SNF

STRONGSVILLE HEALTHCARE AND REHABILITATION

CCN: 366491 · STRONGSVILLE, OH 44136 · Cuyahoga County

Overview

Address
18936 PEARL ROAD, STRONGSVILLE, OH 44136
Phone
4408702600
Certified beds
99
Avg daily residents
88 (89% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2021-10-18
Setting
Urban
4 /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.
★★★★★ 4/5
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.
★★★★★ 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 ★★★★★ 5/5

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
 3.43 4.71 2.81 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.89 0.82 0.73 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.83 1.05 0.68 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.71 2.84 1.40 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.72 — — —
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)
3.08
hrs / resident / day
RN (weekend)
0.60
hrs / resident / day
Total nurse (adjusted, weekend)
2.52
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
64.8%
annual
RN turnover
60.0%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.67
higher acuity than avg
Case-Mix Index Ratio
1.21
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) 2024-02-29 10 5 5 52 1 52
Cycle 2/3 (prior) 2021-10-18 10 0 10 72 0 72
Total weighted health score
57.0
lower is better

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 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2025-09-27 2025-09-30
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-03-06 2025-03-14
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-03-06 2025-03-14
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-03-06 2025-03-14
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 2025-03-06 2025-03-14
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-12-10 2024-12-26
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2024-12-10 2024-11-25
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-11-14 2024-10-30
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-11-14 2024-12-26
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-05-06 2024-04-13
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. E 2024-02-29 2024-03-20
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 2024-02-29 2024-03-20
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-02-29 2024-03-20
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2024-02-29 2024-03-20
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 2024-02-29 2024-03-20
0760 Ensure that residents are free from significant medication errors. D 2023-09-12 2023-09-22
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2023-06-29 2023-07-14
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-06-29 2023-07-14
0610 Respond appropriately to all alleged violations. D 2023-06-29 2023-07-14
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. D 2023-06-29 2023-07-14

Penalties (2)

Fines issued
2
last 3 years
Total fines
$27,254
Date Type Fine amount
2024-11-14 Fine $13,627
2024-11-14 Fine $13,627

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 10.2% Medicaid 21.3% Other 68.5%

Operating performance

Operating Margin
-9.2%
Total Margin
-8.8%
Occupancy Rate
81.3%
Cost per Resident Day
$31

Revenue & costs

Net Patient Revenue
$9.8M
Total Costs
$917K
Net Income
-$860K

Balance sheet

Total Assets
$21.3M
Total Liabilities
$19.9M
Fund Balance
$1.3M
Current Ratio
1.34

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

Ownership & Corporate Structure

Chain: PROGRESSIVE QUALITY CARE

Chain ID
427
Facilities in chain
11
Legal business name
STRONGSVILLE HEALTHCARE AND REHABILITATION LLC
Chain-average star ratings (for peer context)
Overall
2.4
Health
1.9
Staffing
2.0
QM
4.5

Owner / manager organizations (4)

Organization Role Association
STRONGSVILLE FK HEALTHCARE HOLDINGS LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/10/2019
MIKE FLANK TRUST 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/09/2022
STRONGSVILLE FK INVESTOR, LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/10/2019
PROGRESSIVE QUALITY CARE INC OPERATIONAL/MANAGERIAL CONTROL since 06/15/2021

Owner / manager individuals (17)

Name Role Association
FLANK, EITAN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/10/2019
FLANK, LIAT 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/10/2019
FLANK, MATAN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/10/2019
FLANK, SHAUL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/10/2019
GUTTMAN, BEZALEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/10/2019
KATZ, ELIYOHU 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/10/2019
KATZ, YOSEF 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/10/2019
SAUSEN, JOEL 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 10/10/2019
FLANK, EITAN OPERATIONAL/MANAGERIAL CONTROL since 09/20/2019
POTOKAR, CARON OPERATIONAL/MANAGERIAL CONTROL since 03/11/2024
THOMAS, CHRISTOPHER OPERATIONAL/MANAGERIAL CONTROL since 11/01/2024
FLANK, EITAN CORPORATE OFFICER since 09/20/2019
FLANK, LIAT CORPORATE OFFICER since 09/20/2019
FLANK, MATAN CORPORATE OFFICER since 09/20/2019
FLANK, SHAUL CORPORATE OFFICER since 09/20/2019
SAUSEN, JOEL CORPORATE OFFICER since 09/20/2019
SHILLER, DANIEL CORPORATE OFFICER since 09/20/2019

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.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $31 metrics.cost_per_resident_day
Cost Report Current Ratio 1.34 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 21.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 10.2% metrics.medicare_day_share
Cost Report Net Income ($) $-860,473 metrics.net_income
Cost Report Net Patient Revenue ($) $9,756,017 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 81.3% metrics.occupancy_rate
Cost Report Operating Margin (%) -9.2% metrics.operating_margin
Cost Report Total Assets ($) $21,262,249 metrics.total_assets
Cost Report Total Costs ($) $917,485 metrics.total_costs
Cost Report Total Fund Balances ($) $1,320,327 metrics.fund_balance
Cost Report Total Liabilities ($) $19,941,922 metrics.total_liabilities
Cost Report Total Margin (%) -8.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.67951 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.40125 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.72758 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.80834 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.52026 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 87.7 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 1.04562 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.84175 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.82417 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.71154 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 4.15272 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.4 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.5 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.0 Chain Average Staffing Rating
Provider Information Chain ID 427 Chain ID
Provider Information Chain Name PROGRESSIVE QUALITY CARE Chain Name
Provider Information City/Town STRONGSVILLE City/Town
Provider Information CMS Certification Number (CCN) 366491 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 2021-10-18 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 41.2819 Latitude
Provider Information Legal Business Name STRONGSVILLE HEALTHCARE AND REHABILITATION LLC Legal Business Name
Provider Information Location 18936 PEARL ROAD,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 -81.835 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 99 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 11 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 1.66909 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.21155 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 4 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 18936 PEARL ROAD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name STRONGSVILLE 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 5 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-02-29 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 10 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 2021-10-18 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 72 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 72 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 0.60415 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 60.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.71709 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.82921 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.70996 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04598 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.88788 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 3.42705 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 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 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State OH State
Provider Information Telephone Number 4408702600 Telephone Number
Provider Information Total Amount of Fines in Dollars 27254.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.07550 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 64.8 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 57.000 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