What is Altenheim's Medicare star rating?

CMS rates Altenheim 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Altenheim get at its last inspection?

1 health deficiency at the standard inspection on July 25, 2024. The Ohio average is 10.5.

Has Altenheim been fined?

CMS lists no fines in the last three years.

Does Altenheim 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.

CMS lists 26 owners and managers. Legal business name: WEST SIDE DEUTSCHER FRAUEN VEREIN.

Altenheim: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on July 25, 2024, inspectors cited 1 health deficiency (the Ohio average is 10.5, the national average 9.2).

Of 12 health citations since April 2019, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.75 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.

40.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).

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.

604/19

105/22

107/24

410/25

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 12 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

October 21, 2025Complaint inspection · 4 citations

G

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 11, 2025

Inspectors wroteBased on observation, medical record review, witness statement review, policy review and interview, the facility failed to ensure Resident #120's right great toe ulcer/abrasion was timely identified, assessed, monitored and treated and failed to complete wound treatments as ordered for Resident #90. Actual harm occurred when Resident #120, who was assessed as severely cognitively impaired, totally dependent on staff for most activities of daily living (ADL's) and had a history of infection to the right great toe, was found to have a right great toe skin impairment beginning in 05/05/25, however there was no nurse assessment or monitoring or physician-ordered treatment of the right great toe skin impairment from 05/05/25 to 07/05/25. [...]
F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 11, 2025

Inspectors wroteBased on record review, observation and interview, the facility failed to implement proper infection control policies and procedures including surveillance of facility infections and contact isolation precautions (wearing gown and gloves) when in Resident #60's room. This affected one (Resident #60) of three residents reviewed for isolation precautions but had the potential to affect all residents related to not performing proper infection control surveillance. The facility census was 120.
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.

F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 11, 2025

Inspectors wroteBased on record review and interview, the facility failed to ensure staff performed urinary catheter care and monitored urine output as ordered by the physician. This affected two (Residents #79 and #120) of three residents reviewed for urinary catheters. The facility census was 120.
D

Implement a program that monitors antibiotic use.

F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 11, 2025

Inspectors wroteBased on record review and interview, the facility failed to implement their antibiotic stewardship program to ensure appropriate use of antibiotics. This affected one (Resident #120) of three residents reviewed for antibiotic usage. The facility census was 120.

July 25, 2024Standard inspection · 1 citation

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 25, 2024

Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to ensure appropriate food storage in the kitchen's main freezer and the memory care unit refrigerators. The kitchen area had the potential to affect all residents receiving meals from the kitchen. The facility identified three residents (#36, #78, and #96) who had nothing by mouth (NPO) diet orders. The facility identified 24 residents (#16, #18, #19, #21, #24, #31, #37, #39, #50, #52, #55, #56, #59, #60, #66, #67, #69, #71, #72, #80, #83, #87, #90, and #95) on the memory care unit. The facility census was 115.

May 5, 2022Standard inspection · 1 citation

C

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F623 · Resident Rights · No actual harm, potential for minimal harm, widespread · deficient, provider has June 17, 2022

Inspectors wroteBased on record review and staff interview the facility failed to ensure the ombudsman was notified of resident transfers to the hospital as required. This affected five of five residents reviewed for hospitalization, Residents #31, #38, #40, #119 and #270. Facility census was 119. Findings Include: 1. Resident #31 was admitted to the facility on [DATE] with diagnoses that include dysphagia, anxiety disorder and major depressive disorder. Review of the census records revealed Resident #31 was discharged to an acute care hospital on [DATE] and returned to the facility on [DATE]. Review of both the electronic and paper charts revealed no evidence the office of the State and local ombudsman were notified of Residents #31's discharge to the hospital. 2. [...]

