LARCHWOOD VILLAGE RETIREMENT COMMUNITY

The information listed below provides an in-depth look into the type and quality of care offered at Larchwood Village Retirement Community. 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

LARCHWOOD VILLAGE RETIREMENT COMMUNITY
4110 ROCKY RIVER DRIVE
CLEVELAND, OH 44135
(216) 941-6100

Nursing Home Ratings

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

Percent of Beds Occupied

83%

Number of Residents and Certified Beds

  • Residents: 62
  • Certified Beds: 75

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is 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 "Ultra-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 Larchwood Village Retirement Community. 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: 11-167.3%
Total Percent:7.3%
 

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: 11-1619.2%
ADL Index Range: 6-1018.7%
ADL Index Range: 0-524.1%
Total Percent:62.0%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.5%
ADL Index Range: 0-514.7%
Total Percent:18.2%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-53.2%
Total Percent:3.2%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.9%
ADL Index Range: 6-103.6%
ADL Index Range: 0-50.4%
Total Percent:4.9%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
0.9%
Total Percent:0.9%
 

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: 11-14
- No Signs of depression
1.3%
Total Percent:1.3%
 

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%
Total Percent:0.1%
 

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
1.7%
ADL Index Range: 0-1
- Less restorative nursing
0.4%
Total Percent:2.2%
 

Rating Details For Larchwood Village Retirement Community

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) Hours44 Minutes1 Hour and 15 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours36 Minutes43 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 16 Minutes2 Hours and 26 Minutes
Total Licensed Nurse Hours1 Hour and 20 Minutes1 Hour and 58 Minutes
Total Nurse Hours3 Hours and 36 Minutes4 Hours and 24 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 Vaccination79%88%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season48%90%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained-5%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores8%10%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain12%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%10%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%13%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores5%3%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder11%6%
Percent of Long-Stay Residents Who Lose Too Much Weight7%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder33%48%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%5%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%11%
Percent of Long-Stay Residents Who Are More Depressed or Anxious22%18%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season26%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination65%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores7%12%
Percent of Short-Stay Residents Who Have Delirium-3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain32%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 03/24/2011.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/11/2010

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/11/2010

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009
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: 01/21/2010
  • Correction Date: 02/11/2010
Make Sure That Residents Are Safe from Serious Medication Errors.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/11/2010
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: 03/24/2011
  • Correction Date: 05/10/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/24/2011
  • Correction Date: 05/10/2011

Quality Care

Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009
Develop/Implement Required Procedures for the Administration of Immunizations.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/11/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/11/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 01/21/2010
  • Correction Date: 02/11/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 03/24/2011
  • Correction Date: 05/10/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009

Resident Rights

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.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009
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: 03/24/2011
  • Correction Date: 05/10/2011
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 03/24/2011
  • Correction Date: 05/10/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)04/01/2009$2,210
Civil Money Penalty (CMP)11/04/2009$8,873
Denial of Payment for New Admission (DPNA)11/04/2009-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Larchwood Village Retirement Community, 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

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/31/2009
  • Correction Date: 06/15/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 11/04/2009
  • Correction Date: 01/21/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 12/15/2009
  • Correction Date: 02/11/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/21/2010
  • Correction Date: 02/11/2010

Mistreatment

Protect Each Resident from All Abuse, Physical Punishment, and Being Separated from Others.
  • Complaint Filed: 11/04/2009
  • Correction Date: 01/21/2010
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: 11/04/2009
  • Correction Date: 01/21/2010
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: 06/02/2010
  • Correction Date: 07/21/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 06/02/2010
  • Correction Date: 07/21/2010

Nutrition and Dietary

Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Complaint Filed: 07/16/2008
  • Correction Date: 08/25/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Complaint Filed: 05/31/2009
  • Correction Date: 06/15/2009
Hire Enough Skilled Workers to Carry out Dietary Service.
  • Complaint Filed: 05/31/2009
  • Correction Date: 06/15/2009

Pharmacy Service

Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Complaint Filed: 07/16/2008
  • Correction Date: 08/25/2008

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 07/16/2008
  • Correction Date: 08/25/2008
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Complaint Filed: 11/04/2009
  • Correction Date: 01/21/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 01/21/2010
  • Correction Date: 02/11/2010

Resident Rights

Provide Services to Meet the Needs and Preferences of Each Resident.
  • Complaint Filed: 04/01/2009
  • Correction Date: 04/30/2009
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.
  • Complaint Filed: 11/04/2009
  • Correction Date: 01/21/2010
Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 12/15/2009
  • Correction Date: 01/21/2010

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 Larchwood Village Retirement Community 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 03/23/2011.

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

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009
Back-Up Procedures in Place for a Faulty Automatic Sprinkler System.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 01/19/2010
  • Correction Date: 02/11/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/23/2011
  • Correction Date: 05/10/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009

Fire Alarm Systems

An Approved Back-Up Procedure for a Faulty Fire Alarm System.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/30/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/23/2011
  • Correction Date: 05/10/2011
Source: Medicare Nursing Home Compare; Bureau of Long Term Care of Ohio - Quality Assurance - Retrieved 2011