1515 Brookstone Blvd, Painesville, OH 44077 · Lake County · (440) 357-6181
80 certified beds, about 73 residents a day · For profit - Corporation · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365492 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 12, 2025, inspectors cited 14 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 34 health citations since August 2019, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $66,420 in the last three years; the largest was $66,420, and the latest is dated May 12, 2025.
Nurses and nurse aides worked 3.55 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
46.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Saber Healthcare Group, an affiliated group of 126 nursing homes.
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.
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 34 health citations on file.
Inspectors wroteBased on record review and interview, the facility failed to initiate wound care promptly upon identification of a pressure sore. This affected one resident (#72) of three residents reviewed for pressure sores. The facility census was 71.
Inspectors wroteBased on observation, medical record review, hospital record review, facility policy review, staff, and resident interviews, the facility failed to develop and implement a comprehensive, individualized, and effective pain management program for Resident #220 who was admitted with acute pain from unspecified fracture of upper and lower end of left tibia, and nondisplaced cervical fracture caused by a motor vehicle accident. Actual Harm occurred beginning on 04/25/25 when Resident #220 did not receive the ordered medication pain reliever Oxycodone five milligram immediate release tablet every four hours as needed. The medication was not administered until 04/26/25 at 2:26 P.M. During this time, Resident #220 had complaints of unrelieved pain making it hard to sleep, perform day-to-day activities, and sleep. [...]
Inspectors wroteBased on record reviews, interviews and review of the facility policy, the facility failed to ensure Resident #167 had accurate documentation related to the open areas to her posterior thighs and failed to ensure treatment instructions were given to the resident and her representative upon discharge. In addition, the facility failed to follow admission and readmission physician's orders for Resident #60. This affected resident (#167) of one resident reviewed for skin conditions, non-pressure related and one resident (#60) of two residents reviewed for change in condition. The facility census was 66.
Inspectors wroteBased on observations, interviews and policy review, the facility failed to store and label drugs according to manufacture guidelines. This affected seven residents (#57, #49, #27, #41, #38, #46, and #4) and had the potential to affect all residents receiving insulin. The facility identified 17 residents (#1, # 4, #10, #22, #27, #32, #33, #34, #38, #46, #49, #57, #219, #220, #221, #225) with orders for insulin. The facility's census was 66.
Inspectors wroteBased on record review, observation, staff interview and facility policy review, the facility failed to ensure infection control practices were being implemented for Transmission Based Precautions (TBP) for Resident #218 with Coronavirus Disease 19 (COVID-19). This affected one resident (#218) out of one resident reviewed for TBP. This had the potential to affect 12 residents (#2, #16, #24, #29, #34, #43, #60, #218, #220, #224, #227, #228) on Certified Nursing Assistant (CNA) #252's assignment. The facility failed to ensure Resident #226's indwelling Foley catheter drainage bag was not on the floor. This affected one resident (#226) of three residents reviewed for indwelling Foley catheters. The facility failed to ensure infection control was maintained during incontinence care for Resident #22. This affected one resident (#22) of three residents reviewed for incontinence care. [...]
Inspectors wroteBased on observation, resident record review, staff interviews, and facility policy review, the facility failed to ensure residents were treated with dignity and respect. This affected three residents (#41, #217, and #226) of three residents reviewed for resident rights and dignity. The facility census was 66.
Inspectors wroteBased on record review, interview and review of the facility policy, the facility failed to ensure Resident #51's/Power of Attorney's (POA's) request to have her medication discontinued was completed timely. This affected one resident (#51) of one residents reviewed for choices. The facility census was 66.
Inspectors wroteBased on record review, observation and interviews, the facility failed to ensure Resident #217 had a working toilet. This affected one resident (#217) of one residents reviewed for accommodation of needs. The facility census was 66.
Inspectors wroteBased on observation, interview, record review, review of the fire department report and review of the facility policy, the facility failed to ensure Resident #167 had a safe discharge. The facility failed to ensure Resident #65 had an accurate and thorough assessment for a change in condition and transfer to the hospital. This affected two residents (#65 and #167) out of three residents reviewed for discharge. The facility census was 66.
