SNF
SHAKER GARDENS NURSING AND REHABILITATION CENTER
CCN: 366021 · SHAKER HEIGHTS, OH 44122 · Cuyahoga County
Overview
- Address
- 3550 NORTHFIELD ROAD, SHAKER HEIGHTS, OH 44122
- Phone
- 2167525600
- Certified beds
- 50
- Avg daily residents
- 48 (95% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1995-08-11
- Setting
- Urban
5 /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.
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 | 3.21 | 4.41 | 2.82 | ≥ 3.48 | Below floor |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.85 | 0.77 | 0.75 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.48 | 0.98 | 0.42 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 1.88 | 2.66 | 1.65 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.33 | — | — | — | |
| 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
Total nurse (weekend)
2.85
hrs / resident / day
RN (weekend)
0.64
hrs / resident / day
Total nurse (adjusted, weekend)
2.49
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
50.0%
annual
RN turnover
38.5%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.56
higher acuity than avg
Case-Mix Index Ratio
1.13
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) | 2024-10-17 | 1 | 1 | 0 | 4 | 1 | 4 |
| Cycle 2/3 (prior) | 2022-05-02 | 13 | 11 | 2 | 88 | 1 | 88 |
Total weighted health score
25.0
lower is better
Deficiencies (16)
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).
16 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-10-17 | 2024-12-05 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-03-06 | 2024-03-19 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-02-13 | 2024-03-19 |
| 0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | E | 2022-05-02 | 2022-06-17 |
| 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 | 2022-05-02 | 2022-06-17 |
| 0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2022-05-02 | 2022-06-17 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2022-05-02 | 2022-06-17 |
| 0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2022-05-02 | 2022-06-17 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-05-02 | 2022-06-17 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-05-02 | 2022-06-17 |
| 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 | 2022-05-02 | 2022-06-17 |
| 0814 | Dispose of garbage and refuse properly. | F | 2022-05-02 | 2022-06-17 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2022-05-02 | 2022-06-17 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2022-05-02 | 2022-06-17 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2019-05-22 | 2019-06-21 |
| 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2019-05-22 | 2019-06-21 |
Penalties (7)
Fines issued
7
last 3 years
Total fines
$35,863
| Date | Type | Fine amount |
|---|---|---|
| 2023-08-07 | Fine | $3,882 |
| 2023-08-14 | Fine | $4,235 |
| 2023-09-05 | Fine | $4,545 |
| 2023-09-11 | Fine | $4,587 |
| 2023-08-28 | Fine | $4,587 |
| 2023-08-21 | Fine | $4,587 |
| 2023-07-17 | Fine | $9,440 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 3.1% Medicaid 7.7% Other 89.2%
Operating performance
Operating Margin
-2.6%
Total Margin
1.3%
Occupancy Rate
75.7%
Revenue & costs
Net Patient Revenue
$9.2M
Total Costs
$913K
Net Income
$124K
Balance sheet
Total Assets
$5.7M
Total Liabilities
$4.6M
Fund Balance
$1.1M
Current Ratio
1.01
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: LIONSTONE CARE
- Chain ID
611- Facilities in chain
- 22
- Legal business name
- SHAKER GARDENS OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.2
Staffing
1.6
QM
4.6
Owner / manager individuals (10)
| Name | Role | Association |
|---|---|---|
| KAZARNOVSKY, SOLOMON | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 02/12/2018 |
| STEIN, ABBA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 02/12/2018 |
| CUSNER, ADAM | OPERATIONAL/MANAGERIAL CONTROL | since 01/27/2025 |
| DEGYANSKY, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2020 |
| GOLDISH, ELIEZER | OPERATIONAL/MANAGERIAL CONTROL | since 10/09/2023 |
| KAZARNOVSKY, SOLOMON | OPERATIONAL/MANAGERIAL CONTROL | since 05/16/2018 |
| STEIN, ABBA | OPERATIONAL/MANAGERIAL CONTROL | since 05/16/2018 |
| CUSNER, ADAM | CORPORATE OFFICER | since 01/27/2025 |
| DEGYANSKY, JEFFREY | CORPORATE OFFICER | since 01/01/2020 |
| GOLDISH, ELIEZER | CORPORATE OFFICER | since 10/09/2023 |
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
- 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 2023, 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 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Current Ratio | 1.01 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 7.7% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 3.1% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $124,021 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $9,207,886 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 75.7% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -2.6% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $5,700,816 | metrics.total_assets |
| Cost Report | Total Costs ($) | $913,220 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $1,106,331 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $4,594,485 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | 1.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.41677 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.64921 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.74903 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 2.81501 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 2.49340 | 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 | 47.6 | 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 | 0.97778 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.65739 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.77070 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 4.40587 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.88331 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.2 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.6 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.6 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 1.6 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 611 | Chain ID |
| Provider Information | Chain Name | LIONSTONE CARE | Chain Name |
| Provider Information | City/Town | SHAKER HEIGHTS | City/Town |
| Provider Information | CMS Certification Number (CCN) | 366021 | 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 | 1995-08-11 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 41.4632 | Latitude |
| Provider Information | Legal Business Name | SHAKER GARDENS OPCO LLC | Legal Business Name |
| Provider Information | Location | 3550 NORTHFIELD ROAD,SHAKER HEIGHTS,OH,44122 | 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 | -81.535 | 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 | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 50 | 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 | 22 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 7 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.56080 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.13295 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 5 | 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 | 3550 NORTHFIELD ROAD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | SHAKER GARDENS NURSING AND REHABILITATION 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 | 4 | 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 | 0 | 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 | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-10-17 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 4 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 1 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 11 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-05-02 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 88 | 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 | 2 | 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 | 88 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 13 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.63676 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 38.5 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.33034 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.47559 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 1.88199 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.03874 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.85475 | 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 | 3.21233 | 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 | 2167525600 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 35863.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 2.84533 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 7 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 50.0 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 25.000 | 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 | 44122 | ZIP Code |