Larchwood Care
4110 Rocky River Drive, Cleveland, OH 44135 · For profit - Limited Liability company · 74 certified beds · (216) 941-6100 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 1 actual-harm citation
- a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 4.4% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 6.7% | 6.2% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.2% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 43.3% | 30.1% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.3% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 9.1% | 6.1% | 16.1% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 29.0% | 25.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 10.1% | 3.4% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 23.2% | 21.4% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 0.0% | 8.8% | 17.1% | check this* — see note marked star below the table |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 80.8% | 75.6% | 79.4% | typical |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Therapy staffing: this home’s payroll records show 0.53 therapist hours per resident per day in 2026Q1 — more than 84% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 74 beds and averages 65.8 residents a day — about 89% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.88 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.11 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.62 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 5.23 hrs/resident/day on weekends vs 6.14 on weekdays — 15% thinner on weekends. RN hours go from 1.24 to 0.77 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
19 citations, most serious first. The 11 most serious are shown; the remaining 8 are one tap away and print in full.
- Actual harm · G2025-09-08 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and facility policy review, the facility failed to provide adequate staff assistance to prevent a fall with injury. Actual Harm occurred on 07/26/25 at 10:20 A.M. when Resident #7, who was dependent on staff for bed mobility, transfers, and toileting, fell during incontinence care when assisted by only one Certified Nursing Assistant (CNA), resulting in an intracerebral contusion (closed head injury) and a dislodged jejunostomy tube (feeding tube). Resident #7 was transferred to the hospital and admitted for additional care and monitoring before returning to the facility on [DATE]. This affected one resident (#7) of three residents reviewed for accidents. The facility census was 67. Findings include:Review of the medical record for Resident #7 revealed an admission date of 04/12/24. Diagnoses included chronic respiratory failure, protein-calorie malnutrition, intercranial hemorrhage, Alzheimer's disease, and gastrostomy.Review of Resident #7's care plan initiated…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ddisputed · IDR2026-05-12 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record reviews, and review of video recordings, the facility failed to monitor for changes in condition by not engaging with Resident #70 during care provided to ensure timely treatment related to a change in the resident's condition. This affected one resident (Resident #70) out of three residents reviewed for change in condition. The facility census was 59.Findings include: Review of the closed medical record for Resident #70 revealed an admission date of [DATE] and a discharge date of [DATE]. Resident #70's diagnoses included but were not limited to cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery, respiratory failure, type two diabetes mellitus with hyperglycemia, hemiplegia and hemiparesis, nontraumatic subarachnoid and intracerebral hemorrhage, cognitive communication deficit, tracheostomy, gastrostomy, and obstructive sleep apnea.Review of the care plan dated [DATE] for Resident #70 revealed a care plan that was incomplete, indicating the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ddisputed · IDR2026-05-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews. record review, and facility policy, the facility failed to ensure proper wound care assessments, treatment and skin monitoring was in place for Resident #70. This affected one resident (#70) of three reviewed for skin impairments. The facility census was 59.Findings include:Review of the closed medical record for Resident #70 revealed an admission date of 12/19/25 and a discharge date of 04/25/26. Resident #70's diagnoses included but were not limited to cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery, respiratory failure, type 2 diabetes mellitus with hyperglycemia, hemiplegia and hemiparesis, nontraumatic subarachnoid and intracerebral hemorrhage, cognitive communication deficit, tracheostomy, gastrostomy, and obstructive sleep apnea.Review of hospital after visit summary dated 12/19/26 revealed Resident #70 had a wound pressure injury to coccyx posterior with treatment to include cleanse with wound cleanser, apply calmoseptine and foam dressing.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-09-08 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, medical record review, resident interview, staff interviews, and facility policy review, the facility failed to ensure a resident's request for assistance was responded to in a timely manner. This affected one resident (#5) of one reviewed for timely care and assistance. The facility census was 67.Findings include: Review of the medical record for Resident #5 revealed she was admitted to the facility on [DATE] with diagnoses that included acute and chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease, and attention to tracheostomy (a surgically-created artificial airway).Review of the care plan dated 06/27/25 revealed Resident #5 had an ADL self-care performance deficit related disease process and generalized weakness with interventions that included assistance with ADLs and dressing.