| Lutheran Home | |
| 2116 Dover Center Rd, Westlake, Ohio 44145 | |
| (440) 871-0090 | |
| Name | Lutheran Home |
|---|---|
| Location | 2116 Dover Center Rd, Westlake, Ohio |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 40 |
| Average Residents per Day | 58.6 |
| Medicare ID (CCN) | 365020 |
| Legal Business Name | Lutheran Home |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1619061199 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Lutheran Home |
| Doing Business As | Lutheran Home at Concord Reserve |
| Address | 2116 Dover Center Road, Westlake, OH 44145 |
| Phone Number | 440-871-0090 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 5.37 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.65 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.54 | 0.86 |
| Nurse aide hours per resident per day | 3.17 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 5.08 | 3.42 |
| RN hours per resident per day on the weekend | 0.42 | 0.48 |
| Physical therapist hours per resident per day | 0.26 | 0.07 |
| Total nursing staff turnover | 51.6% | 45.8% |
| Registered nurse turnover | 38.5% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Nov 24, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Dec 8, 2025 |
| Aug 24, 2023 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Oct 12, 2023 |
| Aug 24, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 12, 2023 |
| Aug 24, 2023 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 12, 2023 |
| Aug 24, 2023 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 12, 2023 |
| Aug 24, 2023 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. F0838, Administration, Standard inspection | Minimal harm potential, widespread | Corrected by Oct 12, 2023 |
| Aug 24, 2023 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Minimal harm potential, widespread | Corrected by Oct 12, 2023 |
| Jan 16, 2020 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Feb 21, 2020 |
| Nov 29, 2018 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, widespread | Corrected by Jan 30, 2019 |
| Nov 29, 2018 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2019 |
| Nov 29, 2018 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2019 |
| Nov 29, 2018 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2019 |
| Nov 29, 2018 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2019 |
| Nov 29, 2018 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2019 |
| Nov 29, 2018 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 30, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.25 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 9.48 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.16 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 2.48 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.58 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.08 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.17 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 99.26 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.09 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.75 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 5.75 | 15.38 |
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