SNF

ARISTOCRAT BEREA HEALTHCARE AND REHABILITATION

CCN: 365608 · BEREA, OH 44017 · Cuyahoga County

⚠ Inspection > 2 years ago

Overview

Address
255 FRONT STREET, BEREA, OH 44017
Phone
4402434000
Certified beds
165
Avg daily residents
136 (82% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1983-12-08
Setting
Urban
3 /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.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
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
 3.27 4.21 3.00 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.55 0.74 0.50 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.91 0.93 0.84 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.81 2.54 1.66 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.46 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.01 — — —

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)
2.80
hrs / resident / day
RN (weekend)
0.34
hrs / resident / day
Total nurse (adjusted, weekend)
2.57
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
40.2%
annual
RN turnover
57.9%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.49
higher acuity than avg
Case-Mix Index Ratio
1.08
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) 2024-01-11 8 4 5 52 1 52
Cycle 2/3 (prior) 2021-05-24 31 16 15 212 1 212
Total weighted health score
92.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (54)

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).

2 A/B/C No actual harm — minor
50 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-08-30 2025-09-30
0610 Respond appropriately to all alleged violations. D 2025-08-30 2025-09-30
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F 2025-08-30 2025-09-30
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-04-08 2025-04-10
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-01-10 2025-01-17
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2025-01-10 2025-01-17
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2025-01-10 2025-01-17
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F 2025-01-10 2025-01-17
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2025-01-10 2025-01-17
0583 Keep residents' personal and medical records private and confidential. D 2024-10-25 2024-10-26
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2024-08-08 2024-08-09
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-08-08 2024-08-09
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2024-08-08 2024-08-09
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-08-08 2024-08-09
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-08-08 2024-08-09
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2024-07-03 2024-08-08
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. E 2024-01-11 2024-01-26
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2024-01-11 2024-01-26
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2024-01-11 2024-01-26
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 2024-01-11 2024-01-26
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F 2023-11-06 2023-11-14
0800 Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. D 2023-03-22 2023-04-07
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2023-03-22 2023-04-07
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2021-05-24 2021-08-17
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2021-05-24 2021-08-17
0583 Keep residents' personal and medical records private and confidential. E 2021-05-24 2021-08-17
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2021-05-24 2021-08-17
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2021-05-24 2021-08-17
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2021-05-24 2021-08-17
0688 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. D 2021-05-24 2021-08-17
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 2021-05-24 2021-08-17
0692 Provide enough food/fluids to maintain a resident's health. D 2021-05-24 2021-08-17
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 2021-05-24 2021-08-17
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2021-05-24 2021-08-17
0741 Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. D 2021-05-24 2021-08-17
0742 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. D 2021-05-24 2021-08-17
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. E 2021-05-24 2021-08-17
0880 Provide and implement an infection prevention and control program. E 2021-05-24 2021-08-17
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. C 2021-05-24 2021-08-17
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2019-12-04 2020-01-08
0558 Reasonably accommodate the needs and preferences of each resident. D 2019-12-04 2020-01-08
0569 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. D 2019-12-04 2020-01-08
0583 Keep residents' personal and medical records private and confidential. D 2019-12-04 2020-01-08
0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. B 2019-12-04 2020-01-08
0602 Protect each resident from the wrongful use of the resident's belongings or money. D 2019-12-04 2020-01-08
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. F 2019-12-04 2020-01-08
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2019-12-04 2020-01-08
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2019-12-04 2020-01-08
0742 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. J 2019-12-04 2020-01-08
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. D 2019-12-04 2020-01-08

Showing 50 most recent of 54. See the All Data CSV for the full list.

Penalties (1)

Fines issued
0
last 3 years
Payment denials
1
Date Type Fine amount
2024-07-03 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 0.5% Medicaid 94.0% Other 5.5%

Operating performance

Operating Margin
-4.7%
Total Margin
5.8%
Occupancy Rate
81.1%
Cost per Resident Day
$27

Revenue & costs

Net Patient Revenue
$14.3M
Total Costs
$1.3M
Net Income
$926K

Balance sheet

Total Assets
$29.3M
Total Liabilities
$27.9M
Fund Balance
$1.4M
Current Ratio
0.10

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

Ownership & Corporate Structure

Chain: CERTUS HEALTHCARE

Chain ID
132
Facilities in chain
11
Legal business name
AJ ARISTOCRAT BEREA OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.1
Health
1.8
Staffing
1.6
QM
4.2

Owner / manager organizations (2)

Organization Role Association
AJ R&R HOLDING COMPANY LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/01/2018
EXTENDED OHIO LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/01/2018

Owner / manager individuals (8)

Name Role Association
DIPASQUA, JASON 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/01/2018
FISHMAN, SHMUEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/01/2018
FRIEDMAN, YISRAEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/01/2018
NEUMAN, MARK 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/01/2018
DIPASQUA, JASON CORPORATE OFFICER since 04/01/2018
FISHMAN, SHMUEL CORPORATE OFFICER since 04/01/2018
DIPASQUA, JASON W-2 MANAGING EMPLOYEE since 04/01/2018
FISHMAN, SHMUEL W-2 MANAGING EMPLOYEE since 04/01/2018

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
None
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 ($) $27 metrics.cost_per_resident_day
Cost Report Current Ratio 0.10 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 94.0% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 0.5% metrics.medicare_day_share
Cost Report Net Income ($) $926,379 metrics.net_income
Cost Report Net Patient Revenue ($) $14,261,318 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 81.1% metrics.occupancy_rate
Cost Report Operating Margin (%) -4.7% metrics.operating_margin
Cost Report Total Assets ($) $29,284,401 metrics.total_assets
Cost Report Total Costs ($) $1,319,282 metrics.total_costs
Cost Report Total Fund Balances ($) $1,378,104 metrics.fund_balance
Cost Report Total Liabilities ($) $27,906,297 metrics.total_liabilities
Cost Report Total Margin (%) 5.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.83717 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.66215 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.50372 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.00304 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.56597 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 136.1 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 0.93426 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.53912 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.73640 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.20978 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.71048 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.8 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.1 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.6 Chain Average Staffing Rating
Provider Information Chain ID 132 Chain ID
Provider Information Chain Name CERTUS HEALTHCARE Chain Name
Provider Information City/Town BEREA City/Town
Provider Information CMS Certification Number (CCN) 365608 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 1983-12-08 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 41.3714 Latitude
Provider Information Legal Business Name AJ ARISTOCRAT BEREA OPCO LLC Legal Business Name
Provider Information Location 255 FRONT STREET,BEREA,OH,44017 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 -81.853 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 165 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 11 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.49134 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.08252 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company 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 255 FRONT STREET Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name ARISTOCRAT BEREA HEALTHCARE AND REHABILITATION 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 52 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 5 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 4 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-01-11 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 52 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 8 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 16 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2021-05-24 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 212 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 15 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 212 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 31 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.33760 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 57.9 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.46205 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.91282 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.81234 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.00939 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.54923 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 3.27439 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 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State OH State
Provider Information Telephone Number 4402434000 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.79782 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 40.2 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 92.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council None With a Resident and Family Council
Provider Information ZIP Code 44017 ZIP Code