20265 Emery Rd, North Randall, OH 44128 · Cuyahoga County · (216) 475-8880
150 certified beds, about 112 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1969
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365215 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 7, 2024, inspectors cited 14 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 73 health citations since January 2020, 8 were rated as actual harm or immediate jeopardy to residents.
CMS lists 3 fines totaling $79,474 in the last three years; the largest was $37,754, and the latest is dated March 7, 2024.
Nurses and nurse aides worked 3.33 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
58.3% of nursing staff left within the year CMS measured (Ohio average 48.7%).
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.
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 73 health citations on file.
Inspectors wroteBased on closed medical record review, review of hospital records, review of photo and video records, review of facility witness statements, review of facility staffing and payroll documents, policy review and interview, the facility failed to protect Resident #419's right to be free from neglect. This affected one resident (#419) of two residents reviewed for neglect. The facility census was 119. Actual Harm occurred on 07/01/26 when Resident #419 was transferred to the hospital for a scheduled procedure and hospital staff identified the resident with caked feces, a maggot infestation, and multiple superficial wounds to both feet with cellulitis of the lower extremities which required medical intervention and subsequent admission to the hospital. [...]
Inspectors wroteBased on medical record review, review of email communication, fall investigation review, resident and staff interview, and facility policy review, the facility failed to ensure Resident #334 was free from an incident of involuntary seclusion. This affected one resident (#334) of two residents reviewed for quality of care and services. The facility census was 119. Actual physical and psychosocial harm occurred on 06/20/26 when Resident #334, who had quadriplegia (partial or total loss of function in all four limbs) and was dependent on staff for toileting, was left alone without supervision on a toilet in a locked common bathroom requiring a code to open without evidence of a functional call signal system. After assisting Resident #334 to this bathroom, the Certified Nursing Assistant (CNA) responsible for Resident #334's supervision left the facility without telling any staff. [...]
Inspectors wroteBased on interviews, record review and facility policy review, the facility failed to have an adequate functioning call light system in place and staff did not follow the facility plan while the call light system was down by providing adequate resident supervision documented with attestation statements. This affected nine residents (Residents #326, #334, #335, #340, #341, #342, #348, #354 and #355) and had the potential to affect all residents residing in the facility. The facility census was 119.
Inspectors wroteBased on medical record review, observation, and interviews, the facility failed to maintain a clean and sanitary resident room environment. This affected one resident (Resident #360) of two residents reviewed for environment. The facility census was 119.
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to revise or update care plans to address the needs of residents. This affected two residents (Resident #367 and #419) of 11 residents reviewed for care plans. The facility census was 119.
Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to accurately document a wound assessment and treatment orders. This affected one resident (Resident #307) of three residents reviewed for wound care. The facility census was 119.
Inspectors wroteBased on medical record review, observation, staff interview, and facility policy review, the facility failed to follow enhanced barrier precautions (EBP) during wound care. This affected two residents (Resident #367 and #402) of three residents reviewed for wound care. The facility census was 119.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to administer medications as ordered. This affected one (#10) of three residents reviewed for medications. The census was 115.
Inspectors wroteBased on observations, staff interview, and facility policy review, the facility failed to date and store food in the kitchen appropriately. This had the potential to affect 109 of 113 residents who ate food from the kitchen (Residents #21, #36, #38, and #95 did not receive food from the kitchen). The census was 113. Findings Include: Observations on 03/15/25 from 10:40 A.M. to 11:05 A.M. revealed the following items in the main kitchen walk in refrigerator. A plastic bag of whipped cream that was opened, undated, and had no covering on the opened end of the bag leaving the contents open to air. There was a plastic container of cooked sausage patties with the prepared/cooked date on the container of 02/03/25. There were five cups of pudding on a tray that were undated and uncovered; open to air. [...]
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to monitor and address significant weight loss. This affected one (Resident #121) of three residents reviewed for nutrition. The facility census was 113. Findings Include: Medical record review revealed Resident #121 was admitted to the facility on [DATE]. [...]
