Joshua Tree Care Center is a small facility located in North Olmsted, Ohio. With an overall score of A-, this facility is one of the better facilities we looked at. In fact, we ranked this nursing home in the top 25 percent of all nursing homes in the United States. This facility's impressive profile was highlighted by its inspection grade, which is addressed in the next paragraph.

Additional Details:

Accepts Medicare 1 : TrueA checkmark indicating true.

Accepts Medicaid 1 : 60 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

For profit - Individual

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Medical Staff Hours Per Patient (2019)

Less:
More:
January
January 1, 2019January 2, 2019January 3, 2019January 4, 2019January 5, 2019January 6, 2019January 7, 2019January 8, 2019January 9, 2019January 10, 2019January 11, 2019January 12, 2019January 13, 2019January 14, 2019January 15, 2019January 16, 2019January 17, 2019January 18, 2019January 19, 2019January 20, 2019January 21, 2019January 22, 2019January 23, 2019January 24, 2019January 25, 2019January 26, 2019January 27, 2019January 28, 2019January 29, 2019January 30, 2019January 31, 2019
February
February 1, 2019February 2, 2019February 3, 2019February 4, 2019February 5, 2019February 6, 2019February 7, 2019February 8, 2019February 9, 2019February 10, 2019February 11, 2019February 12, 2019February 13, 2019February 14, 2019February 15, 2019February 16, 2019February 17, 2019February 18, 2019February 19, 2019February 20, 2019February 21, 2019February 22, 2019February 23, 2019February 24, 2019February 25, 2019February 26, 2019February 27, 2019February 28, 2019
March
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April
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May
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June
June 1, 2019June 2, 2019June 3, 2019June 4, 2019June 5, 2019June 6, 2019June 7, 2019June 8, 2019June 9, 2019June 10, 2019June 11, 2019June 12, 2019June 13, 2019June 14, 2019June 15, 2019June 16, 2019June 17, 2019June 18, 2019June 19, 2019June 20, 2019June 21, 2019June 22, 2019June 23, 2019June 24, 2019June 25, 2019June 26, 2019June 27, 2019June 28, 2019June 29, 2019June 30, 2019
July
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August
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September
September 1, 2019September 2, 2019September 3, 2019September 4, 2019September 5, 2019September 6, 2019September 7, 2019September 8, 2019September 9, 2019September 10, 2019September 11, 2019September 12, 2019September 13, 2019September 14, 2019September 15, 2019September 16, 2019September 17, 2019September 18, 2019September 19, 2019September 20, 2019September 21, 2019September 22, 2019September 23, 2019September 24, 2019September 25, 2019September 26, 2019September 27, 2019September 28, 2019September 29, 2019September 30, 2019
October
October 1, 2019October 2, 2019October 3, 2019October 4, 2019October 5, 2019October 6, 2019October 7, 2019October 8, 2019October 9, 2019October 10, 2019October 11, 2019October 12, 2019October 13, 2019October 14, 2019October 15, 2019October 16, 2019October 17, 2019October 18, 2019October 19, 2019October 20, 2019October 21, 2019October 22, 2019October 23, 2019October 24, 2019October 25, 2019October 26, 2019October 27, 2019October 28, 2019October 29, 2019October 30, 2019October 31, 2019
November
November 1, 2019November 2, 2019November 3, 2019November 4, 2019November 5, 2019November 6, 2019November 7, 2019November 8, 2019November 9, 2019November 10, 2019November 11, 2019November 12, 2019November 13, 2019November 14, 2019November 15, 2019November 16, 2019November 17, 2019November 18, 2019November 19, 2019November 20, 2019November 21, 2019November 22, 2019November 23, 2019November 24, 2019November 25, 2019November 26, 2019November 27, 2019November 28, 2019November 29, 2019November 30, 2019
December
December 1, 2019December 2, 2019December 3, 2019December 4, 2019December 5, 2019December 6, 2019December 7, 2019December 8, 2019December 9, 2019December 10, 2019December 11, 2019December 12, 2019December 13, 2019December 14, 2019December 15, 2019December 16, 2019December 17, 2019December 18, 2019December 19, 2019December 20, 2019December 21, 2019December 22, 2019December 23, 2019December 24, 2019December 25, 2019December 26, 2019December 27, 2019December 28, 2019December 29, 2019December 30, 2019December 31, 2019

Facility Inspections

A+
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+May 19: A+Jun 19: A+Jul 19: A+Aug 19: A+Sep 19: A+Jan 20: A+Mar 20: A+Apr 20: A+May 20: A+Jun 20: A+Jul 20: A+Aug 20: A+
Historical

One of the many reasons this turned out to be a quality nursing home is that it received an A+ inspection grade. This is simply as good as it gets in this critical category. Our inspection ratings are tied to several datapoints found on the a nursing home's recent inspection reports. Places that excel in this category typically have very few deficiencies on their reports. Most importantly, these nursing homes generally do not have any severe deficiencies which are associated with risks to patient safety. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Even some of the best nursing homes receive an occasional ding on their inspection report.

