Federal inspection record · CMS data as of October 1, 2026
Northwestern Healthcare Center
570 North Rocky River Drive, Berea, OH · (440) 243-2122
- Cited for abuse (CMS abuse icon)
- Certified beds
- 100
- Residents per day
- 45
- Ownership
- For-Profit
- Chain
- Communicare Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 25, 1990
1
How this home got 2 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.
-
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.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Ohio homes
Northwestern Healthcare Center carries 172.25 inspection points. That is fewer than 9% 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
32 health citations on record since 2021. 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 (4)
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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K
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Everything else, by area of care
Quality of Life and Care7D
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate foot care.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Assist a resident in gaining access to vision and hearing services.
Resident Rights5E
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
Reasonably accommodate the needs and preferences of each resident.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- 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.
Administration4F
- F
Have a plan that describes the process for conducting QAPI and QAA activities.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- C
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
- C
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Infection Control4E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning3D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Pharmacy Service3E
- D
Ensure that residents are free from significant medication errors.
- D
Ensure medication error rates are not 5 percent or greater.
- E
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspection history
2025-08-27
14 health deficiencies · 8 fire-safety deficiencies
Top issue: Administration (4 deficiencies)
2023-12-21
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2021-09-14
14 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 29 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
3 h 29 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 61% of nursing staff and 53% of registered nurses left in the past year, along with 2 administrators.
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
$152,195 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-27 | Fine | $68,250 |
| 2024-08-26 | Fine | $26,813 |
| 2024-05-07 | Fine | $57,132 |
6
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 vaccine24 pts worse | 68.7% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts better | 95.9% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts better | 0.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10 pts better | 21.6% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.9 pts better | 3.2% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.6 pts worse | 28.1% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.4 pts better | 8.1% | 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 worsened0.6 pts better | 4.7% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts worse | 5.9% | 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 infection0.8 pts worse | 1.2% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.1 pts better | 13.8% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts better | 2.2% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine37.2 pts worse | 41.2% | 78.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts worse | 2.8% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine7.4 pts worse | 69.0% | 76.4% | 80.1% |
·
Who owns and runs it
25 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 |
|---|---|---|---|
| Second Option Op Co LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| Afzal, Endia | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Afzal, Endia | Adp Of The SNF · Individual | 0% | 2 facilities |
| C R Stoltz Ii LLC | Adp Of The SNF · Organization | 0% | 10 facilities |
| C.r. Stoltz Irrevocable Trust | Adp Of The SNF · Organization | 0% | 57 facilities |
| Damtew, Belai | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Damtew, Belai | Adp Of The SNF · Individual | 0% | 1 facilities |
| Groves, Donna | Operational/Managerial Control · Individual | 0% | 91 facilities |
| Hc Real Estate Holdings, LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| I. Rosedale Irrevocable Trust | Adp Of The SNF · Organization | 0% | 55 facilities |
| Omg Re Holdings LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Option Holdings Ii LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 3 facilities |
| Option Holdings Ii LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| R.s. Wilheim Irrevocable Trust | Adp Of The SNF · Organization | 0% | 57 facilities |
| Rocky River Management Co LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Rocky River Management Co LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Romeo, Dominic | Corporate Officer · Individual | 0% | 90 facilities |
| Romeo, Dominic | Operational/Managerial Control · Individual | 0% | 90 facilities |
| Ronald S Wilheim 2012 Spousal Trust | Adp Of The SNF · Organization | 0% | 56 facilities |
| Rosedale Family Investment Company, Inc | Adp Of The SNF · Organization | 0% | 56 facilities |
| Rrw, LLC | Adp Of The SNF · Organization | 0% | 59 facilities |
| S.l. Rosedale Irrevocable Trust | Adp Of The SNF · Organization | 0% | 56 facilities |
| Stoltz, Charles | Corporate Officer · Individual | 0% | 87 facilities |
| Wilheim Family Investment Company, Inc. | Adp Of The SNF · Organization | 0% | 54 facilities |
| Wilheim, Ronald | Corporate Officer · Individual | 0% | 86 facilities |
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Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install corridor and hallway doors that block smoke.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Have an enclosure around a vertical opening shaft.
Egress4F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems2F
- F
Have proper medical gas storage and administration areas.
- E
Have proper medical gas storage and administration areas.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
Miscellaneous1F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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Other homes nearby
-
Berea Center
Berea, OH · Communicare Health
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 17 min
- Fines
- $0
-
Aristocrat Berea Healthcare And Rehabilitation
Berea, OH · Certus Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 2 min
- Fines
- $0
-
Hopkins Rehabilitation and Care Center
Middleburg Heights, OH
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 18 min
- Fines
- $76,040