Inspectors wroteBased on record review, observations and interview, the facility failed to ensure an accurate assessment was completed for Resident #43. This affected one resident (#43) of 23 residents reviewed for assessments. The facility census was 66.
Inspectors wroteBased on record review, observations, interview and facility policy review, the facility failed to develop and implement a comprehensive care plan for Resident #43. This affected one resident (#43) of 23 residents reviewed for comprehensive care plans. The facility census was 66.
Inspectors wroteBased on observation, interview, record review, review of therapy recommendations and facility policy review, the facility failed to ensure Resident #51 received restorative services per therapy recommendations. This affected one resident (#51) out of three residents reviewed for therapy recommendations. The facility census was 66.
Inspectors wroteBased on observation, interview, record review and review of the facility policy, the facility failed to ensure Resident #51's care planned interventions for falls were implemented. This affected one resident (#51) out of three residents reviewed for falls. The facility census was 66.
Inspectors wroteBased on observation, interview, record review, review of speech therapy (ST) evaluation and review of facility policy, the facility failed to ensure Resident #51's physician orders were followed and failed to ensure Resident #51's ST and care planned interventions were implemented for a significant weight loss. This affected one resident (#51) out of three residents reviewed for weight loss. The facility census was 66.
Inspectors wroteBased on medical record review and interviews, the facility failed to ensure a complete and accurate medical record for Resident #10. This affected one resident (#10) of three residents reviewed for activities of daily living (ADL). The facility census was 66.
Inspectors wroteBased on record review, interviews with residents and staff and observations the facility failed to follow the menu as planned and posted. This affected 73 of 75 resident in the facility as Resident #9 and Resident #58 received no food by mouth. The census was 75. Findings Include: Observation on 09/17/24 at 12:20 P.M. of the test tray revealed beef stew over mashed potatoes, an eggroll and jello. Interviews and observations on 09/17/24 at 12:25 P.M. with Resident #8 and Resident #26 revealed Resident #8 had beef stew over mashed potatoes and Resident #26 had beef stew over rice. Both had egg rolls and jello. Resident #8 revealed they often do not get what was stated on the menu. Resident #26 agreed. Interview on 09/17/24 at 1:00 P.M. with the Food Service Director revealed she was using up stock before the facility switched food service companies. [...]
Inspectors wroteBased on interview, record review, review of Ohio Department of Health (ODH) Gateway and review of facility policy the facility failed to ensure an allegation of sexual abuse was reported not later than 24 hours to the state survey agency. This affected one resident (#74) out of six residents reviewed for abuse. The facility census was 72.
Inspectors wroteBased on interview, observation, record review, review of facility infection control policy, and review of Center of Disease Control and Prevention (CDC) donning guidelines revealed the facility failed to ensure staff donned proper fitting personal protective gowns to enter resident's rooms on droplet isolation precautions due to COVID-19. This affected 11 residents (#4, #5, #14, #19, #23, #26, #34, #39 #50, #54, and #74) on droplet isolation precautions for Covid-19 and had the potential to affect all 71 residents residing in the facility.
Inspectors wroteBased on interview, record review, and review of facility policy the facility failed to ensure there was adequate incontinence care products. This affected two residents (#40 and #66) out of three residents reviewed for proper incontinence care supplies. This had the potential to affect 59 residents (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10. #11, #12, #13, #14, #15, #16, #17, #19, #20, #21, #22, #24, #25, #27, #28, #30, #31, #32, #33, #33, #34, #37, #38, #39, #40, #41, #42, #43, #44, #45, #46, #47, #48, #49, #51, #52, #53, #54, #55, #58, #59, #60, #62, #63, #64, #65, #66, #68, and #69) that were identified by the facility as requiring incontinence care products. The facility census was 71.
Inspectors wroteBased on observation, closed record review, facility policy review and interview the facility failed to ensure timely assessments were completed and adequate interventions were implemented to prevent the development of pressure ulcers for Resident #76. Actual Harm occurred on 08/26/23 when Resident #76, who was a paraplegic and required extensive assistance to total dependence from staff for activities of daily living (ADL) including bed mobility, toileting, and transfers was found to have an unstageable (full thickness tissue loss in which the actual depth of the ulcer was obscured by slough/ dead skin) pressure ulcer to his sacrum (area at the base of the spinal cord) and a deep tissue injury (an injury to the soft tissue under the skin due to pressure and was usually over a boney prominence) to his right buttock. [...]
