Inspection > 2 years ago

Overview

Address
12504 CEDAR ROAD, CLEVELAND HEIGHTS, OH 44106
Phone
2163713600
Certified beds
115
Avg daily residents
104 (90% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1967-01-01
Setting
Urban
2 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
4.13 4.61 3.46 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.99 0.81 0.83 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.16 1.02 0.97
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.98 2.78 1.66
Licensed (RN + LPN)
Combined licensed nurse coverage.
2.15
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.10

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.23
hrs / resident / day
RN (weekend)
0.43
hrs / resident / day
Total nurse (adjusted, weekend)
2.71
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
50.5%
annual
RN turnover
61.5%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.63
higher acuity than avg
Case-Mix Index Ratio
1.18
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2023-09-28 17 7 11 144 1 144
Cycle 2/3 (prior) 2020-03-12 11 4 7 104 1 104
Total weighted health score
134.0
lower is better

Deficiencies (30)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

29 D/E/F Actual harm — potential for minor
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-10-14 2025-10-17
0692 Provide enough food/fluids to maintain a resident's health. D 2025-10-14 2025-10-17
0803 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. E 2025-10-14 2025-10-17
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2025-10-14 2025-10-17
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-10-14 2025-10-17
0880 Provide and implement an infection prevention and control program. D 2025-10-14 2025-10-17
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-08-30 2025-09-15
0814 Dispose of garbage and refuse properly. F 2025-08-30 2025-09-15
0803 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. F 2025-07-01 2025-07-15
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-07-01 2025-07-15
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2025-02-25 2025-03-06
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-02-25 2025-03-06
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2025-01-07 2025-01-10
0880 Provide and implement an infection prevention and control program. E 2024-06-27 2024-07-09
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-05-15 2024-05-06
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-03-07 2024-03-22
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-02-14 2023-12-16
0578 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. D 2023-09-28 2023-10-18
0692 Provide enough food/fluids to maintain a resident's health. D 2023-09-28 2023-10-18
0693 Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. D 2023-09-28 2023-10-18
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2023-09-28 2023-10-18
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. E 2023-09-28 2023-10-18
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-09-28 2023-10-18
0558 Reasonably accommodate the needs and preferences of each resident. D 2023-09-28 2023-10-18
0641 Ensure each resident receives an accurate assessment. D 2020-03-12 2020-04-01
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2020-03-12 2020-04-01
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2020-03-12 2020-04-01
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. F 2020-03-12 2020-04-01
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2019-01-31 2019-02-28
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2019-01-31 2019-02-28

Penalties (1)

Fines issued
1
last 3 years
Total fines
$8,171
Date Type Fine amount
2024-05-15 Fine $8,171

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.2% Medicaid 35.4% Other 61.5%

Operating performance

Operating Margin
-5.4%
Total Margin
1.9%
Occupancy Rate
91.0%
Cost per Resident Day
$26

Revenue & costs

Net Patient Revenue
$11.2M
Total Costs
$979K
Net Income
$222K

Balance sheet

Total Assets
$11.5M
Total Liabilities
$11.3M
Fund Balance
$272K
Current Ratio
0.39

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: LEGACY HEALTH SERVICES

Chain ID
305
Facilities in chain
14
Legal business name
C A S HEALTH INVESTORS INC
Chain-average star ratings (for peer context)
Overall
3.2
Health
2.6
Staffing
1.9
QM
4.8

Owner / manager organizations (10)

Organization Role Association
OH 10 HOLDCO LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/06/2022
CC OH10 OPCO LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/06/2022
CHAVOS221 HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/06/2022
CHAVOS221 IRRV TR 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/06/2022
LIONSVIEW OPCO NR LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/06/2022
LIONSVIEW SC LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/06/2022
LIVING26 HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/06/2022
LIVING26 IRRV TR 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/06/2022
SAPPHIRE143 HOLDINGS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/06/2022
SAPPHIRE143 IRRV TR 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/06/2022

Owner / manager individuals (3)

Name Role Association
SHARVIT, ELIAV CORPORATE OFFICER since 06/22/2007
STUMP, BARRY CORPORATE OFFICER since 05/14/1998
STUMP, BARRY W-2 MANAGING EMPLOYEE since 05/07/2019

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $26 metrics.cost_per_resident_day
Cost Report Current Ratio 0.39 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 35.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.2% metrics.medicare_day_share
Cost Report Net Income ($) $221,982 metrics.net_income
Cost Report Net Patient Revenue ($) $11,156,262 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 91.0% metrics.occupancy_rate
Cost Report Operating Margin (%) -5.4% metrics.operating_margin
Cost Report Total Assets ($) $11,529,603 metrics.total_assets
Cost Report Total Costs ($) $978,855 metrics.total_costs
Cost Report Total Fund Balances ($) $271,946 metrics.fund_balance
Cost Report Total Liabilities ($) $11,257,657 metrics.total_liabilities
Cost Report Total Margin (%) 1.9% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.97399 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.65859 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.82777 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.46035 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.71096 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 103.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 1.02241 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.77869 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.80589 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.60699 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 4.06058 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.6 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.2 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.9 Chain Average Staffing Rating
Provider Information Chain ID 305 Chain ID
Provider Information Chain Name LEGACY HEALTH SERVICES Chain Name
Provider Information City/Town CLEVELAND HEIGHTS City/Town
Provider Information CMS Certification Number (CCN) 365033 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Cuyahoga County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1967-01-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 41.5011 Latitude
Provider Information Legal Business Name C A S HEALTH INVESTORS INC Legal Business Name
Provider Information Location 12504 CEDAR ROAD,CLEVELAND HEIGHTS,OH,44106 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -81.591 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago Y Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 115 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 14 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.63205 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.18466 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 12504 CEDAR ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name CEDARWOOD PLAZA Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 170 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 144 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 11 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 7 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2023-09-28 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 144 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 17 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 4 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2020-03-12 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 104 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 7 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 104 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 11 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.43231 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 61.5 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 2.14992 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.16220 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.97909 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.10393 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.98772 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 4.12901 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State OH State
Provider Information Telephone Number 2163713600 Telephone Number
Provider Information Total Amount of Fines in Dollars 8171.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.23481 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 50.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 134.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 44106 ZIP Code