Nurse Quality

A
Oct 18: BNov 18: BDec 18: BJan 19: BFeb 19: BMay 19: BJun 19: BJul 19: A-Aug 19: A-Sep 19: A-Jan 20: A-Mar 20: A-Apr 20: AMay 20: AJun 20: AJul 20: AAug 20: A
Historical

To complement its strong performance in other areas, we awarded this nursing home a grade of A+ for our inspections rating. Nursing grades are tied to quality and quantity of nursing care. This facility provided 3.4 hours of nursing care per resident per day. Lastly, we also assessed certain nursing quality measures in computing our nursing grades. These include minimizing residents' pressure ulcers and major falls. We look at these datapoints as good indicators of the quality of nursing care being provided, since better care tends to reduce these problems.

Short-term Care Quality

A-
Oct 18: ANov 18: ADec 18: AJan 19: AFeb 19: AMay 19: A-Jun 19: A-Jul 19: AAug 19: ASep 19: AJan 20: A-Mar 20: A-Apr 20: A-May 20: A-Jun 20: A-Jul 20: A-Aug 20: A-
Historical

This nursing home also was superb in the category of short-term care, where it received a grade of A-. Not many facilities performed better in this category. Our short-term care ratings are thought to be more important for residents in need of rehabilitation services. Rehabilitation generally requires more skilled nursing. Skilled nursing means not merely nursing services, but also physical and speech therapy, as well as other types of therapy. When we assessed this facility's nursing hours, we found it offered more care from registered nurses than most nursing homes. Lastly, we looked at the percentage of patients who were able to return to the community from this facility. This place outperformed the vast majority of nursing homes in this area with 60.6 percent of its patients returning home.

Long-term Care Quality

C
Oct 18: CNov 18: CDec 18: CJan 19: CFeb 19: CMay 19: B-Jun 19: B-Jul 19: B-Aug 19: B-Sep 19: B-Jan 20: B-Mar 20: B-Apr 20: CMay 20: CJun 20: CJul 20: CAug 20: C
Historical

The last area we looked at is long-term care. This facility received an impressive long-term care rating in our assessment, with a C. Although this wasn't as impressive as a few of its other scores, this remains a respectable score in this category. In a long-term care setting, the nursing home's primary objective is to maintain residents' quality of life and keep them safe. In addition to assessing the amount of care provided by nurses and other staff, we analyzed the number of residents vaccinated for pneumonia. This facility vaccinated 100 percent of its patients, which is more than the vast majority of nursing homes. This facility was able to keep its residents out of the hospital. Indeed, it had less than one hospitalization per 1,000 long-term resident days, which is an impressively low figure.

Overall Rating Over Time

Compared to national and state averages across all facilities.

Aug 20
Provider:
A-
State:
B-
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

Joshua Tree Care Center Quality Metrics

Minimizes Pressure Ulcers

This indicates the percent of residents that have had a pressure ulcer. Pressure ulcers are skin damage due to remaining in the same position for too long.

Provider
A
3.39%
State
B+
6.81%
National
B
7.33%

Percent of Patients with Pressure Ulcers
Lower is Better

Minimizes Serious Falls

This statistic is an indication of the percent of long-term care patients that sustained falls which resulted in severe injury. Falls can happen for a variety of reasons, but high rates of major falls may be an indication of poor nursing care.

Provider
C
4.27%
State
B
3.52%
National
B
3.36%

Percent of Patients with Serious Falls
Lower is Better

Minimizes Urinary Tract Infections

This figure tells you the percentage of long-term residents who sustained a urinary tract infection. UTI's could be a sign of lower quality nursing care. However, this metric may be skewed for certain facilities due to different reporting standards for infections.

Provider
A
0.61%
State
B+
2.04%
National
B
2.65%

Percent of Patients with UTIs
Lower is Better

Appropriately Uses Anti-Psychotic Medication

This metric indicates the percent of long-term stay residents taking antipsychotic drugs. While antipsychotic medications play an important role in caring for many residents, it is important to ensure these medications are being used only where medically required. In some cases, excessive reliance on these medications may indicate that a facility is using these drugs to subdue residents.

Provider
B+
11.04%
State
B
13.98%
National
B
14.17%

Percent of Patients
Lower is Better

Appropriately Uses Anti-Anxiety Medication

This indicates the percentage of patients given antianxiety medications. These drugs are generally prescribed to residents experiencing depression and anxiety.

Provider
A+
6.93%
State
B
21.49%
National
B
19.68%

Percent of Patients
Lower is Better

Managing Depression Among Residents

This datapoint measures the percentage of long-term residents demonstrating symptoms of depression.