Inspectors wroteBased on interview, observation, record review, and review of facility policy the facility failed to ensure Resident #18's oxygen E cylinders (a portable three-foot-tall aluminum tank with compressed oxygen) were not misappropriated for other resident's use. This affected one resident (#18) out of three residents (#18, #35 and #45) reviewed for misappropriation of oxygen and had the potential to affect 14 residents (#7, #17, #18, #31, #34, #36, #37, #45, #46, #47, #51, #54, #63, and #74) with orders for oxygen.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure call lights were maintained within reach of residents. This affected one of four residents reviewed for environmental concerns (Resident #28). The census was 66.
Inspectors wroteBased on record review and interview the facility failed to notify the responsible party after Resident #18 was found on the floor. This affected one of three residents (#18, #47 and #48) reviewed for notification of change.
Inspectors wroteBased on record review and interview the facility failed to ensure staff contacted and communicated with hospice staff regarding Resident #18 being found on the floor. This affected one of three residents reviewed for hospice services.
Inspectors wroteBased on observation, record review, and interview, the facility failed to administer medications with an error rate of under 5.0 percent. This affected two (Resident #8 and #42) of six (Resident #6, #14, #49, #8, #20, and #42) residents observed for medication administration. The total census was 66.
Inspectors wroteBased on record review and staff interview the facility failed to check all potential new hires against the State nurse aide registry (NAR) to ensure no employee had a finding entered into the State nurse aide registry concerning abuse, neglect, exploitation, mistreatment of residents or misappropriation of their property. This affected 14 Licensed Practical Nurses (LPNs), three Registered Nurses (RNs), three housekeeping staff, one Laundry staff, eight dietary staff and two Administrative staff whose personnel files were reviewed and had the potential to affect all 70 residents residing in the facility.
Inspectors wroteBased on observation, record review and interview the facility failed to provide care in a dignified manner for Resident #75 related to insulin medication administration and for Resident #42 related to personal/incontinence care. This affected one resident (#75) of three residents observed for insulin administration and one resident (#42) of two residents reviewed for dignity.
Inspectors wroteBased on observation, record review, and interview the facility failed to ensure Resident #4's care plan was revised to reflect oxygen titration and failed to ensure Resident #42's care plan was revised to reflect toileting behaviors. This affected two residents (#4 and #42) of five residents reviewed for care planning.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure Resident #23's wound care was completed as ordered in the physician orders and failed to ensure treatment orders were documented accurately for the resident. This affected one resident (Resident #23) of one resident reviewed for non-pressure related skin conditions.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure Resident #130's right buttock pressure ulcer dressing was completed as ordered by the physician. This affected one resident (#130) of two residents reviewed for pressure ulcers.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure urinary catheter drainage collection bags were maintained in a clean, sanitary manner and off the floor to prevent the risk of developing a urinary tract infection. This affected two residents (#283 and #52) of seven residents identified to have urinary catheters.
Inspectors wroteBased on observation, record review and interview the facility failed to maintain a medication error rate of less than 5% (percent). The medication error rate was calculated to be 11.11% and included three medication errors of 27 medication administration opportunities. This affected two residents (#16 and #75) of six residents observed for medication administration.
Inspectors wroteBased on observation, record review and interview the facility failed to maintain adequate infection control practices to prevent the spread of infection during medication administration for Resident #16 and Resident #75 and during wound care for Resident #51. This affected two residents (#16 and #75) of six residents observed for medication administration and one resident (#51) of three residents reviewed for wound care.
Inspectors wroteBased on record review and staff interview the facility failed to ensure current contracted Hospice service providers were listed on the Facility Assessment. This had the potential to affect all 70 residents residing in the facility.
