NORTHWESTERN CENTER
CCN: 365811 · BEREA, OH 44017 · Cuyahoga County
Overview
- Address
- 570 NORTH ROCKY RIVER DRIVE, BEREA, OH 44017
- Phone
- 4402432122
- Certified beds
- 100
- Avg daily residents
- 80 (80% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1990-10-25
- Setting
- Urban
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.
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 | 3.31 | 3.73 | 3.42 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.57 | 0.65 | 0.59 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.88 | 0.83 | 0.92 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.85 | 2.25 | 1.92 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.45 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.04 | — | — | — |
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
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
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) | 2025-08-27 | 13 | 13 | 2 | 100 | 1 | 100 |
| Cycle 2/3 (prior) | 2023-12-21 | 12 | 0 | 12 | 168 | 0 | 168 |
Deficiencies (33)
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).
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | 2025-08-27 | 2025-09-20 |
| 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 | 2025-08-27 | 2025-09-20 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-08-27 | 2025-09-20 |
| 0687 | Provide appropriate foot care. | D | 2025-08-27 | 2025-09-20 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2025-08-27 | 2025-09-20 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-08-27 | 2025-09-20 |
| 0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | C | 2025-08-27 | 2025-09-20 |
| 0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | C | 2025-08-27 | 2025-09-20 |
| 0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-08-27 | 2025-09-20 |
| 0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2025-08-27 | 2025-09-20 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2025-08-27 | 2025-09-20 |
| 0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | 2025-08-27 | 2025-09-20 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-08-27 | 2025-09-20 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2025-08-27 | 2025-09-20 |
| 0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2024-12-09 | 2024-12-26 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-09 | 2024-12-26 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2024-12-09 | 2024-12-26 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2024-12-09 | 2024-12-26 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-09-24 | 2024-10-01 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-08-26 | 2024-09-13 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-08-26 | 2024-09-13 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-08-26 | 2024-09-13 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-08-26 | 2024-09-13 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-08-26 | 2024-09-13 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K | 2024-05-07 | 2024-05-22 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-09-05 | 2023-09-29 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2021-09-14 | 2021-10-06 |
| 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. | D | 2021-09-14 | 2021-10-06 |
| 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 | 2021-09-14 | 2021-10-06 |
| 0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2021-09-14 | 2021-10-06 |
| 0685 | Assist a resident in gaining access to vision and hearing services. | D | 2021-09-14 | 2021-10-06 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | E | 2021-09-14 | 2021-10-06 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2021-09-14 | 2021-10-06 |
Penalties (2)
| Date | Type | Fine amount |
|---|---|---|
| 2024-08-26 | Fine | $26,813 |
| 2024-05-07 | Fine | $57,132 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2024)
Payer mix (share of resident days)
Operating performance
Revenue & costs
Balance sheet
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: COMMUNICARE HEALTH
- Chain ID
153- Facilities in chain
- 122
- Legal business name
- ROCKY RIVER LEASING CO., LLC
Owner / manager organizations (14)
| Organization | Role | Association |
|---|---|---|
| SECOND OPTION OP CO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| C R STOLTZ II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| C.R. STOLTZ IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| HC REAL ESTATE HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| I. ROSEDALE IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| OMG RE HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| OPTION HOLDINGS II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| R.S. WILHEIM IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| RONALD S WILHEIM 2012 SPOUSAL TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| ROSEDALE FAMILY INVESTMENT COMPANY, INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| RRW, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| S.L. ROSEDALE IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| WILHEIM FAMILY INVESTMENT COMPANY, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 04/01/2008 |
| ROCKY RIVER MANAGEMENT CO LLC | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2008 |
Owner / manager individuals (7)
| Name | Role | Association |
|---|---|---|
| AFZAL, ENDIA | OPERATIONAL/MANAGERIAL CONTROL | since 08/24/2023 |
| DAMTEW, BELAI | OPERATIONAL/MANAGERIAL CONTROL | since 11/10/2018 |
| GROVES, DONNA | OPERATIONAL/MANAGERIAL CONTROL | since 04/14/2023 |
| ROMEO, DOMINIC | OPERATIONAL/MANAGERIAL CONTROL | since 04/01/2023 |
| ROMEO, DOMINIC | CORPORATE OFFICER | since 04/01/2023 |
| STOLTZ, CHARLES | CORPORATE OFFICER | since 04/01/2008 |
| WILHEIM, RONALD | CORPORATE OFFICER | since 04/01/2008 |
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
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
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.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $32 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 2 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 54.6% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 2.5% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $497,431 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $10,006,464 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 90.4% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | 5.0% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $2,004,940 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,067,045 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,134,276 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $870,664 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 5.0% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.91594 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.92079 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.58825 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.42498 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.99813 | 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 | 80.3 | 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 | 0.82700 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.24759 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.65185 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.72644 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.28446 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.4 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.3 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.4 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 153 | Chain ID |
| Provider Information | Chain Name | COMMUNICARE HEALTH | Chain Name |
| Provider Information | City/Town | BEREA | City/Town |
| Provider Information | CMS Certification Number (CCN) | 365811 | 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 | 1990-10-25 | 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 | 41.3808 | Latitude |
| Provider Information | Legal Business Name | ROCKY RIVER LEASING CO., LLC | Legal Business Name |
| Provider Information | Location | 570 NORTH ROCKY RIVER DRIVE,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 | -81.858 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 3 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 100 | 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 | 122 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 2 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.32011 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.95823 | 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 | 570 NORTH ROCKY RIVER DRIVE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | NORTHWESTERN CENTER | 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 | 100 | 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 | 2 | 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 | 13 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-08-27 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 100 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 13 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 0 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2023-12-21 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 168 | 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 | 12 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 0 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 168 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 12 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.38746 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 75.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.45180 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.88404 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.85388 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.04080 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.56776 | 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 | 3.30568 | 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 | 1 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | OH | State |
| Provider Information | Telephone Number | 4402432122 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 83945.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.89370 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 2 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 56.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 117.000 | 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 |