Cycle 1
Health 2023-06-01 · Fire 2023-06-01
2 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Berea, OH
Berea Center
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
49 Sheldon Rd, Berea, OH
(440) 234-0454
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
47
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Communicare Health
Operator or chain grouping
Approved since
1992-11-20
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
122 facilities
Chain averages 3 overall / 2 health / 2 staffing / 4 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
0.42
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.87
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.92
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.21
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.29
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
2.85
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.25
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.44
CMS adjusted RN staffing hours
Adjusted total hours
3.39
CMS adjusted total nurse staffing hours
Case-mix index
1.29
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,422
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
20.43
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
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
3.35
Baseline 52.63% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 0.45
Adjusted total nurse staffing
0.74
Baseline 3.14 hours · Performance 3.29 hours · Measure score 0.74 · Achievement 0.74 · Improvement 0.05
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 13 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 1.15% |
8.2%
7 pts worse
|
Numerator 1 · Denominator 87 |
| Staff flu vaccination coverage | 19.27% |
42%
22.7 pts worse
|
Numerator 21 · Denominator 109 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.4% |
92.4%
5 pts worse
|
93.4%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.9% · Q2 85.1% · Q3 86.4% · Q4 89.1% · 4Q avg 87.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.5%
5.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% |
3.3%
1.1 pts worse
|
3.3%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.3% · Q3 6.8% · Q4 2.2% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 21.9% |
26.1%
4.2 pts better
|
11.4%
10.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 35.1% · Q3 15.4% · Q4 5.1% · 4Q avg 21.9% |
| Percentage of long-stay residents who lose too much weight | 2.5% |
6.2%
3.7 pts better
|
5.4%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 4.8% · Q3 0.0% · Q4 2.6% · 4Q avg 2.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 72.0% |
25.4%
46.6 pts worse
|
19.6%
52.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 68.3% · Q2 69.0% · Q3 76.9% · Q4 74.4% · 4Q avg 72.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.2% |
11.5%
3.3 pts better
|
16.7%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 14.7% · Q3 8.6% · Q4 2.9% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 0.6% |
7.7%
7.1 pts better
|
16.3%
15.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.5% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.7% |
6.2%
3.5 pts better
|
14.9%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.1% · Q3 2.7% · Q4 2.8% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.2%
0.2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.5%
0.5 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 8.4% |
21.7%
13.3 pts better
|
19.8%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.9% · Q2 9.1% · Q3 3.6% · Q4 10.8% · 4Q avg 8.4% |
| Percentage of long-stay residents with pressure ulcers | 0.5% |
3.7%
3.2 pts better
|
5.1%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 36.8% |
78.1%
41.3 pts worse
|
81.7%
44.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 29.2% · 4Q avg 36.8% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-04-15 · Fire 2021-04-15
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2019-01-24 · Fire 2019-01-24
3 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-06-01
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-06-15
F · Potential for more than minimal harm
2023-06-01
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-15
F · Potential for more than minimal harm
2023-06-01
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-06-15
F · Potential for more than minimal harm
2021-04-15
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-05-28
E · Potential for more than minimal harm
2021-04-15
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-05-28
E · Potential for more than minimal harm
2021-04-15
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-05-28
E · Potential for more than minimal harm
2021-04-15
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-05-28
E · Potential for more than minimal harm
2019-01-24
K227 · Egress Deficiencies
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2019-02-15
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-07
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-20
D · Potential for more than minimal harm
2024-04-05
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-16
D · Potential for more than minimal harm
2023-08-21
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-01
F · Potential for more than minimal harm
2023-06-01
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-15
E · Potential for more than minimal harm
2019-01-24
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2019-02-15
D · Potential for more than minimal harm
2019-01-24
F810 · Nutrition and Dietary Deficiencies
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2019-02-15
Penalties and ownership
What sits behind the stars
Ownership
Health Care Lease Facilities, LLC
5% Or Greater Direct Ownership Interest · Organization
Afzal, Endia
Operational/Managerial Control · Individual
C.r. Stoltz Family Investment Company Inc
5% Or Greater Indirect Ownership Interest · Organization
C.r. Stoltz Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Groves, Donna
Corporate Officer · Individual
I. Rosedale Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
R.s. Wilheim Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Romeo, Dominic
Corporate Officer · Individual
Ronald S Wilheim 2012 Spousal Trust
5% Or Greater Indirect Ownership Interest · Organization
Rosedale Family Investment Company, Inc
5% Or Greater Indirect Ownership Interest · Organization
Rrw, LLC
5% Or Greater Indirect Ownership Interest · Organization
S.l. Rosedale Irrevocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Sabbagh, Emile
Operational/Managerial Control · Individual
Sheldon Management Co. LLC
Operational/Managerial Control · Organization
Skilled Hc Holdings, LLC
5% Or Greater Indirect Ownership Interest · Organization
Stoltz, Charles
Corporate Officer · Individual
Wilheim Family Investment Company, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Wilheim, Ronald
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Northwestern Center
Berea, OH
2-star overall rating with 2-star inspections with $83,945 in total fines with 13 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
Aristocrat Berea Healthcare And Rehabilitation
Berea, OH
3-star overall rating with 2-star inspections with 8 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#3
Middleburg Heights Health & Rehabilitation Center
Middleburg Heights, OH
3-star overall rating with 2-star inspections with $76,040 in total fines with 15 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
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