Inspectors wroteBased on medical record review, resident interview, staff interview, and facility policy review, the facility failed to timely report and investigate a resident incident. This affected one (Resident #76) of three residents reviewed for incidents. The census was 112. Findings Include: Resident #112 was admitted to the facility on [DATE]. Her diagnoses were cerebral infarction, dysarthria and anarthria, cognitive communication deficit, need for assistance, difficulty in walking, cerebral infarction, end stage renal disease, obstructive sleep apnea, hypertensive chronic kidney disease (stage V), chronic embolism and thrombosis, congestive heart failure, type II diabetes, hypothyroidism, morbid obesity, anemia, and hemiplegia and hemiparesis. Review of her minimum data set (MDS) assessment, dated 09/14/24, revealed she was cognitively intact. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to provide adequate mouth care for dependent residents. This affected two (#22 and #88) of two residents observed for mouth care. The facility census was 112.
Inspectors wroteBased on observation, interview and record review the facility failed to provide timely incontinence care and adequate urinary catheter care. This affected one (#22) of three residents observed for incontinence care and urinary catheter care. The facility census was 112.
Inspectors wroteBased on observation, interview and record review the facility failed to provide appropriate care related to Resident #22's Percutaneous Endoscopic Gastrostomy (PEG) tube (feeding tube inserted through the abdominal wall and into the stomach to provide nutrition and hydration). This affected one (#22) of two residents observed for PEG tubes. The facility census was 112.
Inspectors wroteBased on observations, resident interviews, staff interviews, medical record review, and policy review, the facility failed to ensure a resident who required supervision with smoking, was provided supervision, assistive devices to safely smoke and smoke in a designated safe area. Actual harm occurred to one resident (#31) when Resident #31, who was observed smoking in the dining room, unsupervised and without a cigarette holder, was found to have two blisters, verified as cigarette burns on the right index finger near the nail and on the middle finger between the first and second knuckle. [...]
Inspectors wroteBased on observation, staff interview, and review of the dietary staffing schedule, the facility failed to provide sufficient staff to meet the dietary needs of the residents. This had the potential to affect all residents, except Resident #25, #89, and #90, who received nothing by mouth (NPO). The facility census was 109.
Inspectors wroteBased on observation, staff interview, resident interviews, and testing of a test tray, the facility failed to ensure food was served that was visually pleasurable and palatable. This had the potential to affect all residents except Resident #25, #89, and #90 who received nothing by mouth (NPO). The facility census was 109.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to safely store food and maintain a clean and sanitary kitchen. This had the potential to affect all residents except Resident #25, #89, and #90 who received nothing by mouth (NPO). The facility census was 109.
Inspectors wroteBased on medical record review, review of a wound care report, investigative report, and staff and resident interviews, the facility failed to ensure Resident #39's environment remained free of an accident hazard when the resident's soup was served at an unsafe temperature causing an injury. This affected one resident (#39) of six residents reviewed for accidents. The facility census was 111. Actual harm occurred on 01/29/24 between approximately 5:00 P.M. and 6:00 P.M. when Resident #39 sustained first and second degree burns to her right anterior thigh after spilling soup which a State Tested Nursing Assistant (STNA) had warmed up in a microwave and served to Resident #39. The burn went unreported until the next day, 01/30/24, when Resident #39 asked a nurse to assess the area. The wound team observed the area on 01/30/24. [...]
Inspectors wroteBased on observation, interview, and record review the facility failed to maintain a clean and sanitary kitchen and nursing unit refrigerators. This had the potential to affect all residents except three residents (#6, #19, and #50) who received nothing by mouth. The facility census was 111. Findings Include: Observations on 03/04/24 from 8:00 A.M. to 8:18 A.M. during a tour of the kitchen revealed on the bottom shelf of the prep table across from the walk-in freezer table there was a clear container of bulk sugar with a silver scoop stored inside of it. The blue lid of the sugar container was dirty with food debris, and the shelf itself had various food debris, crumbs, and grease. Behind the prep table there was a silver pipe that ran along the wall which had various food debris and crumbs on it. There was various food debris and crumbs on the floor behind the prep table. [...]
