| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D15 | E17 | F28 |
| Minimal | A· | B· | C· |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 31, 2025 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Jul 31, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Oct 1, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jun 17, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 8, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 16, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Sep 27, 2022 | Fire safety | Fire Safety Standard | 20 | Potential harm | — | Open → |
| Sep 27, 2022 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Sep 12, 2019 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Sep 12, 2019 | Health | Health Standard | 14 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 1, 2024 | Civil money penalty (fine) | $29,488 | — | 365353|Fine|78278 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D15 | E17 | F28 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 31, 2025 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 22, 2025 | |
| Jul 31, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 10, 2025 | |
| Jul 31, 2025 | K-0353 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
14 facilities in 2 states. CMS chain ID 132.
Chain average overall rating (CMS): 1.8
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Aj R&R Holding Company LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2018 |
| Extended Ohio LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | Apr 1, 2018 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Aj R&R Holding Company LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2018 |
| Extended Ohio LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | Apr 1, 2018 |
| Aj R&R Holding Company LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2018 |
| Jason Dipasqua | Individual | Corporate officer / director | CORPORATE OFFICER | not provided |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Adams Lane Healthcare and Rehabilitation Center 1856 Adams Lane, Zanesville, OH 43701 CCN 365394 | 114 | Jun 10, 2026 | 472 IJ | $18k | |
| Aristocrat Berea Healthcare and Rehabilitation 255 Front Street, Berea, OH 44017 CCN 365608 | 165 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Gardens of Mcgregor and Amasa Stone 14900 Private Dr, East Cleveland, OH 44112 CCN 366350 | 1.1 km | 148 | Aug 14, 2025 | 281 harm1 open | — | |
| Cedarwood Plaza 12504 Cedar Road, Cleveland Heights, OH 44106 CCN 365033 | 2.9 km | 115 | Oct 14, 2025 | 531 IJ1 open | $8,171 | |
| Eastbrook Healthcare Center 17322 Euclid Ave, Cleveland, OH 44112 CCN 365129 | 3.4 km | 109 | Jan 15, 2026 | 741 IJ1 open | $24k | |
| Judson Park 2181 Ambleside Rd, Cleveland, OH 44106 CCN 365870 | 3.6 km | 36 | Jul 23, 2026 | 302 harm2 open | $26k | |
| University Manor Health & Reha 2186 Ambleside Rd, Cleveland, OH 44106 CCN 365832 | 3.7 km | 149 | Feb 3, 2025 | 831 IJ1 open | $17k | |
| Hillside Plaza 18220 Euclid Ave, Cleveland, OH 44112 CCN 365006 | 4.2 km | 47 | Sep 8, 2025 | 443 open | — | |
| Crawford Manor Healthcare Center 1802 Crawford Rd, Cleveland, OH 44106 CCN 366110Abuse icon | 4.3 km | 50 | Apr 23, 2026 | 831 IJ1 harm4 open | $32k | |
| The Gardens of Fairfax Health Care Center 9014 Cedar Ave, Cleveland, OH 44106 CCN 366106 | 4.4 km | 89 | Mar 9, 2026 | 861 IJ15 open | $86k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 365353 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 365353 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Sep 22, 2025 |
| Jul 31, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 10, 2025 |
| Jul 31, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 22, 2025 |
| Jul 31, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 22, 2025 |
| Jul 31, 2025 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 22, 2025 |
| Jul 31, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 22, 2025 |
| Oct 1, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Oct 21, 2024 | Complaint |
| Oct 1, 2024 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 21, 2024 | Complaint |
| Jun 17, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 24, 2024 | Complaint |
| Feb 8, 2024 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Feb 21, 2024 | Complaint |
| Feb 8, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Feb 21, 2024 | Complaint |
| Oct 16, 2023 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 27, 2023 | Complaint |
| Sep 27, 2022 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0331 | Construct fire resistant interior walls. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0751 | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 15, 2022 |
| Sep 27, 2022 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 27, 2022 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 27, 2022 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 27, 2022 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Nov 14, 2022 |
| Sep 27, 2022 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 27, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 14, 2022 |
| Sep 27, 2022 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 14, 2022 |
| Sep 12, 2019 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 2, 2019 |
| Sep 12, 2019 | K-0222 | 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. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 2, 2019 |
| Sep 12, 2019 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 2, 2019 |
| Sep 12, 2019 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 2, 2019 |
| Sep 12, 2019 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 2, 2019 |
| Sep 12, 2019 | F-0567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 2, 2019 |
| Sep 12, 2019 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 2, 2019 |
| Sep 12, 2019 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 2, 2019 |
| Sep 12, 2019 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 2, 2019 |
| Sep 12, 2019 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 2, 2019 |
| Sep 12, 2019 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 9, 2019 |
| Sep 12, 2019 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 2, 2019 |
| Sep 12, 2019 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 2, 2019 |
| Sep 12, 2019 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Dec 9, 2019 |
| Sep 12, 2019 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 2, 2019 |
| Sep 12, 2019 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 2, 2019 |
| Sep 12, 2019 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 2, 2019 |
| Sep 12, 2019 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 2, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.06 (case-mix index 1.51).
| Apr 1, 2018 |
| Shmuel Fishman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2018 |
| Jason Dipasqua | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Apr 1, 2018 |
| Shmuel Fishman | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Apr 1, 2018 |
| Aug 20, 2026 |
782 IJ1 harm4 open |
| — |
| Continuing Healthcare at Forest Hill 100 Reservoir Road, St Clairsville, OH 43950 CCN 365696 | 88 | Apr 2, 2026 | 582 harm | $27k |
| Astoria Place of Waterville 555 Anthony Wayne Trail, Waterville, OH 43566 CCN 365747 | 90 | Jan 8, 2026 | 711 IJ4 harm | $350k |
| Cityview Healthcare and Rehabilitation 6606 Carnegie Ave, Cleveland, OH 44103 CCN 365879Abuse icon | 146 | Aug 27, 2026 | 1173 IJ2 harm8 open | $69k |
| Continuing Healthcare at Beckett House 1280 Friendship Drive, New Concord, OH 43762 CCN 366173 | 85 | Aug 20, 2026 | 742 harm | $44k |
| Continuing Healthcare at Willow Haven 1020 Taylor Street, Zanesville, OH 43701 CCN 366244 | 81 | Jun 10, 2026 | 892 harm | — |
| Continuing Healthcare of Shadyside 60583 State Route 7, Shadyside, OH 43947 CCN 366285 | 88 | Mar 27, 2026 | 403 harm | — |