April 18, 2019Standard inspection · 6 citations

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 5, 2019

Inspectors wroteBased on observation, record review, and interview the facility failed to ensure the kitchen and nursing unit refrigeration were maintained in sanitary conditions and food was stored properly. This had the potential to affect all residents except one, Resident #128 who received nothing by mouth.
E

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 5, 2019

Inspectors wroteBased on observation, record review, and interview the facility failed to ensure the scoop sizes for the pureed food served from the servery for units one and two were correct according to the menu. This had the potential to affect seven residents, Residents #18, #68, #87, #32, #54, #60, and #73 who resided on unit two and received pureed foods.
D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2019

Inspectors wroteBased on interview and record review, the facility failed to ensure the nurse practioner was notified as ordered when Resident #145's blood sugar was elevated. This affected one of five residents reviewed for unnecessary medications. The facility census was 145.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2019

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Resident #39's skin alteration prevention interventions were in place as ordered. This affected one (Resident #39) of two residents reviewed for skin conditions.
D

Provide enough food/fluids to maintain a resident's health.

F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2019

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure Resident #103 was served her recommended diet and failed to offer timely assistance with eating. This affected one (Resident #103) of five residents reviewed for nutrition.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2019

Inspectors wroteBased on observation, interview, and record review the facility failed to follow transmission based precautions for Resident #151 and Resident #54. This affected two (Resident #151 and Resident #54) of six residents observed for transmission based precautions.

Fire safety inspections

35 fire safety citations on file: 10 on July 25, 2024, 8 on May 5, 2022, 17 on April 18, 2019.

Every fire safety citation35 citations

F
Meet requirements for sections of health care facilities separated by fire resistive construction.

K 131 · July 25, 2024 · Corrected (the home has a date of correction)
F
Have properly located and lighted "Exit" signs.

K 293 · July 25, 2024 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · July 25, 2024 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · July 25, 2024 · Corrected (the home has a date of correction)
F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · July 25, 2024 · Corrected (the home has a date of correction)
F
Have proper medical gas storage and administration areas.

K 923 · July 25, 2024 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · July 25, 2024 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · July 25, 2024 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · July 25, 2024 · Corrected (the home has a date of correction)
E
Have properly installed electrical wiring and gas equipment.

K 511 · July 25, 2024 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · May 5, 2022 · Corrected (the home has a date of correction)
E
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.

K 222 · May 5, 2022 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · May 5, 2022 · Corrected (the home has a date of correction)
E
Meet other general requirements that are deficient.

K 500 · May 5, 2022 · Corrected (the home has a date of correction)
E
Have properly installed electrical wiring and gas equipment.

K 511 · May 5, 2022 · Corrected (the home has a date of correction)
E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · May 5, 2022 · Corrected (the home has a date of correction)
E
Have restrictions on the use of portable space heaters.

K 781 · May 5, 2022 · Corrected (the home has a date of correction)
E
Have proper medical gas storage and administration areas.

K 923 · May 5, 2022 · Corrected (the home has a date of correction)
F
Install a two-hour-resistant firewall separation.

K 133 · April 18, 2019 · Corrected (the home has a date of correction)
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.

K 222 · April 18, 2019 · Corrected (the home has a date of correction)
F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · April 18, 2019 · Waiver
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · April 18, 2019 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · April 18, 2019 · Corrected (the home has a date of correction)
E
Meet requirements for sections of health care facilities separated by fire resistive construction.

K 131 · April 18, 2019 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · April 18, 2019 · Corrected (the home has a date of correction)
E
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

K 227 · April 18, 2019 · Corrected (the home has a date of correction)
E
Provide large enough exits.

K 231 · April 18, 2019 · Corrected (the home has a date of correction)
E
Install a fire alarm system that can be heard throughout the facility.

K 341 · April 18, 2019 · Corrected (the home has a date of correction)
E
Install an approved automatic sprinkler system.

K 351 · April 18, 2019 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · April 18, 2019 · Waiver
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · April 18, 2019 · Waiver
E
Have restrictions on the use of portable space heaters.

K 781 · April 18, 2019 · Corrected (the home has a date of correction)
E
Meet requirements for the installation and maintenance of electrical systems.

K 911 · April 18, 2019 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · April 18, 2019 · Corrected (the home has a date of correction)
D
Properly provide smoke detection systems in areas open to corridors.

