C
WILLOWS HEALTH AND REHAB CTR
58/100 score
0.39 hrs RN staffing
4 deficiencies
MOUNT SAINT JOSEPH REHAB CENTER
21800 CHARDON ROAD, EUCLID, OH 44117
B
Facility Assessment
2 federal violations at this facility remain unresolved. Inspectors recorded 1 citation at the actual-harm level or worse in the last three survey cycles. This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.
Below the repealed 0.55 hr RN benchmark — above average inspection record.
Quality Breakdown
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RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
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0.47 — Below the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
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Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
14
Outstanding
2
Actual harm or worse (G–L)
1
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|
CMS Ratings
Overall and Staffing quality ratings from CMS (1-5 stars).
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Quality: ★★★☆☆ (3/5)
Staffing: ★★★★☆ (4/5)
|
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NursingHomeGrade Score
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65/100 |
Loaded into NursingHomeGrade on April 12, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
1 actual harm issue found among 14 total deficiencies. 12 corrected. — 2 still outstanding
Most recent inspection (April 10, 2025)
F
Potential harm — widespread
F0848
Status: Corrected
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Administration Deficiencies — Deficient, Provider has date of correction, corrected May 30, 2025
C
No harm — widespread
F0947
Status: Corrected
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected May 30, 2025
D
Potential harm — isolated
F0756
Status: Corrected
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected May 30, 2025
Inspection cycle 2 (August 4, 2022)
D
Potential harm — isolated
F0688
Status: Corrected
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected September 19, 2022
D
Potential harm — isolated
F0573
Status: Corrected
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected September 19, 2022
Inspection cycle 3 (August 29, 2019)
C
No harm — widespread
F0844
Status: Outstanding — Plan Filed
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Administration Deficiencies — Deficient, Provider has plan of correction, corrected September 25, 2019
B
No harm — pattern
F0641
Status: Outstanding — Plan Filed
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has plan of correction, corrected September 25, 2019
D
Potential harm — isolated
F0609
Status: Corrected
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected May 3, 2023
F
Potential harm — widespread
F0606
Status: Corrected
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies — Deficient, Provider has date of correction, corrected September 25, 2019
D
Potential harm — isolated
F0684
Status: Corrected
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected October 30, 2023
G
Actual harm — isolated
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected September 25, 2019
D
Potential harm — isolated
F0657
Status: Corrected
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies — Deficient, Provider has date of correction, corrected September 25, 2019
D
Potential harm — isolated
F0580
Status: Corrected
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected October 30, 2023
D
Potential harm — isolated
F0550
Status: Corrected
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies — Deficient, Provider has date of correction, corrected September 25, 2019
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D
EMBASSY OF EUCLID
44/100 score
0.43 hrs RN staffing
14 deficiencies
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