Inspectors wroteBased on observation, interview, and policy review the facility failed to ensure a clean, sanitary and well maintained environment. This affected 51 residents, 48 who resided on the second floor (#2, #5, #9 #11, #17, #22, #25, #28, #29, #31, #32, #33, #35, #39, #40, #42, #43, #45, #47, #50, #53, #54, #55, #56, #59, #66, #68, #70, #72, #73, #75, #84, #85, #87, #90, #94, #97, #98, #99, #100, #105, #106, #107, #109, #110, #118, #119, and #120) and three who resided on the third floor (#60, #52 and #219). The facility census was 111. Findings Include: 1. Observation of Resident #75's room on 03/04/24 at 10:17 A.M. revealed an entertainment pole that held a screen. The pole down to the base had splattered dried tan colored substance on it. [...]
Inspectors wroteBased on medical record review, staff interview, and review of the online Resident Assessment Instrument (RAI) manual, the facility failed to ensure admission and annual Minimum Data Set (MDS) assessments were completed timely for seven residents (#39, #55 #66, #76, #98, #129, and #224) of 27 residents reviewed for completed MDS assessments. The facility census was 111. Findings Include: On 03/06/24, review of the medical record for Resident #39 revealed an incomplete annual MDS assessment dated [DATE]. On 03/06/24, review of the medical record for Resident #55 revealed an incomplete annual MDS assessment dated [DATE]. On 03/06/24, review of the medical record for Resident #66 revealed an incomplete annual MDS assessment dated [DATE]. On 03/06/24, review of the medical record for Resident #76 revealed an incomplete annual MDS assessment dated [DATE]. [...]
Inspectors wroteBased on medical record review, staff interview, and review of the online Resident Assessment Instrument (RAI) manual, the facility did not ensure quarterly MDS assessments were completed timely for four residents (#19, #72, #85, and #87) of 27 residents reviewed for completed MDS assessments. The facility census was 111. Findings Include: On 03/06/24, review of the medical record for Resident #19 revealed an incomplete quarterly MDS assessment dated [DATE]. On 03/06/24, review of the medical record for Resident #72 revealed an incomplete quarterly MDS assessment dated [DATE]. On 03/06/24, review of the medical record for Resident #85 revealed an incomplete quarterly MDS assessment dated [DATE]. On 03/06/24, review of the medical record for Resident #87 revealed an incomplete quarterly MDS assessment dated [DATE]. Interview on 03/06/24 at 3:32 P.M. [...]
Inspectors wroteBased on medical record review, staff interview, and review of the online Resident Assessment Instrument (RAI) manual, the facility failed to electronically transmit encoded, accurate, and complete Minimum Data Set (MDS) data to the Centers for Medicare and Medicaid Services (CMS) system within 14 days of completing the assessment. This affected 22 residents (#4, #13, #29, #33, #41, #42, #43, #48, #55, #60, #61, #63, #72, #75, #76, #77, #87, #93, #96, #98, #107, and #219) of 31 residents reviewed for submitted MDS assessments. The facility census was 111. Findings Include: On 03/06/24, review of the medical record for Resident #4 revealed a quarterly MDS assessment dated [DATE] had not been transmitted. On 03/06/24, review of the medical record for Resident #13 revealed an annual MDS assessment dated [DATE] had not been transmitted. [...]
Inspectors wroteBased on observation and interview the facility failed to ensure handrails were securely affixed to the walls. This had the potetntial to affect all 48 residents that resided on the second floor (#2, #5, #9 #11, #17, #22, #25, #28, #29, #31, #32, #33, #35, #39, #40, #42, #43, #45, #47, #50, #53, #54, #55, #56, #59, #66, #68, #70, #72, #73, #75, #84, #85, #87, #90, #94, #97, #98, #99, #100, #105, #106, #107, #109, #110, #118, #119, #120). The facility census was 111. Findings Include: Observation on 03/04/24 at 12:11 P.M. revealed the handrail located in the hallway outside of Resident #55 and Resident #75's room was not completely attached to the wall. Interview on 03/04/24 at 12:33 P.M. with State Tested Nurse Aide (STNA) #373 verified the observation. Observation on 03/04/24 at 12:12 P.M. [...]
