Cleveland, OH

Eastbrook Healthcare Center

2-star overall rating with 2-star inspections with $23,989 in total fines with 6 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

17322 Euclid Ave, Cleveland, OH

(216) 486-2280

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

109

Certified beds

Average residents

100

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Garden Springs Healthcare

Operator or chain grouping

Approved since

1974-08-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

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

0.46

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.17

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.59

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.06

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.18

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.42

CMS adjusted RN staffing hours

Adjusted total hours

3.33

CMS adjusted total nurse staffing hours

Case-mix index

1.47

Higher values indicate more complex resident acuity

RN turnover

62%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

71%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,122

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

8.16

Composite VBP score used to determine payment impact.

Payment multiplier

0.9807

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.96% · Performance 22.61% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0.97

Baseline 7.73% · Performance 7.55% · Measure score 0.97 · Achievement 0.97 · Improvement 0.16

Total nurse turnover

0.38

Baseline 78.12% · Performance 73.45% · Measure score 0.38 · Achievement 0 · Improvement 0.38

Adjusted total nurse staffing

1.92

Baseline 3.11 hours · Performance 3.62 hours · Measure score 1.92 · Achievement 1.92 · Improvement 1.44

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.92%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 50 · Observed rate 10% · Lower 95% interval 6.85%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.05	1.02 About the same
Drug regimen review with follow-up	66.67%	95.27% 28.6 pts worse	Numerator 34 · Denominator 51
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 51
Discharge self-care score	25.93%	53.69% 27.8 pts worse	Numerator 7 · Denominator 27
Discharge mobility score	37.04%	50.94% 13.9 pts worse	Numerator 10 · Denominator 27
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 51 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.55%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 32 · Observed rate 9.38% · Lower 95% interval 4.23%
Staff COVID-19 vaccination coverage	0.65%	8.2% 7.5 pts worse	Numerator 1 · Denominator 153
Staff flu vaccination coverage	8.8%	42% 33.2 pts worse	Numerator 11 · Denominator 125
Discharge function score	40.74%	56.45% 15.7 pts worse	Numerator 11 · Denominator 27
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 28

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.8	1.8 1 pts worse	1.9 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.2 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.4	1.8 0.6 pts worse	1.8 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.1 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.1%	92.4% 6.7 pts better	93.4% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.7% · Q2 98.7% · Q3 100.0% · Q4 98.9% · 4Q avg 99.1%
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	1.2%	3.3% 2.1 pts better	3.3% 2.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 1.2% · Q4 1.1% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	55.4%	26.1% 29.3 pts worse	11.4% 44 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 41.7% · Q3 66.2% · Q4 75.9% · 4Q avg 55.4%
Percentage of long-stay residents who lose too much weight	3.9%	6.2% 2.3 pts better	5.4% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 5.6% · Q3 5.1% · Q4 3.5% · 4Q avg 3.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.8%	25.4% 15.6 pts better	19.6% 9.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 9.9% · Q3 11.4% · Q4 12.9% · 4Q avg 9.8%
Percentage of long-stay residents who received an antipsychotic medication	5.0%	11.5% 6.5 pts better	16.7% 11.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 2.2% · Q3 6.1% · Q4 5.6% · 4Q avg 5.0% · 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	4.1%	7.7% 3.6 pts better	16.3% 12.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.4% · Q3 9.7% · Q4 0.0% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.7%	6.2% 2.5 pts better	14.9% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 6.6% · Q4 4.9% · 4Q avg 3.7% · 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	15.9%	21.7% 5.8 pts better	19.8% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 4.0% · Q3 20.6% · Q4 23.3% · 4Q avg 15.9%
Percentage of long-stay residents with pressure ulcers	2.4%	3.7% 1.3 pts better	5.1% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.3% · Q3 3.0% · Q4 2.5% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	84.3%	78.1% 6.2 pts better	81.7% 2.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 73.1% · Q2 88.9% · Q3 88.9% · Q4 89.7% · 4Q avg 84.3%
Percentage of short-stay residents who had an outpatient emergency department visit	11.7%	12.5% 0.8 pts better	12.0% 0.3 pts better	Short Stay · 20240701-20250630 · Adjusted 11.7% · Observed 12.5% · Expected 11.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.2% 0.4 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	80.0%	75.6% 4.4 pts better	79.7% 0.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 80.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	12.2%	25.1% 12.9 pts better	23.9% 11.7 pts better	Short Stay · 20240701-20250630 · Adjusted 12.2% · Observed 12.5% · Expected 24.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-08 · Fire 2024-05-08