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #5 had a Brief Interview for Mental Status (BIMS) score of 14 that indicated she was alert and oriented…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-09-08 · tag F0604 — failed to not use physical restraints improperly — isolatedEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident record review, staff interview, facility Self-Reported Incident (SRI) review, and facility policy review, the facility failed to ensure Resident #67 was not inappropriately restrained during resident care tasks. This affected one resident (#67) of one reviewed for physical restraints. The facility census was 67.Findings include: Review of the medical record for Resident #67 revealed he was admitted to the facility on [DATE] with diagnoses that included diffuse traumatic brain injury with loss of consciousness, carrier of carbapenem-resistant Acinetobacter baumannii (a multi-drug resistant organism), and chronic respiratory failure with hypoxia. Review of the care plan initiated 09/17/24 revealed Resident #67's daughter was his guardian. Resident #67 had an electronic monitoring device in use in his room, and required assistance from staff with interventions that included to assist as needed, approach the resident in a calm and gentle state, and ensure a safe environment. Review of the Minimum…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-09-08 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident record review, staff interview, and family interview, the facility failed to ensure mouth care was provided for a dependent resident. This affected one resident (#21) of one reviewed for mouth care. The facility census was 67. Findings include: Review of the medical record for Resident #21 revealed he was admitted to the facility on [DATE] with diagnoses that included anoxic brain damage, chronic respiratory failure with hypoxia, and cerebral infarction. Review of the medical record revealed Resident #21 had a guardian in place. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #21 had a short- and long-term memory problem, severely impaired regarding tasks of daily life, impaired on both side upper and lower extremities, and was dependent on staff for activities of daily living (ADLs). Review of the care plan dated 08/06/25 revealed Resident #21 had an electronic monitoring device in use in his room and required assistance from staff for ADLs.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-09-08 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident record review, staff interviews, family interview, and facility policy review, the facility failed to ensure orders for splints were obtained per guardian preference for Resident #21, who was known to have bilateral upper extremity contractures. This affected one resident (#21) of one reviewed for positioning and mobility. The facility census was 67. Findings include: Review of the medical record for Resident #21 revealed he was admitted to the facility on [DATE] with diagnoses that included anoxic brain damage, chronic respiratory failure with hypoxia, and cerebral infarction. Review of the medical record revealed Resident #21 had a guardian in place.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #21 had a short- and long-term memory problem, severely impaired regarding tasks of daily life, impaired on both side upper and lower extremities, and was dependent on staff for activities of daily living (ADLs).Review of the care plan dated 08/06/25…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-09-08 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and facility policy review, the facility failed to ensure medications were not left unattended during medication administration. This affected one resident (#12) of three residents reviewed for safe storage of medications. The facility census was 67. Findings include: Review of the medical record for Resident #12 revealed she was admitted on [DATE] and had diagnoses including diabetes, mild cognitive impairment, and major depressive disorder. Review of Resident #12's self-medication administration assessment dated [DATE] revealed the resident did not wish to self-administer medications. Resident #12 was identified on the assessment to not be a candidate for self-administration of medications. Review of Resident #12's physician's orders revealed the resident had no physician order to self-administer medications. Observation of Resident #12 on 09/02/25 at 9:36 A.M. revealed she had several unknown pills mixed in with applesauce in a medication cup on her bedside…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-03-05 · tag F0553 — failed to let residents help plan their care — isolatedAllow resident to participate in the development and implementation of his or her person-centered plan of care.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to ensure a plan of care meeting was provided quarterly for Resident #25 and Resident #16. This affected two out of three residents reviewed for participation in their plan of care. The facility census wa 58. Findings include: Clinical record review revealed Resident #25 was admitted on [DATE] with diagnoses including traumatic brain injury, chronic respiratory failure with hypoxia, tracheostomy, intracranial abscess, cerebral infarction, occlusion/stenosis of right middle cerebral artery, epilepsy, encephalopathy, disorder of autonomic nervous system, hearing loss, dementia with agitation, mood disorder, depression, contracture of the right knee and left hand, cognitive communication deficit, and gastronomy tube with tube feedings. Further review of Resident #25's clinical record revealed one plan of care meeting was provided on 04/23/23 during the last 12 months. There was no documentation a plan of care meeting was provided during the first, third and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-03-05 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and policy review the facility failed to ensure staff performed hand hygiene and followed infection control practices when handling soiled linen to prevent cross contamination of germs during Resident #23's tracheostomy care and suctioning procedure. This affected one out of three residents reviewed for tracheostomy care. The facility census was 58. Findings include: Clinical record review revealed Resident #23 was admitted on [DATE] with diagnoses including traumatic brain injury , stroke, high blood pressure, anemia, gastroesophageal reflux disease, kidney disease, hyperlipidemia, depression, and respiratory failure with a tracheostomy. An observation on 03/05/24 at 9:50 A.M. of Respiratory Therapist (RT) #70 perform Resident #23's tracheostomy care and suctioning revealed a concern with performing hand hygiene and following infection control practices. RT #70 gathered the supplies for suctioning the secretions from Resident #23's tracheostomy tube. RT #70 opened the suctioning…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-08-21 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to accurately document an incident of maggots in Resident #42's tracheostomy in the medical record. This affected one resident (#42) out of three residents reviewed for tracheostomy care. The facility census was 58. Findings include: Review of the medical record for the Resident #42 revealed an admission date of 12/07/22 and a readmission date of 05/25/22. Diagnoses included end stage renal disease, dependence on respirator, epilepsy, major depressive disorder, glomerular disease in systemic lupus, dependence on renal dialysis, and cerebral infarction. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #42 had moderately impaired cognition. The resident required extensive assistance with two staff for mobility, total dependence of two staff for transfers, extensive assistance of one staff for personal hygiene, and supervision with set-up help only for eating. Review of the physician's order for August 2023 revealed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 8 citations
