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Berea Center

49 Sheldon Rd, Berea, OH 44017 · Cuyahoga County · (440) 234-0454

50 certified beds, about 46 residents a day · For profit - Corporation · Medicare and Medicaid since 1992

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365893 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 1, 2023, inspectors cited 1 health deficiency (the Ohio average is 10.5, the national average 9.2).

None of its 5 health citations since January 2019 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 3.20 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.

38.5% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Communicare Health, an affiliated group of 110 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.

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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
1E
1F
Potential for minimal harm
0A
0B
0C
August 7, 2025Complaint inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · 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) August 20, 2025
    Inspectors wroteBased on observation, interviews, and policy review, the facility failed to ensure infection control procedures were followed during incontinence care. This affected one resident (#4) of three residents reviewed for incontinence care. The facility census was 47.
April 5, 2024Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2024
    Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to comprehensively assess as well as monitor non-pressure skin areas. This affected two (Residents #13 and #14) of three residents reviewed for skin issues. The census was 50.
June 1, 2023Standard inspection · 1 citation
  1. 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 15, 2023
    Inspectors wroteBased on observation and interview, the facility failed to maintain a clean and sanitary kitchen. This had the potential to affect all 47 residents residing in the facility.
April 15, 2021Standard inspection · 0 citations
January 24, 2019Standard inspection · 2 citations
  1. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 15, 2019
    Inspectors wroteBased on observation and staff interview the facility failed to serve the lunch meal at a palatable temperature to three residents (Resident #27, #41, and #33) of 40 residents eating in the dining room. The facility census was 45. Findings Include: 1. The lunch service was observed on 01/22/19 from 12:35 P.M. through 1:10 P.M. The lunch trays were given to the three residents at approximately 12:35 P.M. At 1:05 P.M. an aide sat down next to Resident #27 and started to feed him. The meal was stopped and Dietary Manager (DM) 202 was asked to check the temperature of the resident's food. Resident #27's food temperatures were pureed pork 141 degrees Fahrenheit (F), pureed rice was 132 degrees F, and pureed carrots were 122 degrees F. [...]
  2. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 15, 2019
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure consistent use of adaptive equipment for one resident (Resident #17) of 43 residents observed for dining (Resident #36 and Resident #38 were identified by the facility as receiving nothing by mouth). The facility census was 45 residents.

Fire safety inspections

8 fire safety citations on file: 3 on June 1, 2023, 4 on April 15, 2021, 1 on January 24, 2019.

Every fire safety citation8 citations
  1. F
    Install corridor and hallway doors that block smoke.
    K 363 · June 1, 2023 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 1, 2023 · Corrected (the home has a date of correction)
  3. F
    Have proper medical gas storage and administration areas.
    K 923 · June 1, 2023 · Corrected (the home has a date of correction)
  4. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 15, 2021 · Corrected (the home has a date of correction)
  5. E
    Install an approved automatic sprinkler system.
    K 351 · April 15, 2021 · Corrected (the home has a date of correction)
  6. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 15, 2021 · Corrected (the home has a date of correction)
  7. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 15, 2021 · Corrected (the home has a date of correction)
  8. E
    Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
    K 227 · January 24, 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.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.203.693.86
Registered nurses0.340.640.69
All nursing staff on weekends2.923.283.42
Nurse aides1.86
Licensed practical nurses1.00
Nursing staff turnover (share who left in a year)38.5%48.7%45.8%
Registered nurse turnover20.0%43.9%42.9%
Administrators who left2

CMS expects 3.62 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 3.31 on weekdays and 2.92 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.17 in April to June 2025 to 3.20 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.200.343.312.92 0.0%1 of 9046
Oct to Dec 20253.190.443.302.93 0.0%0 of 9247
Jul to Sep 20253.210.423.342.85 0.0%0 of 9247
Apr to Jun 20253.170.423.262.94 0.0%0 of 9147
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%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.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
3.65.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.53.23.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
3.46.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.43.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.68.815.4

Owners and operators

Legal business name: SHELDON LEASING CO., LLC. CMS links this home to Communicare Health, a group of 110 nursing homes averaging 3.2 stars overall.

NameRoleTypeShareSince
Health Care Lease Facilities, LLC5% or greater direct ownership interestOrganization100%01/10/2008
Groves, DonnaCorporate officerIndividual01/10/2008
Romeo, DominicCorporate officerIndividual04/01/2023
Stoltz, CharlesCorporate officerIndividual01/10/2008
Wilheim, RonaldCorporate officerIndividual01/10/2008
Sheldon Management Co. LLCOperational/managerial controlOrganization01/10/2008
Afzal, EndiaOperational/managerial controlIndividual08/28/2023
Sabbagh, EmileOperational/managerial controlIndividual04/01/2019
Sheldon Management Co. LLCAdp of the SNFOrganization06/25/2025
Afzal, EndiaAdp of the SNFIndividual08/28/2023
Sabbagh, EmileAdp of the SNFIndividual04/01/2019

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.

  1. 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 June 1, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on August 7, 2025: "Provide and implement an infection prevention and control program."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on April 5, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  4. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.92 hours per resident per day, below the Ohio average of 3.28.
  5. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is Berea Center's Medicare star rating?
CMS rates Berea Center 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Berea Center get at its last inspection?
1 health deficiency at the standard inspection on June 1, 2023. The Ohio average is 10.5.
Has Berea Center been fined?
CMS lists no fines in the last three years.
Does Berea Center 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 Berea Center?
CMS lists 11 owners and managers, and links the home to Communicare Health. Legal business name: SHELDON LEASING CO., LLC.

Sources

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