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Gardens of McGregor and Amasa Stone

14900 Private Dr, East Cleveland, OH 44112 · Cuyahoga County · (216) 851-8200

148 certified beds, about 137 residents a day · Non profit - Other · Medicare and Medicaid since 2007

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366350 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 14, 2025, inspectors cited 4 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 10 health citations since December 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 3.85 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.37 of those hours.

70.1% 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.

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 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
4D
4E
0F
Potential for minimal harm
0A
1B
0C
August 14, 2025Standard inspection, Complaint inspection · 4 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 · found on a complaint visit · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on observation, interview, and review of the facility policy, the facility failed to ensure palatable food and drink were served at a safe and appetizing temperature. This affected four residents (#15, #36, #89, and #93) and had the potential to affect 131 residents who received meals from the facility kitchen. The facility identified three residents who did not receive food from the kitchen (Resident #82, #128 and #78). The facility census was 134.
  2. E
    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, pattern · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on observation and staff interview, the facility failed to store food and beverages in a safe and sanitary manner. This had the potential to affect 41 residents (19 residents who resided on the Two South Unit and 22 residents on the One South Unit) who had the ability to utilize the One and Two South Unit refrigerator/freezers. Findings Include:1. Observation on 08/12/25 at 11:15 A.M. revealed the Two South resident nourishment refrigerator located in the dining area contained a large brown bag of Olive Garden food with no resident name or date on the bag and a half gallon of Minute Maid Fruit Punch was expired as of 06/11/25. Interview at the time of discovery with Registered Dietitian #735 verified the findings in the Two South resident nourishment refrigerator and revealed the dietary staff were to clean out the refrigerators.2. Observation on 08/12/25 at 12:15 P.M. [...]
  3. 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) August 29, 2025
    Inspectors wroteBased on record review, observation, interview, and review of facility policy, the facility failed to ensure Resident #45 received appropriate care and services for a non-pressure related wound, including wound treatments as ordered and accurate documentation regarding the completion of the wound treatments. This finding affected one (Resident #45) of six residents reviewed for non-pressure skin conditions. Findings Include: Review of Resident #45's medical record revealed the resident was admitted on [DATE] with diagnoses including cellulitis of the right lower limb, primary osteoarthritis of the knee and essential hypertension. [...]
  4. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 29, 2025
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure medications were administered as ordered and best practice guidelines. This finding affected two (Residents #34 and #142) of five residents observed for medication administration. A total of 35 medications were administered with three errors for a medication error rate of 8.57%.
January 9, 2025Complaint 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) January 16, 2025
    Inspectors wroteBased on medical record review and staff interview, the facility failed to timely provide care and services to a resident's change in condition. This affected one (Resident #40) of three residents reviewed for change in condition. The facility census was 136.
August 10, 2023Standard inspection · 4 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation, record review, hospital record review and interview the facility failed to provide adequate supervision and intervention to prevent and mitigate a fall with injury for Resident #30. Actual harm occurred on 06/08/23 when Resident #30, who required the assistance of two staff for bed mobility, fell from a bed in high position when receiving incontinence care by one staff member resulting in a right hip dislocation and hospitalization. This affected one resident (#30) of two residents reviewed for accident hazards. The total census was 135.
  2. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on interview and record review, the facility failed to ensure monthly pharmacy reviews were completed for Resident #3, #9, #35 and #71. This affected four residents, (Resident #3, #9, #35, and #71), out of five residents reviewed for unnecessary medications. Facility census was 135.
  3. E
    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, pattern · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure all nursing unit serveries were maintained in a clean and sanitary manner to prevent the risk of attracting pests, and contamination of clean cups for use by the residents. This affected 22 residents (#14, #19, #29, #30, #31, #37, #40, #58, #61, #66, #79, #80, #83, #86, #95, #101, #108, #110, #115, #120, #122, and #387) who resided on one South nursing unit, 22 residents (#2, #10, #11, #36, #46, #56, #70, #94, #97, #123, #127, #287, #288, #289, #290, #291, #292, #293, #294, #295, #296, and #297) who resided on two North nursing unit, and 25 residents (#1, #5, #9, #17, #18, #20, #24, #41, #43, #49, #51, #52, #59, #60, #62, #69, #71, #74, #77, #78, #89, #99, #112, #117, and #118) who resided on three South nursing unit. The facility census was 135.
  4. B
    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, pattern · deficient, provider has August 23, 2023
    Inspectors wroteBased on resident representative, staff interviews and record review, the facility failed to provide the resident and resident representative a written notification for the reason for transfer to the hospital for Resident #28, #30, #67, #135 and #136. This affected five residents (#28, #30, #67, #135, and #136) of five residents reviewed for hospitalizations. The facility census was 135.
December 12, 2019Standard inspection · 1 citation
  1. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 21, 2020
    Inspectors wroteBased on observation, interview, and record review the facility failed to administer enteral nutrition (liquid nutrition given through a tube into the stomach) and water flushes per physician orders. This affected two residents, (Resident #67 and Resident #88), of nine residents the facility identified as receiving enteral nutrition.

Fire safety inspections

18 fire safety citations on file: 8 on August 14, 2025, 8 on August 10, 2023, 2 on December 12, 2019.

