Larchwood Care
4110 Rocky River Drive, Cleveland, OH 44135 · Cuyahoga County · (216) 941-6100
74 certified beds, about 66 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2008
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366359 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 8, 2025, inspectors cited 6 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 17 health citations since September 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 5.88 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 1.11 of those hours.
42.3% 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.
709/19
011/22
203/24
609/25
205/26
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
10D
4E
2F
Potential for minimal harm
0A
0B
0C
May 12, 2026Complaint inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interviews, record reviews, and review of video recordings, the facility failed to monitor for changes in condition by not engaging with Resident #70 during care provided to ensure timely treatment related to a change in the resident's condition. This affected one resident (Resident #70) out of three residents reviewed for change in condition. The facility census was 59.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interviews. record review, and facility policy, the facility failed to ensure proper wound care assessments, treatment and skin monitoring was in place for Resident #70. This affected one resident (#70) of three reviewed for skin impairments. The facility census was 59.
September 8, 2025Standard inspection, Complaint inspection · 6 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, interview, and facility policy review, the facility failed to provide adequate staff assistance to prevent a fall with injury. Actual Harm occurred on 07/26/25 at 10:20 A.M. when Resident #7, who was dependent on staff for bed mobility, transfers, and toileting, fell during incontinence care when assisted by only one Certified Nursing Assistant (CNA), resulting in an intracerebral contusion (closed head injury) and a dislodged jejunostomy tube (feeding tube). Resident #7 was transferred to the hospital and admitted for additional care and monitoring before returning to the facility on [DATE]. This affected one resident (#7) of three residents reviewed for accidents. The facility census was 67.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations, medical record review, resident interview, staff interviews, and facility policy review, the facility failed to ensure a resident's request for assistance was responded to in a timely manner. This affected one resident (#5) of one reviewed for timely care and assistance. The facility census was 67.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on resident record review, staff interview, facility Self-Reported Incident (SRI) review, and facility policy review, the facility failed to ensure Resident #67 was not inappropriately restrained during resident care tasks. This affected one resident (#67) of one reviewed for physical restraints. The facility census was 67.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident record review, staff interview, and family interview, the facility failed to ensure mouth care was provided for a dependent resident. This affected one resident (#21) of one reviewed for mouth care. The facility census was 67.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observations, resident record review, staff interviews, family interview, and facility policy review, the facility failed to ensure orders for splints were obtained per guardian preference for Resident #21, who was known to have bilateral upper extremity contractures. This affected one resident (#21) of one reviewed for positioning and mobility. The facility census was 67.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, record review, interview, and facility policy review, the facility failed to ensure medications were not left unattended during medication administration. This affected one resident (#12) of three residents reviewed for safe storage of medications. The facility census was 67.
March 5, 2024Complaint inspection · 2 citations
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on record review and interview the facility failed to ensure a plan of care meeting was provided quarterly for Resident #25 and Resident #16. This affected two out of three residents reviewed for participation in their plan of care. The facility census wa 58.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and policy review the facility failed to ensure staff performed hand hygiene and followed infection control practices when handling soiled linen to prevent cross contamination of germs during Resident #23's tracheostomy care and suctioning procedure. This affected one out of three residents reviewed for tracheostomy care. The facility census was 58.
November 17, 2022Standard inspection · 0 citations
September 5, 2019Standard inspection · 7 citations
- F Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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 NAR concerning abuse, neglect, exploitation, mistreatment of residents or misappropriation of their property. This affected all non-STNA (state tested nursing aide) staff who were hired by the facility in the past year, including: seven registered nurses, 11 licensed practical nurses (LPN), 10 dietary workers, six housekeeping staff, two administration workers, one social services staff member and one activities professional. This had the potential to affect all 64 residents admitted to the facility at the time of the survey.
- 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, record review and interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner, and food products were covered properly and dated when opened. This had the potential to affect 64 out of 64 residents who ate meals prepared in the facility's kitchen.
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a dignified dining experience for residents that ate in the first and second floor dining rooms by serving dessert in a sandwich bag instead of on a plate. In addition State Tested Nursing Assistants (STNAs) served meals to the residents by trays switching from table to table with not all residents served by table. This affected 22 residents that ate in the dining rooms (Resident's #12, #14, #16, #19, #24, #27, #36, #39, #44, #52, #56 and #60 were in the first floor dining room; Resident's #1, #3, #5, #9, #10, #32, #37, #42, #50 and #65 were in the second floor dining room).
- E Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Inspectors wroteBased on observation, interviews and review of menus, the facility failed to provide meals that met daily nutritional needs. This affected 10 (#1, #3, #5, #9, #10, #32, #37, #42, #50 and #65) of 12 residents observed during the lunch meal on 09/03/19 beginning at 12:05 P.M. on the second floor dining room and Resident's #11, #18, #20, #41 and #56 who voiced concerns at the resident group meeting. The facility census was 64.
