Rocky River, OH

Welsh Home The

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

22199 Center Ridge Rd, Rocky River, OH

(440) 331-0420

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

79

Certified beds

Average residents

72

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1996-12-01

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

Hours and turnover

RN hours / resident day

0.65

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

2.85

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

4.31

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

4.01

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.56

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.62

CMS adjusted RN staffing hours

Adjusted total hours

4.15

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

39%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,440

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

Performance score

44.32

Composite VBP score used to determine payment impact.

Payment multiplier

0.9974

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.98

Baseline 19.10% · Performance 18.66% · Measure score 5.98 · Achievement 5.98 · Improvement 1.61

Healthcare-associated infections

3.72

Baseline 6.04% · Performance 6.72% · Measure score 3.72 · Achievement 3.72 · Improvement 0

Total nurse turnover

3.59

Baseline 51.19% · Performance 49.00% · Measure score 3.59 · Achievement 3.59 · Improvement 0.33

Adjusted total nurse staffing

4.44

Baseline 4.06 hours · Performance 4.34 hours · Measure score 4.44 · Achievement 4.44 · Improvement 1.14

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.79%	10.72% 2.1 pts worse	No Different than the National Rate · Eligible stays 160 · Observed rate 15% · Lower 95% interval 9.04%
Discharge to community	56.57%	50.57% 6 pts better	No Different than the National Rate · Eligible stays 154 · Observed rate 50.65% · Lower 95% interval 48.2%
Medicare spending per beneficiary	0.94	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 94 · Denominator 94
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 94
Discharge self-care score	24.05%	53.69% 29.6 pts worse	Numerator 19 · Denominator 79
Discharge mobility score	27.85%	50.94% 23.1 pts worse	Numerator 22 · Denominator 79
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 94 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.72%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 93 · Observed rate 5.38% · Lower 95% interval 3.98%
Staff COVID-19 vaccination coverage	1.74%	8.2% 6.5 pts worse	Numerator 2 · Denominator 115
Staff flu vaccination coverage	28.97%	42% 13 pts worse	Numerator 73 · Denominator 252
Discharge function score	27.85%	56.45% 28.6 pts worse	Numerator 22 · Denominator 79
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 57 · Denominator 57
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	44.9%	25.2% 19.7 pts better	Numerator 22 · Denominator 49

Quality measures

Resident outcomes and process scores

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	0.7	1.8 1.1 pts better	1.8 1.1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 0.5 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.5%	92.4% 4.1 pts better	93.4% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 92.5% · Q2 97.0% · Q3 98.4% · Q4 98.3% · 4Q avg 96.5%
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	5.1%	3.3% 1.8 pts worse	3.3% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.5% · Q3 6.5% · Q4 5.1% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.5%	26.1% 25.6 pts better	11.4% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.5%
Percentage of long-stay residents who lose too much weight	4.2%	6.2% 2 pts better	5.4% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.8% · Q3 5.8% · Q4 6.4% · 4Q avg 4.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	51.8%	25.4% 26.4 pts worse	19.6% 32.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 47.5% · Q2 52.6% · Q3 57.7% · Q4 50.0% · 4Q avg 51.8%
Percentage of long-stay residents who received an antipsychotic medication	2.7%	11.5% 8.8 pts better	16.7% 14 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 4.3% · Q3 4.5% · Q4 0.0% · 4Q avg 2.7% · 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	15.8%	7.7% 8.1 pts worse	16.3% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q2 13.6% · 4Q avg 15.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.1%	6.2% 3.9 pts worse	14.9% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 9.3% · Q3 12.0% · Q4 11.4% · 4Q avg 10.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.2% 0.4 pts worse	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 1.2% · 4Q avg 0.6% · 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	34.0%	21.7% 12.3 pts worse	19.8% 14.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 34.9% · Q3 42.2% · Q4 42.3% · 4Q avg 34.0%
Percentage of long-stay residents with pressure ulcers	2.5%	3.7% 1.2 pts better	5.1% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.4% · Q3 3.3% · Q4 2.1% · 4Q avg 2.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.8%	78.1% 14.7 pts better	81.7% 11.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 87.7% · Q2 97.6% · Q3 93.8% · Q4 92.1% · 4Q avg 92.8%
Percentage of short-stay residents who had an outpatient emergency department visit	11.0%	12.5% 1.5 pts better	12.0% 1 pts better	Short Stay · 20240701-20250630 · Adjusted 11.0% · Observed 9.7% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.7%	1.2% 0.5 pts better	1.6% 0.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	93.0%	75.6% 17.4 pts better	79.7% 13.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 93.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	18.1%	25.1% 7 pts better	23.9% 5.8 pts better	Short Stay · 20240701-20250630 · Adjusted 18.1% · Observed 15.3% · Expected 20.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-01-04 · Fire 2024-01-04

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2021-04-22 · Fire 2021-04-22

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2019-02-28 · Fire 2019-02-28

4 health deficiencies

Top issue: Infection Control (1 deficiency)

8 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-01-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-02-01

F · Potential for more than minimal harm 2024-01-04

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-02-01

E · Potential for more than minimal harm 2024-01-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-01

F · Potential for more than minimal harm 2021-04-22

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2021-05-21

E · Potential for more than minimal harm 2021-04-22

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2021-05-21

E · Potential for more than minimal harm 2021-04-22

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2021-05-21

E · Potential for more than minimal harm 2021-04-22

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-05-21

E · Potential for more than minimal harm 2021-04-22

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2021-05-21

F · Potential for more than minimal harm 2019-02-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-04-12

E · Potential for more than minimal harm 2019-02-28

K222 · Egress Deficiencies

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 2019-04-12

E · Potential for more than minimal harm 2019-02-28

K227 · Egress Deficiencies

Fire Safety

Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

Corrected 2019-04-12

E · Potential for more than minimal harm 2019-02-28

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2019-04-12

E · Potential for more than minimal harm 2019-02-28

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2019-04-12

E · Potential for more than minimal harm 2019-02-28

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-04-12

E · Potential for more than minimal harm 2019-02-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-04-12

E · Potential for more than minimal harm 2019-02-28

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2019-04-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-01-04

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-02-01

D · Potential for more than minimal harm 2021-04-22

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2021-05-21

D · Potential for more than minimal harm 2021-04-22

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2021-05-21

D · Potential for more than minimal harm 2021-04-22

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2021-05-21

D · Potential for more than minimal harm 2019-02-28

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-04-12

D · Potential for more than minimal harm 2019-02-28

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2019-04-12

D · Potential for more than minimal harm 2019-02-28

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2019-04-12

D · Potential for more than minimal harm 2019-02-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-04-12

Penalties and ownership