Home / Ohio / Middleburg Heights
19530 Bagley Road, Middleburg Heights, OH 44130 · Cuyahoga County · (440) 816-7500
90 certified beds, about 65 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366057 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 4, 2024, inspectors cited 15 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 28 health citations since April 2019, 4 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $76,040 in the last three years; the largest was $43,865, and the latest is dated December 4, 2024.
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 0.64 of those hours.
80.3% of nursing staff left within the year CMS measured (Ohio average 48.7%).
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 28 health citations on file.
Inspectors wroteBased on observation, medical record review, hospital record review, review of the facility's fall investigation, resident interview, staff interview, and policy review, the facility failed to ensure Resident #34, who fell during staff care, was provided timely, adequate and necessary assessment/monitoring and care to treat a fracture and prevent discomfort and potentially additional injury. In addition, the facility failed to adequately and timely assess and report to the physician a change in Resident #41's eye condition to ensure timely and proper care was provided. Actual harm occurred on 10/17/24, when Resident #34 sustained a fall with injury during a physical therapy treatment that was not reported or immediately treated. [...]
Inspectors wroteBased on observation, medical record review, hospital record review, review of the facility's fall investigation, review of witness statements, resident interview, staff interview, and policy review, the facility failed to ensure a Resident #34, who was at risk for falls, was provided necessary assistance to prevent an avoidable fall from occurring that resulted in major injury to the resident. Actual harm occurred on 10/17/24, during a physical therapy treatment, when Resident #34, sustained a fall with injury while ambulating with Physical Therapy Assistant (PTA) #420. At the time of the incident, PTA #420 let go of Resident #34's gait belt, (a safety belt used to prevent falls, by providing a handle for caregivers to hold onto to help residents regain balance if they start to fall) during the therapy session and turned away from Resident #34. [...]
Inspectors wroteBased on observations, resident interviews, staff interviews, and review of the facility assessment and staff schedules, the facility failed to ensure adequate and sufficient staff levels to meet the needs of the residents. This had the potential to affect all residents residing in the facility. The facility census was 64.
Inspectors wroteBased on observation and staff interview, the facility to ensure a clean, safe and well-maintained environment for the residents. This had the potential to affect all 64 residents residing in the facility.
Inspectors wroteBased on review of facility policy, record review, staff interview, and review of Self-Reported Incidents (SRI) and witness statements, the facility failed to maintain accurate account of all controlled drugs. This affected five residents (Resident #27, #29, #47, #48 and #60) reviewed for reconciliation of narcotics. The facility census was 65.
Inspectors wroteBased on observations, resident interviews, review of the job descriptions for the Administrator and Director of Nursing (DON), review of facility policy, and review of the employee handbook, the facility failed to ensure staff did not have personal conversations, which included being on their phones, playing loud music from their phones, wearing ear buds or other Bluetooth accessories while in resident rooms or in resident care areas of the facility, This affected ten residents (#168, #169 and the eight residents who attended the resident council meeting) reviewed for administration.
Inspectors wroteBased on record reviews, observations, resident interviews, staff interviews, and facility policy review, the facility failed to ensure residents were treated with dignity. This affected two (#20 and #55) of three residents reviewed for resident rights. The facility census was 64.
Inspectors wroteBased on record review, observations, resident interview, staff interview, and facility policy review, the facility failed to ensure residents were able to make choices pertaining to their personal preferences. This affected one (#268) of one resident reviewed for choices. The facility census was 64.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure resident funds were conveyed timely upon resident discharge from the facility. This affected one (Resident #118) of one residents reviewed for funds conveyance. The facility census was 65.
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to ensure advanced directives were accurate and recorded in the resident's medical record. This affected one (Resident #169) of one resident reviewed for advanced directives. The facility census was 64.
Inspectors wroteBased on record review, staff interview, and review of the facility policy, the facility failed to ensure a baseline care plan was completed upon admission for a resident. This affected one (Resident #55) of six residents reviewed for baseline care plans. The facility census was 65.
Inspectors wroteBased on record review, observations, volunteer interview, resident and family interview, and staff interview, the facility failed to provide the appropriate therapeutic activities as documented in the resident's care plan. This affected one (Resident #31) of one resident reviewed for activities. The facility census was 65.
Inspectors wroteBased on record reviews, observations, resident interviews, staff interviews, and facility policy review, the facility failed to ensure residents were provided incontinence care in a timely manner. This affected two residents (#20 and #55) of three reviewed for incontinent care. The facility census was 64.
Inspectors wroteBased on record reviews, observations, resident interviews, staff interviews, and policy review, the facility failed to ensure oxygen tubing was changed per physician orders and failed to ensure there was a physician order in place to administer oxygen to a resident. This affected two (#19 and #43) of two residents reviewed for respiratory care. The facility identified fifteen residents (#1, #4, #7, #18, #19, #24, #38, #41, #43, #44, #51, #53, #54, #57, and #218) who utilized oxygen. The facility census was 64.
Inspectors wroteBased on staff interview, record review, review of the Self-Reported Incident (SRI), and review of facility policy, the facility failed to ensure the coordination of care to the resident by the hospice staff. This affected one (Resident #2) of one resident reviewed for hospice services. The facility census was 65.