Inspectors wroteBased on observation and staff interview, the facility failed to ensure dignity was respected regarding emptying portable bedside commode. This affected one (Resident #371) of one resident reviewed for dignity. The facility census was 111. Findings Include: Review of the medical record revealed Resident #371 was admitted to the facility on [DATE] and readmitted after a hospitalization on 02/25/24 with diagnoses including end-stage renal disease, chronic kidney disease, alcohol cirrhosis, right lower leg cellulitis, [NAME] Parkinson [NAME] syndrome, and gastric bypass surgery. Upon return to the facility, Resident #371 received antibiotic therapy due to a diagnosis of Clostridium difficile (causes mild to moderate watery diarrhea). Resident #371 was provided with a portable bedside commode to accommodate the need for easy access to the bathroom due to frequent loose stools. [...]
Inspectors wroteBased on record review, facility investigation, and interview the facility failed to ensure timely physician notification after a resident sustained a scald burn. This affected one resident (#39) of six residents (#39, #55, #66, #77, #98, and #221) reviewed for accidents. The facility census was 111. Findings Include: Review of the medical record for Resident #39 revealed an initial admission date of 03/06/19. Diagnoses included muscle weakness, diabetes mellitus, and systemic lupus erythematosus. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #39 had intact cognition, no behaviors, and no skin issues. Review of the skin/wound note dated 01/30/24 timed 7:29 P.M. revealed upon exiting the elevator Resident #39 approached the nurse and asked the nurse to look at her thigh. The nurse observed blisters and burn areas to the right thigh. [...]
Inspectors wroteBased on record review, observation, interview, and policy review, the facility failed to ensure residents who were dependent for activities of daily living (ADL) received nail care. This affected one resident (#75) of two residents (#19 and #75) reviewed for ADLs. The facility census was 111. Findings Include: Review of the medical record for Resident #75 revealed an admission date of 07/12/22. Diagnoses included stroke, muscle weakness, and contractures. Review of the plan of care revised 07/21/23 revealed Resident #75 had an ADL self-care performance deficit related to weakness, contracture, wounds, and pain. Interventions included check nail length and trim and clean on bath day and as necessary. Report any changes to the nurse. [...]
Inspectors wroteBased on record review, interview, and review of a shipping receipt, the facility failed to provide corrective eye glasses in a timely manner. This affected one (Resident #37) of one resident reviewed for vision services. Findings Include: Review of medical record for Resident #37 revealed an admission date of 11/11/21. Diagnoses included chronic obstructive pulmonary disease and chronic kidney disease. The resident had intact cognition. Interview on 03/04/24 at 9:30 A.M. with Resident #37 revealed he had an eye exam in 2023 and ordered glasses. Resident #37 had not received the glasses nor had he heard from staff regarding the glasses. Interview on 03/06/24 at 11:06 A.M. with Social Services (SS) #338 revealed Resident #37's eye glasses were in the back room of SS #338's office. SS #338 was not sure why Resident #37 had not been given the glasses. [...]
Inspectors wroteBased on record review, interview, and policy review the facility failed to ensure pharmacy recommendations were addressed in a timely manner. This affected two residents (#55 and #221) of five residents (#55, #77, #80, #92, and #221) reviewed for unnecessary medications, psychotropic medications, and medication regimen review. The facility census was 111. Findings Include: 1. Review of the medical record for Resident #55 revealed an admission date of 05/21/19. Diagnoses included disorder of central nervous system, quadriplegia, anoxic brain injury, delusional disorders, traumatic brain injury, mood disorder, and anxiety disorder. Review of the Pharmacist's Recommendation to Prescriber form dated 02/16/23 revealed Resident #55 was currently receiving Lexapro 20 milligrams (mg) daily. [...]
Inspectors wroteBased on record review, interview, and policy review the facility failed to ensure a rationale for extending an as needed psychotropic medication beyond 14 days was documented in the resident's medical record and failed to monitor for side effects of psychotropic medication use. This affected one resident (#221) of five residents (#55, #77, #80, #92, and #221) reviewed for unnecessary medications and psychotropic medications. The facility census was 111. Findings Include: Review of the medical record for Resident #221 revealed an admission date of 10/26/22. Diagnoses included dementia with behavioral disturbance, psychosis, delusional disorders, hypertension, and schizoaffective disorder. [...]