Provider
A+
0%
State
C
15.32%
National
B+
5.09%

Percent of Patients
Lower is Better

Appropriate Vaccine Usage

This datapoint is a measure of the percent of long-term patients that were vaccinated against pneumonia and flu.

Provider
A
100%
State
B
92.09%
National
B
92.04%

Percent of Patients
Higher is Better

Residents Maintain Autonomy

This is the percentage of patients that needed more assistance with activities of daily living over time. High levels of dependence on staff for assistance with ADL's may indicate the decline of a patient's well-being.

Provider
A+
2.97%
State
B
15.22%
National
B
14.47%

Percentage of Patients
Lower is Better

Ability to Keep Residents Mobile

Measures the percent of long-term patients that remained mobile levels. Many in the industry argue that mobility is vital to patients well-being.

Provider
D
10.19%
State
B
17.92%
National
B
17.10%

Percentage of Residents
Higher is Better

Hospitalizations

This is the number of hospitalizations per 1,000 days of care.

Provider
A+
0.61
State
B+
1.5
National
B
1.70

Hospitalizations per 1,000 resident days
Lower is Better

Short-term Care: Rehospitalizations

This is the number of times residents are rehospitalized per 1,000 days of short-term care. There is usually a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.

Provider
A
10.19
State
B
17.92
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Short-term Care: ER Visits

This tells you the number of times residents are sent to the emergency room per 1,000 days of short-term patient care.

Provider
A+
0
State
B
10.51
National
B
10.27

Percentage of Patients
Lower is Better

Short-term Care: Facilitates Functional Improvement

This indicates the percent of short-term stay patients who experienced functional improvements, such as enhanced ability to perform activities of daily living.

Provider
A
85.41%
State
B
67.21%
National
B
68.03%

Percentage of Resident
Higher is Better

Nearby Hospitals

Uh St John Medical Center 1.39 mi
29000 Center Ridge Road Westlake Ohio 44145
(440) 835-8000
Acute Care Hospitals
Voluntary non-profit - Private
Southwest General Health Center 5.8 mi
18697 Bagley Road Cleveland Ohio 44130
(440) 816-6701
Acute Care Hospitals
Voluntary non-profit - Private
Fairview Hospital 5.92 mi
18101 Lorain Avenue Cleveland Ohio 44111
(216) 476-7000
Acute Care Hospitals
Voluntary non-profit - Private
Metrohealth System 12.23 mi
2500 Metrohealth Drive Cleveland Ohio 44109
(216) 778-7089
Acute Care Hospitals
Voluntary non-profit - Other
Lutheran Hospital 12.41 mi
1730 West 25th Street Cleveland Ohio 44113
(216) 696-4300
Acute Care Hospitals
Voluntary non-profit - Private
St Vincent Charity Medical Center 14.14 mi
2351 East 22nd Street Cleveland Ohio 44115
(216) 861-6200
Acute Care Hospitals
Voluntary non-profit - Private
Mercy Health-Lorain Hospital 15.91 mi
3700 Kolbe Road Lorain Ohio 44053
(440) 960-4000
Acute Care Hospitals
Voluntary non-profit - Private
Cleveland Clinic 16.87 mi
9500 Euclid Avenue Cleveland Ohio 44195
(216) 445-8400
Acute Care Hospitals
Voluntary non-profit - Private

Nearby Dialysis

Davita - Villa of Great Northern 2.78 mi
Dialysis Stations: 7
22710 Fairview Center Dr., Ste 100 Cleveland Ohio 44126
(440) 734-4630
Center for Dialysis Care Westside Home Care LLC 3.15 mi
Dialysis Stations: 10
24651 Center Ridge Rd Suite 450 Westlake Ohio 44145
(440) 899-2808
Fmc - Westlake Dialysis Center 3.74 mi
Dialysis Stations: 23
26024 Detroit Road Westlake Ohio 44145
(440) 835-1139
Center for Dialysis Care Middleburg Heights 4.89 mi
Dialysis Stations: 20
6749 Eastland Road Cleveland Ohio 44130
(440) 234-3916
Davita - Hilliard Dialysis 6.05 mi
CMS Rating: 3 stars
Dialysis Stations: 18
19133 Hilliard Blvd Rocky River Ohio 44116
(216) 712-4700
Davita - Middleburg Heights Dialysis 6.36 mi
Dialysis Stations: 24
7360 Engle Road Cleveland Ohio 44130
(440) 891-5645
Fmc - Cleveland Clinic West 6.74 mi
CMS Rating: 3 stars
Dialysis Stations: 24
14670 Snow Road Brookpark Ohio 44142
(216) 267-1451
Davita - Center Ridge Dialysis 6.99 mi
Dialysis Stations: 14
38630 Center Ridge Road North Ridgeville Ohio 44039
(440) 327-2070