METROHEALTH CENTER FOR SKILLED NURSING-SOUTH

The information listed below provides an in-depth look into the type and quality of care offered at Metrohealth Center for Skilled Nursing-South. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

METROHEALTH CENTER FOR SKILLED NURSING-SOUTH
4229 PEARL ROAD
CLEVELAND, OH 44109
(216) 957-2000

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

90%

Number of Residents and Certified Beds

  • Residents: 156
  • Certified Beds: 173

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - City/County
  • Offers Only Resident Counseling
  • Located Inside of a Hospital Facility
  • This Facility is Not Part of a Chain or Franchise

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Metrohealth Center for Skilled Nursing-South. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.7%
ADL Index Range: 2-102.4%
Total Percent:4.1%
 

High Rehabilitation Plus Extensive Services

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-161.1%
ADL Index Range: 2-102.0%
Total Percent:3.1%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-101.0%
Total Percent:1.0%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-163.1%
ADL Index Range: 6-104.4%
ADL Index Range: 0-51.1%
Total Percent:8.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.9%
ADL Index Range: 6-1010.7%
ADL Index Range: 0-514.2%
Total Percent:30.8%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.3%
ADL Index Range: 6-1015.7%
ADL Index Range: 0-510.2%
Total Percent:33.3%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-163.3%
ADL Index Range: 6-102.4%
ADL Index Range: 0-53.3%
Total Percent:9.0%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
1.4%
Total Percent:1.4%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.4%
ADL Index Range: 11-14
- Signs of depression
0.6%
ADL Index Range: 11-14
- No Signs of depression
0.6%
ADL Index Range: 6-10
- No Signs of depression
0.4%
ADL Index Range: 2-5
- No Signs of depression
0.8%
Total Percent:2.9%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
0.1%
ADL Index Range: 6-10
- No Signs of depression
0.8%
ADL Index Range: 2-5
- No Signs of depression
1.8%
ADL Index Range: 0-1
- No Signs of depression
2.6%
Total Percent:5.4%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
0.04%
ADL Index Range: 2-5
- Less restorative nursing
0.1%
ADL Index Range: 0-1
- Less restorative nursing
0.3%
Total Percent:0.4%
 

Rating Details For Metrohealth Center for Skilled Nursing-South

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 24 Minutes1 Hour and 31 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours41 Minutes52 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 32 Minutes2 Hours and 32 Minutes
Total Licensed Nurse Hours2 Hours and 5 Minutes2 Hours and 23 Minutes
Total Nurse Hours4 Hours and 37 Minutes4 Hours and 55 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Ohio are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityOhio Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination69%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season68%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight11%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased6%13%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%5%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%6%
Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection14%11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%18%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder51%48%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair12%5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores21%10%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores4%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season70%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination79%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Have Pressure Sores16%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain21%24%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 11/04/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 11/04/2010
  • Correction Date: 12/17/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008

Nutrition and Dietary

Offer Other Nutritional Food to Each Resident Who Will Not Eat the Food Served.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 07/24/2008
  • Correction Date: 10/10/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 11/04/2010
  • Correction Date: 12/17/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008
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.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009
Make Sure That Each Resident Gets Help to Keep Vision and Hearing.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 09/24/2009
  • Correction Date: 11/12/2009

Resident Rights

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.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008
Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
  • Inspection Date: 11/04/2010
  • Correction Date: 12/17/2010
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 11/04/2010
  • Correction Date: 12/17/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Metrohealth Center for Skilled Nursing-South, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Provide Needed Housekeeping and Maintenance.
  • Complaint Filed: 04/17/2008
  • Correction Date: 05/05/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/06/2009
  • Correction Date: 02/02/2009
Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 12/20/2009
  • Correction Date: 01/15/2010

Mistreatment

1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Complaint Filed: 10/07/2008
  • Correction Date: 10/23/2008

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Complaint Filed: 01/06/2009
  • Correction Date: 02/02/2009

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Complaint Filed: 04/17/2008
  • Correction Date: 05/05/2008

Resident Rights

Honor All of the Resident's Rights As a Resident of the Nursing Home and As a Citizen or Resident of the United States.
  • Complaint Filed: 08/24/2010
  • Correction Date: 09/17/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Metrohealth Center for Skilled Nursing-South had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 11/04/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 09/23/2009
  • Correction Date: 11/12/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 11/04/2010
  • Correction Date: 12/17/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 09/23/2009
  • Correction Date: 11/12/2009
Properly Maintained Smoke Detectors.
  • Inspection Date: 09/23/2009
  • Correction Date: 11/12/2009
A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 11/04/2010
  • Correction Date: 12/17/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008

Vertical Openings

Proper Stairway Enclosures and Vertical Shafts.
  • Inspection Date: 07/24/2008
  • Correction Date: 09/17/2008
Source: Medicare Nursing Home Compare; Bureau of Long Term Care of Ohio - Quality Assurance - Retrieved 2011