Inspectors wroteBased on record review, observation and interview the facility failed to provide meals according to preferences and/or food allergies. This affected one (Resident #37) of five residents observed for meals. Findings Include: Review of medical record for Resident #37 revealed an admission date of 11/11/21. Diagnoses included chronic obstructive pulmonary disease and chronic kidney disease. The resident had intact cognition. Review of the nutritional assessment dated [DATE] revealed Resident #37 had allergies to asparagus, mint, apples, and intolerance to dairy. Resident #37 stated allergy to eggs was not an allergy. Interview on 03/04/24 at 9:30 A.M. with Resident #37 revealed staff brought him food that he was allergic to. Resident #37 stated he could only eat egg whites because regular eggs made his throat feel funny and he could not have milk. [...]
Inspectors wroteBased on observation, resident and staff interviews, record review, and policy review, the facility failed to provide routine dental and oral care for a resident dependent on staff for all activities of daily living. Actual Harm occurred when Resident #65 was not provided routine dental/oral care and treatment resulting in the resident expressing pain in his mouth, the resident's gums being red and inflamed with areas of dried blood, multiple broken, cracked, split, black upper and lower teeth, and foul-smelling breath. The lack of routine dental care had the potential to lead to serious complications including but not limited to infection and/or sepsis. This affected one (#65) of five residents reviewed for dental care. The facility census was 113.
Inspectors wroteBased on observation, resident interviews, staff interviews, record review, and review of food committee notes, the facility failed to ensure food was served at the preferred temperature and was palatable. This had the potential to affect all residents except Resident #27, #95, and #96 who received nothing by mouth (NPO). The facility census was 113.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to safely store food and maintain a clean and sanitary kitchen and follow up on dietitian sanitation audits. This had the potential to affect all residents except Resident #27, #95, and #96 who received nothing by mouth (NPO). The facility census was 113.
Inspectors wroteBased on personnel file review and staff interview, the facility failed to employ a qualified social worker on a full-time basis as required. This had the potential to affect all 113 residents residing in the facility. The facility census was 113.
Inspectors wroteBased on observation, interview, and review of the facility policy, the facility failed to secure medications on a secured behavioral unit where 45 residents resided. This had the potential to affect 31 (#37, #42, #103, #4, #11, #107, #3, #80, #23, #26, #100, #21, #19, #45, #88, #60, #16, #31, #71, #5, #99, #115, #90, #75, #94, #69, #32, #91, #13, #49, and #56) independently mobile residents of 45 residents residing on the unit. The facility census was 113.
Inspectors wroteBased on observation, record review, staff interviews and policy review, the facility failed to complete wound care per the physician orders. This affected one (#5) of three residents reviewed for wound care. The facility census was 113.
Inspectors wroteBased on observation, staff interview, record review, and policy review, the facility failed to provide timely incontinence care for a resident. This affected one (#86) of three residents reviewed for incontinence care. The facility census was 113.
Inspectors wroteBased on observation, staff interview and record review, the facility failed to maintain accurate medical records for residents. This affected two (#5 and #65) of five medical records reviewed. The facility census was 113.
Inspectors wroteBased on record review, facility policy review and interview, the facility failed to ensure Resident #56 was transported to an appointment in a safe manner to prevent a fall with injury. Actual harm occurred on 08/17/23 when Central Supply/Driver #805 failed to properly secure Resident #56 using a wheelchair safety harness (as required) during transportation to an appointment in the facility van resulting in the resident sustaining a fall out of the wheelchair with injury. Resident #56 was assessed to have a left upper extremity fracture as well as bilateral lower extremity fractures which required surgical intervention. This affected one resident (#56) of three residents reviewed for accidents/hazards.
