6 health deficiencies
Top issue: Infection Control (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Walnut Creek, OH
4-star overall rating with 3-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
4748 Olde Pump Street, Walnut Creek, OH
(330) 893-3200
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
76
Certified beds
Average residents
46
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-03-20
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
0.63
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
2.85
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.72
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
4.11
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.24
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.61
CMS adjusted RN staffing hours
Adjusted total hours
4.57
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
89%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
3,937
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
42.06
Composite VBP score used to determine payment impact.
Payment multiplier
0.9950
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.36
Baseline 17.66% · Performance 18.95% · Measure score 5.36 · Achievement 5.36 · Improvement 0
Healthcare-associated infections
7.11
Baseline 6.02% · Performance 5.71% · Measure score 7.11 · Achievement 7.11 · Improvement 2.52
Total nurse turnover
0
Baseline 48.44% · Performance 65.33% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
4.35
Baseline 4.09 hours · Performance 4.32 hours · Measure score 4.35 · Achievement 4.35 · Improvement 0.86
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.62% |
10.72%
1.1 pts better
|
No Different than the National Rate · Eligible stays 106 · Observed rate 6.6% · Lower 95% interval 6.05% |
| Discharge to community | 56.59% |
50.57%
6 pts better
|
No Different than the National Rate · Eligible stays 77 · Observed rate 57.14% · Lower 95% interval 47.47% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 95.74% |
95.27%
0.5 pts better
|
Numerator 45 · Denominator 47 |
| Falls with major injury | 2.13% |
0.77%
1.4 pts worse
|
Numerator 1 · Denominator 47 |
| Discharge self-care score | 51.22% |
53.69%
2.5 pts worse
|
Numerator 21 · Denominator 41 |
| Discharge mobility score | 48.78% |
50.94%
2.2 pts worse
|
Numerator 20 · Denominator 41 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 47 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.71% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 48 · Observed rate 0% · Lower 95% interval 2.79% |
| Staff COVID-19 vaccination coverage | 2.06% |
8.2%
6.1 pts worse
|
Numerator 2 · Denominator 97 |
| Staff flu vaccination coverage | 13.64% |
42%
28.4 pts worse
|
Numerator 15 · Denominator 110 |
| Discharge function score | 46.34% |
56.45%
10.1 pts worse
|
Numerator 19 · Denominator 41 |
| 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 | 100% |
96.28%
3.7 pts better
|
Numerator 25 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 14.29% |
25.2%
10.9 pts worse
|
Numerator 3 · Denominator 21 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.8
0.8 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.7 · Expected 1.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.8
0.4 pts better
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.7% |
92.4%
2.7 pts worse
|
93.4%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 89.7% · Q2 88.4% · Q3 94.7% · Q4 86.1% · 4Q avg 89.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.5%
5.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.6% |
3.3%
2.7 pts better
|
3.3%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.9% |
26.1%
18.2 pts better
|
11.4%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 9.8% · Q3 2.9% · Q4 11.1% · 4Q avg 7.9% |
| Percentage of long-stay residents who lose too much weight | 3.0% |
6.2%
3.2 pts better
|
5.4%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.3% · Q3 3.1% · Q4 3.3% · 4Q avg 3.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 6.6% |
25.4%
18.8 pts better
|
19.6%
13 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 2.6% · Q3 6.1% · Q4 6.7% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.2% |
11.5%
7.3 pts better
|
16.7%
12.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 6.1% · Q3 3.6% · Q4 3.6% · 4Q avg 4.2% · 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 | 20.5% |
7.7%
12.8 pts worse
|
16.3%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 35.3% · 4Q avg 20.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.4% |
6.2%
17.2 pts worse
|
14.9%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 33.3% · Q3 25.8% · Q4 14.8% · 4Q avg 23.4% · 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 | 2.0% |
0.5%
1.5 pts worse
|
1.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 2.8% · Q4 0.0% · 4Q avg 2.0% · 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 13.8% · Q2 5.4% · Q3 6.0% · Q4 27.1% · 4Q avg 13.1% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
3.7%
0.1 pts worse
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.3% · Q3 7.2% · Q4 2.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.0% |
78.1%
15.9 pts better
|
81.7%
12.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.0% · Q2 98.1% · Q3 96.2% · Q4 94.5% · 4Q avg 94.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.5% |
12.5%
7 pts better
|
12.0%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.5% · Observed 4.9% · Expected 9.9% · 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 | 88.5% |
75.6%
12.9 pts better
|
79.7%
8.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.8% |
25.1%
10.7 pts worse
|
23.9%
11.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.8% · Observed 24.4% · Expected 16.2% · Used in QM five-star |
Survey summary
Top issue: Infection Control (2 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (9 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-12-17
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-12-17
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-17
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 2024-12-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-01-15
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2020-01-15
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2020-01-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-01-15
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-01-15
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2020-01-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2020-01-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-01-15
Fire Safety
Establish emergency prep training and testing.
Corrected 2020-01-15
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2020-01-15
Inspection history
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-01-23
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-12-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-12-17
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-17
Health
Implement a program that monitors antibiotic use.
Corrected 2024-12-17
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-27
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-07-27
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-07-27
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-27
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-27
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-27
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-07-27
Health
Post nurse staffing information every day.
Corrected 2024-07-27
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-04-26
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-04-26
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-26
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected 2024-04-26
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 2024-04-26
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-10-21
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 2022-10-21
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-10-21
Health
Implement a program that monitors antibiotic use.
Corrected 2022-10-21
Health
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2020-01-15
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-01-15
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 2020-01-15
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2020-01-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2020-01-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-01-15
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2020-01-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-01-15
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 2020-01-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-01-15
Health
Provide and implement an infection prevention and control program.
Corrected 2020-01-15
Penalties and ownership
Corporate Director · Individual
Corporate Officer · Individual
Contracted Managing Employee · Individual
Nearby options
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