7 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Solon, OH
2-star overall rating with 2-star inspections with $10,845 in total fines with 7 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
5625 Emerald Ridge Parkway, Solon, OH
(440) 498-3000
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
88
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Cch Healthcare
Operator or chain grouping
Approved since
1999-08-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
32 facilities
Chain averages 3 overall / 2 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.58
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.37
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.35
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.95
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.89
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.45
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.55
CMS adjusted RN staffing hours
Adjusted total hours
4.13
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
77%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
73%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
8,661
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.08
Composite VBP score used to determine payment impact.
Payment multiplier
0.9840
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.79
Performance 20.14% · Measure score 2.79 · Achievement 2.79 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
4.24
Performance 6.57% · Measure score 4.24 · Achievement 4.24 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0
Performance 62.83% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
3.40
Baseline 3.43 hours · Performance 4.05 hours · Measure score 3.40 · Achievement 3.40 · Improvement 2.10
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.02% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 53 · Observed rate 18.87% · Lower 95% interval 8.35% |
| Discharge to community | 30.22% |
50.57%
20.4 pts worse
|
Worse than the National Rate · Eligible stays 32 · Observed rate 12.5% · Lower 95% interval 18.33% |
| Medicare spending per beneficiary | 1.18 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 76.36% |
95.27%
18.9 pts worse
|
Numerator 42 · Denominator 55 |
| Falls with major injury | 3.64% |
0.77%
2.9 pts worse
|
Numerator 2 · Denominator 55 |
| Discharge self-care score | 50% |
53.69%
3.7 pts worse
|
Numerator 14 · Denominator 28 |
| Discharge mobility score | 25% |
50.94%
25.9 pts worse
|
Numerator 7 · Denominator 28 |
| Pressure ulcers or injuries, new or worsened | 1.82% |
2.29%
0.5 pts better
|
Numerator 1 · Denominator 55 · Adjusted rate 1.38% |
| Healthcare-associated infections requiring hospitalization | 6.57% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 35 · Observed rate 5.71% · Lower 95% interval 3.98% |
| Staff COVID-19 vaccination coverage | 0.94% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 106 |
| Staff flu vaccination coverage | 11.57% |
42%
30.4 pts worse
|
Numerator 14 · Denominator 121 |
| Discharge function score | 42.86% |
56.45%
13.6 pts worse
|
Numerator 12 · Denominator 28 |
| Transfer of health information to provider | 92.31% |
95.95%
3.6 pts worse
|
Numerator 24 · Denominator 26 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 14.29% |
25.2%
10.9 pts worse
|
Numerator 4 · Denominator 28 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.1 |
1.8
1.3 pts worse
|
1.9
1.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.9 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.7 |
1.8
0.1 pts better
|
1.8
0.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.4 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.7% |
92.4%
0.3 pts better
|
93.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 89.0% · Q2 97.3% · Q3 97.4% · Q4 87.7% · 4Q avg 92.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.0% |
94.5%
0.5 pts worse
|
95.5%
1.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
3.3%
1.4 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.7% · Q3 2.6% · Q4 1.2% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
26.1%
26.1 pts better
|
11.4%
11.4 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 who lose too much weight | 6.3% |
6.2%
0.1 pts worse
|
5.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 9.4% · Q3 9.1% · Q4 2.8% · 4Q avg 6.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.8% |
25.4%
5.6 pts better
|
19.6%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 20.9% · Q3 19.1% · Q4 24.3% · 4Q avg 19.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 7.3% |
11.5%
4.2 pts better
|
16.7%
9.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 6.4% · Q3 3.7% · Q4 11.8% · 4Q avg 7.3% · 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 | 4.1% |
7.7%
3.6 pts better
|
16.3%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.7% · Q3 0.0% · Q4 6.1% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.8% |
6.2%
0.6 pts worse
|
14.9%
8.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 4.6% · Q3 4.6% · Q4 9.1% · 4Q avg 6.8% · 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 | 22.2% |
21.7%
0.5 pts worse
|
19.8%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.1% · Q2 15.6% · Q3 19.5% · Q4 14.9% · 4Q avg 22.2% |
| Percentage of long-stay residents with pressure ulcers | 7.5% |
3.7%
3.8 pts worse
|
5.1%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 9.1% · Q3 5.7% · Q4 7.4% · 4Q avg 7.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 59.1% |
78.1%
19 pts worse
|
81.7%
22.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 60.0% · Q2 82.0% · Q3 57.9% · Q4 39.3% · 4Q avg 59.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.0% |
12.5%
3.5 pts worse
|
12.0%
4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 21.3% · Expected 14.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.2%
0.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.7% |
75.6%
7.1 pts better
|
79.7%
3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 82.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 36.9% |
25.1%
11.8 pts worse
|
23.9%
13 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 36.9% · Observed 53.2% · Expected 34.3% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Resident Rights (5 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (7 deficiencies)
Top issue: Resident Rights (2 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-06-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-13
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-02-13
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-13
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-13
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-02-13
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 2023-02-13
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-13
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-02-13
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 2019-11-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-11-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-11-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-11-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-12-18
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 2019-11-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-11-01
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-11-01
Fire Safety
Address subsistence needs for staff and patients.
Not marked corrected
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Not marked corrected
Fire Safety
Establish policies and procedures for volunteers.
Not marked corrected
Fire Safety
Establish roles under a Waiver declared by secretary.
Not marked corrected
Fire Safety
Establish methods for sharing information.
Not marked corrected
Fire Safety
Provide a means of sharing information on occupancy/needs.
Not marked corrected
Fire Safety
Include a process for Emergency Preparedness collaboration.
Not marked corrected
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2018-09-21
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2018-09-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-09-21
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2018-09-21
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2018-09-21
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-09-21
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 2018-09-21
Fire Safety
Provide large enough exits.
Corrected 2018-09-21
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2018-09-21
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2018-09-21
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2018-09-21
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2018-09-21
Fire Safety
Provide family notifications of emergency plan.
Corrected 2018-09-21
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2018-09-21
Inspection history
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-01-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-06-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-06-15
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-06-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-06-15
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-06-15
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-15
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-06-15
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-05-31
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-05-31
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 2023-05-31
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 2023-02-13
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-02-13
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 2023-02-13
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-13
Health
Dispose of garbage and refuse properly.
Corrected 2023-02-13
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2019-11-01
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 2019-11-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-11-01
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-11-01
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 2019-11-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-11-01
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 2019-11-01
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2019-11-01
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2018-09-21
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2018-09-21
Health
Post nurse staffing information every day.
Corrected 2018-09-21
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 2018-09-21
Penalties and ownership
Fine · fine $10,845
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
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