Inspectors wrote2. Review of the medical record for Resident #11 revealed an admission date of 11/26/19. Diagnoses included heart failure, severe protein-calorie malnutrition, adult failure to thrive, and granulomatous disorder (skin condition that causes a raised rash or bumps in a ring pattern) of the skin. Review of the plan of care dated 10/05/21 revealed Resident #11 had diagnoses added of granulomatous disorder on 08/10/21 and scalp dermatitis on 08/31/21. No interventions were created or implemented. Review of the quarterly MDS 3.0 assessment dated [DATE] revealed Resident #11 had impaired cognition and was dependent on staff for bed mobility, transfers, ambulation, and toilet use. During observations and interview on 02/01/22 at 3:40 P.M., Licensed Practical Nurse (LPN) #170 informed the surveyor that Resident #11 had a bonnet on her head that was hard to remove. [...]
Inspectors wroteBased on record review, observation, interviews and policy review the facility failed to provide the care and services to prevent and treat facility acquired pressure ulcers for Residents #11 and #66. Actual harm occurred when lack of wound care and interventions led to the deteriorating pressure ulcers of two (Resident's #11 and #66) of three residents (#11, #66 and #67) reviewed for pressure ulcers. The facility census was 81.
Inspectors wroteBased on record review, interview and policy review the facility failed to ensure monthly weights and/or weights on newly admitted residents were obtained in a timely manner and did not ensure residents with specialized weight orders were obtained according to the physician orders. This affected all residents in the facility excepts for two (Resident's #10 and #52) who were documented as refusing to be weighed in the facility. The facility census was 81.
Inspectors wroteBased on observation, staff interview, resident interview, review of the staffing schedules, review of the staffing tool and policy review, the facility failed to maintain staffing levels to adequately meet the needs of the residents. This had the potential to affect all 81 residents residing in the facility.
Inspectors wroteBased on record review and staff interview the facility failed to ensure the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week as required. This had the potential to affect all 81 residents residing in the facility.
Inspectors wroteBased on observations and interviews the facility failed to date open insulin vials and aerosol inhalers for six (Resident's #8, #9, #25, #28, #31 and #65) and failed to ensure loose unidentifiable/unsecured medications in the medication carts were disposed of properly. This had the potential to affect all 81 residents residing in the facility.
Inspectors wroteBased on record review, observation, and interview the facility failed to employ dietary staff who could demonstrate competence in how to properly run a high temperature dish machine. This had the potential to affect all residents receiving meals from the kitchen except for six (Resident's #1, #2, #21, #26, #56 and #66) who did not receive food by mouth. The facility census was 81.
Inspectors wroteBased on record review, observation, and interview the facility failed to ensure sufficient dietary staffing to provide meals to the residents in a timely manner. This affected all residents except six (Resident's #1, #2, #21, #26, #56 and #66) who received nothing by mouth. The facility census was 81.
Inspectors wroteBased on record review, observation, and interview the facility failed to ensure food was stored, prepared, and served under sanitary conditions. This affected all residents in the facility except for six (Resident's #1, #2, #21, #26, #56 and #66) who received no food by mouth. The facility census was 81.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure the facility assessment was accurate and contained all required information. This had the potential to affect all 81 residents residing in the facility.
Inspectors wroteBased on record review and staff interview the facility failed to ensure the quality assurance (QA) committee meet at least quarterly as required and failed to ensure the medical director attended the QA committee meetings as required. This had the potential to affect all 81 residents residing in the facility.
Inspectors wroteBased on observation, interview, record review, and Centers for Disease Control and Prevention (CDC) guidance review the facility failed to implement infection control practices on proper use of personal protective equipment (PPE). This had the potential to affect all 81 residents residing in the facility.
Inspectors wroteBased on observation and interview the facility failed to ensure the plate warmer and pellet warmer in the kitchen were maintained in proper and safe manner. This had the potential to affect all residents in the facility except for six (Resident's #1, #2, #21, #26, #56 and #66) who received no food by mouth. The facility census was 81.
Inspectors wroteBased on observation and staff interview the facility failed to maintain a clean and sanitary environment. This had the potential to affect all 81 residents residing in the facility.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure grievance/complaints brought forth in Resident Council were addressed timely and appropriately. This affected ten (Resident's #8, #10, #46, #60, #69, #181, #182, #183, #184 and #185) of ten residents reviewed for grievances. The facility census was 81.
