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Judson Park

2181 Ambleside Rd, Cleveland, OH 44106 · Cuyahoga County · (216) 721-1234

36 certified beds, about 29 residents a day · Non profit - Corporation · Medicare and Medicaid since 1992

Last standard inspection more than 2 years ago Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365870 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 24, 2023, inspectors cited 3 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 11 health citations since January 2019, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $25,847 in the last three years; the largest was $25,847, and the latest is dated October 1, 2024.

Nurses and nurse aides worked 8.10 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 1.22 of those hours.

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 11 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
8D
1E
0F
Potential for minimal harm
0A
0B
0C
July 23, 2026Complaint inspection · 1 citation
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Not yet corrected
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure infection control protocols were maintained during medication administration for Resident #3 and during wound care for Resident #22. Additionally, the facility failed to ensure appropriate personal protective equipment was available and utilized for four residents (#1, #4, #26, and #45) who required enhanced barrier precautions. The facility identified seven residents who required enhanced barrier precautions. This affected six residents (#1, #3, #4, #22, #26, and #45) of seven residents reviewed for infection control. The facility census was 22.
October 1, 2024Complaint 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 · found on a complaint visit · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on record review, interview, and policy review, the facility failed to ensure adequate supervision and individualized care planned interventions to prevent/reduce risk of falls and injury. This affected one resident (#27) of three residents reviewed who were at risk for falls. Actual harm occurred on 09/02/24 when Resident #27, who was identified as a high risk for falls, was found on the floor, unable to move her left leg and in severe pain. Resident #27 was sent to the hospital for evaluation and treatment where she was diagnosed with a fractured hip. Prior to the incident, Resident #27's scheduled sitter did not show up and the family nor the contacted company that provided the sitter were notified so arrangements for a replacement could be made. In addition, there was no evidence facility fall interventions were in place at the time of the resident's fall. [...]
  2. D
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on record review and interview the facility failed to provide written information to the resident or resident representative regarding the facility bed hold policy upon discharge to hospital. This affected one (Resident #27) of three residents reviewed who required a bed hold notice.
  3. D
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    F626 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on record review, policy review, and interview the facility failed to allow a resident to return to the facility after discharge to hospital for a change in condition. This affected one (Resident #27) of three residents reviewed who had been transferred to the hospital.
  4. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on record review and interview the facility failed to ensure the medical record contained an accurate representation of the resident's actual experience. This affected one (Resident #27) of three residents reviewed for falls.
March 11, 2024Complaint inspection · 1 citation
  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 · found on a complaint visit · Corrected (the home has a date of correction) April 3, 2024
    Inspectors wroteBased on closed medical record review, staff interview, review of emergency medical services report, review of hospital records, review of facility policy, and review of manufacturer's guidelines, the facility failed to ensure resident safety during a Hoyer lift transfer. Actual harm occurred on 02/21/24 when Resident #30, who was cognitively impaired, at risk for falls and dependent on staff for transfers using a mechanical (Hoyer) lift, fell from the Hoyer lift during a staff assisted transfer resulting in hospitalization with injuries including a right frontal bone fracture extending into superior orbit, bilateral maxillary bone fractures, and bilateral inferior orbital wall fractures with involvement of right nasal lacrimal duct. This affected one resident (#30) of three reviewed for safe transfers. The facility census was 24.
January 24, 2023Standard inspection · 3 citations
  1. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure Resident #181, #184 and #186 had accurate advance directive orders and documentation in place for staff to accurately identify code status. This affected three Residents (#181, #184 and #186) out of five residents reviewed for advanced directives. The facility census was 25.
  2. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2023
    Inspectors wroteBased on observation, record review, policy review and interview, the facility failed to ensure influenza vaccinations were offered to Resident #17, #185 and #186 at least annually. This affected three residents (Resident #17, #185, and #186) of five residents reviewed for vaccines. The faciliy census was 25.
  3. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2023
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure call lights were functioning and that needed repairs received timely intervention. This affected one of one residents (Resident #2) reviewed for environmental concerns. The facility census was 25.
March 5, 2020Standard inspection · 2 citations
  1. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2020
    Inspectors wroteBased on record review, interview and policy review, the facility did not ensure two residents (Residents #20 and #137) of five residents reviewed for unnecessary medications had as needed psychotropic medications addressed for necessity and a duration. The facility identified three additional residents who received as needed psychotropic medications, Residents #3, #4, and #8.
  2. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 23, 2020
    Inspectors wroteBased on observations, interview and record review, the facility failed to ensure medication was administered and secure for one resident (Resident #131) of 33 residents observed during the annual survey. The facility identified nine residents (Residents #1, #11, #13, #14, #15, #127, #129, #135 and #139) who were independently mobile with or without an assistive device.
January 24, 2019Standard inspection · 0 citations

Fire safety inspections

19 fire safety citations on file: 7 on January 24, 2023, 5 on March 5, 2020, 7 on January 24, 2019.

