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Mount Saint Joseph Rehab Center

21800 Chardon Road, Euclid, OH 44117
2165317426
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Overall CMS Rating

4.0/5

vs State Average: 3.2 stars

4.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 2.4/5

3.0/5

Quality Measures

vs State Average: 4.4/5

0 penalties in last 3 years
Penalties
vs State Average: 0.8 penalties

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Ratings Deep Dive

Score
4.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
0 Penalties in last 3 years
0 Fines issued
Citation Date Description Severity
Apr 10, 2025 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D
Apr 10, 2025 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. C
Apr 10, 2025 Provide a neutral and fair arbitration process and agree to arbitrator and venue. F
Oct 5, 2023 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D
Oct 5, 2023 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D
Score
4.0
State Average
2.4
National Average
2.9
0.5 RN Hours / Resident / Day
5.5 Total Nurse Hours / Resident / Day
33.3% RN Turnover Rate
Score
3.0
State Average
4.4
National Average
3.6
4.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
79.8 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
CORPORATE DIRECTOR GREGG, MARY
CORPORATE OFFICER GREGG, MARY
CORPORATE OFFICER HOLZHEIMER, TIMOTHY
W-2 MANAGING EMPLOYEE GREGG, MARY
W-2 MANAGING EMPLOYEE SOVACOOL, SARA
Recent Penalties

No penalty records found.

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