Joshua Tree Care Center
27500 Mill Rd, North Olmsted, OH 44070 · Cuyahoga County · (440) 777-8444
36 certified beds, about 34 residents a day · For profit - Individual · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365533 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 15, 2025, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 11 health citations since January 2020 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 3.32 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.62 of those hours.
37.5% 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.
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 11 health citations on file.
January 15, 2025Standard inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed ensure food was labeled and dated in a manner to prevent food contamination and spoilage, failed to ensure expired food was disposed of timely, and failed to ensure food was served to residents in a clean and sanitary manner. This had the potential to affect all residents. The facility census was 35.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and interview the facility failed to develop a person-centered care plan for post-traumatic stress disorder (PTSD). This affected two residents (Residents #10 and #24) out of 15 residents reviewed for care planning. The facility census was 35.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review, interview, and review of the facility policy, the facility failed to ensure showers were completed for Resident #4. This affected one resident (Resident #4) of two residents reviewed for activities of daily living. The facility census was 35.
- C Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record review, staff interview and policy review, the facility failed to ensure residents were given written copies of the facility bed hold policy upon discharge/transfer from the facility. This affected two (Residents #21 and #33) of two residents reviewed for hospitalization. The facility census was 35.
- C Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Inspectors wroteBased on review of the facility assessment and staff interview, the facility failed to ensure its facility assessment contained all required information. This had the potential to affect all 35 residents. The facility census was 35.
March 9, 2023Standard inspection · 5 citations
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on record review and staff interview the facility failed to ensure the service of a Registered Nurse (RN) for at least eight hours a day seven days a week as required. This had the potential to affect all residents. The facility census was 30. Findings Include: Review of facility staffing schedules revealed on 04/02/22, 04/03/22, 04/16/22, 04/17/22, 04/30/22, 05/01/22, 05/14/22, 05/28/22, 05/29/22, 06/12/22, and 06/25/22 the facility did not have the services of an RN for eight consecutive hours as required. Interview with the Administrator on 03/07/23 at 5:00 P.M. verified the lack of RN hours on the dates listed above.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview the facility failed to ensure food was labeled and dated properly and the walk in freezer was maintained in good working condition. This had the potential to affect all residents. The facility census was 30. Findings Include: Observation during tour of the kitchen on 03/06/23 between 7:15 A.M. and 7:33 A.M. revealed the following. 1. The walk in in freezer had significant ice build up. Multiple chunks of ice more then six inches in diameter with ice crystals formed were stuck to the freezer shelves. One of the chunks of ice had engulfed a box of tater tots and the box of tater tots was stuck to the ice block and immovable. Hanging from the top of freezer were over ten, six inch long icicles. [...]
- F Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on record review and interview the facility failed to implement and maintain a comprehensive Quality Assurance Performance and Improvement (QAPI) plan. This had the potential to affect all 30 residents residing at the facility. Findings Include: Review of the QAPI program documentation revealed no evidence the plan addressed the full range of care and services provided by the facility which was comprehensive, data driven and ongoing. There were no indicators focusing on outcomes of care, quality of life or resident rights. Interview with Director of Nursing (DON) on 03/09/23 at 2:10 P.M. revealed the facility did not have a plan to provide the survey team. The last QAPI plan was completed on 03/16/21. Interview with the Administrator on 03/09/23 at 2:15 P.M. verified the facility was not participating in any data driven ongoing QAPI programs. [...]
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review and interview the facility failed to implement and monitor measures to prevent the potential spread of Legionella. This had the potential to affect all 30 residents residing at the facility.
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and staff interview the facility failed to ensure notices of Medicare non-coverage (NOMNC) contained all required information. This affected two of two residents (Residents #133 and #134) reviewed for beneficiary notices. The facility census was 30. Findings Include: Medical record review revealed Resident #133 was admitted to the facility [DATE] with diagnoses that included heart failure and high blood pressure. Resident #133 discharged home [DATE]. Review of the NOMNC given to Resident #133 on [DATE] prior to his discharge revealed the notice stated Your Medicare provider and/or health plan have determined that Medicare with not pay for your current {insert type} services after the effective date indicated above. [...]
January 23, 2020Standard inspection · 1 citation
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner and that food was properly stored. This affected 47 out 47 residents residing in the facility who received meals from the dietary department.
Fire safety inspections
15 fire safety citations on file: 4 on January 15, 2025, 4 on March 9, 2023, 7 on January 23, 2020.
Every fire safety citation15 citations
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have restrictions on the use of portable space heaters.
- E Provide properly protected cooking facilities.
- E Have generator or other power source capable of supplying service within 10 seconds.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Provide properly protected cooking facilities.
- F Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
- F Provide a written emergency evacuation plan.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Ensure proper usage of power strips and extension cords.
- C Have properly installed electrical wiring and gas equipment.
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) | 3.32 | 3.69 | 3.86 |
| Registered nurses | 0.62 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.92 | 3.28 | 3.42 |
| Nurse aides | 1.77 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 37.5% | 48.7% | 45.8% |
| Registered nurse turnover | 20.0% | 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.
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 3.48 on weekdays and 2.92 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.32 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 | 3.32 | 0.62 | 3.48 | 2.92 | 15.3% | 0 of 90 | 34 |
| Oct to Dec 2025 | 3.31 | 0.63 | 3.45 | 2.96 | 11.3% | 0 of 92 | 34 |
| Jul to Sep 2025 | 3.38 | 0.67 | 3.51 | 3.04 | 8.1% | 0 of 92 | 34 |
| Apr to Jun 2025 | 3.41 | 0.70 | 3.55 | 3.06 | 7.6% | 0 of 91 | 33 |
| 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
Staff pay at this home
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.
Official wage estimates for Ohio
| 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.
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 | 10.1 | 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 | 4.7 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.5 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.4 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.8 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.8 | 8.8 | 15.4 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Joshua Tree Care Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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.
Owners and operators
Legal business name: OLMSTED MANOR LTD.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Coury, Kimberly | 5% or greater direct ownership interest | Individual | 100% | 01/01/2000 |
| Coury, Kimberly | Operational/managerial control | Individual | 01/01/1990 |
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.
- 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 January 15, 2025: "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 January 15, 2025: "Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on January 15, 2025: "Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on January 15, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- 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.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Crocker Pointe Health and Rehabilitation Westlake, 1.6 mi · not rated · 0 citations
- Brookdale Westlake Village Westlake, 1.7 mi · 5 of 5 stars · 9 citations
- Health Center at the Renaissance Olmsted Twp, 1.7 mi · 4 of 5 stars · 9 citations
- Life Care Center of Westlake Westlake, 2.4 mi · 2 of 5 stars · 39 citations
- O'Neill Healthcare North Olmsted North Olmsted, 2.5 mi · 4 of 5 stars · 20 citations
- Lutheran Home Westlake, 2.7 mi · 5 of 5 stars · 10 citations
- Gardens of North Olmsted North Olmsted, 2.8 mi · 2 of 5 stars · 59 citations
- Village of the Falls Olmsted Falls, 3 mi · 5 of 5 stars · 4 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 Joshua Tree Care Center's Medicare star rating?
- CMS rates Joshua Tree Care Center 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Joshua Tree Care Center get at its last inspection?
- 5 health deficiencies at the standard inspection on January 15, 2025. The Ohio average is 10.5.
- Has Joshua Tree Care Center been fined?
- CMS lists no fines in the last three years.
- Does Joshua Tree Care 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 Joshua Tree Care Center?
- CMS lists 2 owners and managers. Legal business name: OLMSTED MANOR LTD.
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.