Elder Care Record

Ohio › Cuyahoga County › North Olmsted

Joshua Tree Care Center

27500 Mill Rd, North Olmsted, OH 44070

CCN 365533 · For-profit, individual · 36 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Joshua Tree Care Center is a For-profit, individual nursing home in North Olmsted, Ohio, certified for 36 beds and caring for about 34 residents a day.

CMS gives it 4 of 5 stars overall, above the Ohio median of 3; the health inspection rating is 4, staffing 2 and quality measures 4.

Inspectors recorded 11 health deficiencies across the three most recent survey cycles (5, 5, 1 by cycle, most recent first), none at the actual-harm level. That is 30.6 per 100 beds, about the same as the state median of 33.3.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.3 hours per resident per day (0.6 RN), close to the Ohio median of 3.6; nursing staff turnover is 37.5%.

11health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.3nurse hours per resident per daystate median 3.6
95%occupancy (residents ÷ beds)34 residents a day

Compared with county, state and nation

MeasureThis facilityCuyahoga Co. medianOhio medianUS average
Overall star rating4333.0
Health citations, 3 cycles11282728.7
Citations per 100 beds30.630.233.326.8
Total nurse hours per resident day3.33.63.63.9
RN hours per resident day0.60.60.60.7
Nursing staff turnover37.5%53.8%48.5%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (92 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 25
Cycle 31

Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Jan 2025, 9 Mar 2023.

Severity mix: D ×2 F ×6 B ×1 C ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
15 Jan 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey14 Feb 2025
15 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey14 Feb 2025
15 Jan 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey14 Feb 2025
15 Jan 2025F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.CStandard survey14 Feb 2025
15 Jan 2025F0838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.CStandard survey14 Feb 2025
9 Mar 2023F0727Have 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.FStandard survey17 Apr 2023
9 Mar 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey17 Apr 2023
9 Mar 2023F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey17 Apr 2023
9 Mar 2023F0880Provide and implement an infection prevention and control program.FStandard survey17 Apr 2023
9 Mar 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.BStandard survey17 Apr 2023
23 Jan 2020F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey7 Feb 2020

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.32 h
Nurse aides1.77 h
LPN0.92 h
RN0.62 h
Weekend total2.92 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 37.5%, RNs 20.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityOhio medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay10.1%4.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.7%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay6.5%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay13.4%4.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.8%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.8%7.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, individual.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Cuyahoga County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Algart Health CareCleveland7855456.4—18 Oct 2019
Berea CenterBerea50542612.0—7 Aug 2025
Brookdale Westlake VillageWestlake60544915.0—22 Apr 2026
Gardens of Mcgregor and Amasa StoneEast Cleveland148542106.8—14 Aug 2025
Huntington Woods Care & Rehab CenterWestlake825511113.4—8 Jun 2026
Larchwood CareCleveland745431925.7—12 May 2026
North Park Care CenterBrook Park34553617.6—7 Jul 2022
O'Neill Healthcare Fairview ParkFairview Park118552119.3—26 Jun 2025

All 92 facilities in Cuyahoga County

Questions and answers

How many deficiencies has Joshua Tree Care Center been cited for?

11 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.

Has Joshua Tree Care Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Joshua Tree Care Center compare?

Reported total nurse staffing is 3.3 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.

Who operates Joshua Tree Care Center?

Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.

When was Joshua Tree Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 15 Jan 2025; the most recent standard health survey was 15 Jan 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.