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)
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
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
Chain footprint
22 facilities
Chain averages 3 overall / 2 health / 2 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.85
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.48
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.88
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.21
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.33
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
2.85
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.64
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.75
CMS adjusted RN staffing hours
Adjusted total hours
2.82
CMS adjusted total nurse staffing hours
Case-mix index
1.56
Higher values indicate more complex resident acuity
RN turnover
39%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
50%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,726
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
0
Composite VBP score used to determine payment impact.
Payment multiplier
0.9803
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
0
Baseline 69.49% · Performance 67.74% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.43 hours · Performance 2.95 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.36 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 9 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 14.08% |
8.2%
5.9 pts better
|
Numerator 20 · Denominator 142 |
| Staff flu vaccination coverage | 25.78% |
42%
16.2 pts worse
|
Numerator 33 · Denominator 128 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
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 · Q1 90.7% · Q2 84.1% · Q3 86.0% · Q4 73.8% · 4Q avg 83.7% |
| 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 · 4Q avg 91.5% |
| 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 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 2.4% · 4Q avg 1.2% · Used in QM five-star |
| 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 · Q1 24.3% · Q2 50.0% · Q3 43.2% · Q4 50.0% · 4Q avg 41.7% |
| 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 · Q1 7.5% · Q2 14.6% · Q3 7.7% · Q4 2.4% · 4Q avg 8.1% |
| 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 · Q1 4.9% · Q2 7.3% · Q3 12.5% · Q4 14.6% · 4Q avg 9.8% |
| 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 · Q1 23.1% · Q2 30.4% · Q3 20.7% · Q4 10.7% · 4Q avg 20.8% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| 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 · 4Q avg 5.9% · Used in QM five-star |
| 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 · Q1 10.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| 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 · Q1 30.2% · Q2 15.9% · Q3 22.1% · Q4 8.5% · 4Q avg 19.2% |
| 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 · Q1 5.9% · Q2 7.4% · Q3 5.3% · Q4 5.4% · 4Q avg 6.0% · Used in QM five-star |
| 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 · Q1 56.5% · Q2 44.4% · Q3 32.3% · Q4 38.7% · 4Q avg 42.0% |
| 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 · 4Q avg 3.9% · Used in QM five-star |
| 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 · 4Q avg 48.1% |
Survey summary
Recent inspection cycles
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
Stein, Abba
5% Or Greater Direct Ownership Interest · Individual
Cusner, Adam
Operational/Managerial Control · Individual
Cusner, Adam
Corporate Officer · Individual
Degyansky, Jeffrey
Operational/Managerial Control · Individual
Degyansky, Jeffrey
Corporate Officer · Individual
Goldish, Eliezer
Operational/Managerial Control · Individual
Goldish, Eliezer
Corporate Officer · Individual
Kazarnovsky, Solomon
Operational/Managerial Control · Individual
Stein, Abba
Operational/Managerial Control · Individual
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
#2
Daughters Of Miriam Center For Nursing & Rehabilit
Beachwood, OH
2-star overall rating with 1-star inspections with 22 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
#3
Beachwood Pointe Care Center
Beachwood, OH
1-star overall rating with 1-star inspections with 16 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
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