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
Chain footprint
26 facilities
Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.81
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.93
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
3.21
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
5.95
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
2.74
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
5.16
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
1.41
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.27
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.51
CMS adjusted RN staffing hours
Adjusted total hours
4.97
CMS adjusted total nurse staffing hours
Case-mix index
1.64
Higher values indicate more complex resident acuity
RN turnover
85%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
78%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,447
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9824
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 23.21% · Performance 24.56% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
6.11
Baseline 6.42% · Performance 6.01% · Measure score 6.11 · Achievement 6.11 · Improvement 2.41
Total nurse turnover
0
Baseline 83.78% · Performance 87.23% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.01% |
10.72%
1.3 pts worse
|
No Different than the National Rate · Eligible stays 187 · Observed rate 14.44% · Lower 95% interval 9.19% |
| Discharge to community | 66.8% |
50.57%
16.2 pts better
|
Better than the National Rate · Eligible stays 202 · Observed rate 54.46% · Lower 95% interval 58.85% |
| Medicare spending per beneficiary | 1.1 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.22% |
95.27%
3 pts better
|
Numerator 221 · Denominator 225 |
| Falls with major injury | 0.44% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 225 |
| Discharge self-care score | 58.28% |
53.69%
4.6 pts better
|
Numerator 88 · Denominator 151 |
| Discharge mobility score | 51.66% |
50.94%
0.7 pts better
|
Numerator 78 · Denominator 151 |
| Pressure ulcers or injuries, new or worsened | 3.11% |
2.29%
0.8 pts worse
|
Numerator 7 · Denominator 225 · Adjusted rate 3.03% |
| Healthcare-associated infections requiring hospitalization | 6.01% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 176 · Observed rate 5.68% · Lower 95% interval 4.21% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 77 |
| Staff flu vaccination coverage | 7.22% |
42%
34.8 pts worse
|
Numerator 7 · Denominator 97 |
| Discharge function score | 56.95% |
56.45%
0.5 pts better
|
Numerator 86 · Denominator 151 |
| Transfer of health information to provider | 93.16% |
95.95%
2.8 pts worse
|
Numerator 177 · Denominator 190 |
| Transfer of health information to patient | 96.88% |
96.28%
0.6 pts better
|
Numerator 31 · Denominator 32 |
| Resident COVID-19 vaccinations up to date | 43.65% |
25.2%
18.4 pts better
|
Numerator 55 · Denominator 126 |
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 · Q1 72.9% · Q2 89.2% · Q3 91.3% · Q4 91.3% · 4Q avg 87.6% |
| 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 · Adjusted 12.4% · Observed 12.5% · Expected 11.3% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.8% · Q3 0.7% · Q4 1.0% · 4Q avg 0.7% · Used in QM five-star |
| 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 · 4Q avg 79.0% |
| 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 · Adjusted 26.4% · Observed 26.2% · Expected 23.7% · Used in QM five-star |
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
#1
Embassy Of Lyndhurst
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
Beachwood, OH
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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