| Parkside Villa | |
| 7040 Hepburn Road, Middleburg Heights, Ohio 44130 | |
| (440) 260-7626 | |
| Name | Parkside Villa |
|---|---|
| Location | 7040 Hepburn Road, Middleburg Heights, Ohio |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 178 |
| Occupancy Rate | 87.7% |
| Medicare ID (CCN) | 366229 |
| Legal Business Name | Middleburg-legacy Place, LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Legacy Health Services (10 nursing homes) |
| Chain Average Overall Rating | 3.5 out of 5 |
| NPI Number | 1619078938 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Middleburg-legacy Place, LLC |
| Doing Business As | Parkside Villa |
| Address | 7040 Hepburn Rd, Cleveland, OH 44130 |
| Phone Number | 216-898-8399 |
| 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 | 3.89 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.84 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.11 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.36 | 3.42 |
| RN hours per resident per day on the weekend | 0.57 | 0.48 |
| Physical therapist hours per resident per day | 0.05 | 0.07 |
| Total nursing staff turnover | 56% | 45.8% |
| Registered nurse turnover | 37.1% | 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 |
|---|---|---|---|
| Apr 30, 2025 | 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, Complaint inspection | Potential for harm, widespread | Corrected by May 21, 2025 |
| Apr 30, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by May 21, 2025 |
| Apr 30, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by May 21, 2025 |
| Apr 30, 2025 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by May 21, 2025 |
| Apr 30, 2025 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 21, 2025 |
| Apr 30, 2025 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 21, 2025 |
| Apr 30, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 21, 2025 |
| Apr 30, 2025 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770, Administration, Standard inspection | Potential for harm, isolated | Corrected by May 21, 2025 |
| Apr 30, 2025 | Have policies on smoking. F0926, Environmental, Standard inspection | Potential for harm, isolated | Corrected by May 21, 2025 |
| Nov 7, 2024 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Nov 21, 2024 |
| Apr 30, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Complaint inspection | Potential for harm, pattern | Corrected by May 15, 2024 |
| Apr 30, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by May 15, 2024 |
| Apr 30, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by May 15, 2024 |
| Apr 30, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by May 15, 2024 |
| Feb 20, 2024 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Mar 18, 2024 |
| Feb 20, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Mar 18, 2024 |
| Feb 20, 2024 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2024 |
| Feb 20, 2024 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2024 |
| Nov 4, 2021 | Reasonably accommodate the needs and preferences of each resident. F0558, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Nov 19, 2021 |
| Nov 4, 2021 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Nov 19, 2021 |
| Nov 4, 2021 | 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. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Nov 19, 2021 |
| Nov 4, 2021 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Nov 19, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.1 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 2.53 | 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 | 33.42 | 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 | 2.78 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.06 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.33 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.66 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.31 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.68 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.43 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.06 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 9.27 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.04 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 2.93 | 15.38 |
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