The Gardens of Fairfax Health Care Center
Cleveland, Ohio
Skilled nursing facility in Cleveland, OH with 89 certified beds and a 3-star CMS overall rating.
The Gardens of Fairfax Health Care Center is a skilled nursing facility in Cleveland, Ohio (Cuyahoga County), with 89 Medicare/Medicaid-certified beds.
Address: 9014 Cedar Ave, Cleveland, OH 44106. Phone: (216) 795-1363.
Ownership: For profit - Limited Liability company. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council. Part of the Foundations Health Solutions chain.
CMS Five-Star ratings (source: Medicare Care Compare): overall 3 of 5, health inspections 2, staffing 2, quality measures 5.
Levels of care
- Skilled nursing
Facility details
- Street address
- 9014 Cedar Ave
- City
- Cleveland
- State
- Ohio
- ZIP code
- 44106
- Phone
- (216) 795-1363
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 366106
- County
- Cuyahoga
- Ownership Type
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 89
- Avg Daily Residents
- 58.5
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1996-12-10
- Chain Name
- Foundations Health Solutions
- Overall Rating
- 3
- Health Inspection Rating
- 2
- Staffing Rating
- 2
- Quality Measure Rating
- 5
- Total Nurse Hours Per Resident Day
- 3.70906
- Rn Hours Per Resident Day
- 0.38386
- Latitude
- 41.4996
- Longitude
- -81.623
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 366106. Ratings compare this home with other nursing homes; they are not a pass or fail.
CMS overall rating
2 / 5
Below average- Certified beds
- 89
- Residents per day
- 67
- Ownership
- For profit - Limited Liability company
- Health citations (latest)
- 6
- Fines
- 13 ($85,538)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 3.2 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Much below averageHow many nurses care for each resident, and how stable the nursing team is.
✗ Worse than the state average. State 2.4 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Much above averageHow residents are actually doing.
✓ Better than the state average. State 4.5 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 0.38 · LPN 1.24 · Nurse aide 2.00. What the home's payroll records show.
RN 0.70 · LPN 0.88 · Nurse aide 2.39. What CMS predicts a home with these residents' needs would staff.
RN 0.37 · LPN 1.21 · Nurse aide 1.95. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with OH and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 3.62
✗ Worse than the state average. State 3.71 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.38
✗ Worse than the state average. State 0.64 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.62
≈ About the state average. State 1.60 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 2.00
✗ Worse than the state average. State 2.12 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 3.11
✗ Worse than the state average. State 3.29 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.12
✗ Worse than the state average. State 0.43 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.03
✗ Worse than the state average. State 0.05 · National 0.07
- Nursing staff turnover (%, lower is better)
- 66.0%
✗ Worse than the state average. State 49.0% · National 45.3%
- RN turnover (%, lower is better)
- 40.0%
✓ Better than the state average. State 44.4% · National 42.5%
- Administrators who left (people, lower is better)
- 0
✓ Better than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.43
State 1.51 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
91.8 points — in OH that earns (Below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in OH [10]
- 5 ★
- 0.000-15.000
- 4 ★
- 15.001-42.000
- 3 ★
- 42.001-69.000
- 2 ★ (this home)
- 69.001-121.250
- 1 ★
- >121.250
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Feb 12, 2026 | 6 (1) | 36 | 1 | 0 | 36 |
| Prior cycles (2 and 3) | May 16, 2023 | 27 (8) | 259 | 1 | 0 | 259 |
Health citations per inspection
Feb 12, 2026
May 16, 2023
Oct 23, 2019
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Feb 12, 2026
May 16, 2023
Oct 23, 2019
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Quality of Life and Care 3
- Freedom from Abuse and Neglect and Exploitation 1
- Nutrition and Dietary 1
- Pharmacy Service 1
What the latest fire-safety inspection cited
- Miscellaneous 2
- Services 1
- Egress 1
- Smoke 1
- Gas and Vacuum and Electrical Systems 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 1 | K · 100 pts 0 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 0 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 27 | E · 8 pts 6 | F · 16 pts 10 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 3 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (47) [2]
Inspection on Mar 9, 2026 · 1 citation
-
D
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 10, 2026) · From a complaint
Inspection on Feb 12, 2026 · 5 citations
-
D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 10, 2026)
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Mar 10, 2026)
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 10, 2026)
-
F
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
F0800 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 10, 2026)
-
D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 10, 2026)
Inspection on Sep 24, 2025 · 2 citations
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Nov 24, 2025) · From a complaint
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Past Non-Compliance (Sep 15, 2025) · From a complaint
Inspection on Mar 29, 2024 · 4 citations
-
D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 23, 2024) · From a complaint
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 23, 2024) · From a complaint
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 23, 2024) · From a complaint
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 23, 2024) · From a complaint
Inspection on Dec 6, 2023 · 2 citations
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 4, 2024) · From a complaint
-
D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jan 4, 2024) · From a complaint
Inspection on May 16, 2023 · 19 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.
