O'Neill Healthcare Lakewood
13900 Detroit Ave, Lakewood, OH 44107 · Cuyahoga County · (216) 228-7650
114 certified beds, about 90 residents a day · For profit - Individual · Medicare and Medicaid since 1971
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
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365267 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 31, 2023, inspectors cited 4 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 25 health citations since November 2018 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 3.65 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
52.7% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to O'Neill Healthcare, an affiliated group of 6 nursing homes.
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.
711/18
301/20
408/23
109/23
102/24
405/24
105/25
108/25
110/25
202/26
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 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
21D
1E
2F
Potential for minimal harm
0A
0B
1C
February 18, 2026Complaint inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview, the facility failed to supervise a cognitively impaired resident while at an outside appointment. This affected one (Resident #60) of three residents reviewed for outside appointments. The total census was 91.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and interview, the facility failed to notify the receiving facility when a resident with Influenza A was sent to an outside appointment or reschedule the appointment as needed appropriately. The facility also failed to use enhanced barrier precautions appropriately during wound care. This affected two (Residents #17 and #60) of three residents reviewed for infection control. The total census was 91.
October 7, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to provide appropriate care for an acute change in condition for Residents #116 and #123. This affected two residents (Resident #116 and Resident #123) of four residents reviewed for death. The facility census was 106. Findings Include:1. Resident #116 was admitted to the facility on [DATE] with diagnoses including pneumonia, endocarditis (an infection of the inner lining of the heart and its valves), chronic respiratory failure, diabetes, chronic obstructive pulmonary disease (COPD), chronic kidney disease, hemiplegia and hemiparesis affecting the left nondominant side following a stroke, end stage renal disease (ESRD) dependent on renal dialysis, congestive heart failure (CHF), bipolar disease, and dependence on supplemental oxygen. The resident died on [DATE]. [...]
August 27, 2025Complaint inspection · 1 citation
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure Resident #87 received appropriate incontinence care. This affected one resident (Resident #87) of three residents reviewed for incontinence care. The total census was 105.
May 14, 2025Complaint inspection · 1 citation
- 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.
Inspectors wroteBased on family and staff interviews, review of facility policy, and record review, the facility failed to ensure a resident's advance directives were concise and readily retrievable for staff. This affected one (Resident #100) of three residents reviewed for advance directives. The facility census was 97.
May 29, 2024Complaint inspection · 4 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, record review, and interview the facility failed to ensure Resident #9 had her blood drawn in a private area to maintain infection control. The affected one resident (#9) of three residents reviewed for resident rights. The facility census was 95.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on record review, interview, and facility policy review the facility failed to complete an accurate admission assessment for Resident #97. This affected one resident (#97) of three residents reviewed for admission assessments. The facility census was 95.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review, interview, and facility policy review the facility failed to provide a diet order or baseline height and weight for Resident #97 during his stay at the facility. This affected one resident (#97) of three residents reviewed for nutrition. The facility census was 95.
- D Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Inspectors wroteBased on record review, interview, and facility policy review the facility failed to provide wound physician follow-up for a complicated abdominal wall wound for Resident #97 as ordered on admission. This affected one resident (#97) of three residents reviewed for physician services. The facility census was 95.
February 2, 2024Complaint inspection · 1 citation
- D Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on interview, record review, review of the facility policy the facility failed to provide Resident #98's representative proper training and education on insulin administration to ensure a safe and orderly discharge. This affected one resident (Resident #98) out of three residents reviewed for discharge planning. The facility census was 96.
September 28, 2023Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, record review, and review of the facility policy the facility failed to transfer Resident #30 with the use of a gait belt (a belt used to prevent falls during transfers). This affected one resident (#30) of three residents reviewed for transfers. The facility census was 93.
August 31, 2023Standard inspection · 4 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 to ensure food was labeled, dated, and stored appropriately. This had the potential to affect 91 of 91 residents who received meals from the facility kitchen. The facility identified five residents (#52, #70, #86, #87 and #202) who received no food by mouth. The facility census was 96.
- F 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 staff interview the facility failed to ensure 15 residents (#5, #14, #21, #22, #31, #36, #51, #61, #67, #68, #69, #70, #79, #84, and #87) had a clean privacy curtain and failed to maintain clean and sanitary carpeting throughout the resident rooms and hallways. This had the potential to affect all 96 residents currently residing in the facility.
- D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on review of resident accounts and interview the facility failed to ensure resident funds were returned to the resident or to the resident estate in a timely manner. This affected one resident (#296) out of three resident accounts reviewed. The facility census was 96.
- 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.
Inspectors wroteBased on medical record review, staff interview, and policy review the facility failed to ensure advanced directives were present in the electronic chart and failed to ensure physicians orders were in place for Resident #70's advanced directives. This affected one resident (#70) of one resident reviewed for advance directives. The facility census was 96.
January 30, 2020Standard inspection · 3 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, interview and record review, the facility failed to promptly notify the physician of Resident #15's nosebleeds. This affected one resident of five residents reviewed for unnecessary medications.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide appropriate care and services for nosebleeds for Resident #15. This affected one resident of five residents reviewed for unnecessary medications.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review, observation and interviews, the facility failed to utilize pressure relieving heel protectors for Resident #82 as ordered by the physician. This affected one of three residents reviewed for pressure ulcers.
