Abuse.com - CLEVELAND REHAB SPECIAL CARE

Abuse.com Nursing Home Profile

Detailed information for CLEVELAND REHAB SPECIAL CARE

Nursing Home Results

Contact Information:

	Long Term Care Ombudsman	Not Available
	State Survey Agency	Not Available
	State Quality Improvement Organization	Not Available

CLEVELAND REHAB SPECIAL CARE	As of 11/21/2003
8800 CARNEGIE AVE CLEVELAND, OH 44106 (216) 229-3300	Not located within a Hospital Both Resident and Family Councils 220 Certified Beds
Initial Date of Certification: 12/21/1993 Type of Ownership: For profit - Corporation A Multi-Nursing home (chain) Ownership	Medicare Certified Medicaid Certified

Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.

Quality Measures information comes from resident assessment data that nursing homes routinely collect on all residents at specific intervals during their stay. The information collected pertains to the resident’s physical, clinical conditions and abilities.

Inspection Results information refers to the regulatory requirement that the nursing home failed to meet but does not reflect the entire inspection report.

Nursing Home Staffing information comes from reports that the nursing home reports to its state survey agency. It contains the nursing staff hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts the reported information into the number of staff hours per resident per day.

Quality Measures

Quality Measures	Percentage for CLEVELAND REHAB SPECIAL CARE	National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased	5%	16%
Percent of Residents Who Have Moderate to Severe Pain	7%	6%
Percent of High-Risk Residents Who Have Pressure Sores	20%	14%
Percent of Low-Risk Residents Who Have Pressure Sores	2%	3%
Percent of Residents Who Were Physically Restrained	1%	8%
Percent of Residents Who are More Depressed or Anxious	26%	15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	20%	47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	5%	6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	5%	4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	5%	13%
Percent of Residents With a Urinary Tract Infection	6%	8%
Percent of Short-Stay Residents With Delirium	3%	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	21%	22%
Percent of Short-Stay Residents With Pressure Sores	NOT AVAILABLE	21%

Inspection Results

CLEVELAND REHAB SPECIAL CARE 8800 CARNEGIE AVE CLEVELAND, OH 44106 (216) 229-3300
Date of this inspection: 11/21/2003 Complaint Investigations During: 04/01/2003 - 06/30/2004 Total number of health deficiencies for this nursing home: 19 Average number of Health Deficiencies in : 5 Average number of Health Deficiencies in the United States: 7 Range of Health Deficiencies in : 1 - 12 View Previous Inspection Results
Mistreatment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
1. Protect each resident from all abuse, physical punishment, and being separated from others. (06/26/2003)	07/13/2003	2 = Minimal harm or potential for actual harm	Few
Quality Care Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
2. Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. (11/21/2003)	01/05/2004	2 = Minimal harm or potential for actual harm	Few
3. Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. (11/21/2003)	01/05/2004	2 = Minimal harm or potential for actual harm	Few
4. Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. (11/21/2003)	01/05/2004	2 = Minimal harm or potential for actual harm	Few
5. Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. (11/21/2003)	01/05/2004	2 = Minimal harm or potential for actual harm	Few
6. Give each resident care and services to get or keep the highest quality of life possible. (02/03/2004)	03/15/2004	2 = Minimal harm or potential for actual harm	Few
Resident Assessment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
7. 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. (11/21/2003)	01/05/2004	2 = Minimal harm or potential for actual harm	Some
8. Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. (02/03/2004)	03/15/2004	2 = Minimal harm or potential for actual harm	Few
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
9. Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. (11/21/2003)	01/05/2004	2 = Minimal harm or potential for actual harm	Few
10. Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. (11/21/2003)	01/05/2004	2 = Minimal harm or potential for actual harm	Some
11. Tell the resident or the resident's representative in writing how long the nursing home will hold the resident's bed when the resident temporarily leaves the facility. (11/21/2003)	01/05/2004	2 = Minimal harm or potential for actual harm	Many
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
12. Make sure that residents are safe from serious medication errors. (11/21/2003)	01/05/2004	2 = Minimal harm or potential for actual harm	Few
Environmental Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
13. Provide needed housekeeping and maintenance. (04/15/2003)	04/17/2003	2 = Minimal harm or potential for actual harm	Some
14. Provide bedrooms that don't allow residents to see each other when privacy is needed. (06/03/2003)	06/25/2003	2 = Minimal harm or potential for actual harm	Few
15. Keep a resident apart from the others if the resident has an infection that can spread. (11/21/2003)	01/05/2004	2 = Minimal harm or potential for actual harm	Few
16. Keep safe, clean and homelike surroundings. (11/21/2003)	01/05/2004	2 = Minimal harm or potential for actual harm	Some
Administration Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
17. Keep accurate and appropriate medical records. (06/03/2003)	06/25/2003	1 = Potential for minimal harm	Some
18. Keep accurate and appropriate medical records. (09/30/2003)		1 = Potential for minimal harm	Some
19. Give lab tests only when the attending doctor ordered them. (11/21/2003)	01/05/2004	2 = Minimal harm or potential for actual harm	Few

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
	CLEVELAND REHAB SPECIAL CARE	State Average in	National Average
Number of Residents	200	42.8	89.2
RN Hours per Resident per Day*	0.33	1.7	0.7
LPN/LVN Hours per Resident per Day*	0.71	0.7	0.8
CNA Hours per Resident per Day*	1.68	4	2.4
Total Number of Nursing Staff Hours per Resident per Day*	2.72	6.4	3.9

*Hours per resident per day is the average daily work (in hours) given by the entire group of nurses or nursing assistants divided by total number of residents. The amount of care given to each resident varies.

Please use our Nursing Home Checklist for help with narrowing your nursing homes choices. The checklist provides questions and observations that are important to keep in mind as you visit nursing homes and will help you make a good choice for you or your relative.

Page Last Updated: January 22, 2004
Data Last Updated: August 2, 2004

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