Home / Ohio / Mayfield Heights
AHC of Landerhaven LLC
2108 Lander Road, Mayfield Heights, OH 44124 · Cuyahoga County · (440) 443-0345
46 certified beds, about 41 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2017
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366458 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 23, 2025, inspectors cited 7 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 15 health citations since February 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 5.49 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 1.30 of those hours.
78.8% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Advanced Health Care, an affiliated group of 26 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
502/20
001/23
208/24
706/25
109/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
3E
1F
Potential for minimal harm
0A
0B
0C
September 19, 2025Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record reviews, review of a Self-Reported Incident (SRI), interviews and review of facility policy, the facility failed to ensure nursing staff reported an allegation of abuse in a timely manner. This affected two residents (#51 and #52) of three residents reviewed for abuse reporting. The facility census was 41.
June 23, 2025Standard inspection · 7 citations
- E PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) Level I screen was completed after a resident remained in the facility longer than 30 days as required. This affected four residents (#6, #16, #30 and #35) of four residents reviewed for PASRR. The facility census was 40.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation and interview, the facility failed to ensure residents were treated in a dignified manner. This affected three residents (#22,#150, and #151) of three observed for dignified treatment. The facility census was 40.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, record review, and staff interview, the facility failed to ensure timely care and assistance was provided to Resident #146 who experienced a change in condition. This affected one resident (#146) of two reviewed for changes in condition. The facility census was 40.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to timely implement pressure ulcer treatment and interventions. This affected one resident (#152) of two residents reviewed for wounds. The facility census was 40.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure timely incontinence care was provided. This affected two residents (#150 and #152) of two residents observed for incontinence care. The facility census was 40.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure residents were provided with water as requested and required. This affected one resident (#22) of three residents reviewed for hydration. The facility census was 40.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure appropriate infection control techniques were used for a resident on enhanced barrier precautions. This affected one resident (#152) of two observed for infection control precautions. The facility census was 40.
August 27, 2024Complaint inspection · 2 citations
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on interview, record review, and review of the facility policy the facility did not ensure medical records were maintained in an accurate manner including treatments were documented per the treatment administration record (TAR) as ordered. This affected three residents (#9, #14, and #23) out of nine medical records reviewed for accuracy. The facility census was 22.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on interview, observation, record review, review of Self-Report Incident (SRI) review, and review of the facility policy revealed the facility did not ensure Resident #9 had a thorough comprehensive care plan with interventions regarding his refusals of care and/ or dementia care. This affected one resident (#9) out of nine resident care plans reviewed. The facility census was 22.
January 19, 2023Standard inspection · 0 citations
February 20, 2020Standard inspection · 5 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility staff failed to use appropriate personal protective equipment (gloves) during medication administration which affected Resident #42. The facility staff failed to use appropriate personal protective equipment and perform hand hygiene practices during wound care which affected Resident #26. The facility failed to provide an alcohol-based hand sanitizer product for all facility dispensers within resident care areas, and the facility did not maintain clean oscillating fans in the clean laundry area. This affected Residents #26 and #42 and had the potential to affect all 44 residents residing in the facility.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation and resident and staff interviews, the facility failed to ensure call lights were within reach for Residents #26 and #247 and failed to ensure skin assessment were completed per physician's orders for Residents #33 and #243. This affected four of 44 residents residing in the facility.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure to ask residents their dietary choices and preferences. This affected one (Resident #244) of one resident reviewed for choices. The facility census was 44. Findings Include: Resident #244 was admitted to the facility on [DATE] with diagnoses including multiple sclerosis, high blood pressure and major depressive disorder. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #244 was moderately cognitively impaired and required extensive assistance for activities of daily living. Interview with Resident #244 on 02/18/20 at 8:30 A.M. revealed she had a great dislike of scrambled eggs. It was noted during the interview that Resident #244 had a breakfast tray that was all eaten except for a large pile of scrambled eggs. [...]
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure appropriate notices were given to residents upon the discontinuation of skilled therapy services. This affected two residents (Residents #18 and #21) of three residents reviewed for beneficiary notices. The facility census was 44.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on interview and record review, the facility failed to auscultate the bruit, palpitate the thrill or monitor the arteriovenous (AV) fistula every shift as ordered for one of one resident (Resident #93) reviewed for dialysis. The facility census was 44. Findings Include: Review of the medical record revealed Resident #93 was admitted to the facility on [DATE] with diagnosis including end stage renal disease with dependence on renal dialysis. The admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #93 required extensive assistance of one person for bed mobility and transfers. The resident was independent for locomotion and eating. The Brief Interview for Mental Status (BIMS) score of 12 indicated moderate cognitive impairment. [...]