Inspectors wroteBased on observations, record review, resident and staff interviews, and policy review the facility failed to provide adequate activities of daily living (ADL) assistance for five (Resident's #15, #16, #18, #67 and #71) of five residents reviewed for ADL care for dependent residents. The facility census was 81.
Inspectors wroteBased on review of the activity calendar, observations and interviews the facility failed to provide activities to meet the interests of the third-floor residents. This affected seven (Resident's #11, #71, #61, #7, #20, #24 and #36) had the potential to affect all 39 (Resident's #3, #6, #7, #11, #12, #15, #16, #17, #20, #22, #23, #24, #26, #27, #29, #31, #32, #34, #35, #36, #37, #39, #40, #41, #44, #49, #50, #54, #55, #58, #61, #63, #65, #68, #71, #72, #76, #77 and #283) residing on the third-floor of the facility reviewed for activities. The facility census was 81.
Inspectors wroteBased on record review, observation, and interviews the facility did not ensure food was served at palatable temperatures affecting Resident's #8, #10, #28, #50, #52, #57, #60 and #73 who were reviewed for food and had the potential to affect all residents in the facility except for six (Resident's #1, #2, #21, #26, #56 and #66) who received no food by mouth. The facility census was 81.
Inspectors wroteBased on record review, staff interview and facility self-reported incident review, the facility failed to ensure a complete and accurate medical record for five (Resident's #2, #21, #47, #66 and #75) of 22 resident records reviewed. The facility census was 81.
Inspectors wroteBased on record review, interview, and observation the facility failed to ensure staff always wore easily identifiable name badges and failed to ensure Resident #52 was able to use her choice of blood glucose monitoring device without unnecessary interruption. This affected three (Resident's #52, #38 and #57) of 32 residents reviewed for dignity. The census was 81.
Inspectors wroteBased on record review, observation, and interview the facility failed to allow Resident #52 to have a personal refrigerator in her room. This affected one (Resident #52) of three (Resident's #21, #52 and #71) residents reviewed for personal property. The facility census was 81.
Inspectors wroteBased on observation, interview, record review and policy review the facility failed to ensure request for personal care needs were honored. This affected two (Resident's #15 and #28) of two residents reviewed for choices. The facility census was 81.
Inspectors wroteBased on interview, record review and policy review the facility failed to ensure Resident #21's Power of Attorney (POA) was notified of a change in condition and hospital transfers. This affected one (Resident #21) of three (Resident's #21, #42, and #75) reviewed for change in condition. The facility census was 81.
Inspectors wroteBased on record review and interview, the facility failed to ensure transfer notices were provided as required for two (Resident's #21 and #42) of two residents reviewed for hospitalizations. The facility census was 81.
Inspectors wroteBased on record review and interview the facility failed to ensure bed hold notices were provided as required in written form for two (Resident's #21 and #42) of two residents reviewed for hospitalizations. The facility census was 81.
Inspectors wroteBased on record review, interview and policy review, the facility failed to ensure weights were obtained for Resident #21 to ensure an accurate re-admission nutritional assessment for a tube fed resident. This affected one (Resident #21) of two (Resident's #21 and #66) reviewed for tube feeding. The facility census was 81.
Inspectors wroteBased on record review and staff interview the facility failed to ensure the most recent state survey results were readily accessible to residents, staff, and visitors. This had the potential to affect all residents. The facility census was 81.
Inspectors wroteBased on review of personnel files and staff interview the facility failed to ensure State Tested Nursing Assistants (STNA) received regular performance reviews as required. This had the potential to affect all 81 residents residing in the facility.
Inspectors wroteBased on observation, interview and policy review, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner. This had the potential to affect 121 out of 123 residents who received meals from the facility's kitchen. Two Residents (#34 and #89) received nothing by mouth. The facility census was 123.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure the Minimum Data Set (MDS) was coded correctly for Residents #36, #75 and #110. This affected three of 24 residents sampled. The facility census was 123.
