| Hopkins Rehabilitation and Care Center | |
| 19530 Bagley Road, Middleburg Heights, Ohio 44130 | |
| (440) 816-7500 | |
| Name | Hopkins Rehabilitation and Care Center |
|---|---|
| Location | 19530 Bagley Road, Middleburg Heights, Ohio |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 90 |
| Occupancy Rate | 71.89% |
| Medicare ID (CCN) | 366057 |
| Legal Business Name | Legal Business Name Not Available |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1699827154 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Southern Hills Health and Rehabilitation Center LLC |
| Doing Business As | Middleburg Heights Health & Rehabilitation Center |
| Address | 19530 Bagley Rd, Middleburg Heights, OH 44130 |
| Phone Number | 440-816-7500 |
| NPI Number | 1245054964 |
| Match | Possible same name, address or phone number |
| Organization Name | Hopkins Opco LLC |
| Doing Business As | Hopkins Rehabilitation & Care Center |
| Address | 19530 Bagley Rd, Middleburg Heights, OH 44130 |
| Phone Number | 440-816-7500 |
| NPI Number | 1588763619 |
| Match | Possible same name, address or phone number |
| Organization Name | Southern Hills Nursing and Rehabilitation Center, Inc. |
| Address | 19530 Bagley Rd, Middleburg Heights, OH 44130 |
| Phone Number | 440-816-7500 |
| 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 | 3.85 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.64 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.1 | 0.86 |
| Nurse aide hours per resident per day | 2.11 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.98 | 3.42 |
| RN hours per resident per day on the weekend | 0.78 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 80.3% | 45.8% |
| Registered nurse turnover | 81.3% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 2 |
| Total Amount of Fines in Dollars | $76,040 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Dec 4, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Dec 27, 2024 |
| Dec 4, 2024 | 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 | Actual harm, isolated | Corrected by Dec 27, 2024 |
| Dec 4, 2024 | 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 Dec 27, 2024 |
| Dec 4, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, widespread | Corrected by Dec 27, 2024 |
| Dec 4, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Dec 27, 2024 |
| Dec 4, 2024 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Potential for harm, pattern | Corrected by Dec 27, 2024 |
| Dec 4, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Dec 4, 2024 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Dec 4, 2024 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Dec 4, 2024 | 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 Dec 27, 2024 |
| Dec 4, 2024 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Dec 4, 2024 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Dec 4, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Dec 4, 2024 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Dec 4, 2024 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849, Administration, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Dec 27, 2024 |
| Feb 1, 2024 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Feb 29, 2024 |
| Feb 1, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Feb 29, 2024 |
| Feb 1, 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 Feb 29, 2024 |
| Oct 31, 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, Complaint inspection | Actual harm, isolated | Corrected by Nov 20, 2023 |
| Aug 10, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, widespread | Corrected by Aug 25, 2023 |
| Aug 10, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Complaint inspection | Potential for harm, pattern | Corrected by Aug 25, 2023 |
| May 25, 2022 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, pattern | Corrected by Jun 13, 2022 |
| May 25, 2022 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2022 |
| May 25, 2022 | 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 Jun 13, 2022 |
| May 25, 2022 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2022 |
| May 25, 2022 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2022 |
| May 25, 2022 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jun 13, 2022 |
| Apr 12, 2019 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by May 28, 2019 |
| Apr 12, 2019 | Protect each resident from the wrongful use of the resident's belongings or money. F0602, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by May 28, 2019 |
| Apr 12, 2019 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by May 28, 2019 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.11 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 8.99 | 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 | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 61 | 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 | 5.29 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.71 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.61 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.61 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.08 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.81 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.94 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.86 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.56 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 3.6 | 15.38 |
O'neill Healthcare Middleburg Heights Location: 7250 Old Oak Blvd, Middleburg Heights, Ohio 44130 Phone: (440) 243-7888 |
Royal Oak Nursing & Rehab Ctr Location: 6973 Pearl Rd, Middleburg Heights, Ohio 44130 Phone: (440) 884-9191 |