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Ohio Living Breckenridge Village

36855 Ridge Rd, Willoughby, OH 44094 · Lake County · (440) 942-4342

72 certified beds, about 66 residents a day · Non profit - Corporation · Medicare and Medicaid since 1982

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 365581 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 15, 2025, inspectors cited 1 health deficiency (the Ohio average is 10.5, the national average 9.2).

Of 5 health citations since June 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 4.12 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.

34.6% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Ohio Living Communities, an affiliated group of 11 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.

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 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
1D
1E
1F
Potential for minimal harm
0A
0B
1C
November 25, 2025Complaint 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on record review and interview, the facility failed to conduct a safe resident transfer onto a transportation van to prevent a fall with injury for Resident #63. This affected one resident (#63) of three residents reviewed for falls. The facility census was 64. Actual harm occurred on 09/10/25 when Resident #63 fell forward out of his wheelchair onto the concrete ground while being transferred by staff onto a facility transportation van. This resulted in resident complaints of back pain and multiple skin tears and abrasions to the head, left elbow, and multiple fingers of each hand. The resident was transferred to the hospital and admitted with the presence of an acute re-bleed from a chronic subdural hematoma.
May 15, 2025Standard inspection · 1 citation
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 29, 2025
    Inspectors wroteBased on observation, interview, record review, facility policy and staff training review, and review of the Centers for Medicare and Medicaid (CMS) Quality, Safety, and Oversight (QSO) Memo 24-08-NH, the facility failed to use a gown for required enhanced barrier precautions (EBP) while administering medications through a gastric tube for Resident #44, failed to clean a wrist blood pressure monitor between use on Resident's #44 and #52, and failed to maintain a clean wall-mounted fan while in use and directed toward clean linen in the laundry area. This affected two residents (#44 and #52) of 60 residents reviewed for infection control and had the potential to affect all 60 residents residing in the facility. The facility reported 13 residents (#17, #22, #25, #30, #32, #44, #48, #113, #120, #121, #125, #126 and #162) on EBP precautions.
June 30, 2022Standard 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) July 15, 2022
    Inspectors wroteBased on record reviews and interviews the facility failed to ensure as needed medication orders for psychotropic drugs were limited to 14 days. This affected three (Residents #3, #23, and #34) of six residents reviewed for unnecessary medication. The census at the time of the survey was 90 residents.
  2. C
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) July 15, 2022
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure the most recent state survey results were readily available for public review. This had the potential to affect all 90 residents residing in the facility.
June 27, 2019Standard inspection · 1 citation
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 10, 2019
    Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure facial hair was covered and utensils and gloves were used when plating and serving foods. This had the potential to affect 45 residents who received meals served in the second floor dining room, as well as Residents #52 and #91. The facility census was 93 residents.

Fire safety inspections

9 fire safety citations on file: 4 on May 15, 2025, 5 on June 30, 2022.

Every fire safety citation9 citations
  1. E
    Provide properly protected cooking facilities.
    K 324 · May 15, 2025 · Corrected (the home has a date of correction)
  2. E
    Have restrictions on the use of portable space heaters.
    K 781 · May 15, 2025 · Corrected (the home has a date of correction)
  3. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · May 15, 2025 · Corrected (the home has a date of correction)
  4. E
    Have proper medical gas storage and administration areas.
    K 923 · May 15, 2025 · Corrected (the home has a date of correction)
  5. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · June 30, 2022 · Corrected (the home has a date of correction)
  6. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 30, 2022 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 30, 2022 · Corrected (the home has a date of correction)
  8. E
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · June 30, 2022 · Corrected (the home has a date of correction)
  9. E
    Have proper medical gas storage and administration areas.
    K 923 · June 30, 2022 · Corrected (the home has a date of correction)

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.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)4.123.693.86
Registered nurses0.720.640.69
All nursing staff on weekends3.733.283.42
Nurse aides2.31
Licensed practical nurses1.10
Nursing staff turnover (share who left in a year)34.6%48.7%45.8%
Registered nurse turnover23.1%43.9%42.9%
Administrators who left1

CMS expects 4.38 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 4.28 on weekdays and 3.73 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.71 in April to June 2025 to 4.12 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.120.724.283.73 16.7%0 of 9066
Oct to Dec 20254.650.844.804.28 14.3%0 of 9263
Jul to Sep 20254.380.884.593.86 6.9%0 of 9263
Apr to Jun 20254.711.004.944.12 6.4%0 of 9163
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
9.05.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.50.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.60.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.83.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.16.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.33.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.18.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.824.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.112.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.51.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.81.8

Owners and operators

Legal business name: OHIO LIVING COMMUNITIES. CMS links this home to Ohio Living Communities, a group of 11 nursing homes averaging 4.3 stars overall.

NameRoleTypeShareSince
Adam, SandraCorporate directorIndividual07/01/2019
Belfance, LeslieCorporate directorIndividual07/01/2022
Ingwersen, MelissaCorporate directorIndividual07/01/2022
Joyce, JamesCorporate directorIndividual07/01/2020
White, TerryCorporate directorIndividual07/01/2019
Gumina, LaurenceCorporate officerIndividual12/28/2011
Stillman, RobertCorporate officerIndividual04/15/2013
Gumina, LaurenceOperational/managerial controlIndividual12/28/2011
Decaro, GarrenAdp of the SNFIndividual05/20/2024
Hanzie, KaraAdp of the SNFIndividual05/02/2022
Stillman, RobertAdp of the SNFIndividual11/01/2016

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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on November 25, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on May 15, 2025: "Provide and implement an infection prevention and control program."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 30, 2022: "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."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on June 30, 2022: "Allow residents to easily view the nursing home's survey results and communicate with advocate agencies."
  5. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

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Common questions

What is Ohio Living Breckenridge Village's Medicare star rating?
CMS rates Ohio Living Breckenridge Village 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 Ohio Living Breckenridge Village get at its last inspection?
1 health deficiency at the standard inspection on May 15, 2025. The Ohio average is 10.5.
Has Ohio Living Breckenridge Village been fined?
CMS lists no fines in the last three years.
Does Ohio Living Breckenridge Village 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 Ohio Living Breckenridge Village?
CMS lists 11 owners and managers, and links the home to Ohio Living Communities. Legal business name: OHIO LIVING COMMUNITIES.

Sources

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