Federal inspection record · CMS data as of October 1, 2026

Heritage Healthcare of Lyndhurst

1575 Brainard Rd, Lyndhurst, OH · (440) 460-1000

CMS overall rating

1 of 5

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Certified beds
119
Residents per day
92
Ownership
For-Profit
Chain
Embassy Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
March 12, 1997

1

How this home got 1 star

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.

  2. Staffing

    no change (already 1)

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Ohio homes

Heritage Healthcare of Lyndhurst carries 180 inspection points. That is fewer than 8% of Ohio's 913 rated homes.

5★4★3★2★1★+28 homes above 24805102550100200inspection points → fewer is better on the leftThis home · 180 pts · 1★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–15 pts
  • 4★ 15–42 pts
  • 3★ 42–69 pts
  • 2★ 69–121.25 pts
  • 1★ over 121.25 pts

Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

65 health citations on record since 2020. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 36 4 pts
E 7 8 pts
F 16 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 2 0 pts
C 2 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (2)

  1. G

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

    April 7, 2025 · Complaint inspection · Quality of Life and Care · F684 · Corrected April 28, 2025

  2. G

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

    October 16, 2024 · Complaint inspection · Quality of Life and Care · F689 · Corrected November 5, 2024

Everything else, by area of care

Resident Rights20E
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    April 7, 2025 · Standard · F550 · Corrected April 28, 2025

  2. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    April 7, 2025 · Standard · F557 · Corrected April 28, 2025

  3. D

    Reasonably accommodate the needs and preferences of each resident.

    April 7, 2025 · Standard · F558 · Corrected April 28, 2025

  4. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    April 7, 2025 · Standard · F561 · Corrected April 28, 2025

  5. D

    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.

    April 7, 2025 · Standard · F578 · Corrected April 28, 2025

  6. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    April 7, 2025 · Standard · F580 · Corrected April 28, 2025

  7. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    April 7, 2025 · Standard · F582 · Corrected April 28, 2025

  8. D

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    April 7, 2025 · Complaint · F584 · Corrected April 28, 2025

  9. B

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    April 7, 2025 · Standard · F623 · Corrected April 28, 2025

  10. B

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    April 7, 2025 · Standard · F625 · Corrected April 28, 2025

  11. E

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    October 16, 2024 · Complaint · F550 · Corrected November 5, 2024

  12. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    July 30, 2024 · Complaint · F580 · Corrected August 23, 2024

  13. E

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    March 5, 2024 · Complaint · F584 · Corrected May 14, 2024

  14. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    March 5, 2024 · Complaint · F557 · Corrected May 14, 2024

  15. D

    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.

    November 23, 2023 · Standard · F578 · Corrected January 12, 2024

  16. D

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    November 23, 2023 · Standard · F622 · Corrected January 12, 2024

  17. D

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    February 27, 2020 · Standard · F557 · Corrected March 27, 2020

  18. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    February 27, 2020 · Standard · F582 · Corrected March 27, 2020

  19. C

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    February 27, 2020 · Standard · F623 · Corrected March 27, 2020

  20. C

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    February 27, 2020 · Standard · F625 · Corrected March 27, 2020

Quality of Life and Care13F
  1. 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.

    August 17, 2026 · Complaint · F690 · Corrected August 28, 2026

  2. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    April 7, 2025 · Complaint · F677 · Corrected April 28, 2025

  3. 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.

    April 7, 2025 · Standard · F690 · Corrected April 28, 2025

  4. D

    Provide safe and appropriate respiratory care for a resident when needed.

    April 7, 2025 · Complaint · F695 · Corrected April 28, 2025

  5. E

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

    January 16, 2025 · Complaint · F689 · Corrected January 17, 2025

  6. D

    Provide safe, appropriate pain management for a resident who requires such services.

    December 5, 2024 · Complaint · F697 · Corrected December 6, 2024

  7. F

    Provide activities to meet all resident's needs.

    March 5, 2024 · Complaint · F679 · Corrected May 14, 2024

  8. F

    Ensure the activities program is directed by a qualified professional.

    March 5, 2024 · Complaint · F680 · Corrected May 14, 2024

  9. D

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

    March 5, 2024 · Complaint · F689 · Corrected May 14, 2024

  10. D

    Provide safe and appropriate respiratory care for a resident when needed.