F0727 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
F
Implement a program that monitors antibiotic use.
F0881 · Infection Control Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
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.
F0690 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
D
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
E
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
E
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.
F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
C
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies · Deficient, Provider has plan of correction (Jun 26, 2023)
-
F
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
Inspection on Oct 23, 2019 · 14 citations
-
F
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 7, 2020)
-
D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · Deficient, Provider has date of correction (Feb 12, 2020)
-
D
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Feb 12, 2020)
-
F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Feb 12, 2020)
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 7, 2020)
-
E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 12, 2020)
-
E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 12, 2020)
-
E
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 7, 2020)
-
D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Feb 12, 2020)
-
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.
F0758 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Feb 12, 2020)
-
F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
F0868 · Administration Deficiencies · Deficient, Provider has date of correction (Feb 12, 2020)
-
C
Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
F0693 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 12, 2020)
-
D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 7, 2020)
All fire-safety citations (39) [3]
Inspection on Feb 12, 2026 · 6 citations
-
F
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 10, 2026)
-
F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Mar 10, 2026)
-
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Mar 10, 2026)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Mar 10, 2026)
-
F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
K0354 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 10, 2026)
-
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Deficient, Provider has date of correction (Mar 10, 2026)
Inspection on May 16, 2023 · 12 citations
-
E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
K0225 · Egress Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Waiver has been granted (Nov 10, 2023)
-
F
Have approved installation, maintenance and testing program for fire alarm systems.
K0345 · Smoke Deficiencies · Waiver has been granted (Nov 10, 2023)
-
F
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Sep 27, 2023)
-
F
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
F
Meet requirements for the use of electrical equipment.
K0919 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
-
F
Install emergency lighting that can last at least 1 1/2 hours.
K0291 · Egress Deficiencies · Deficient, Provider has date of correction (Sep 14, 2023)
Inspection on Oct 23, 2019 · 21 citations
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 13, 2020)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 13, 2020)
-
F
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Mar 7, 2020)
-
E
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Feb 13, 2020)
-
C
Include a process for Emergency Preparedness collaboration.
E0009 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
C
Provide a means of sharing information on occupancy/needs.
E0034 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
K0761 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Mar 7, 2020)
-
C
Address patient/client population and determine types of services needed.
E0007 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
C
Provide emergency officials' contact information.
E0031 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 13, 2020)
-
C
Establish roles under a Waiver declared by secretary.
E0026 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
C
Create arrangements with other facilities to receive patients.
E0025 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
C
Establish policies and procedures for volunteers.
E0024 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
E
Install corridor and hallway doors that block smoke.
K0363 · Smoke Deficiencies · Deficient, Provider has date of correction (Feb 13, 2020)
-
C
Address subsistence needs for staff and patients.
E0015 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
E
Have proper medical gas storage and administration areas.
K0923 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Feb 13, 2020)
-
C
Establish procedures for tracking staff and patients during an emergency.
E0018 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
C
Establish methods for sharing information.
E0033 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
C
Establish staff and initial training requirements.
E0037 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
C
Provide family notifications of emergency plan.
E0035 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
-
C
List the names and contact information of those in the facility.
