SNF

FALLING WATER HEALTHCARE CENTER

CCN: 366111 · STRONGSVILLE, OH 44136 · Cuyahoga County

Overview

Address
18840 FALLING WATER, STRONGSVILLE, OH 44136
Phone
4402381100
Certified beds
135
Avg daily residents
93 (69% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1997-01-16
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.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 4/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 4/5

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
 3.33 3.81 3.38 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.37 0.67 0.37 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.22 0.85 1.24 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.74 2.30 1.77 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.59 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.05 — — —

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)
2.96
hrs / resident / day
RN (weekend)
0.19
hrs / resident / day
Total nurse (adjusted, weekend)
3.00
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
64.3%
annual
RN turnover
76.9%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.35
higher acuity than avg
Case-Mix Index Ratio
0.98
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) 2025-08-04 7 7 3 44 1 44
Cycle 2/3 (prior) 2023-07-13 10 0 10 88 0 88
Total weighted health score
55.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (20)

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).

18 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-08-04 2025-09-08
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 2025-08-04 2025-09-08
0759 Ensure medication error rates are not 5 percent or greater. D 2025-08-04 2025-09-08
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-08-04 2025-09-08
0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care. E 2025-08-04 2025-09-08
0567 Honor the resident's right to manage his or her financial affairs. D 2025-08-04 2025-09-08
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2025-08-04 2025-09-08
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-12-19 2024-12-04
0744 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. D 2024-12-19 2025-01-03
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-09-25 2024-10-11
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-09-25 2024-10-11
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. F 2024-09-25 2024-07-01
0880 Provide and implement an infection prevention and control program. D 2024-09-25 2024-10-11
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2024-06-10 2024-06-03
0759 Ensure medication error rates are not 5 percent or greater. D 2024-04-15 2024-04-30
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-04-15 2024-04-30
0880 Provide and implement an infection prevention and control program. E 2023-10-05 2023-10-18
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2020-01-09 2020-01-29
0641 Ensure each resident receives an accurate assessment. D 2020-01-09 2020-01-29
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. E 2020-01-09 2020-01-29

Penalties (1)

Fines issued
1
last 3 years
Total fines
$10,839
Date Type Fine amount
2024-12-19 Fine $10,839

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 3.2% Medicaid 66.5% Other 30.3%

Operating performance

Operating Margin
-8.9%
Total Margin
-8.9%
Occupancy Rate
64.3%
Cost per Resident Day
$34

Revenue & costs

Net Patient Revenue
$9.3M
Total Costs
$1.1M
Net Income
-$828K

Balance sheet

Total Assets
$3.6M
Total Liabilities
$832K
Fund Balance
$2.8M
Current Ratio
2.13

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
FALLING LEASING CO LLC
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.4
Staffing
2.4
QM
4.3

Owner / manager organizations (14)

Organization Role Association
CONSOLIDATED OP CO., LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 05/01/2020
C.R. STOLTZ IRREVOCABLE TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/10/2008
CONSOLIDATED HEALTH HOLDINGS, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/01/2020
CONSOLIDATED HEALTH LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/01/2020
I. ROSEDALE IRREVOCABLE TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/11/2008
NE BAKER HOLDINGS, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/01/2020
R.S. WILHEIM IRREVOCABLE TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/06/2003
RONALD S WILHEIM 2012 SPOUSAL TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 01/02/2013
ROSEDALE FAMILY INVESTMENT COMPANY, INC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/31/2011
RRW, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 04/27/2011
S.L. ROSEDALE IRREVOCABLE TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/06/2003
THE STEPHEN L. ROSEDALE 2012 SPOUSAL TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 05/01/2020
WILHEIM FAMILY INVESTMENT COMPANY, INC. 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 12/31/2011
FALLING MGT CO LLC OPERATIONAL/MANAGERIAL CONTROL since 05/01/2020

Owner / manager individuals (7)

Name Role Association
ARMSTRONG, KIMBERLY OPERATIONAL/MANAGERIAL CONTROL since 08/12/2024
GREGORIN, JASON OPERATIONAL/MANAGERIAL CONTROL since 01/01/2025
ROMEO, DOMINIC OPERATIONAL/MANAGERIAL CONTROL since 04/01/2023
GROVES, DONNA CORPORATE OFFICER since 05/01/2020
ROMEO, DOMINIC CORPORATE OFFICER since 04/01/2023
STOLTZ, CHARLES CORPORATE OFFICER since 12/16/2005
WILHEIM, RONALD CORPORATE OFFICER since 12/16/2005

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 ($) $34 metrics.cost_per_resident_day
Cost Report Current Ratio 2.13 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 66.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.2% metrics.medicare_day_share
Cost Report Net Income ($) $-827,528 metrics.net_income
Cost Report Net Patient Revenue ($) $9,344,286 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 64.3% metrics.occupancy_rate
Cost Report Operating Margin (%) -8.9% metrics.operating_margin
Cost Report Total Assets ($) $3,584,303 metrics.total_assets
Cost Report Total Costs ($) $1,092,935 metrics.total_costs
Cost Report Total Fund Balances ($) $2,752,241 metrics.fund_balance
Cost Report Total Liabilities ($) $832,062 metrics.total_liabilities
Cost Report Total Margin (%) -8.9% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.23758 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.76759 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.37387 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.37904 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.99648 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 93.3 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 0.84523 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.29714 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.66622 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.80859 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.35687 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 STRONGSVILLE City/Town
Provider Information CMS Certification Number (CCN) 366111 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 1997-01-16 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 41.3238 Latitude
Provider Information Legal Business Name FALLING LEASING CO LLC Legal Business Name
Provider Information Location 18840 FALLING WATER,STRONGSVILLE,OH,44136 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 -81.836 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 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 135 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 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.34921 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.97936 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 - 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 18840 FALLING WATER Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name FALLING WATER HEALTHCARE 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 4 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 44 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 3 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 2025-08-04 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 44 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 7 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 2023-07-13 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 10 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 88 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 10 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.19224 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 76.9 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.58961 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.22080 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.74362 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04941 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.36881 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 3.33323 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — 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 4402381100 Telephone Number
Provider Information Total Amount of Fines in Dollars 10839.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.95586 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 64.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 55.000 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 44136 ZIP Code