Joshua Tree Care Center
27500 Mill Rd, North Olmsted OH 44070 · (440) 777-8444 · 72.5% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
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 :
Accepts Medicaid 1 : 60 Beds
CCRC :
For profit - Individual
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
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
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
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
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.
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.
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.
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.
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.
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.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This datapoint measures the percentage of long-term residents demonstrating symptoms of depression.
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.
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.
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.
Percentage of Residents
Higher is Better
Hospitalizations
This is the number of hospitalizations per 1,000 days of care.
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.
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.
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.
Percentage of Resident
Higher is Better