Cycle 1
Health 2025-06-23 · Fire 2025-06-23
8 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Mayfield Heights, OH
Ahc Of Landerhaven LLC
4-star overall rating with 4-star inspections with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
2108 Lander Road, Mayfield Heights, OH
(440) 443-0345
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
23
Certified beds
Average residents
40
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Advanced Health Care
Operator or chain grouping
Approved since
2017-10-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
1.81
Registered nurse staffing
LPN hours / resident day
0.93
Licensed practical nurse staffing
Aide hours / resident day
3.21
Nurse aide staffing
Weekend hours
5.16
Weekend nurse staffing
RN turnover
85%
Annual RN turnover
Total nurse turnover
78%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 87.6% |
78.1%
9.5 pts better
|
81.7%
5.9 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.4% |
12.5%
0.1 pts better
|
12.0%
0.4 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.2%
0.5 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 79.0% |
75.6%
3.4 pts better
|
79.7%
0.7 pts worse
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.4% |
25.1%
1.3 pts worse
|
23.9%
2.5 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-01-19 · Fire 2023-01-19
2 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2020-02-20 · Fire 2020-02-20
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
11 fire-safety deficiencies
Top issue: Emergency Preparedness (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-23
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-17
F · Potential for more than minimal harm
2023-01-19
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-02-01
F · Potential for more than minimal harm
2023-01-19
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-02-01
E · Potential for more than minimal harm
2023-01-19
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-01
F · Potential for more than minimal harm
2020-02-20
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2020-04-03
F · Potential for more than minimal harm
2020-02-20
K293 · Egress Deficiencies
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2020-04-03
F · Potential for more than minimal harm
2020-02-20
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-04-03
F · Potential for more than minimal harm
2020-02-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-04-03
F · Potential for more than minimal harm
2020-02-20
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-04-03
F · Potential for more than minimal harm
2020-02-20
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2020-04-03
F · Potential for more than minimal harm
2020-02-20
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-04-03
C · Minimal harm
2020-02-20
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2020-04-03
C · Minimal harm
2020-02-20
E24 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2020-04-03
C · Minimal harm
2020-02-20
E26 · Emergency Preparedness Deficiencies
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2020-04-03
C · Minimal harm
2020-02-20
E34 · Emergency Preparedness Deficiencies
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2020-04-03
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-19
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-20
E · Potential for more than minimal harm
2025-06-23
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-07-17
D · Potential for more than minimal harm
2025-06-23
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-07-17
D · Potential for more than minimal harm
2025-06-23
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-17
D · Potential for more than minimal harm
2025-06-23
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-07-17
D · Potential for more than minimal harm
2025-06-23
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-07-17
D · Potential for more than minimal harm
2025-06-23
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-17
D · Potential for more than minimal harm
2025-06-23
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-17
E · Potential for more than minimal harm
2024-08-27
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-02
D · Potential for more than minimal harm
2024-08-27
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-02
F · Potential for more than minimal harm
2020-02-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-04-03
E · Potential for more than minimal harm
2020-02-20
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-04-03
D · Potential for more than minimal harm
2020-02-20
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2020-04-03
D · Potential for more than minimal harm
2020-02-20
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2020-04-03
D · Potential for more than minimal harm
2020-02-20
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2020-04-03
Penalties and ownership
What sits behind the stars
Ownership
New Ahc Holdings, LLC
5% Or Greater Direct Ownership Interest · Organization
Advanced Health Care - Larry H Miller Corporation
5% Or Greater Indirect Ownership Interest · Organization
Karen Gail Miller Irrev Tr Fbo Zane Miller
5% Or Greater Indirect Ownership Interest · Organization
Oxnam, Nathan
Corporate Officer · Individual
The Gail Miller Gst Trust
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Karen R. Wi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Roger L. Mi
5% Or Greater Indirect Ownership Interest · Organization
The Karen Gail Miller Irrevocable Trust For The Benefit Of Stephen F.
5% Or Greater Indirect Ownership Interest · Organization
Winston, Candy
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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Lyndhurst, OH
2-star overall rating with 1-star inspections with $78,404 in total fines with 22 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
King David Post Acute Nursing & Rehabilitation LLC
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2-star overall rating with 2-star inspections with abuse icon flag with $10,221 in total fines with 15 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
#3
Gardens Of Mayfield Village
Mayfield Heights, OH
2-star overall rating with 1-star inspections with Special Focus status with $153,497 in total fines with 43 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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