Embassy Of Lyndhurst - 2-Star Rehab Facility in Lyndhurst, OH | PlacetClinical Quality Indicators
Long-stay residents , lower is better
Antipsychotic medication use 11.88%Falls causing major injury 1.93%Pressure ulcers (high-risk) 3.03%Admissions Contacts
No admissions contacts on file yet.
CMS Star Ratings
Last inspected: Apr 2025 (422 days ago)โญ Overall
2/5
โ
โ
โโโ
๐ Health Inspection
1/5
โ
โโโโ
๐ฉโโ๏ธ Staffing
1/5
โ
โโโโ
๐ Quality Measures
5/5
โ
โ
โ
โ
โ
Private Pay
Source: CMS MDS Quality Measures. Updated quarterly.
State avg: 38 min ยท US avg: 41 min
Total Nurse / Resident / Day
3h 33m
State avg: 3h 44m ยท US avg: 3h 53m
2 min
State avg: 3 min ยท US avg: 4 min
71 per 100
State avg: 50 per 100 ยท US avg: 46 per 100
Weekend Staffing (PBJ Q3 2024)
Weekend vs. Weekday RN
59%โ avg
US avg: 64%
Federal Penalties
27 penalties ยท $705,636 total
| Date | Type | Fine | Denial Days |
|---|
| 9/22/2023 | Fine | $44,970 | - |
| 9/22/2023 | Payment Denial | - | 12 |
| 9/22/2023 | Fine | $44,970 | - |
| 9/22/2023 | Payment Denial | - | 12 |
| 9/22/2023 | Fine | $44,970 | - |
| 9/22/2023 | Payment Denial | - | 12 |
| 9/22/2023 | Fine | $44,970 | - |
| 9/22/2023 | Payment Denial | - | 12 |
| 9/22/2023 | Fine | $44,970 | - |
| 9/22/2023 | Payment Denial | - | 12 |
| 9/22/2023 | Fine | $44,970 | - |
| 9/22/2023 | Payment Denial | - | 12 |
| 9/22/2023 | Fine | $44,970 | - |
| 9/22/2023 | Payment Denial | - | 12 |
| 9/22/2023 | Fine | $44,970 | - |
| 9/22/2023 | Payment Denial | - | 12 |
| 9/22/2023 | Fine | $44,970 | - |
| 9/22/2023 | Payment Denial | - | 12 |
| 6/15/2023 | Fine | $33,434 | - |
| 6/15/2023 | Fine | $33,434 | - |
| 6/15/2023 | Fine | $33,434 | - |
| 6/15/2023 | Fine | $33,434 | - |
| 6/15/2023 | Fine | $33,434 | - |
| 6/15/2023 | Fine | $33,434 | - |
| 6/15/2023 | Fine | $33,434 | - |
| 6/15/2023 | Fine | $33,434 | - |
| 6/15/2023 | Fine | $33,434 | - |
Inspection Citations
Survey: April 7, 2025(66 citations)
๐ก Potential for HarmInfection Control Deficiencies
๐ก Potential for HarmNutrition and Dietary DeficienciesComplaint
๐ก Potential for HarmInfection Control DeficienciesComplaint
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
N/A
State avg: 25.1 ยท US avg: 23.9
N/A
State avg: 12.5 ยท US avg: 12.0
1.9 per 100
State avg: 3.3 ยท US avg: 3.3
3.0 per 100
State avg: 3.7 ยท US avg: 5.1
0.0 per 100
State avg: 1.2 ยท US avg: 1.6
33.9 per 100
State avg: 75.6 ยท US avg: 79.7
Rates shown per 100 patients ยท Green = better than average ยท Amber = average ยท Red = below average
VBP Performance Score
17/100
Incentive Payment
-1.83% penalty
Healthcare-Assoc. Infections
N/A
Higher performance scores lead to payment bonuses. Lower scores indicate risk of readmission penalties.
Avg Length of Stay
23.1 days
Avg Payment / Stay
$9,993.25
Patient Complexity
5.86 ร avg
Avg LOS 15-30 days is typical for short-term rehab ยท Patient complexity = HCC risk score (1.0 = national average; higher = sicker patient mix)
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
โช MinimalResident Rights Deficiencies
โช MinimalResident Rights Deficiencies
๐ก Potential for HarmResident Assessment and Care Planning Deficiencies
๐ก Potential for HarmQuality of Life and Care Deficiencies
๐ก Potential for HarmPharmacy Service Deficiencies
๐ก Potential for HarmAdministration Deficiencies
๐ก Potential for HarmResident Rights DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ Actual HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmNutrition and Dietary DeficienciesComplaint
๐ก Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
๐ก Potential for HarmNutrition and Dietary DeficienciesComplaint
๐ก Potential for HarmInfection Control DeficienciesComplaint
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
โช MinimalResident Rights Deficiencies
โช MinimalResident Rights Deficiencies
๐ก Potential for HarmResident Assessment and Care Planning Deficiencies
๐ก Potential for HarmQuality of Life and Care Deficiencies
๐ก Potential for HarmPharmacy Service Deficiencies
๐ก Potential for HarmAdministration Deficiencies
๐ก Potential for HarmInfection Control Deficiencies
๐ก Potential for HarmResident Rights DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ Actual HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmNutrition and Dietary DeficienciesComplaint
๐ก Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
๐ก Potential for HarmNutrition and Dietary DeficienciesComplaint
๐ก Potential for HarmInfection Control DeficienciesComplaint
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
๐ก Potential for HarmResident Rights Deficiencies
โช MinimalResident Rights Deficiencies
โช MinimalResident Rights Deficiencies
๐ก Potential for HarmResident Assessment and Care Planning Deficiencies
๐ก Potential for HarmQuality of Life and Care Deficiencies
๐ก Potential for HarmPharmacy Service Deficiencies
๐ก Potential for HarmAdministration Deficiencies
๐ก Potential for HarmInfection Control Deficiencies
๐ก Potential for HarmResident Rights DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ Actual HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmNutrition and Dietary DeficienciesComplaint
๐ก Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
Survey: January 16, 2025(3 citations)
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: December 5, 2024(3 citations)
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmQuality of Life and Care DeficienciesComplaint
Survey: October 16, 2024(6 citations)
๐ก Potential for HarmResident Rights DeficienciesComplaint
๐ Actual HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmResident Rights DeficienciesComplaint
๐ Actual HarmQuality of Life and Care DeficienciesComplaint
๐ก Potential for HarmResident Rights DeficienciesComplaint
๐ Actual HarmQuality of Life and Care DeficienciesComplaint
Survey: July 30, 2024(12 citations)
๐ก Potential for HarmResident Rights DeficienciesComplaint
๐ก Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
๐ก Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
๐ก Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
๐ก Potential for HarmResident Rights DeficienciesComplaint
๐ก Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
๐ก Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
๐ก Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
๐ก Potential for HarmResident Rights DeficienciesComplaint
๐ก Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
๐ก Potential for HarmFreedom from Abuse, Neglect, and Exploitation DeficienciesComplaint
๐ก Potential for HarmResident Assessment and Care Planning DeficienciesComplaint
+ 8 more survey(s) not shown in snapshot
What people share about this facility
No comments yet. Be the first.
Add a comment
Families and case managers: share what working with this facility was actually like. Posts go live after a quick review for safety and accuracy.