Elder Care Record

Ohio › Cuyahoga County › Shaker Heights

Shaker Gardens Nursing and Rehabilitation Center

3550 Northfield Road, Shaker Heights, OH 44122

CCN 366021 · For-profit, corporation · 50 certified beds · chain Lionstone Care

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.

Shaker Gardens Nursing and Rehabilitation Center, in Shaker Heights, Ohio, is certified for 50 beds under for-profit, corporation ownership and belongs to the Lionstone Care chain.

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

Inspectors recorded 17 health deficiencies across the three most recent survey cycles (2, 11, 4 by cycle, most recent first), none at the actual-harm level. That is 34.0 per 100 beds, about the same as the state median of 33.3.

CMS lists 4 penalties in the period covered: fines totalling $18K.

Reported nurse staffing is 3.2 hours per resident per day (0.9 RN), close to the Ohio median of 3.6; nursing staff turnover is 40.8%.

17health deficiencies, 3 survey cyclesnone at actual-harm level
$18Kfines listed by CMS4 penalties in period
3.2nurse hours per resident per daystate median 3.6
91%occupancy (residents ÷ beds)45 residents a day

Compared with county, state and nation

MeasureThis facilityCuyahoga Co. medianOhio medianUS average
Overall star rating5333.0
Health citations, 3 cycles17282728.7
Citations per 100 beds34.030.233.326.8
Total nurse hours per resident day3.23.63.63.9
RN hours per resident day0.90.60.60.7
Nursing staff turnover40.8%53.8%48.5%45.8%
Fines listed$18,306$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)2
Cycle 211
Cycle 34

Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Oct 2024, 2 May 2022.

Severity mix: D ×11 E ×3 F ×3

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
1 May 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint investigation27 May 2026
17 Oct 2024F0759Ensure medication error rates are not 5 percent or greater.DStandard survey5 Dec 2024
6 Mar 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation19 Mar 2024
13 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation19 Mar 2024
2 May 2022F0814Dispose of garbage and refuse properly.FStandard survey17 Jun 2022
2 May 2022F0880Provide and implement an infection prevention and control program.FStandard survey17 Jun 2022
2 May 2022F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.EStandard survey17 Jun 2022
2 May 2022F0803Ensure 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.EStandard survey17 Jun 2022
2 May 2022F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard survey17 Jun 2022
2 May 2022F0578Honor 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.DStandard survey17 Jun 2022
2 May 2022F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DStandard survey17 Jun 2022
2 May 2022F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey17 Jun 2022
2 May 2022F0624Prepare residents for a safe transfer or discharge from the nursing home.DStandard survey17 Jun 2022
2 May 2022F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey17 Jun 2022
2 May 2022F0692Provide enough food/fluids to maintain a resident's health.DStandard survey17 Jun 2022
22 May 2019F0759Ensure medication error rates are not 5 percent or greater.DStandard survey21 Jun 2019
22 May 2019F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey21 Jun 2019

Penalties

DateTypeAmountDetail
11 Sep 2023Fine$4,587
5 Sep 2023Fine$4,545
28 Aug 2023Fine$4,587
21 Aug 2023Fine$4,587

Staffing

Total nursing3.18 h
Nurse aides1.77 h
LPN0.52 h
RN0.88 h
Weekend total2.88 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 40.8%, RNs 18.2%; 0 administrators 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 Stay3.0%4.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.4%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 Stay3.0%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.4%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.8%4.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.2%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay7.4%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, corporation. Legal business name: Shaker Gardens Opco Llc. Chain: Lionstone Care (24 facilities).

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 Shaker Gardens Nursing and Rehabilitation Center been cited for?

17 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 Shaker Gardens Nursing and Rehabilitation Center been fined?

Yes. CMS lists fines totalling $18K in the period covered.

How does staffing at Shaker Gardens Nursing and Rehabilitation Center compare?

Reported total nurse staffing is 3.2 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.

Who operates Shaker Gardens Nursing and Rehabilitation Center?

It is part of the Lionstone Care chain. Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was Shaker Gardens Nursing and Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 1 May 2026; the most recent standard health survey was 17 Oct 2024.

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.