How many deficiencies did O'Neill Healthcare Middleburg Heights get at its last inspection?

1 health deficiency at the standard inspection on December 4, 2025. The Ohio average is 10.5.

Does O'Neill Healthcare Middleburg Heights 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 Middleburg Heights?

CMS lists 8 owners and managers, and links the home to O'Neill Healthcare. Legal business name: MIDDLEBURG HEIGHTS NURSING HOME LLC.

O'Neill Healthcare Middleburg Heights: Inspections & Ratings

The record in brief

At its most recent standard inspection, on December 4, 2025, inspectors cited 1 health deficiency (the Ohio average is 10.5, the national average 9.2).

Of 10 health citations since February 2020, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $166,764 in the last three years; the largest was $166,764, and the latest is dated October 29, 2024.

Nurses and nurse aides worked 3.47 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.

44.1% 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.

402/20

412/22

110/24

112/25

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 10 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

December 4, 2025Standard inspection · 1 citation

D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2025

Inspectors wroteBased on record review, observation, interview and facility policy review, the facility failed to ensure oxygen tubing was dated for Residents #76 and #36. This affected two residents (#76 and #36) of five residents reviewed for oxygen therapy. The facility census was 65.

October 29, 2024Complaint inspection · 1 citation

J

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

F690 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 8, 2024

Inspectors wroteBased on closed medical record review, Emergency Medical Service (EMS) run sheet review, hospital record review, review of Medscape guidance, facility policy review and interview, the facility failed to ensure comprehensive monitoring and timely identification of a change in Resident #80's condition related to the use of an indwelling urinary catheter. This resulted in Immediate Jeopardy, actual harm and subsequent death beginning on [DATE] at approximately 7:00 A.M. when Resident #80 had decreased urine output with only a total of 200 milliliters (ml) over three nursing shifts. However, the nursing staff did not follow up to comprehensively assess the resident during this time period or follow up with State Tested Nursing Assistant (STNA) staff to inquire about the resident's urine output during their shifts. [...]

December 27, 2022Standard inspection · 4 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.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 20, 2023

Inspectors wroteBased on record review and staff interview the facility failed to maintain the services of a registered nurse for at least eight consecutive hours a day, seven days a week as required. This had the potential to affect all 70 residents currently residing in the facility.
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) February 20, 2023

Inspectors wroteBased on observation, record review, interview, and policy review the facility to ensure medications were always secure from unauthorized access. This affected one (Resident #26) of four (Residents #1, #26, #35 and #58) observed for medication administration. The facility census was 70.
D

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

F807 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2023

Inspectors wroteBased on observations, medical record review, and staff interviews, the facility failed to ensure a resident received the correct thickened consistency of fluids per physician orders. This affected two Residents (#124 and #129) of two residents reviewed for thickened liquids. The facility identified four Residents (#45, #124, #129 and #130) who received thickened liquids. The facility census was 70.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2023

Inspectors wroteBased on observation, staff interview, review of resident records, review of infection control policy and procedures, review of the facilities Influenza timeline for December 2022, the Center for Disease Control (CDC) Interim Guidance for Influenza Outbreak Management in Long Term Care Facilities, dated 11/21/22, the facility failed to maintain acceptable infection control practices in the area of isolation procedures for influenza outbreaks after Resident #24 tested positive for Influenza A (highly contagious respiratory infection) by placing her in the dining room at the table with Resident #45. This affected two (Residents #24 and #45) and had the potential to affect all 70 residents residing in the facility.

February 20, 2020Standard inspection · 4 citations

D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2020

Inspectors wroteBased on record review, observation and interview the facility failed to ensure Resident #68's dignity was maintained. This affected one resident (#68) of one reviewed for dignity.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2020

Inspectors wroteBased on observation, interview, and record review the facility failed to develop comprehensive care plans for Resident #34 related to transmission-based precautions and for Resident #54 related to a wanderguard. This affected two of 18 residents reviewed for care plans.
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 · Corrected (the home has a date of correction) March 2, 2020

Inspectors wroteBased on observation, record review and interview, the facility failed to ensure accurate and complete documentation in the medical records for Residents #34 and Resident #680. This affected two residents (#34 and #680) of 18 residents whose medical records were reviewed.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 2, 2020

Inspectors wroteBased on observation and interview and record review the facility failed properly alert staff, visitors and other residents to see nursing staff prior to entering the room of Resident #117, who was on isolation precautions. This affected one of two residents reviewed for isolation precautions.

Fire safety inspections

25 fire safety citations on file: 6 on December 4, 2025, 7 on December 27, 2022, 12 on February 20, 2020.

Every fire safety citation25 citations

F
Have properly located and lighted "Exit" signs.

K 293 · December 4, 2025 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · December 4, 2025 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · December 4, 2025 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · December 4, 2025 · Corrected (the home has a date of correction)
F
Have properly installed electrical wiring and gas equipment.

K 511 · December 4, 2025 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · December 4, 2025 · Corrected (the home has a date of correction)
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.

K 222 · December 27, 2022 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · December 27, 2022 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · December 27, 2022 · Corrected (the home has a date of correction)
F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · December 27, 2022 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · December 27, 2022 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · December 27, 2022 · Corrected (the home has a date of correction)
E
Have power receptacles that are properly grounded.

