Olmsted Falls, OH

Village Of The Falls

4-star overall rating with 4-star inspections with 4 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

25920 Elm Street, Olmsted Falls, OH

(440) 989-5200

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 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

36

Certified beds

Average residents

33

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Sprenger Health Care Systems

Operator or chain grouping

Approved since

2020-06-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 4 overall / 3 health / 3 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

0.80

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.14

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.75

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.61

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.19

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.60

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.72

CMS adjusted RN staffing hours

Adjusted total hours

3.38

CMS adjusted total nurse staffing hours

Case-mix index

1.52

Higher values indicate more complex resident acuity

RN turnover

75%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

53%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,522

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

Performance score

23.40

Composite VBP score used to determine payment impact.

Payment multiplier

0.9831

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.54

Baseline 20.25% · Performance 20.72% · Measure score 1.54 · Achievement 1.54 · Improvement 0

Healthcare-associated infections

3.37

Baseline 7.20% · Performance 6.83% · Measure score 3.37 · Achievement 3.37 · Improvement 1.20

Total nurse turnover

3.35

Performance 50.00% · Measure score 3.35 · Achievement 3.35 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.1

Performance 3.39 hours · Measure score 1.1 · Achievement 1.1 · This facility did not have sufficient data to calculate a baseline period measure result.

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.81%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 55 · Observed rate 10.91% · Lower 95% interval 8.17%
Discharge to community	52.25%	50.57% 1.7 pts better	No Different than the National Rate · Eligible stays 50 · Observed rate 46% · Lower 95% interval 40.18%
Medicare spending per beneficiary	0.86	1.02 0.2 pts better
Drug regimen review with follow-up	97.92%	95.27% 2.7 pts better	Numerator 47 · Denominator 48
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 48
Discharge self-care score	50%	53.69% 3.7 pts worse	Numerator 14 · Denominator 28
Discharge mobility score	35.71%	50.94% 15.2 pts worse	Numerator 10 · Denominator 28
Pressure ulcers or injuries, new or worsened	4.17%	2.29% 1.9 pts worse	Numerator 2 · Denominator 48 · Adjusted rate 4.44%
Healthcare-associated infections requiring hospitalization	6.83%	7.12% 0.3 pts better	No Different than the National Rate · Eligible stays 36 · Observed rate 5.56% · Lower 95% interval 3.76%
Staff COVID-19 vaccination coverage	13.79%	8.2% 5.6 pts better	Numerator 8 · Denominator 58
Staff flu vaccination coverage	13.25%	42% 28.8 pts worse	Numerator 11 · Denominator 83
Discharge function score	46.43%	56.45% 10 pts worse	Numerator 13 · Denominator 28
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 24 · Denominator 24
Resident COVID-19 vaccinations up to date	17.65%	25.2% 7.6 pts worse	Numerator 6 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.4%	92.4% 4 pts better	93.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 85.0% · Q4 100.0% · 4Q avg 96.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.2%	94.5% 0.7 pts better	95.5% 0.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2%
Percentage of long-stay residents experiencing one or more falls with major injury	2.4%	3.3% 0.9 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.8%	26.1% 23.3 pts better	11.4% 8.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 2.8%
Percentage of long-stay residents who lose too much weight	3.3%	6.2% 2.9 pts better	5.4% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	38.3%	25.4% 12.9 pts worse	19.6% 18.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 38.3%
Percentage of long-stay residents who received an antipsychotic medication	8.3%	11.5% 3.2 pts better	16.7% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 8.3% · 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 need for help with daily activities has increased	5.0%	6.2% 1.2 pts better	14.9% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 5.0% · 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 · 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	26.4%	21.7% 4.7 pts worse	19.8% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 26.4%
Percentage of long-stay residents with pressure ulcers	4.7%	3.7% 1 pts worse	5.1% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 8.2% · Q3 2.7% · Q4 2.8% · 4Q avg 4.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.3%	78.1% 18.2 pts better	81.7% 14.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 92.8% · Q4 93.2% · 4Q avg 96.3%
Percentage of short-stay residents who had an outpatient emergency department visit	11.5%	12.5% 1 pts better	12.0% 0.5 pts better	Short Stay · 20240701-20250630 · Adjusted 11.5% · Observed 10.9% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.5%	1.2% 1.3 pts worse	1.6% 0.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.9% · Q3 0.0% · Q4 0.0% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	76.2%	75.6% 0.6 pts better	79.7% 3.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 76.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	32.0%	25.1% 6.9 pts worse	23.9% 8.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.0% · Observed 29.7% · Expected 22.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-07-20 · Fire 2023-07-20

4 health deficiencies

Top issue: Administration (1 deficiency)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2020-06-04 · Fire 2020-06-04

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-07-20

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2023-08-07

F · Potential for more than minimal harm 2023-07-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-08-07

E · Potential for more than minimal harm 2023-07-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Ownership

Shcs Inc

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2016-07-20

Sprenger, Nicole

5% Or Greater Indirect Ownership Interest · Individual

50% 13 facilities 2016-07-20

Sprenger, Tracey

5% Or Greater Indirect Ownership Interest · Individual

50% 13 facilities 2016-07-20

Cms & Co. Management Services, Inc.

Operational/Managerial Control · Organization

0% 12 facilities 2016-07-20

Courtock, Melissa