{"schema_version":"1.0.0","facility":{"id":"cms-366359","ccn":"366359","name":"Larchwood Care","source_name":"LARCHWOOD CARE","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"OH","address":{"line1":"4110 Rocky River Drive","city":"Cleveland","state":"OH","zip":"44135","county_name":"Cuyahoga County","county_fips":"39035","county_method":"name_match","ssa_county_code":"170","urban":true},"location":{"lat":41.4425,"lon":-81.819,"method":"cms_published_coordinates"},"phone":"2169416100","certification":{"authority":"CMS","ccn":"366359","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2008-01-23","certified_beds":74,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/366359"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":74,"avg_residents_per_day":59.8},"ownership_type":"For profit - Limited Liability company","ownership_class":"for_profit","legal_business_name":"LARCHWOOD CARE LLC","flags":{"ccrc":true,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":4},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"footnote":"2"},"staffing":{"value":4},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":3.77449,"lpn_hprd":1.26709,"rn_hprd":1.07241,"licensed_hprd":2.33951,"total_nurse_hprd":6.114,"weekend_total_nurse_hprd":5.49469,"weekend_rn_hprd":0.64778,"pt_hprd":0.22027,"nursing_turnover_pct":28.9,"rn_turnover_pct":16.7,"administrators_left":0,"case_mix_index":2.2456,"case_mix_index_ratio":1.59234,"case_mix_total_nurse_hprd":6.21148,"adjusted_total_nurse_hprd":3.8095,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-09-08","cycle1_deficiencies":8,"cycle1_score":48,"cycle2_date":"2022-11-17","cycle23_deficiencies":2,"cycle23_score":8,"total_weighted_score":38},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"operator_id":"op-larchwood-care-llc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/366359","provenance":[{"source_id":"cms_provider_info","source_record_id":"366359","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366359&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"366359","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366359&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":8,"health_count":5,"fire_count":3,"complaint_count":3,"latest_date":"2026-05-12","latest_standard_health":"2025-09-08","earliest_date":"2019-09-05","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":36,"health_count":17,"fire_count":19,"open_count":7,"actual_harm_count":1,"immediate_jeopardy_count":0,"serious_count":1,"complaint_count":5,"by_severity":{"potential":28,"actual_harm":1,"minimal":7},"by_scope_severity":{"D":10,"F":6,"E":12,"G":1,"C":7},"by_concept":{"clinical_care":5,"environment_life_safety":14,"resident_rights":5,"medication":1,"infection_prevention":1,"emergency_preparedness":7,"food_nutrition":3},"type_ids":["cms-f0684","cms-f0686","cms-k0353","cms-k0521","cms-k0918","cms-k0915","cms-f0689","cms-f0558","cms-f0604","cms-f0677","cms-f0688","cms-f0755","cms-f0553","cms-f0880","cms-k0511","cms-k0100","cms-k0222","cms-k0351","cms-k0920","cms-e0009","cms-e0015","cms-e0018","cms-e0024","cms-e0026","cms-e0034","cms-e0035","cms-f0607","cms-f0812","cms-f0550","cms-f0800","cms-f0806","cms-f0921","cms-f0908"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":8,"organizations":3,"individuals":5,"not_available":false}},"row":{"id":"cms-366359","ccn":"366359","name":"Larchwood Care","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"OH","city":"Cleveland","zip":"44135","county_fips":"39035","county_name":"Cuyahoga County","address":"4110 Rocky River Drive","beds":74,"residents":59.8,"ownership":"for_profit","operator_id":"op-larchwood-care-llc","operator_name":"Larchwood Care LLC","lat":41.4425,"lon":-81.819,"overall":5,"health_rating":4,"staffing_rating":4,"qm_rating":5,"nurse_hprd":6.11,"turnover":28.9,"ccrc":true,"inspections":8,"last_inspection":"2026-05-12","deficiencies":36,"serious":1,"ij":0,"open":7,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0684","cms-f0686","cms-k0353","cms-k0521","cms-k0918","cms-k0915","cms-f0689","cms-f0558","cms-f0604","cms-f0677","cms-f0688","cms-f0755","cms-f0553","cms-f0880","cms-k0511","cms-k0100","cms-k0222","cms-k0351","cms-k0920","cms-e0009","cms-e0015","cms-e0018","cms-e0024","cms-e0026","cms-e0034","cms-e0035","cms-f0607","cms-f0812","cms-f0550","cms-f0800","cms-f0806","cms-f0921","cms-f0908"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-larchwood-care-llc","name":"Larchwood Care LLC","legal_name":"LARCHWOOD CARE LLC","facility_count":1,"states":["OH"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"ownership":[{"owner_id":"org-larchwood-investors-llc","owner_type":"organization","owner_name":"Larchwood Investors LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":90,"percentage_raw":"90%","association_date":"2019-05-01"},{"owner_id":"org-union-commerce-capital-llc","owner_type":"organization","owner_name":"Union Commerce Capital LLC","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":5,"percentage_raw":"5%","association_date":"2019-05-01"},{"owner_type":"individual","owner_name":"Zahid Kothari","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":5,"percentage_raw":"5%","association_date":"2019-05-01","owner_name_raw":"KOTHARI, ZAHID"},{"owner_type":"individual","owner_name":"Michael Cobb","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":45,"percentage_raw":"45%","association_date":"2019-05-01","owner_name_raw":"COBB, MICHAEL"},{"owner_type":"individual","owner_name":"Lowell