K 347 · April 18, 2019 · Corrected (the home has a date of correction)

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)	4.75	3.69	3.86
Registered nurses	0.58	0.64	0.69
All nursing staff on weekends	4.13	3.28	3.42
Nurse aides	2.79
Licensed practical nurses	1.38
Nursing staff turnover (share who left in a year)	40.0%	48.7%	45.8%
Registered nurse turnover	23.1%	43.9%	42.9%
Administrators who left	0

CMS expects 4.12 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 5.00 on weekdays and 4.13 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.25 in April to June 2025 to 4.75 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	4.75	0.58	5.00	4.13	15.5%	0 of 90	110
Oct to Dec 2025	4.64	0.50	4.85	4.12	16.1%	0 of 92	114
Jul to Sep 2025	4.24	0.42	4.44	3.72	12.1%	0 of 92	119
Apr to Jun 2025	4.25	0.41	4.44	3.79	14.5%	0 of 91	122
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.

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 long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	6.1	5.3	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.2	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	0.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.9	3.2	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.6	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	6.0	6.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	5.3	3.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	7.2	8.8	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	31.1	24.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	9.3	12.9	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.1	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.4	1.8	1.8

Owners and operators

Legal business name: WEST SIDE DEUTSCHER FRAUEN VEREIN.

Name	Role	Type	Since
Brassell, Debbie	Corporate director	Individual	02/28/2024
Elber, Renate	Corporate director	Individual	06/24/2024
Haseley, Tamsin	Corporate director	Individual	06/28/2021
Helfrich, Karl	Corporate director	Individual	06/28/2021
Kaminski, James	Corporate director	Individual	06/29/2022
Kedzior, John	Corporate director	Individual	06/28/2021
Knowles, David	Corporate director	Individual	06/25/2018
Manz, Norbert	Corporate director	Individual	06/28/2021
Mueller, Reiner	Corporate director	Individual	06/24/2024
Oliveros, Ed	Corporate director	Individual	06/28/2021
Riedthaler, Sue	Corporate director	Individual	06/28/2021
Ward, Anna	Corporate director	Individual	06/28/2021
Weinhold, Elizabeth	Corporate director	Individual	06/30/2025
Wiemken, Gregory	Corporate director	Individual	06/24/2024
Zimmerman, Barry	Corporate director	Individual	06/28/2021
Kedzior, John	Corporate officer	Individual	06/28/2021
Knowles, David	Corporate officer	Individual	06/25/2018
Manz, Norbert	Corporate officer	Individual	06/28/2021
Mueller, Reiner	Corporate officer	Individual	06/30/2025
Psota, Paul	Corporate officer	Individual	03/01/2009
Roach, Melodie	Corporate officer	Individual	12/01/2023
Zimmerman, Barry	Corporate officer	Individual	06/28/2021
Psota, Paul	Operational/managerial control	Individual	03/01/2009
Roach, Melodie	Operational/managerial control	Individual	12/01/2023
Psota, Paul	Adp of the SNF	Individual	03/01/2009
Roach, Melodie	Adp of the SNF	Individual	12/01/2023

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 4 problems in this area, most recently on October 21, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on October 21, 2025: "Provide and implement an infection prevention and control program."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on July 25, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on May 5, 2022: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."

Other nursing homes nearby

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Diplomat Healthcare
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Pearlview Rehab & Wellness Ctr
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Willowood Care Center of Brunswick
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O'Neill Healthcare Middleburg Heights
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Hopkins Rehabilitation and Care Center
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Aristocrat Berea Healthcare and Rehabilitation
Berea, 4.8 mi · 2 of 5 stars · 52 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 Altenheim's Medicare star rating?: CMS rates Altenheim 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Altenheim get at its last inspection?: 1 health deficiency at the standard inspection on July 25, 2024. The Ohio average is 10.5.
Has Altenheim been fined?: CMS lists no fines in the last three years.
Does Altenheim 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 Altenheim?: CMS lists 26 owners and managers. Legal business name: WEST SIDE DEUTSCHER FRAUEN VEREIN.

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.