7 fire safety citations on file: 2 on July 28, 2022, 5 on August 7, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| May 12, 2025 | Fine | $66,420 |
| November 7, 2023 | Payment Denial | 4 days from December 5, 2023 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.55 | 3.69 | 3.86 |
| Registered nurses | 0.60 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.18 | 3.28 | 3.42 |
| Nurse aides | 1.92 | ||
| Licensed practical nurses | 1.02 | ||
| Nursing staff turnover (share who left in a year) | 46.0% | 48.7% | 45.8% |
| Registered nurse turnover | 41.7% | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.41 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.69 on weekdays and 3.18 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.62 in April to June 2025 to 3.55 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 | 3.55 | 0.60 | 3.69 | 3.18 | 14.9% | 0 of 90 | 73 |
| Oct to Dec 2025 | 3.61 | 0.56 | 3.76 | 3.23 | 8.7% | 0 of 92 | 71 |
| Jul to Sep 2025 | 3.57 | 0.61 | 3.74 | 3.13 | 12.1% | 0 of 92 | 68 |
| Apr to Jun 2025 | 3.62 | 0.59 | 3.81 | 3.12 | 8.0% | 0 of 91 | 65 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 2.5 | 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 | 0.9 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.5 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.7 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.4 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 35.5 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 23.0 | 12.9 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Grand River Health & Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (62.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
62.0% this home
Better than the national rate
US median of homes 51.5% · Ohio: 147 better, 20 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 142 eligible stays.
9.8% this home
No different from the national rate
US median of homes 10.7% · Ohio: 3 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 138 eligible stays.
6.8% this home
No different from the national rate
US median of homes 7.1% · Ohio: 1 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 94 eligible stays.
47.6% this home
Median of homes: Ohio55.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 63 residents counted.
1.1% this home
Median of homes: Ohio0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 95 residents counted.
1.8% this home
Median of homes: Ohio1.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 95 residents counted.
100.0% this home
Median of homes: Ohio100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 23 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: HOMESTEAD I HEALTHCARE GROUP LLC. CMS links this home to Saber Healthcare Group, a group of 126 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Benjamin N. Volpe Family Dynasty Trust (dated December 29, 2020) | Indirect ownership interest | Organization | 01/01/2023 | |
| Saber Healthcare Holdings LLC | Indirect ownership interest | Organization | 01/01/2020 | |
| Nicoluzakis, Gregory | Managing control - governing body | Individual | 03/01/2019 | |
| Volpe, Benjamin | Corporate director | Individual | 03/01/2019 | |
| Weisberg, William | Corporate director | Individual | 03/01/2019 | |
| Nicoluzakis, Gregory | Corporate officer | Individual | 03/01/2019 | |
| Volpe, Benjamin | Corporate officer | Individual | 03/01/2019 | |
| Weisberg, William | Corporate officer | Individual | 03/01/2019 | |
| Saber Governance LLC | Operational/managerial control | Organization | 09/01/2019 | |
| Shg Management LLC | Operational/managerial control | Organization | 09/01/2019 | |
| Cekanski, Cynthia | Operational/managerial control | Individual | 10/25/2021 | |
| Thur, Marie | Operational/managerial control | Individual | 06/14/2021 | |
| Benjamin N. Volpe Family Dynasty Trust (dated December 29, 2020) | Adp of the SNF | Organization | 01/01/2023 | |
| Bnv Dynasty LLC | Adp of the SNF | Organization | 01/01/2023 | |
| Citrin Cooperman Advisors LLC | Adp of the SNF | Organization | 09/01/2012 | |
| Decanted William I. Weisberg Family Dynasty Trust (dated Sept 30, 2020 | Adp of the SNF | Organization | 01/01/2023 | |
| Saber Governance LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Shamrock Re Group, LLC | Adp of the SNF | Organization | 10/29/2017 | |
| Shg Management LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Tcf National Bank | Adp of the SNF | Organization | 04/01/2024 | |
| Wiw Dynasty LLC | Adp of the SNF | Organization | 01/01/2023 | |
| Cekanski, Cynthia | Adp of the SNF | Individual | 10/25/2021 | |
| Nicoluzakis, Gregory | Adp of the SNF | Individual | 03/01/2019 | |
| Parmar, Harbhajan | Adp of the SNF | Individual | 01/09/2018 | |
| Thur, Marie | Adp of the SNF | Individual | 06/14/2021 | |
| Volpe, Benjamin | Adp of the SNF | Individual | 03/01/2019 |
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.
Chosen from this home's own inspection record.
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.