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

12 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 2 Health 2022-03-17 · Fire 2022-03-17

30 health deficiencies

Top issue: Nutrition and Dietary (6 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-03-28 · Fire 2019-03-28

12 health deficiencies

Top issue: Resident Assessment and Care Planning (4 deficiencies)

11 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-05-08

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-05-29

F · Potential for more than minimal harm 2024-05-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-29

F · Potential for more than minimal harm 2024-05-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-05-29

F · Potential for more than minimal harm 2024-05-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-05-29

F · Potential for more than minimal harm 2024-05-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-05-29

E · Potential for more than minimal harm 2024-05-08

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-05-29

E · Potential for more than minimal harm 2024-05-08

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 2024-05-29

E · Potential for more than minimal harm 2024-05-08

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-05-29

E · Potential for more than minimal harm 2024-05-08

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2024-05-29

E · Potential for more than minimal harm 2024-05-08

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-05-29

E · Potential for more than minimal harm 2024-05-08

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-05-29

C · Minimal harm 2024-05-08

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-05-29

F · Potential for more than minimal harm 2023-03-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-03-30

E · Potential for more than minimal harm 2022-03-17

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Not marked corrected

E · Potential for more than minimal harm 2022-03-17

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Not marked corrected

E · Potential for more than minimal harm 2022-03-17

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2022-04-22

E · Potential for more than minimal harm 2022-03-17

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2022-04-22

E · Potential for more than minimal harm 2022-03-17

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-04-22

E · Potential for more than minimal harm 2022-03-17

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-04-22

F · Potential for more than minimal harm 2019-03-28

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2019-05-15

F · Potential for more than minimal harm 2019-03-28

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-05-15

F · Potential for more than minimal harm 2019-03-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-05-15

E · Potential for more than minimal harm 2019-03-28

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2019-05-15

E · Potential for more than minimal harm 2019-03-28

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2019-05-15

E · Potential for more than minimal harm 2019-03-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-05-15

C · Minimal harm 2019-03-28

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2019-05-15

C · Minimal harm 2019-03-28

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2019-05-15

C · Minimal harm 2019-03-28

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2019-05-15

C · Minimal harm 2019-03-28

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2019-05-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-15

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Not marked corrected

D · Potential for more than minimal harm 2026-01-15

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.

Not marked corrected

F · Potential for more than minimal harm 2025-01-23

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-08-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-09-11

D · Potential for more than minimal harm 2024-08-21

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-09-11

E · Potential for more than minimal harm 2024-07-19

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-07-29

F · Potential for more than minimal harm 2024-05-08

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 2024-05-29

D · Potential for more than minimal harm 2024-05-08

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-05-29

D · Potential for more than minimal harm 2024-05-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-05-29

D · Potential for more than minimal harm 2024-05-08

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-05-29

J · Immediate jeopardy 2023-10-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-08-19

F · Potential for more than minimal harm 2023-10-23

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-11-03

E · Potential for more than minimal harm 2023-10-23

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-11-03

D · Potential for more than minimal harm 2023-10-23

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 2023-11-03

D · Potential for more than minimal harm 2023-08-18

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2023-08-19

F · Potential for more than minimal harm 2022-03-17

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2022-04-22

F · Potential for more than minimal harm 2022-03-17

F761 · Pharmacy Service Deficiencies

Health

Corrected 2022-04-22

F · Potential for more than minimal harm 2022-03-17

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2022-04-22

F · Potential for more than minimal harm 2022-03-17

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2022-04-22

F · Potential for more than minimal harm 2022-03-17

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 2022-04-22

F · Potential for more than minimal harm 2022-03-17

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2022-04-22

F · Potential for more than minimal harm 2022-03-17

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-04-22

E · Potential for more than minimal harm 2022-03-17

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-04-22

E · Potential for more than minimal harm 2022-03-17

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-04-22

E · Potential for more than minimal harm 2022-03-17

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 2022-04-22

E · Potential for more than minimal harm 2022-03-17

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-04-22

E · Potential for more than minimal harm 2022-03-17

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2022-04-22