| Snf-the Villa at Marymount | |
| 5200 Marymount Village Drive, Garfield Heights, Ohio 44125 | |
| (216) 332-1100 | |
| Name | Snf-the Villa at Marymount |
|---|---|
| Location | 5200 Marymount Village Drive, Garfield Heights, Ohio |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 130 |
| Occupancy Rate | 80.77% |
| Medicare ID (CCN) | 366335 |
| Legal Business Name | Marymount Healthcare LLC |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1851085039 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Marymount Healthcare, LLC |
| Address | 5200 Marymount Village Dr, Garfield Heights, OH 44125 |
| Phone Number | 216-332-1100 |
| NPI Number | 1073534210 |
| Match | Possible same name, address or phone number |
| Organization Name | Village at Marymount |
| Doing Business As | Clare Hall |
| Address | 5300 Marymount Village Drive, Garfield Heights, OH 44125 |
| Phone Number | 216-587-8627 |
| NPI Number | 1346328994 |
| Match | Possible same name, address or phone number |
| Organization Name | Village at Marymount |
| Doing Business As | Villa St. Joseph |
| Address | 5200 Marymount Village Drive, Garfield Heights, OH 44125 |
| Phone Number | 216-587-8627 |
| 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 | 4.03 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.46 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.39 | 0.86 |
| Nurse aide hours per resident per day | 2.17 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.39 | 3.42 |
| RN hours per resident per day on the weekend | 0.22 | 0.48 |
| Physical therapist hours per resident per day | 0.1 | 0.07 |
| Total nursing staff turnover | 63.1% | 45.8% |
| Registered nurse turnover | 53.8% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 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 | $83,603 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 3 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 11, 2026 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Jul 20, 2026 |
| Mar 13, 2025 | 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, Complaint inspection | Actual harm, isolated | Corrected by Apr 5, 2025 |
| Mar 13, 2025 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 5, 2025 |
| Mar 13, 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 Apr 5, 2025 |
| Mar 13, 2025 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, widespread | Corrected by Apr 5, 2025 |
| Mar 13, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Apr 5, 2025 |
| Mar 13, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 13, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 13, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 13, 2025 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Mar 13, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Apr 5, 2025 |
| Dec 16, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Dec 16, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Jan 10, 2025 |
| Dec 16, 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, isolated | Corrected by Jan 10, 2025 |
| Dec 16, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Jan 10, 2025 |
| Feb 20, 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 Mar 24, 2024 |
| Feb 20, 2024 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Mar 24, 2024 |
| Feb 20, 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 Mar 24, 2024 |
| Nov 30, 2023 | 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 Dec 5, 2023 |
| Nov 30, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Dec 5, 2023 |
| Nov 30, 2023 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Dec 5, 2023 |
| Nov 30, 2023 | 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 5, 2023 |
| Nov 8, 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 | Immediate jeopardy, isolated | Corrected by Nov 30, 2023 |
| Nov 8, 2023 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Nov 30, 2023 |
| Nov 8, 2023 | 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, Complaint inspection | Potential for harm, isolated | Corrected by Dec 5, 2023 |
| Jun 4, 2021 | 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 Jul 20, 2021 |
| Jun 4, 2021 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 20, 2021 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.04 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 10.37 | 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 | 18.21 | 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 | 2.22 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.77 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.21 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.75 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.84 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.02 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.44 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 76.51 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 9.64 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.97 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.72 | 15.38 |