Thompson","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":45,"percentage_raw":"45%","association_date":"2019-05-01","owner_name_raw":"THOMPSON, LOWELL"},{"owner_type":"individual","owner_name":"Joshua Krutowsky","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage":5,"percentage_raw":"5%","association_date":"2019-05-01","owner_name_raw":"KRUTOWSKY, JOSHUA"},{"owner_id":"org-ww-healthcare-consultants-llc","owner_type":"organization","owner_name":"Ww Healthcare Consultants, LLC","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2019-05-01"},{"owner_type":"individual","owner_name":"Kelsey Shank","role":"managing_employee","role_raw":"W-2 MANAGING EMPLOYEE","percentage_raw":"NOT APPLICABLE","association_date":"2019-05-01","owner_name_raw":"SHANK, KELSEY"}],"inspections":[{"id":"cms-366359-20260512-health","ccn":"366359","date":"2026-05-12","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-05","cmp":1},{"t":"cms-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2026-06-05","cmp":1}]},{"id":"cms-366359-20250908-fire","ccn":"366359","date":"2025-09-08","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-25","std":1,"tv":"New"},{"t":"cms-k0521","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-25","std":1,"tv":"New"},{"t":"cms-k0915","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-25","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-25","std":1,"tv":"New"}]},{"id":"cms-366359-20250908-health","ccn":"366359","date":"2025-09-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint","Health Standard"],"cycles":[1,2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0689","ss":"G","sl":3,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0558","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-25","cmp":1,"std":1},{"t":"cms-f0604","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-25","std":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-25","std":1}]},{"id":"cms-366359-20240305-health","ccn":"366359","date":"2024-03-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0553","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-15","cmp":1},{"t":"cms-f0880","ss":"D","sl":2,"cs":"corrected","cd":"2024-03-15","cmp":1}]},{"id":"cms-366359-20221117-fire","ccn":"366359","date":"2022-11-17","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2023-01-06","std":1,"tv":"New"},{"t":"cms-k0511","ss":"E","sl":2,"cs":"corrected","cd":"2023-01-06","std":1,"tv":"New"},{"t":"cms-k0915","ss":"E","sl":2,"cs":"waiver_granted","cd":"2023-01-06","std":1,"tv":"New"}]},{"id":"cms-366359-20221117-health","ccn":"366359","date":"2022-11-17","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-366359-20190905-fire","ccn":"366359","date":"2019-09-05","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":12,"max_severity_level":2,"open_count":7,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0100","ss":"E","sl":2,"cs":"corrected","cd":"2019-09-30","std":1,"tv":"New"},{"t":"cms-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2019-09-30","std":1,"tv":"New"},{"t":"cms-k0351","ss":"E","sl":2,"cs":"corrected","cd":"2019-09-30","std":1,"tv":"New"},{"t":"cms-k0918","ss":"F","sl":2,"cs":"corrected","cd":"2019-09-30","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2019-09-30","std":1,"tv":"New"},{"t":"cms-e0009","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2019-11-12","std":1,"tv":"New"},{"t":"cms-e0015","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2019-11-12","std":1,"tv":"New"},{"t":"cms-e0018","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2019-11-12","std":1,"tv":"New"},{"t":"cms-e0024","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2019-11-12","std":1,"tv":"New"},{"t":"cms-e0026","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2019-11-12","std":1,"tv":"New"},{"t":"cms-e0034","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2019-11-12","std":1,"tv":"New"},{"t":"cms-e0035","ss":"C","sl":1,"cs":"plan_of_correction","cd":"2019-11-12","std":1,"tv":"New"}]},{"id":"cms-366359-20190905-health","ccn":"366359","date":"2019-09-05","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":7,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"E","sl":2,"cs":"corrected","cd":"2019-09-30","std":1},{"t":"cms-f0607","ss":"F","sl":2,"cs":"corrected","cd":"2019-09-30","std":1},{"t":"cms-f0800","ss":"E","sl":2,"cs":"corrected","cd":"2019-09-30","std":1},{"t":"cms-f0806","ss":"E","sl":2,"cs":"corrected","cd":"2019-09-30","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2019-09-30","std":1},{"t":"cms-f0908","ss":"D","sl":2,"cs":"corrected","cd":"2019-09-30","std":1},{"t":"cms-f0921","ss":"E","sl":2,"cs":"corrected","cd":"2019-09-30","std":1}]}],"deficiency_types":{"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0521":{"code":"K-0521","title":"Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0918":{"code":"K-0918","title":"Have generator or other power source capable of supplying service within 10 seconds.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0915":{"code":"K-0915","title":"Have proper power supply for life support equipment.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0558":{"code":"F-0558","title":"Reasonably accommodate the needs and preferences of each resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0604":{"code":"F-0604","title":"Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0688":{"code":"F-0688","title":"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.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0553":{"code":"F-0553","title":"Allow resident to participate in the development and implementation of his or her person-centered plan of care.