Every fire safety citation18 citations
  1. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · August 14, 2025 · Corrected (the home has a date of correction)
  2. F
    Provide properly protected cooking facilities.
    K 324 · August 14, 2025 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 14, 2025 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 14, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 14, 2025 · Corrected (the home has a date of correction)
  6. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 14, 2025 · Corrected (the home has a date of correction)
  7. 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 · August 14, 2025 · Corrected (the home has a date of correction)
  8. E
    Have restrictions on the use of portable space heaters.
    K 781 · August 14, 2025 · Corrected (the home has a date of correction)
  9. F
    Install an approved automatic sprinkler system.
    K 351 · August 10, 2023 · Corrected (the home has a date of correction)
  10. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 10, 2023 · Corrected (the home has a date of correction)
  11. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 10, 2023 · Corrected (the home has a date of correction)
  12. F
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · August 10, 2023 · Corrected (the home has a date of correction)
  13. E
    Have exits that are accessible at all times.
    K 271 · August 10, 2023 · Corrected (the home has a date of correction)
  14. E
    Install properly constructed and protected linen or trash chutes.
    K 541 · August 10, 2023 · Corrected (the home has a date of correction)
  15. E
    Have restrictions on the use of highly flammable decorations.
    K 753 · August 10, 2023 · Corrected (the home has a date of correction)
  16. E
    Ensure proper usage of power strips and extension cords.
    K 920 · August 10, 2023 · Corrected (the home has a date of correction)
  17. F
    Install corridor and hallway doors that block smoke.
    K 363 · December 12, 2019 · Corrected (the home has a date of correction)
  18. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · December 12, 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)3.853.693.86
Registered nurses0.370.640.69
All nursing staff on weekends3.523.283.42
Nurse aides2.34
Licensed practical nurses1.14
Nursing staff turnover (share who left in a year)70.1%48.7%45.8%
Registered nurse turnover60.0%43.9%42.9%
Administrators who left0

CMS expects 3.65 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 3.98 on weekdays and 3.52 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 11.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.06 in April to June 2025 to 3.85 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.850.373.983.52 11.0%0 of 90137
Oct to Dec 20253.830.303.973.48 7.6%2 of 92137
Jul to Sep 20253.920.394.073.53 6.9%0 of 92136
Apr to Jun 20254.060.444.233.64 9.9%0 of 91135
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
12.95.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.90.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.03.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.41.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.76.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.83.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
5.88.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.124.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.512.912.0

Owners and operators

Legal business name: THE MCGREGOR FOUNDATION.

NameRoleTypeShareSince
Balaji, HarigopalContracted managing employeeIndividual01/01/2020
Boyd, KaneshaW-2 managing employeeIndividual03/21/2022
Bozman, YuvetteW-2 managing employeeIndividual04/15/2019
Conn, AnnW-2 managing employeeIndividual05/28/2009
Hayes, JenniferW-2 managing employeeIndividual05/16/2022
Dallman, DeborahCorporate directorIndividual01/01/2023
Gibbs, DonteCorporate directorIndividual01/01/2022
Gladstone, CarolineCorporate directorIndividual09/24/2019
Hardwick, ReneeCorporate directorIndividual09/25/2018
Haring, AndrewCorporate directorIndividual03/23/2015
Heintel, ChristopherCorporate directorIndividual09/19/2017
Kious McGovern, LisaCorporate directorIndividual03/22/2022
Knapp, BradleyCorporate directorIndividual06/27/2017
Neiswander, KirkCorporate directorIndividual01/01/2010
Wilcoxson, AngelaCorporate directorIndividual09/15/2020
Althans, SusanCorporate officerIndividual06/30/2015
Conn, AnnCorporate officerIndividual01/01/2020
Hayes, JenniferCorporate officerIndividual05/16/2022
Knapp, BradleyCorporate officerIndividual01/01/2021
Nagel, KatherineCorporate officerIndividual01/01/2021
Wilcoxson, AngelaCorporate officerIndividual09/15/2020
Boyd, KaneshaOperational/managerial controlIndividual01/21/2025
Bozman, YuvetteOperational/managerial controlIndividual12/31/2024
Gibbs, DonteTrustee of the SNFIndividual01/01/2022
Gladstone, CarolineTrustee of the SNFIndividual09/24/2019
Hardwick, ReneeTrustee of the SNFIndividual09/25/2018
Haring, AndrewTrustee of the SNFIndividual03/23/2015
Hayes, JenniferTrustee of the SNFIndividual05/16/2022
Heintel, ChristopherTrustee of the SNFIndividual09/19/2017
Kious McGovern, LisaTrustee of the SNFIndividual03/22/2022
Knapp, BradleyTrustee of the SNFIndividual01/01/2021
Nagel, KatherineTrustee of the SNFIndividual01/01/2021
Neiswander, KirkTrustee of the SNFIndividual01/01/2010
Wilcoxson, AngelaTrustee of the SNFIndividual09/15/2020
Balaji, HarigopalAdp of the SNFIndividual01/24/2025
Boyd, KaneshaAdp of the SNFIndividual01/24/2025
Hayes, JenniferAdp of the SNFIndividual01/24/2025

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.

  1. 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 August 14, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. 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 August 14, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on August 14, 2025: "Ensure medication error rates are not 5 percent or greater."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 10, 2023: "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

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 Gardens of McGregor and Amasa Stone's Medicare star rating?
CMS rates Gardens of McGregor and Amasa Stone 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Gardens of McGregor and Amasa Stone get at its last inspection?
4 health deficiencies at the standard inspection on August 14, 2025. The Ohio average is 10.5.
Has Gardens of McGregor and Amasa Stone been fined?
CMS lists no fines in the last three years.
Does Gardens of McGregor and Amasa Stone 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 Gardens of McGregor and Amasa Stone?
CMS lists 37 owners and managers. Legal business name: THE MCGREGOR FOUNDATION.

Sources

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