- E Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on interview and record review, the facility failed to ensure that resident food preferences were honored. This affected five residents (#7, #13, #15, #53, and #56) of 64 residents that take food by mouth.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and interview the facility failed to maintain the environment in a clean and sanitary manner. This affected Residents #20, #7, #39, #23, #13, #22, #37, #64 and #4. The facility census was 64.
- D Keep all essential equipment working safely.
Inspectors wroteBased on observation, record review, interview and policy review, the facility failed to ensure oxygen concentrators were maintained in a clean and sanitary condition. This affected two residents (Residents #21 and #53) of four residents identified with oxygen concentrators in the facility.
Fire safety inspections
19 fire safety citations on file: 4 on September 8, 2025, 3 on November 17, 2022, 12 on September 5, 2019.
Every fire safety citation19 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have proper power supply for life support equipment.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have properly installed electrical wiring and gas equipment.
- E Have proper power supply for life support equipment.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Meet other general requirements.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Install an approved automatic sprinkler system.
- E Ensure proper usage of power strips and extension cords.
- C Include a process for Emergency Preparedness collaboration.
- C Address subsistence needs for staff and patients.
- C Establish procedures for tracking staff and patients during an emergency.
- C Establish policies and procedures for volunteers.
- C Establish roles under a Waiver declared by secretary.
- C Provide a means of sharing information on occupancy/needs.
- C Provide family notifications of emergency plan.
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) | 5.88 | 3.69 | 3.86 |
| Registered nurses | 1.11 | 0.64 | 0.69 |
| All nursing staff on weekends | 5.23 | 3.28 | 3.42 |
| Nurse aides | 3.62 | ||
| Licensed practical nurses | 1.15 | ||
| Nursing staff turnover (share who left in a year) | 42.3% | 48.7% | 45.8% |
| Registered nurse turnover | 23.8% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 6.31 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 6.14 on weekdays and 5.23 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.91 in April to June 2025 to 5.88 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 | 5.88 | 1.11 | 6.14 | 5.23 | 0.9% | 0 of 90 | 66 |
| Oct to Dec 2025 | 6.04 | 1.12 | 6.28 | 5.42 | 0.9% | 0 of 92 | 63 |
| Jul to Sep 2025 | 5.83 | 1.08 | 6.09 | 5.18 | 0.9% | 0 of 92 | 67 |
| Apr to Jun 2025 | 4.91 | 1.13 | 5.09 | 4.45 | 1.1% | 0 of 91 | 67 |
| 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.
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 | 4.4 | 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 | 1.3 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.1 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.1 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 8.8 | 15.4 |
Owners and operators
Legal business name: LARCHWOOD CARE LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Larchwood Investors LLC | 5% or greater direct ownership interest | Organization | 90% | 05/01/2019 |
| Union Commerce Capital LLC | 5% or greater direct ownership interest | Organization | 5% | 05/01/2019 |
| Kothari, Zahid | 5% or greater direct ownership interest | Individual | 5% | 05/01/2019 |
| Cobb, Michael | 5% or greater indirect ownership interest | Individual | 45% | 05/01/2019 |
| Krutowsky, Joshua | 5% or greater indirect ownership interest | Individual | 5% | 05/01/2019 |
| Thompson, Lowell | 5% or greater indirect ownership interest | Individual | 45% | 05/01/2019 |
| Shank, Kelsey | W-2 managing employee | Individual | 05/01/2019 | |
| Ww Healthcare Consultants, LLC | Operational/managerial control | Organization | 05/01/2019 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on May 12, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- 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 September 8, 2025: "Reasonably accommodate the needs and preferences of each resident."
- 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 September 5, 2019: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on September 8, 2025: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
Other nursing homes nearby
- Rocky River Gardens Rehab and Nursing Ctr Cleveland, 0 mi · 2 of 5 stars · 49 citations
- Aristos Nursing and Rehabilitation Cleveland, 1 mi · 2 of 5 stars · 41 citations
- Westpark Healthcare Campus Cleveland, 1.1 mi · 5 of 5 stars · 18 citations
- O'Neill Healthcare Fairview Park Fairview Park, 1.6 mi · 5 of 5 stars · 7 citations
- Welsh Home the Rocky River, 2.6 mi · 5 of 5 stars · 8 citations
- Gardens of North Olmsted North Olmsted, 3 mi · 2 of 5 stars · 59 citations
- O'Neill Healthcare Lakewood Lakewood, 3.4 mi · 4 of 5 stars · 25 citations
- North Park Care Center Brook Park, 3.4 mi · 5 of 5 stars · 6 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 Larchwood Care's Medicare star rating?
- CMS rates Larchwood Care 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Larchwood Care get at its last inspection?
- 6 health deficiencies at the standard inspection on September 8, 2025. The Ohio average is 10.5.
- Has Larchwood Care been fined?
- CMS lists no fines in the last three years.
- Does Larchwood Care 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 Larchwood Care?
- CMS lists 8 owners and managers. Legal business name: LARCHWOOD CARE LLC.
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.