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0100":{"code":"K-0100","title":"Meet other general requirements.","category":"Construction Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0222":{"code":"K-0222","title":"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.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0351":{"code":"K-0351","title":"Install an approved automatic sprinkler system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-e0009":{"code":"E-0009","title":"Include a process for Emergency Preparedness collaboration.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0015":{"code":"E-0015","title":"Address subsistence needs for staff and patients.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0018":{"code":"E-0018","title":"Establish procedures for tracking staff and patients during an emergency.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0024":{"code":"E-0024","title":"Establish policies and procedures for volunteers.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0026":{"code":"E-0026","title":"Establish roles under a Waiver declared by secretary.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0034":{"code":"E-0034","title":"Provide a means of sharing information on occupancy/needs.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-e0035":{"code":"E-0035","title":"Provide family notifications of emergency plan.","category":"Emergency Preparedness Deficiencies","concept":"emergency_preparedness","concept_label":"Emergency preparedness"},"cms-f0607":{"code":"F-0607","title":"Develop and implement policies and procedures to prevent abuse, neglect, and theft.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0800":{"code":"F-0800","title":"Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0806":{"code":"F-0806","title":"Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0908":{"code":"F-0908","title":"Keep all essential equipment working safely.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366359&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366359&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366359&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366359&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366359&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366359&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"OH","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":4.5,"staffing_rating":2.4,"avg_residents_per_day":73.1,"cycle1_health_deficiencies":10.5,"cycle1_fire_deficiencies":5.5,"nurse_aide_hprd":2.12,"lpn_hprd":0.95,"rn_hprd":0.64459,"licensed_hprd":1.6,"total_nurse_hprd":3.71117,"weekend_total_nurse_hprd":3.29264,"weekend_rn_hprd":0.43,"pt_hprd":0.05,"nursing_turnover_pct":49,"rn_turnover_pct":44.4,"administrators_left":0.6,"case_mix_index":1.51114,"fines":0.6,"fine_amount":25699,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"OH","name":"Ohio"},"county":{"fips":"39035","name":"Cuyahoga County"},"zip":"44135","city":"Cleveland"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[],"same_chain_total":0,"same_site_review":[],"nearby":[{"id":"cms-365392","ccn":"365392","name":"Rocky River Gardens Rehab and Nursing Ctr","address":"4102 Rocky River Dr","city":"Cleveland","state":"OH","zip":"44135","beds":120,"overall":2,"inspections":14,"last_inspection":"2026-07-24","deficiencies":79,"serious":5,"ij":3,"open":0,"fines_total":68068,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":0},{"id":"cms-366058","ccn":"366058","name":"Aristos Nursing and Rehabilitation","address":"4650 Rocky River Dr","city":"Cleveland","state":"OH","zip":"44135","beds":57,"overall":1,"inspections":9,"last_inspection":"2026-05-13","deficiencies":57,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.7},{"id":"cms-365796","ccn":"365796","name":"Westpark Healthcare Campus","address":"4401 W 150th Street","city":"Cleveland","state":"OH","zip":"44135","beds":99,"overall":5,"inspections":11,"last_inspection":"2026-08-06","deficiencies":48,"serious":0,"ij":0,"open":3,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.7},{"id":"cms-366428","ccn":"366428","name":"O'neill Healthcare Fairview Park","address":"20770 Lorain Road","city":"Fairview Park","state":"OH","zip":"44126","beds":118,"overall":5,"inspections":10,"last_inspection":"2026-08-20","deficiencies":26,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":2.6},{"id":"cms-366103","ccn":"366103","name":"Welsh Home the","address":"22199 Center Ridge Rd","city":"Rocky River","state":"OH","zip":"44116","beds":79,"overall":5,"inspections":6,"last_inspection":"2024-01-04","deficiencies":24,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.2},{"id":"cms-365310","ccn":"365310","name":"Gardens of North Olmsted","address":"23225 Lorain Rd","city":"North Olmsted","state":"OH","zip":"44070","beds":99,"overall":2,"inspections":15,"last_inspection":"2026-08-13","deficiencies":116,"serious":1,"ij":1,"open":3,"fines_total":21182,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.9},{"id":"cms-365267","ccn":"365267","name":"O'neill Healthcare Lakewood","address":"13900 Detroit Ave","city":"Lakewood","state":"OH","zip":"44107","beds":114,"overall":4,"inspections":12,"last_inspection":"2026-08-13","deficiencies":43,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.4},{"id":"cms-366390","ccn":"366390","name":"North Park Care Center","address":"14801 Holland Road","city":"Brook Park","state":"OH","zip":"44142","beds":34,"overall":4,"inspections":6,"last_inspection":"2025-03-27","deficiencies":21,"serious":0,"ij":0,"open":5,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.4}]}}