E0030 · Emergency Preparedness Deficiencies · Deficient, Provider has plan of correction (Mar 6, 2020)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 13 State avg 0.6 · National 0.9
- Total fined
- $85,538 State avg 25,699 · National 30,351
- Payment denials
- 0 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Mar 29, 2024 | Fine | $10,039 | — |
| Feb 20, 2024 | Fine | $4,938 | — |
| Feb 12, 2024 | Fine | $4,938 | — |
| Jan 22, 2024 | Fine | $14,814 | — |
| Jan 8, 2024 | Fine | $4,938 | — |
| Jan 2, 2024 | Fine | $4,587 | — |
| Dec 11, 2023 | Fine | $13,762 | — |
| Nov 20, 2023 | Fine | $4,587 | — |
| Nov 13, 2023 | Fine | $4,587 | — |
| Nov 6, 2023 | Fine | $4,587 | — |
| Oct 30, 2023 | Fine | $4,587 | — |
| Oct 23, 2023 | Fine | $4,587 | — |
| Oct 17, 2023 | Fine | $4,587 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 93.1
≈ About the state average. State 92.7 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 91.5
✗ Worse than the state average. State 93.7 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 1.2
✓ Better than the state average. State 3.1 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 29.4
✓ Better than the state average. State 31.6 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 5.6
✓ Better than the state average. State 6.1 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 15.4
✓ Better than the state average. State 25.5 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 4.6
✓ Better than the state average. State 8.5 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.1 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 10.4
✗ Worse than the state average. State 5.3 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 9.9
✗ Worse than the state average. State 5.0 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 0.0
✓ Better than the state average. State 0.2 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 0.0
✓ Better than the state average. State 0.4 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 10.8
✓ Better than the state average. State 20.9 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 3.0
✓ Better than the state average. State 3.2 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 64.0
✗ Worse than the state average. State 78.4 · National 82.3
- Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
- 0.0
✓ Better than the state average. State 1.2 · National 1.5
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Higher is better
- 58.1
✗ Worse than the state average. State 76.4 · National 80.1
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Limited Liability company
- Legal business name
- FHS CEDAR INC
- Certified for
- Medicare and Medicaid
- Certified beds
- 89
- Residents per day (average)
- 66.5
- In Medicare/Medicaid since
- Dec 10, 1996
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Cuyahoga
- Located in a hospital
- No
Company profiles: Foundations Health Solutions (64 homes, average 4.2 stars), Foundations Health Solutions, LLC (63 homes, average 4.2 stars)
Part of FOUNDATIONS HEALTH SOLUTIONS
One of 64 homes in this chain. Average star ratings across the chain (1 to 5):
- Overall
- 4.2
- Health inspections
- 4.0
- Staffing
- 2.2
- Quality
- 4.3
Owners, officers and managers (11) [6]
Adp Of The Snf
- BHAIJI, ALOK (individual, NOT APPLICABLE, since 09/01/2024)
- COLLERAN, BRIAN (individual, NOT APPLICABLE, since 09/01/2024)
- EDEH, NKECHI (individual, NOT APPLICABLE, since 09/01/2024)
- FOUNDATIONS HEALTH SOLUTIONS, LLC (organization, NOT APPLICABLE, since 09/01/2024)
- KRYSTOWSKI, JOHN (individual, NOT APPLICABLE, since 09/01/2024)
Operational/Managerial Control
- COLLERAN, BRIAN (individual, NOT APPLICABLE, since 09/01/2024)
- EDEH, NKECHI (individual, NOT APPLICABLE, since 09/01/2024)
- FOUNDATIONS HEALTH SOLUTIONS, LLC (organization, NOT APPLICABLE, since 09/01/2024)
- KRYSTOWSKI, JOHN (individual, NOT APPLICABLE, since 09/01/2024)
Corporate Officer
- COLLERAN, BRIAN (individual, NOT APPLICABLE, since 09/01/2024)
- KRYSTOWSKI, JOHN (individual, NOT APPLICABLE, since 09/01/2024)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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