Federal inspection record · CMS data as of October 1, 2026
Larchwood Care
4110 Rocky River Drive, Cleveland, OH · (216) 941-6100
- Certified beds
- 74
- Residents per day
- 60
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 23, 2008
1
How this home got 5 stars
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Larchwood Care carries 38 inspection points. That is fewer than 69% of Ohio's 913 rated homes.
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
17 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Resident Rights3E
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Freedom from Abuse, Neglect, and Exploitation2F
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Environmental2E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D
Keep all essential equipment working safely.
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2025-09-08
8 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2022-11-17
0 health deficiencies · 3 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2019-09-05
9 health deficiencies · 12 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 6 h 7 min of nursing staff time a day, 1 h 4 min of it from a registered nurse.
This home
6 h 7 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 29% of nursing staff and 17% 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
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 100.0% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.5 pts better | 95.2% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts better | 1.3% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.9 pts worse | 50.5% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 6.2% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.2 pts worse | 29.7% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.5 pts better | 0.0% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.5 pts worse | 6.8% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.1 pts worse | 6.1% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts worse | 26.1% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers8.7 pts worse | 11.9% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.7 pts better | 97.1% | 78.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.7 pts better | 91.1% | 76.4% | 80.1% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Larchwood Investors LLC | 5% Or Greater Direct Ownership Interest · Organization | 90% | 1 facilities |
| Cobb, Michael | 5% Or Greater Indirect Ownership Interest · Individual | 45% | 2 facilities |
| Thompson, Lowell | 5% Or Greater Indirect Ownership Interest · Individual | 45% | 1 facilities |
| Kothari, Zahid | 5% Or Greater Direct Ownership Interest · Individual | 5% | 6 facilities |
| Krutowsky, Joshua | 5% Or Greater Indirect Ownership Interest · Individual | 5% | 1 facilities |
| Union Commerce Capital LLC | 5% Or Greater Direct Ownership Interest · Organization | 5% | 1 facilities |
| Shank, Kelsey | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Ww Healthcare Consultants, LLC | Operational/Managerial Control · Organization | 0% | 2 facilities |
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Fire safety
19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness7C
- C
Address subsistence needs for staff and patients.
- C
Establish procedures for tracking staff and patients during an emergency.
- C
Establish policies and procedures for volunteers.
- C
Establish roles under a Waiver declared by secretary.
- C
Provide a means of sharing information on occupancy/needs.
- C
Provide family notifications of emergency plan.
- C
Include a process for Emergency Preparedness collaboration.
Gas, Vacuum, and Electrical Systems5F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper power supply for life support equipment.
- E
Have proper power supply for life support equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
Smoke3F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Install an approved automatic sprinkler system.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
Construction1E
- E
Meet other general requirements.
Egress1E
- 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.
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Other homes nearby
-
Rocky River Gardens Rehab And Nursing Ctr
Cleveland, OH · Garden Healthcare Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 31 min
- Fines
- $68,068
-
Aristos Nursing and Rehabilitation
Cleveland, OH
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 19 min
- Fines
- $0
-
Westpark Healthcare Campus
Cleveland, OH
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 57 min
- Fines
- $0