K 912 · December 27, 2022 · Corrected (the home has a date of correction)
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.

K 222 · February 20, 2020 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 20, 2020 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · February 20, 2020 · Corrected (the home has a date of correction)
F
Have a battery powered remote alarm panel in a location accessible by operating personnel.

K 916 · February 20, 2020 · Corrected (the home has a date of correction)
E
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

K 227 · February 20, 2020 · Corrected (the home has a date of correction)
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · February 20, 2020 · Corrected (the home has a date of correction)
E
Properly provide smoke detection systems in areas open to corridors.

K 347 · February 20, 2020 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · February 20, 2020 · Corrected (the home has a date of correction)
E
Have properly installed electrical wiring and gas equipment.

K 511 · February 20, 2020 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · February 20, 2020 · Corrected (the home has a date of correction)
C
Establish policies and procedures for volunteers.

E 24 · February 20, 2020 · deficient, provider has
C
Establish roles under a Waiver declared by secretary.

E 26 · February 20, 2020 · deficient, provider has

Fines and payment denials

Date	Penalty	Amount or length
October 29, 2024	Fine	$166,764

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.

Measure	This home	Ohio	United States
All nursing staff (RN, LPN and aides)	3.47	3.69	3.86
Registered nurses	0.45	0.64	0.69
All nursing staff on weekends	2.95	3.28	3.42
Nurse aides	1.91
Licensed practical nurses	1.11
Nursing staff turnover (share who left in a year)	44.1%	48.7%	45.8%
Registered nurse turnover	44.4%	43.9%	42.9%
Administrators who left	0

CMS expects 4.51 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 3.68 on weekdays and 2.95 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.53 in April to June 2025 to 3.47 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	3.47	0.45	3.68	2.95	2.1%	0 of 90	69
Oct to Dec 2025	3.72	0.56	3.93	3.19	2.6%	0 of 92	60
Jul to Sep 2025	3.47	0.38	3.62	3.09	0.1%	0 of 92	61
Apr to Jun 2025	3.53	0.53	3.69	3.11	0.0%	2 of 91	60
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.

How staff pay reports work · CNA pay by state

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	1.7	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	0.6	3.2	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.2	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	2.3	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	0.0	8.8	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	27.2	24.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	6.7	12.9	12.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for O'Neill Healthcare Middleburg Heights's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (60.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

60.8% this home

Better than 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. 205 eligible stays.

Potentially preventable readmissions

10.0% 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. 197 eligible stays.

Infections that led to a hospital stay

6.8% 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. 148 eligible stays.

Self-care and mobility at discharge

49.3% this home

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. 73 residents counted.

Falls with major injury

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. 109 residents counted.

New or worsened pressure ulcers

0.8% 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. 109 residents counted.

Medication list given at discharge

92.0% this home

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. 25 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.

Owners and operators

Legal business name: MIDDLEBURG HEIGHTS NURSING HOME 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%	02/01/2021
Oneill, Deborah	5% or greater indirect ownership interest	Individual	13%	02/01/2021
Oneill, John	5% or greater indirect ownership interest	Individual	40%	02/01/2021
Middleburg Heights Holdings LLC	5% or greater mortgage interest	Organization		02/01/2021
Verlinger, Elizabeth	W-2 managing employee	Individual		02/01/2021
Oneill, Deborah	Corporate officer	Individual		02/01/2021
Oneill, John	Corporate officer	Individual		02/01/2021
O'Neill Management, LLC	Operational/managerial control	Organization		02/01/2021

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 2 problems in this area, most recently on December 4, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
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 December 27, 2022: "Provide and implement an infection prevention and control program."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on February 20, 2020: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on December 27, 2022: "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."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.95 hours per resident per day, below the Ohio average of 3.28.

Other nursing homes nearby

Parkside Villa
Middleburg Heights, 0.3 mi · 4 of 5 stars · 22 citations
Hopkins Rehabilitation and Care Center
Middleburg Heights, 0.4 mi · 2 of 5 stars · 28 citations
Aristocrat Berea Healthcare and Rehabilitation
Berea, 1 mi · 2 of 5 stars · 52 citations
Northwestern Healthcare Center
Berea, 1.5 mi · 3 of 5 stars · 33 citations
Berea Center
Berea, 1.8 mi · 5 of 5 stars · 5 citations
Royal Oak Nursing & Rehab Ctr
Middleburg Heights, 2.1 mi · 4 of 5 stars · 21 citations
East Park Care Center
Brook Park, 2.3 mi · 2 of 5 stars · 44 citations
North Park Care Center
Brook Park, 2.4 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 O'Neill Healthcare Middleburg Heights's Medicare star rating?: CMS rates O'Neill Healthcare Middleburg Heights 5 out of 5 stars overall, with 4 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 Middleburg Heights get at its last inspection?: 1 health deficiency at the standard inspection on December 4, 2025. The Ohio average is 10.5.
Has O'Neill Healthcare Middleburg Heights been fined?: Yes. CMS lists 1 fine totaling $166,764 in the last three years.
Does O'Neill Healthcare Middleburg Heights 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 Middleburg Heights?: CMS lists 8 owners and managers, and links the home to O'Neill Healthcare. Legal business name: MIDDLEBURG HEIGHTS NURSING HOME 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.