Fire safety inspections
15 fire safety citations on file: 1 on June 23, 2025, 3 on January 19, 2023, 11 on February 20, 2020.
Every fire safety citation15 citations
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Install a fire alarm system that can be heard throughout the facility.
- E Ensure proper usage of power strips and extension cords.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Have properly located and lighted "Exit" signs.
- F Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- C Address subsistence needs for staff and patients.
- C Establish policies and procedures for volunteers.
- C Establish roles under a Waiver declared by secretary.
- C Provide a means of sharing information on occupancy/needs.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.49 | 3.69 | 3.86 |
| Registered nurses | 1.30 | 0.64 | 0.69 |
| All nursing staff on weekends | 4.87 | 3.28 | 3.42 |
| Nurse aides | 2.91 | ||
| Licensed practical nurses | 1.28 | ||
| Nursing staff turnover (share who left in a year) | 78.8% | 48.7% | 45.8% |
| Registered nurse turnover | 89.3% | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.32 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.74 on weekdays and 4.87 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.89 in April to June 2025 to 5.49 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.49 | 1.30 | 5.74 | 4.87 | 0.8% | 0 of 90 | 41 |
| Oct to Dec 2025 | 5.15 | 1.38 | 5.40 | 4.53 | 0.0% | 0 of 92 | 43 |
| Jul to Sep 2025 | 5.95 | 1.81 | 6.26 | 5.16 | 0.0% | 0 of 92 | 40 |
| Apr to Jun 2025 | 5.89 | 1.48 | 6.21 | 5.10 | 33.2% | 0 of 91 | 38 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Ohio
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.2 | 1.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.2 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.9 | 12.9 | 12.0 |
Owners and operators
Legal business name: AHC OF LANDERHAVEN LLC. CMS links this home to Advanced Health Care, a group of 26 nursing homes averaging 4.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| New AHC Holdings, LLC | 5% or greater direct ownership interest | Organization | 100% | 01/01/2021 |
| The Gail Miller Gst Trust | 5% or greater indirect ownership interest | Organization | 72% | 01/01/2024 |
| The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 | Indirect ownership interest | Organization | 01/01/2024 | |
| The G&h Miller Utah Trust Dated February 26, 2019 | Indirect ownership interest | Organization | 01/01/2024 | |
| Oxnam, Nathan | Corporate officer | Individual | 01/01/2024 | |
| Winston, Candy | Operational/managerial control | Individual | 01/01/2025 | |
| Oxnam, Nathan | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 09/16/2025 | |
| Lhmsh LLC | Adp of the SNF | Organization | 01/01/2024 | |
| New AHC Holdings, LLC | Adp of the SNF | Organization | 07/18/2025 | |
| Mukunda, Beejadi | Adp of the SNF | Individual | 04/25/2025 | |
| Winston, Candy | Adp of the SNF | Individual | 04/25/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on June 23, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on June 23, 2025: "PASARR screening for Mental disorders or Intellectual Disabilities"
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 23, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on June 23, 2025: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Heritage Healthcare of Lyndhurst Lyndhurst, 1.2 mi · 1 of 5 stars · 67 citations
- King David Post Acute Nursing & Rehabilitation LLC Beachwood, 1.4 mi · 3 of 5 stars · 62 citations
- Gardens of Mayfield Village Mayfield Heights, 1.8 mi · 2 of 5 stars · 106 citations
- Avenue at Lyndhurst Lyndhurst, 1.9 mi · 2 of 5 stars · 98 citations
- Tranquility of Richmond Heights Richmond Heights, 3.4 mi · 2 of 5 stars · 31 citations
- Daughters of Miriam Center for Nursing & Rehabilit Beachwood, 3.6 mi · 2 of 5 stars · 48 citations
- Beachwood Pointe Care Center Beachwood, 3.6 mi · 1 of 5 stars · 37 citations
- Grande Pointe Healthcare Commu Richmond Heights, 3.8 mi · 2 of 5 stars · 33 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is AHC of Landerhaven LLC's Medicare star rating?
- CMS rates AHC of Landerhaven LLC 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did AHC of Landerhaven LLC get at its last inspection?
- 7 health deficiencies at the standard inspection on June 23, 2025. The Ohio average is 10.5.
- Has AHC of Landerhaven LLC been fined?
- CMS lists no fines in the last three years.
- Does AHC of Landerhaven LLC accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns AHC of Landerhaven LLC?
- CMS lists 11 owners and managers, and links the home to Advanced Health Care. Legal business name: AHC OF LANDERHAVEN LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.