    November 23, 2023 · Standard · F695 · Corrected January 12, 2024

  11. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    February 27, 2020 · Standard · F677 · Corrected March 27, 2020

  12. D

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

    February 27, 2020 · Standard · F684 · Corrected March 27, 2020

  13. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    February 27, 2020 · Standard · F686 · Corrected March 27, 2020

Nutrition and Dietary8F
  1. F

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

    July 28, 2026 · Complaint · F804 · Corrected July 29, 2026

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 7, 2025 · Complaint · F812 · Corrected April 28, 2025

  3. E

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    April 7, 2025 · Complaint · F806 · Corrected April 28, 2025

  4. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 23, 2024 · Complaint · F812 · Corrected May 14, 2024

  5. F

    Dispose of garbage and refuse properly.

    April 23, 2024 · Complaint · F814 · Corrected May 14, 2024

  6. E

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    April 23, 2024 · Complaint · F803 · Corrected May 14, 2024

  7. F

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

    March 5, 2024 · Complaint · F804 · Corrected May 14, 2024

  8. F

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

    February 27, 2020 · Standard · F804 · Corrected March 27, 2020

Resident Assessment and Care Planning6D
  1. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    April 7, 2025 · Standard · F657 · Corrected April 28, 2025

  2. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    April 7, 2025 · Complaint · F842 · Corrected April 28, 2025

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    July 30, 2024 · Complaint · F842 · Corrected August 23, 2024

  4. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    March 5, 2024 · Complaint · F657 · Corrected May 14, 2024

  5. D

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    November 23, 2023 · Standard · F636 · Corrected January 12, 2024

  6. D

    Ensure each resident receives an accurate assessment.

    February 27, 2020 · Standard · F641 · Corrected March 27, 2020

Infection Control4F
  1. F

    Provide and implement an infection prevention and control program.

    April 7, 2025 · Complaint · F880 · Corrected April 28, 2025

  2. E

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

    April 7, 2025 · Standard · F883 · Corrected April 28, 2025

  3. F

    Provide and implement an infection prevention and control program.

    April 23, 2024 · Complaint · F880 · Corrected May 14, 2024

  4. D

    Provide and implement an infection prevention and control program.

    March 5, 2024 · Complaint · F880 · Corrected May 14, 2024

Freedom from Abuse, Neglect, and Exploitation4F
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    July 30, 2024 · Complaint · F600 · Corrected August 23, 2024

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    July 30, 2024 · Complaint · F609 · Corrected August 23, 2024

  3. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 23, 2024 · Complaint · F609 · Corrected May 14, 2024

  4. F

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

    March 5, 2024 · Complaint · F607 · Corrected May 14, 2024

Administration3F
  1. F

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    April 7, 2025 · Standard · F838 · Corrected April 28, 2025

  2. F

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    March 5, 2024 · Complaint · F850 · Corrected May 14, 2024

  3. D

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    March 5, 2024 · Complaint · F849 · Corrected May 14, 2024

Pharmacy Service2D
  1. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    April 7, 2025 · Standard · F756 · Corrected April 28, 2025

  2. 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.

    November 23, 2023 · Standard · F758 · Corrected January 12, 2024

Environmental2F
  1. F

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

    March 5, 2024 · Complaint · F921 · Corrected May 14, 2024

  2. F

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

    October 12, 2023 · Complaint · F921 · Corrected October 26, 2023

Nursing and Physician Services1F
  1. F

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    February 27, 2020 · Standard · F725 · Corrected March 27, 2020

Inspection history

  1. 2025-04-07

    22 health deficiencies · 6 fire-safety deficiencies

    Top issue: Resident Rights (10 deficiencies)

  2. 2023-11-23

    11 health deficiencies · 11 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  3. 2020-02-27

    32 health deficiencies · 15 fire-safety deficiencies

    Top issue: Resident Rights (7 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 53 min of nursing staff time a day, 31 min of it from a registered nurse.

This home

3 h 53 min

Ohio average

3 h 43 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 64% of nursing staff and 53% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$104,650 in federal fines on record over the past three years.

