D+
53/100

SEVEN HILLS HEALTH & REHAB CENTER Inspection Report, Violations & Safety Grade (SEVEN HILLS, Ohio)

819 ROCKSIDE ROAD, SEVEN HILLS, Ohio 44131

Phone: 2164877557

CMS Overall:2/5

Overview & Bed Count

Certified Beds
80
Avg Residents/Day
65.2
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Cuyahoga
Sprinkler Systems
Yes
Special Focus
None
Abuse Citation
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing3/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityOhio AvgDifference
RN Hours per Resident per Day0.890.64+0.24
Total Nurse Hours per Resident per Day4.243.71+0.53
CMS Staffing Rating3/52.4/5-
Nursing Staff Turnover55.3%49%-

Health Citation History

38 health citations on record

DateCategoryDescriptionSeverity
2025-07-07Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.G – Actual Harm
2025-07-07Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E – Moderate Harm Potential
2025-07-07Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.E – Moderate Harm Potential
2025-07-07Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2025-07-07Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2025-07-07Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2025-07-07Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2025-07-07Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2025-07-07Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-07-07Resident Assessment and Care Planning DeficienciesNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.D – Moderate Harm Potential
2025-07-07Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD – Moderate Harm Potential
2025-07-07Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2025-07-07Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.D – Moderate Harm Potential
2025-07-07Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2025-07-07Quality of Life and Care DeficienciesProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.D – Moderate Harm Potential
2025-07-07Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.D – Moderate Harm Potential
2024-10-03Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2024-10-03Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2024-10-03Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2023-10-24Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.D – Moderate Harm Potential
2023-10-24Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, residentโ€™s preferences and goals.D – Moderate Harm Potential
2023-10-24Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2023-10-24Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2022-09-19Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.F – Moderate Harm Potential
2022-09-19Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2022-09-19Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2022-09-19Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.E – Moderate Harm Potential
2022-09-19Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2022-09-19Quality of Life and Care DeficienciesProvide appropriate foot care.D – Moderate Harm Potential
2022-09-19Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2022-09-19Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2022-09-19Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D – Moderate Harm Potential
2022-09-19Infection Control DeficienciesImplement a program that monitors antibiotic use.D – Moderate Harm Potential
2019-09-09Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2019-09-09Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, residentโ€™s preferences and goals.D – Moderate Harm Potential
2019-09-09Quality of Life and Care DeficienciesEnsure 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.D – Moderate Harm Potential
2019-09-09Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.D – Moderate Harm Potential
2019-09-09Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.C – Minimal Harm Potential

Fire Safety Citation History

45 fire safety citations on record

DateCategoryDescriptionSeverity
2025-07-07Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2025-07-07Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.F – Moderate Harm Potential
2025-07-07Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2025-07-07Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.F – Moderate Harm Potential
2025-07-07Smoke DeficienciesInstall an approved automatic sprinkler system.F – Moderate Harm Potential
2025-07-07Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2025-07-07Services DeficienciesMeet other general requirements that are deficient.F – Moderate Harm Potential
2025-07-07Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2025-07-07Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-07-07Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2025-07-07Egress DeficienciesHave stairways and smokeproof enclosures used as exits that meet safety requirements.E – Moderate Harm Potential
2025-07-07Egress DeficienciesHave exits that are accessible at all times.E – Moderate Harm Potential
2025-07-07Egress DeficienciesHave properly located and lighted "Exit" signs.E – Moderate Harm Potential
2025-07-07Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2025-07-07Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.E – Moderate Harm Potential
2025-07-07Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2025-07-07Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.E – Moderate Harm Potential
2025-07-07Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2022-09-19Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.F – Moderate Harm Potential
2022-09-19Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2022-09-19Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.F – Moderate Harm Potential
2022-09-19Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2022-09-19Services DeficienciesInstall properly constructed and protected linen or trash chutes.F – Moderate Harm Potential
2022-09-19Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2022-09-19Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2022-09-19Smoke DeficienciesProvide properly protected cooking facilities.E – Moderate Harm Potential
2022-09-19Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.E – Moderate Harm Potential
2022-09-19Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2022-09-19Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2022-09-19Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.E – Moderate Harm Potential
2022-09-19Miscellaneous DeficienciesProvide a written emergency evacuation plan.E – Moderate Harm Potential
2022-09-19Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2022-09-19Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.E – Moderate Harm Potential
2019-09-09Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.F – Moderate Harm Potential
2019-09-09Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2019-09-09Smoke DeficienciesProperly provide smoke detection systems in areas open to corridors.E – Moderate Harm Potential
2019-09-09Smoke DeficienciesInstall an approved automatic sprinkler system.E – Moderate Harm Potential
2019-09-09Smoke DeficienciesEnsure that corridors are separated from use areas by walls constructed to limit the passage of smoke.E – Moderate Harm Potential
2019-09-09Smoke DeficienciesInstall corridor and hallway doors that block smoke.E – Moderate Harm Potential
2019-09-09Services DeficienciesHave properly installed electrical wiring and gas equipment.E – Moderate Harm Potential
2019-09-09Emergency Preparedness DeficienciesAddress subsistence needs for staff and patients.C – Minimal Harm Potential
2019-09-09Emergency Preparedness DeficienciesEstablish procedures for tracking staff and patients during an emergency.C – Minimal Harm Potential
2019-09-09Emergency Preparedness DeficienciesEstablish policies and procedures for volunteers.C – Minimal Harm Potential
2019-09-09Emergency Preparedness DeficienciesEstablish methods for sharing information.C – Minimal Harm Potential
2019-09-09Emergency Preparedness DeficienciesProvide a means of sharing information on occupancy/needs.C – Minimal Harm Potential

Total Penalties & Fines

$57,194
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-07-07Fine$57,194-
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