% |
53.69%
2.4 pts worse
|
Numerator 20 · Denominator 39 |
| Discharge mobility score | 69.23% |
50.94%
18.3 pts better
|
Numerator 27 · Denominator 39 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 44 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.6% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 48 · Observed rate 4.17% · Lower 95% interval 3.69% |
| Staff COVID-19 vaccination coverage | 10.24% |
8.2%
2 pts better
|
Numerator 13 · Denominator 127 |
| Staff flu vaccination coverage | 31.36% |
42%
10.6 pts worse
|
Numerator 37 · Denominator 118 |
| Discharge function score | 82.05% |
56.45%
25.6 pts better
|
Numerator 32 · Denominator 39 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 43.48% |
25.2%
18.3 pts better
|
Numerator 10 · Denominator 23 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.8
0.5 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 3.7 · Expected 3.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.8
0.3 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.9 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
92.4%
6.6 pts better
|
93.4%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.6% · Q3 98.6% · Q4 98.6% · 4Q avg 99.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.7% |
94.5%
4.2 pts better
|
95.5%
3.2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% |
3.3%
2.3 pts better
|
3.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.2% |
26.1%
15.9 pts better
|
11.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 15.7% · Q3 7.1% · Q4 5.8% · 4Q avg 10.2% |
| Percentage of long-stay residents who lose too much weight | 5.8% |
6.2%
0.4 pts better
|
5.4%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 6.1% · Q3 6.1% · Q4 3.8% · 4Q avg 5.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.1% |
25.4%
17.3 pts better
|
19.6%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 10.0% · Q3 8.0% · Q4 5.7% · 4Q avg 8.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.8% |
11.5%
3.3 pts worse
|
16.7%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 14.3% · Q3 14.6% · Q4 14.6% · 4Q avg 14.8% · 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 | 3.0% |
7.7%
4.7 pts better
|
16.3%
13.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.3% |
6.2%
3.1 pts worse
|
14.9%
5.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 8.7% · Q3 9.3% · Q4 13.0% · 4Q avg 9.3% · 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 | 13.1% |
21.7%
8.6 pts better
|
19.8%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 13.6% · Q3 5.1% · Q4 17.0% · 4Q avg 13.1% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
3.7%
0.8 pts worse
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 3.9% · Q3 6.0% · Q4 5.9% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
78.1%
17.6 pts better
|
81.7%
14 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.4% · Q2 91.2% · Q3 97.7% · Q4 98.0% · 4Q avg 95.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.7% |
12.5%
7.2 pts worse
|
12.0%
7.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.7% · Observed 19.5% · Expected 11.1% · 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% · 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 | 80.6% |
75.6%
5 pts better
|
79.7%
0.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.5% |
25.1%
8.6 pts better
|
23.9%
7.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.5% · Observed 14.6% · Expected 21.2% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (5 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Nutrition and Dietary (8 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-11-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-11-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-13
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-11-13
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-06-22
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-06-22
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-06-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-06-22
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-06-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-06-07
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-06-07
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2019-06-07
Fire Safety
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2019-06-07
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2019-06-07
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-06-07
Inspection history
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-09-12
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-10
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-13
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-11-13
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-13
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-11-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-11
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-08-11
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2023-08-11
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-08-11
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-08-11
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-22
Health
Dispose of garbage and refuse properly.
Corrected 2022-06-22
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-22
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2022-06-22
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-06-22
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 2022-06-22
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 2022-06-22
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-06-22
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2022-06-22
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2022-06-22
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2019-06-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-06-07
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-06-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-06-07
Health
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected 2019-06-07
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2019-06-07
Penalties and ownership
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Nearby options
Euclid, OH
2-star overall rating with 1-star inspections with 14 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
Cleveland, OH
2-star overall rating with 1-star inspections with Special Focus status with 21 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Euclid, OH
4-star overall rating with 3-star inspections with $39,683 in total fines with 4 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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