Inspectors wroteBased on observation, interview and review of the pureed food policy, the facility failed to serve pureed foods at a smooth consistency for safe swallowing. This affected 14 of 14 Residents (#10, #16, #23, #24, #31, #38, #51, #52, #56, #60, #61, #63, #75 and #91) who were prescribed a pureed diet of 153 residents who consumed meals from the facility's kitchen. Two Residents (#34 and #89) received nothing by mouth. The facility census was 123.
Inspectors wroteBased on observation, interview and policy review, the facility failed to maintain a clean and sanitary environment. This affected two (Residents #20 and #110) rooms and 11 (Residents #6, #27, #29, #49, #59, #64, #73, #87, #90, #100 and #116) who utilized the second-floor dining room. The facility census was 123.
35 fire safety citations on file: 10 on March 7, 2024, 10 on February 4, 2022, 15 on January 15, 2020.
| Date | Penalty | Amount or length |
|---|---|---|
| March 7, 2024 | Fine | $14,353 |
| March 7, 2024 | Fine | $27,367 |
| March 7, 2024 | Payment Denial | 33 days from April 3, 2024 |
| January 17, 2024 | Fine | $37,754 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.33 | 3.69 | 3.86 |
| Registered nurses | 0.59 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.11 | 3.28 | 3.42 |
| Nurse aides | 1.88 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | 58.3% | 48.7% | 45.8% |
| Registered nurse turnover | 33.3% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.44 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.42 on weekdays and 3.11 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 22.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.22 in April to June 2025 to 3.33 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 | 3.33 | 0.59 | 3.42 | 3.11 | 22.0% | 0 of 90 | 112 |
| Oct to Dec 2025 | 3.49 | 0.54 | 3.66 | 3.08 | 26.6% | 0 of 92 | 115 |
| Jul to Sep 2025 | 3.16 | 0.46 | 3.36 | 2.66 | 21.6% | 0 of 92 | 115 |
| Apr to Jun 2025 | 3.22 | 0.49 | 3.42 | 2.73 | 7.0% | 0 of 91 | 119 |
| 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
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.
| 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.
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 | 4.1 | 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 | 2.1 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 1.4 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.1 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 37.8 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.6 | 12.9 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Suburban Healthcare and Rehabilitation's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 13 eligible stays.
11.8% 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. 39 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 9 eligible stays.
51.7% 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. 29 residents counted.
2.1% 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. 47 residents counted.
1.5% 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. 47 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 4 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.
Legal business name: AJ SUBURBAN PAVILION OPCO LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Suburban Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 02/01/2022 |
| North Randall Opco LLC | 5% or greater indirect ownership interest | Organization | 02/01/2022 | |
| Suburban Nursing LLC | 5% or greater indirect ownership interest | Organization | 02/01/2022 | |
| Guttman, Mayer | 5% or greater indirect ownership interest | Individual | 02/01/2022 | |
| Shapiro, Naftali | 5% or greater indirect ownership interest | Individual | 02/01/2022 | |
| Guttman, Mayer | Corporate director | Individual | 02/01/2022 | |
| Garhill Integrated Mgn LLC | Operational/managerial control | Organization | 02/01/2022 | |
| Agarwal, Rajesh | Operational/managerial control | Individual | 02/01/2022 | |
| Guttman, Mayer | Operational/managerial control | Individual | 02/01/2022 | |
| Shapiro, Naftali | Operational/managerial control | Individual | 02/01/2022 | |
| White, Nicholas | Operational/managerial control | Individual | 02/01/2022 | |
| Garhill Integrated Mgn LLC | Adp of the SNF | Organization | 03/03/2025 | |
| North Randall Opco LLC | Adp of the SNF | Organization | 02/01/2022 | |
| Suburban Holdco LLC | Adp of the SNF | Organization | 02/01/2022 | |
| Agarwal, Rajesh | Adp of the SNF | Individual | 02/01/2022 | |
| Guttman, Mayer | Adp of the SNF | Individual | 02/01/2022 | |
| Shapiro, Naftali | Adp of the SNF | Individual | 02/01/2022 | |
| White, Nicholas | Adp of the SNF | Individual | 02/01/2022 |
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.
Chosen from this home's own inspection record.
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.