Inspectors wroteBased on observation, record review, facility policy review and interview, the facility failed to develop and implement a comprehensive pressure ulcer program to prevent the development of pressure ulcers and to ensure pressure ulcers were comprehensively assessed, properly treated, and interventions were initiated to promote healing. [...]
Inspectors wroteBased on interview and record review, the facility failed to notify Resident #6's representative of a change in condition. This affected one resident (#6) of three residents reviewed for notification.
Inspectors wroteBased on observation, interview, record review and review of the facility policy, the facility failed to provide Resident #6 adequate nail care prevent skin impairment. This affected one resident (#6) of three residents reviewed for quality of care.
Inspectors wroteBased on observation, medical record review, review of an incident report, review of witness statements, review of the mechanical lift user manual, facility policy review, review of the nursing staff schedule, review of a disciplinary form and interview, the facility failed to properly operate a mechanical lift during a transfer of Resident #48. Actual harm occurred on 09/22/23 at approximately 4:00 P.M. when a mechanical lift was used by one-staff member instead of two-staff members, as care planned and per the facility policy, resulting in Resident #48 sustaining a left tibia and left fibula fracture and visit to the emergency room. Subsequently, Resident #48 suffered from severe pain to the left leg resulting in an interference of physical activity. This affected one (Resident #48) of three residents reviewed for mechanical lift transfers. The census was 57.
Inspectors wroteBased on record review and staff interview the facility failed to accurately code the pre-admission screening and resident review (PASRR) accurately on the Minimum Data Set (MDS) 3.0 assessment. This affected five (Resident's #5, #27, #32, #34 and #38) of eleven residents identified as having a level two mental illness or intellectual disability. The facility census was 54.
Inspectors wroteBased on record review, resident and staff interviews, and policy review the facility failed implement its abuse and neglect policy and procedure related abuse reporting to the state agency. This affected one (Resident #35) of one resident reviewed for abuse and neglect. The facility census was 54.
Inspectors wroteBased on record review, resident and staff interviews, and policy review the facility failed to report and allegation of verbal abuse to the state agency as required. This affected one (Resident #35) of one resident reviewed for abuse and neglect. The facility census was 54.
Inspectors wroteBased on record review and staff interview the facility failed to complete a preadmission screen and resident review (PASRR) timely as required. This affected one (Resident #42) of six residents reviewed for PASRR status. The facility census was 54.
Inspectors wroteBased on record review and staff interview the facility failed to develop a comprehensive resident centered activities care plan for Resident #24. This affected one (Resident #24) of one resident review for activities. The facility census was 54. Findings Include: Review of the medical record revealed Resident #24 was admitted to the facility on [DATE] with diagnoses including aphasia, major depressive disorder, and dysphagia. Review of the care plan for Resident #24 reviewed no evidence of any care plan to addresses activities and recreational needs for Resident #24. Activities Director #629 verified the lack of activities care plan during an interview on 05/25/22 at 10:10 A.M.
Inspectors wroteBased on interview and record review, the facility failed to ensure the pharmacy recommendations were addressed by the physician in a timely manner. This affected one (Resident #16) of five residents reviewed for unnecessary medications. The facility census was 54.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure Resident #34's soiled bed linens were changed in a timely manner. This affected one of one residents reviewed for soiled bed linens.
Inspectors wroteBased on record review and interview, the facility failed to prevent Resident #32's narcotics from misappropriation. This affected one of one resident reviewed for misappropriation.
Inspectors wroteBased on record review and interview the facility failed to ensure Resident #60's Medication Administration Record (MAR) was accurate and complete. This affected one resident of 19 residents reviewed for complete and accurate medical records.
29 fire safety citations on file: 13 on December 4, 2024, 5 on May 25, 2022, 11 on April 12, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| December 4, 2024 | Fine | $43,865 |
| February 1, 2024 | Fine | $32,175 |
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) | 3.85 | 3.69 | 3.86 |
| Registered nurses | 0.64 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.98 | 3.28 | 3.42 |
| Nurse aides | 2.11 | ||
| Licensed practical nurses | 1.10 | ||
| Nursing staff turnover (share who left in a year) | 80.3% | 48.7% | 45.8% |
| Registered nurse turnover | 81.3% | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.33 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 3.79 on weekdays and 3.98 on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.84 in April to June 2025 to 3.85 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 | 3.85 | 0.64 | 3.79 | 3.98 | 5.4% | 0 of 90 | 65 |
| Oct to Dec 2025 | 4.16 | 0.52 | 4.43 | 3.46 | 9.6% | 0 of 92 | 63 |
| Jul to Sep 2025 | 3.90 | 0.67 | 4.26 | 2.97 | 13.2% | 0 of 92 | 63 |
| Apr to Jun 2025 | 3.84 | 0.54 | 3.99 | 3.45 | 19.0% | 0 of 91 | 66 |
| 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 | 8.1 | 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 | 5.3 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.1 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.9 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.6 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 33.2 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.9 | 12.9 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Hopkins Rehabilitation and Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
49.1% this home
No different from 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. 33 eligible stays.
9.5% 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. 35 eligible stays.
7.2% 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. 32 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 19 residents counted.
0.0% 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. 39 residents counted.
2.0% 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. 39 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 9 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: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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.
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