Every fire safety citation19 citations
  1. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · January 24, 2023 · Corrected (the home has a date of correction)
  2. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 24, 2023 · Corrected (the home has a date of correction)
  3. F
    Provide properly protected cooking facilities.
    K 324 · January 24, 2023 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 24, 2023 · Corrected (the home has a date of correction)
  5. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 24, 2023 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 24, 2023 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 24, 2023 · Corrected (the home has a date of correction)
  8. F
    Have an enclosure around a vertical opening shaft.
    K 311 · March 5, 2020 · Corrected (the home has a date of correction)
  9. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 5, 2020 · Corrected (the home has a date of correction)
  10. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 5, 2020 · Corrected (the home has a date of correction)
  11. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 5, 2020 · Corrected (the home has a date of correction)
  12. E
    Have proper medical gas storage and administration areas.
    K 923 · March 5, 2020 · Corrected (the home has a date of correction)
  13. F
    Install an approved automatic sprinkler system.
    K 351 · January 24, 2019 · Corrected (the home has a date of correction)
  14. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 24, 2019 · Corrected (the home has a date of correction)
  15. F
    Install corridor and hallway doors that block smoke.
    K 363 · January 24, 2019 · Corrected (the home has a date of correction)
  16. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 24, 2019 · Corrected (the home has a date of correction)
  17. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · January 24, 2019 · Corrected (the home has a date of correction)
  18. C
    Establish policies and procedures for volunteers.
    E 24 · January 24, 2019 · deficient, provider has
  19. C
    Provide a means of sharing information on occupancy/needs.
    E 34 · January 24, 2019 · deficient, provider has

Fines and payment denials

DatePenaltyAmount or length
October 1, 2024Fine $25,847

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)8.103.693.86
Registered nurses1.220.640.69
All nursing staff on weekends6.393.283.42
Nurse aides2.50
Licensed practical nurses4.38
Nursing staff turnover (share who left in a year)not reported48.7%45.8%
Registered nurse turnovernot reported43.9%42.9%
Administrators who leftnot reported

CMS expects 3.67 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 8.78 on weekdays and 6.39 on weekends, 27% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 15.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 6.43 in April to June 2025 to 8.10 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20268.101.228.786.39 15.8%3 of 9029
Oct to Dec 20257.731.258.366.12 15.1%2 of 9229
Jul to Sep 20257.841.128.605.91 17.7%4 of 9228
Apr to Jun 20256.431.117.364.09 0.0%0 of 9128
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
4.45.313.9
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
2.80.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.73.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.21.21.6
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.23.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.98.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.624.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.212.912.0

Owners and operators

Legal business name: JUDSON.

NameRoleTypeShareSince
Us Bank, N.a.5% or greater mortgage interestOrganization10/01/2013
Kennedy, MaryellenW-2 managing employeeIndividual04/01/2010
Auwerter, JayCorporate directorIndividual03/11/2013
Baeslack, WilliamCorporate directorIndividual03/11/2013
Hartwell, SamCorporate directorIndividual03/11/2013
Koppelman, CathyCorporate directorIndividual04/29/2012
Shaw, KevinCorporate directorIndividual05/01/2011
Vegh, AmyCorporate directorIndividual03/11/2013
Carnovale, JamesCorporate officerIndividual09/01/2010
Dunn, CynthiaCorporate officerIndividual04/01/2010
JudsonOperational/managerial controlOrganization04/01/2010

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on October 1, 2024: "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."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 23, 2026: "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 2 problems in this area, most recently on October 1, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 5, 2020: "Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited."

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 Judson Park's Medicare star rating?
CMS rates Judson Park 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Judson Park get at its last inspection?
3 health deficiencies at the standard inspection on January 24, 2023. The Ohio average is 10.5.
Has Judson Park been fined?
Yes. CMS lists 1 fine totaling $25,847 in the last three years.
Does Judson Park 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 Judson Park?
CMS lists 11 owners and managers. Legal business name: JUDSON.

Sources

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