Joshua Tree Care Center — nursing home in North Olmsted, OH

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 36 CMS-certified beds (not state-licensed beds)
Licensed beds: 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.
Average residents per day: 34.3 CMS, MDS-derived
CMS Certification Number: 365533
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Mar 14, 1980
Ownership type: For profit - Individual
Operator (legal business name): Olmsted Manor Ltd
CMS chain: Not part of a CMS-reported chain
Phone: (440) 777-8444
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Jan 15, 2025

Citations

26

11 health · 15 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D2	E2	F18
Minimal	A·	B1	C3

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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 365533
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 36
First approved: Mar 14, 1980
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

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. State coverage for Ohio.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 15, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jan 15, 2025	Health	Health Standard	5	Potential harm	—	Open →
Mar 9, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Mar 9, 2023	Health	Health Standard	5	Potential harm	—	Open →
Jan 23, 2020	Fire safety	Fire Safety Standard	7	Potential harm	1	Open →
Jan 23, 2020	Health	Health Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D2	E2	F18
Minimal	A·	B1	C3

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jan 15, 2025	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 14, 2025
Jan 15, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 14, 2025
Jan 15, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 14, 2025
Jan 15, 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 Feb 14, 2025
Jan 15, 2025	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 14, 2025
Jan 15, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 14, 2025
Jan 15, 2025	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 14, 2025
Jan 15, 2025	F-0625	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect	C · Minimal Widespread	Corrected Feb 14, 2025
Jan 15, 2025	F-0838	Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Administration & records	C · Minimal Widespread	Corrected Feb 14, 2025
Mar 9, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 17, 2023
Mar 9, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 17, 2023
Mar 9, 2023	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 17, 2023
Mar 9, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 17, 2023
Mar 9, 2023	F-0727	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. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Apr 17, 2023
Mar 9, 2023	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 Apr 17, 2023
Mar 9, 2023	F-0865	Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Corrected Apr 17, 2023
Mar 9, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Apr 17, 2023
Mar 9, 2023	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Corrected Apr 17, 2023
Jan 23, 2020	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 7, 2020
Jan 23, 2020	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 7, 2020
Jan 23, 2020	K-0700	Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 7, 2020
Jan 23, 2020	K-0711	Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 7, 2020
Jan 23, 2020	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 Feb 7, 2020
Jan 23, 2020	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 7, 2020
Jan 23, 2020	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 7, 2020
Jan 23, 2020	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Plan of correction, not yet verified Feb 7, 2020

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 2.4

Quality measuresstate 4.5

Long-stay QM

Short-stay QMNot rated

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.

Nurse staffing · hours per resident per day

Total nurse staffing3.25

State avg 3.71US avg 3.90

Registered nurse (RN)0.52

State avg 0.64US avg 0.69

Licensed practical nurse0.98

State avg 0.95US avg 0.86

Nurse aide1.75

State avg 2.12US avg 2.35

Weekend total nurse2.88

State avg 3.29US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.94 (case-mix index 1.55).

Staff turnover

Total nursing staff turnover29.2%

State avg 49.0%US avg 45.3%

Registered nurse turnover20.0%

State avg 44.4%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 15, 2025
Cycle 1 health score: 24
Total weighted score: 34

Operating entity

Olmsted Manor Ltd

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

2

Organizations

0

Individuals

2

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Kimberly Coury	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jan 1, 2000

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Kimberly Coury	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Jan 1, 2000
Kimberly Coury	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 1990

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 27500 Mill Rd, North Olmsted, OH 44070
ZIP: 44070
County: Cuyahoga County FIPS 39035
State: Ohio
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Crocker Pointe Health and Rehabilitation 4000 Crocker Road, Westlake, OH 44145 CCN 725006	2.5 km	96	Not rated	Jan 28, 2025	No citations in window	—
Brookdale Westlake Village 28450 Westlake Village Drive, Westlake, OH 44145 CCN 366373	2.7 km	60		Aug 17, 2026	28	—
Health Center at the Renaissance 26376 John Rd, Olmsted Twp, OH 44138 CCN 365759	2.8 km	85		Oct 6, 2025	191 harm1 open	—
Life Care Center of Westlake 26520 Center Ridge Rd, Westlake, OH 44145 CCN 365048	3.9 km	119		Jun 8, 2026	48	—
O'neill Healthcare North Olmsted 4800 Clague Road, North Olmsted, OH 44070 CCN 366272	4.1 km	67		Apr 9, 2025	361 harm	—
Lutheran Home 2116 Dover Center Rd, Westlake, OH 44145 CCN 365020	4.3 km	40		Jul 16, 2026	27	—
Gardens of North Olmsted 23225 Lorain Rd, North Olmsted, OH 44070 CCN 365310	4.5 km	99		Aug 13, 2026	1161 IJ3 open	$21k
Village of the Falls 25920 Elm Street, Olmsted Falls, OH 44138 CCN 366476	4.8 km	36		Jul 29, 2026	136 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	365533	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	365533	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

Record-level source links for CCN 365533

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction