Shaker Heights, OH

Shaker Gardens Nursing And Rehabilitation Center

5-star overall rating with 4-star inspections with $35,863 in total fines with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

3550 Northfield Road, Shaker Heights, OH

(216) 752-5600

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

48

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lionstone Care

Operator or chain grouping

Approved since

1995-08-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.85

Registered nurse staffing

LPN hours / resident day

0.48

Licensed practical nurse staffing

Aide hours / resident day

1.88

Nurse aide staffing

Weekend hours

2.85

Weekend nurse staffing

RN turnover

39%

Annual RN turnover

Total nurse turnover

50%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	83.7%	92.4% 8.7 pts worse	93.4% 9.7 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	91.5%	94.5% 3 pts worse	95.5% 4 pts worse	Long Stay · 2024Q3-2025Q2
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
Percentage of long-stay residents who have depressive symptoms	41.7%	26.1% 15.6 pts worse	11.4% 30.3 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	8.1%	6.2% 1.9 pts worse	5.4% 2.7 pts worse	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents who received an antipsychotic medication	20.8%	11.5% 9.3 pts worse	16.7% 4.1 pts worse	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	5.9%	7.7% 1.8 pts better	16.3% 10.4 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	2.7%	6.2% 3.5 pts better	14.9% 12.2 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.2% 0.2 pts worse	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.2%	21.7% 2.5 pts better	19.8% 0.6 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	6.0%	3.7% 2.3 pts worse	5.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	42.0%	78.1% 36.1 pts worse	81.7% 39.7 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication	3.9%	1.2% 2.7 pts worse	1.6% 2.3 pts worse	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	48.1%	75.6% 27.5 pts worse	79.7% 31.6 pts worse	Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-17 · Fire 2024-10-17

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-05-02 · Fire 2022-05-02

12 health deficiencies

Top issue: Resident Rights (5 deficiencies)

8 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2019-05-22 · Fire 2019-05-22

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-17

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-12-05

F · Potential for more than minimal harm 2024-10-17

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-12-05

F · Potential for more than minimal harm 2024-10-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-05

F · Potential for more than minimal harm 2024-10-17

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-12-05

F · Potential for more than minimal harm 2024-10-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-12-05

F · Potential for more than minimal harm 2024-10-17

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2024-12-05

F · Potential for more than minimal harm 2022-05-02

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Not marked corrected

F · Potential for more than minimal harm 2022-05-02

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 2022-06-17

F · Potential for more than minimal harm 2022-05-02

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2022-06-17

F · Potential for more than minimal harm 2022-05-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-06-17

F · Potential for more than minimal harm 2022-05-02

K362 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-06-17

F · Potential for more than minimal harm 2022-05-02

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 2022-06-17

E · Potential for more than minimal harm 2022-05-02

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-06-17

E · Potential for more than minimal harm 2022-05-02

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2022-06-17

F · Potential for more than minimal harm 2019-05-22

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-06-21

F · Potential for more than minimal harm 2019-05-22

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-06-21

F · Potential for more than minimal harm 2019-05-22

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-06-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-10-17

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-05

D · Potential for more than minimal harm 2024-03-06

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 2024-03-19

D · Potential for more than minimal harm 2024-02-13

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 2024-03-19

F · Potential for more than minimal harm 2022-05-02

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2022-06-17

F · Potential for more than minimal harm 2022-05-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-06-17

E · Potential for more than minimal harm 2022-05-02

F569 · Resident Rights Deficiencies

Health

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

Corrected 2022-06-17

E · Potential for more than minimal harm 2022-05-02

F803 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2022-06-17

E · Potential for more than minimal harm 2022-05-02

F883 · Infection Control Deficiencies

Health

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

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-02

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 2022-06-17

D · Potential for more than minimal harm 2022-05-02

F622 · Resident Rights Deficiencies

Health

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.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-02

F623 · Resident Rights Deficiencies

Health

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

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-02

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2022-06-17

D · Potential for more than minimal harm 2022-05-02

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 2022-06-17

D · Potential for more than minimal harm 2022-05-02

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-06-17

D · Potential for more than minimal harm 2019-05-22

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2019-06-21

D · Potential for more than minimal harm 2019-05-22

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 2019-06-21

Penalties and ownership

What sits behind the stars

$4,587 2023-09-11

Fine

Fine · fine $4,587

Fine

$4,545 2023-09-05

Fine

Fine · fine $4,545

Fine

$4,587 2023-08-28

Fine

Fine · fine $4,587

Fine

$4,587 2023-08-21

Fine

Fine · fine $4,587

Fine

$4,235 2023-08-14

Fine

Fine · fine $4,235

Fine

$3,882 2023-08-07

Fine

Fine · fine $3,882

Fine

$9,440 2023-07-17

Fine

Fine · fine $9,440

Fine

Ownership

Kazarnovsky, Solomon

5% Or Greater Direct Ownership Interest · Individual

50% 30 facilities 2018-02-12

Stein, Abba

5% Or Greater Direct Ownership Interest · Individual

50% 30 facilities 2018-02-12

Cusner, Adam

Operational/Managerial Control · Individual

0% 27 facilities 2025-01-27

Cusner, Adam

Corporate Officer · Individual

0% 27 facilities 2025-01-27

Degyansky, Jeffrey

Operational/Managerial Control · Individual

0% 27 facilities 2020-01-01

Degyansky, Jeffrey

Corporate Officer · Individual

0% 27 facilities 2020-01-01

Goldish, Eliezer

Operational/Managerial Control · Individual

0% 27 facilities 2023-10-09

Goldish, Eliezer

Corporate Officer · Individual

0% 27 facilities 2023-10-09

Kazarnovsky, Solomon

Operational/Managerial Control · Individual

0% 30 facilities 2018-05-16

Stein, Abba

Operational/Managerial Control · Individual

0% 30 facilities 2018-05-16

Nearby options

Other facilities in reach

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Harvard Gardens Rehabilitation & Care Center

Cleveland, OH

1-star overall rating with 1-star inspections with abuse icon flag with $193,748 in total fines with 16 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle

Overall: 1 / 5
Health: 1 / 5
Staffing: 1 / 5
Fines: $193,748

#2