Federal inspection record · CMS data as of October 1, 2026
O'neill Healthcare Middleburg Heights
7250 Old Oak Blvd, Middleburg Heights, OH · (440) 243-7888
- Certified beds
- 82
- Residents per day
- 70
- Ownership
- For-Profit
- Chain
- O'neill Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 20, 1987
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.
-
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
O'neill Healthcare Middleburg Heights carries 28.75 inspection points. That is fewer than 78% 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
10 health citations on record since 2020. 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)
-
J
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Everything else, by area of care
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care1D
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nursing and Physician Services1F
- F
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.
Pharmacy Service1D
- D
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.
Nutrition and Dietary1D
- D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Resident Rights1D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspection history
2025-12-04
1 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2022-12-27
5 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2020-02-20
4 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 19 min of it from a registered nurse.
This home
3 h 34 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 39% of nursing staff and 38% 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
$166,764 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-29 | Fine | $166,764 |
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 vaccine2.5 pts worse | 90.2% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts better | 1.8% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.7 pts worse | 50.3% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts worse | 8.2% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.7 pts better | 16.8% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.7 pts better | 1.8% | 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 worsened5.3 pts better | 0.0% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.4 pts better | 2.6% | 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 incontinence0.8 pts worse | 21.7% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 3.3% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.7 pts better | 88.1% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.9 pts better | 5.7% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.6 pts better | 0.6% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11 pts better | 87.4% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts better | 23.3% | 24.4% | 23.4% |
·
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 |
|---|---|---|---|
| Carlow LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| Oneill, John | 5% Or Greater Indirect Ownership Interest · Individual | 40% | 6 facilities |
| Oneill, Deborah | 5% Or Greater Indirect Ownership Interest · Individual | 13% | 6 facilities |
| Middleburg Heights Holdings LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| O'neill Management, LLC | Operational/Managerial Control · Organization | 0% | 6 facilities |
| Oneill, Deborah | Corporate Officer · Individual | 0% | 6 facilities |
| Oneill, John | Corporate Officer · Individual | 0% | 6 facilities |
| Verlinger, Elizabeth | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Properly provide smoke detection systems in areas open to corridors.
- E
Install corridor and hallway doors that block smoke.
Egress6F
- F
Have properly located and lighted "Exit" signs.
- E
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.
- E
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.
- E
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have power receptacles that are properly grounded.
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- E
Ensure proper usage of power strips and extension cords.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have simulated fire drills held at unexpected times.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness2C
- C
Establish policies and procedures for volunteers.
- C
Establish roles under a Waiver declared by secretary.
·
Other homes nearby
-
Parkside Villa
Middleburg Heights, OH · Legacy Health Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 56 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
-
Aristocrat Berea Healthcare And Rehabilitation
Berea, OH · Certus Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 2 min
- Fines
- $0