DatePenaltyAmount
2025-04-07Fine$104,650

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.1 pts worse85.6%92.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine22.8 pts worse70.9%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2 pts better1.1%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms13.3 pts worse44.9%31.6%13.5%
Percentage of long-stay residents who lose too much weight8.4 pts worse14.5%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication11.2 pts better14.3%25.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.1 pts better8.4%8.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.3 pts worse6.6%5.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1 pts better4.0%5.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.0%0.2%0.7%
Percentage of long-stay residents with a urinary tract infectionAbout the same0.4%0.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.8 pts worse26.7%20.9%18.3%
Percentage of long-stay residents with pressure ulcers0.3 pts worse3.5%3.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine57.2 pts worse21.2%78.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.1 pts worse14.7%12.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts worse1.4%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine62.7 pts worse13.7%76.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission4.2 pts worse28.6%24.4%23.4%

·

Who owns and runs it

3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Handler, AaronCorporate Officer · Individual0%34 facilities
Repchick, GeorgeCorporate Officer · Individual0%31 facilities
Repchick, GeorgeOperational/Managerial Control · Individual0%31 facilities

·

Fire safety

32 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke14F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    April 7, 2025 · K345 · Corrected April 28, 2025

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 7, 2025 · K353 · Corrected April 28, 2025

  3. F

    Install corridor and hallway doors that block smoke.

    April 7, 2025 · K363 · Corrected April 28, 2025

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 16, 2024 · K353 · Corrected May 14, 2024

  5. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    November 23, 2023 · K345 · Corrected January 12, 2024

  6. F

    Inspect, test, and maintain automatic sprinkler systems.

    November 23, 2023 · K353 · Corrected January 12, 2024

  7. F

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    November 23, 2023 · K372 · Corrected January 12, 2024

  8. E

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

    November 23, 2023 · K321 · Corrected January 12, 2024

  9. E

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    November 23, 2023 · K374 · Corrected January 12, 2024

  10. F

    Provide properly protected cooking facilities.

    February 27, 2020 · K324 · Corrected March 27, 2020

  11. F

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    February 27, 2020 · K352 · Corrected March 27, 2020

  12. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 27, 2020 · K353 · Corrected May 14, 2020

  13. F

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    February 27, 2020 · K354 · Corrected March 27, 2020

  14. F

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    February 27, 2020 · K362 · Corrected March 27, 2020

Gas, Vacuum, and Electrical Systems4F
  1. F

    Have proper medical gas storage and administration areas.

    April 7, 2025 · K923 · Corrected April 28, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    April 16, 2024 · K918 · Corrected May 14, 2024

  3. F

    Have generator or other power source capable of supplying service within 10 seconds.

    November 23, 2023 · K918 · Corrected January 12, 2024

  4. E

    Ensure proper usage of power strips and extension cords.

    February 27, 2020 · K920 · Corrected March 27, 2020

Egress4F
  1. E

    Have exits that are accessible at all times.

    April 7, 2025 · K271 · Corrected April 28, 2025

  2. F

    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.

    April 16, 2024 · K222 · Corrected May 14, 2024

  3. F

    Install emergency lighting that can last at least 1 1/2 hours.

    November 23, 2023 · K291 · Corrected January 12, 2024

  4. E

    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.

    February 27, 2020 · K222 · Corrected March 27, 2020

Services4F
  1. E

    Have properly installed electrical wiring and gas equipment.

    April 7, 2025 · K511 · Corrected April 28, 2025

  2. F

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    November 23, 2023 · K521 · Corrected January 12, 2024

  3. E

    Meet other general requirements that are deficient.

    November 23, 2023 · K500 · Corrected January 12, 2024

  4. F

    Have properly installed electrical wiring and gas equipment.

    February 27, 2020 · K511 · Corrected March 27, 2020

Miscellaneous4F
  1. F

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

    January 16, 2025 · K741 · Corrected January 17, 2025

  2. E

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

    November 23, 2023 · K741 · Corrected January 12, 2024

  3. F

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

    February 27, 2020 · K741 · Corrected March 27, 2020

  4. E

    Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

    February 27, 2020 · K700 · Corrected March 27, 2020

Emergency Preparedness2C
  1. C

    Address subsistence needs for staff and patients.

    February 27, 2020 · E15 · Not yet marked corrected

  2. C

    Conduct risk assessment and an All-Hazards approach.

    February 27, 2020 · E6 · Not yet marked corrected

·

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