November 8, 2018Standard inspection · 7 citations
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to document the events of Resident #41's death. The facility also failed to ensure accurate and complete documentation in the records of Resident #49 regarding transfers to the hospital and Resident #38 regarding the use of an as needed medication. This affected three (Resident #41, #49, and #38) residents, and had the potential to affect any of the 89 residents at the facility.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on staff interview and record review the facility failed to complete a Significant Change assessment for Resident #6 when she was admitted to hospice care. This affected one resident of five screened for hospice services. The facility census was 89.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure interventions were in place to prevent falls for Resident #'s 34 and 38 . This affected two of five residents (Resident #'s 6, 22, 34, 38 and 46) reviewed for falls, with a facility census of 89.
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, menu review, nutrient summary review and interview, the facility failed to ensure the menu was followed for nutritional adequacy. This affected one resident (Resident #34) six residents (Resident #34, #183, #35, #3, #15, and #63) residents on a pureed diet. The facility census was 89.
- D Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure Resident #68 was served the correct liquid-consistency as ordered by the physician. This affected one (Resident #68) of 14 residents who ate in the second-floor dining room. The facility census was 89.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure infection control practices were followed during a dressing change for Resident #7 and in the use of an indwelling urinary catheter for Resident #38. This affected one of two residents (Resident #'s 7 and 77) observed for a dressing change, and one of two residents (Resident #38 and 13) reviewed for continence. The facility census was 89.
- C Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspectors wroteBased on record review and interview, the facility failed to prevent staff members convicted of assault from being hired in direct-care positions. This affected one State Tested Nurse Aide (STNA) #502 of eight staff members reviewed for criminal record screening. This had the potential to affect any of the 89 residents at the facility.
Fire safety inspections
25 fire safety citations on file: 14 on August 31, 2023, 3 on January 30, 2020, 8 on November 8, 2018.
Every fire safety citation25 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 Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- 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 Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install a fire alarm system that can be heard throughout the facility.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure proper usage of power strips and extension cords.
- E Have proper medical gas storage and administration areas.
- F Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F 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.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Meet other general requirements.
- E Install corridor and hallway doors that block smoke.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- C Establish policies and procedures for volunteers.
- C Provide a means of sharing information on occupancy/needs.
- C Implement emergency and standby power systems.
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) | 3.65 | 3.69 | 3.86 |
| Registered nurses | 0.50 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.13 | 3.28 | 3.42 |
| Nurse aides | 1.95 | ||
| Licensed practical nurses | 1.19 | ||
| Nursing staff turnover (share who left in a year) | 52.7% | 48.7% | 45.8% |
| Registered nurse turnover | 60.0% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.18 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 3.85 on weekdays and 3.13 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.49 in April to June 2025 to 3.65 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 | 3.65 | 0.50 | 3.85 | 3.13 | 4.4% | 0 of 90 | 90 |
| Oct to Dec 2025 | 3.67 | 0.48 | 3.85 | 3.21 | 4.3% | 0 of 92 | 98 |
| Jul to Sep 2025 | 3.55 | 0.45 | 3.71 | 3.13 | 4.0% | 0 of 92 | 102 |
| Apr to Jun 2025 | 3.49 | 0.49 | 3.65 | 3.10 | 2.0% | 0 of 91 | 92 |
| 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.
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 | 3.6 | 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 | 7.7 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.1 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.0 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.5 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.8 | 12.9 | 12.0 |
Owners and operators
Legal business name: LAKEWOOD SENIOR CAMPUS, LLC. CMS links this home to O'Neill Healthcare, a group of 6 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Carlow LLC | 5% or greater direct ownership interest | Organization | 100% | 01/01/2012 |
| Oneill, Deborah | 5% or greater indirect ownership interest | Individual | 11% | 01/01/2017 |
| Oneill, John | 5% or greater indirect ownership interest | Individual | 30% | 01/01/2012 |
| Ziska, Doreen | 5% or greater indirect ownership interest | Individual | 19% | 01/01/2012 |
| Chuma, Kimberly | Contracted managing employee | Individual | 05/03/2017 | |
| Oneill, Deborah | Corporate officer | Individual | 01/01/2012 | |
| Oneill, John | Corporate officer | Individual | 01/02/2012 | |
| O'Neill Management, LLC | Operational/managerial control | Organization | 08/01/2006 |
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 8 problems in this area, most recently on February 18, 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 5 problems in this area, most recently on May 14, 2025: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 29, 2024: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
- 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 August 31, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.13 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Crestmont North Nursing Home Lakewood, 0.3 mi · 4 of 5 stars · 40 citations
- Enniscourt Nursing Care Lakewood, 0.3 mi · 2 of 5 stars · 22 citations
- Rocky River Gardens Rehab and Nursing Ctr Cleveland, 3.4 mi · 2 of 5 stars · 49 citations
- Larchwood Care Cleveland, 3.4 mi · 5 of 5 stars · 17 citations
- Westpark Healthcare Campus Cleveland, 3.6 mi · 5 of 5 stars · 18 citations
- Franklin Plaza Extended Care Cleveland, 3.9 mi · 3 of 5 stars · 38 citations
- O'Neill Healthcare Fairview Park Fairview Park, 4.2 mi · 5 of 5 stars · 7 citations
- Welsh Home the Rocky River, 4.4 mi · 5 of 5 stars · 8 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 O'Neill Healthcare Lakewood's Medicare star rating?
- CMS rates O'Neill Healthcare Lakewood 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did O'Neill Healthcare Lakewood get at its last inspection?
- 4 health deficiencies at the standard inspection on August 31, 2023. The Ohio average is 10.5.
- Has O'Neill Healthcare Lakewood been fined?
- CMS lists no fines in the last three years.
- Does O'Neill Healthcare Lakewood 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 O'Neill Healthcare Lakewood?
- CMS lists 8 owners and managers, and links the home to O'Neill Healthcare. Legal business name: LAKEWOOD SENIOR CAMPUS, 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.