- Potential for harm · Dcited before2023-08-21 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and review of facility policy, the facility failed to maintain appropriate hand hygiene during the tracheostomy care for Resident #42. This affected one resident (#42) out of three residents reviewed for tracheostomy care. This had to potential to affect 18 additional residents (#2, #7, #9, #10, #12, #14, #15, #20, #23, #24, #25, #26, #29, #39, #40, #43, #59, and #60) who had tracheostomies residing in the facility. The facility census was 58. Findings include: Review of the medical record for the Resident #42 revealed an admission date of 12/07/22 and a readmission date of 05/25/22. Diagnoses included end stage renal disease, dependence on respirator, epilepsy, major depressive disorder, glomerular disease in systemic lupus, dependence on renal dialysis, and cerebral infarction. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #42 had moderately impaired cognition. The resident required extensive assistance with two staff for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2019-09-05 · tag F0607 — failed to have anti-abuse policies — widespreadDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and staff interview, the facility failed to check all potential new hires against the State Nurse Aide Registry (NAR) to ensure no employee had a finding entered into the State NAR concerning abuse, neglect, exploitation, mistreatment of residents or misappropriation of their property. This affected all non-STNA (state tested nursing aide) staff who were hired by the facility in the past year, including: seven registered nurses, 11 licensed practical nurses (LPN), 10 dietary workers, six housekeeping staff, two administration workers, one social services staff member and one activities professional. This had the potential to affect all 64 residents admitted to the facility at the time of the survey. Findings include: Interview with Human Resources Director #901 on 09/05/19 at 10:53 A.M. revealed the facility only checked newly hired nursing aides in the State NAR. Other staff members did not receive NAR checks. Review of a list of new hires in the past year (since 08/16/18) revealed the facility hired seven registered nurses, 11 licensed practical nurses, 10…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2019-09-05 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner, and food products were covered properly and dated when opened. This had the potential to affect 64 out of 64 residents who ate meals prepared in the facility's kitchen. Findings include: Observations during the initial tour of the kitchen on 09/03/19 from 8:12 A.M. through 8:49 A.M. with Dietary Manager (DM) #44 revealed food residue and crumbs located on the bottom of the steamer and bottom shelf of the steamtable, crab cakes and hamburgers were not labeled and dated in the walk-in freezer, sliced salami and shredded cheese was not labeled or dated in the walk-in refrigerator and dried grease drippings were on the steamtable near the knobs. Interview with DM #10 on 09/04/19 at 9:003 A.M. verified the observations above and he said has been employed at the facility for two weeks, the kitchen could be cleaner, but he has been working on training the staff. Review of posted work cleaning schedules revealed that all work surfaces would be cleaned…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2019-09-05 · tag F0550 — failed to protect resident dignity and rights — patternHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, the facility failed to ensure a dignified dining experience for residents that ate in the first and second floor dining rooms by serving dessert in a sandwich bag instead of on a plate. In addition State Tested Nursing Assistants (STNAs) served meals to the residents by trays switching from table to table with not all residents served by table. This affected 22 residents that ate in the dining rooms (Resident's #12, #14, #16, #19, #24, #27, #36, #39, #44, #52, #56 and #60 were in the first floor dining room; Resident's #1, #3, #5, #9, #10, #32, #37, #42, #50 and #65 were in the second floor dining room). Findings include: 1. Observations during meal service for lunch on 09/03/19 from 12:00 P.M. through 12:30 P.M. revealed that Resident's #12, #14, #16, #19, #24, #27, #36, #39, #44, #52, #56 and #60 were served cake portioned out into sandwich bags instead of a china plate. This was verified by the Director of Nursing #100 at 12:16 P.M. Interview on 09/03/19 at 12:35 P.M. with the Administrator #101 and Dining Manager #44 revealed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2019-09-05 · tag F0800 — patternProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interviews and review of menus, the facility failed to provide meals that met daily nutritional needs. This affected 10 (#1, #3, #5, #9, #10, #32, #37, #42, #50 and #65) of 12 residents observed during the lunch meal on 09/03/19 beginning at 12:05 P.M. on the second floor dining room and Resident's #11, #18, #20, #41 and #56 who voiced concerns at the resident group meeting. The facility census was 64. Findings include: The menu posted for the lunch meal on 09/03/19 included beefsteak, buttery seasoned rice, glazed carrots, strawberry shortcake and a beverage of choice. At 12:16 P.M. the steam table arrived in the second floor dining room. Residents #1, #3, #5, #9, #10, #32, #37, #42, #50 and #65 received regular or ground meals. None of the 10 residents received a vegetable. An unfrosted piece of cake in a plastic baggy was given to the 10 residents. Interview with State Tested Nurse Aide #14 on 09/03/19 at 12:29 P.M. verified the residents who received pureed meals received a green vegetable identified as zucchini, she verified the residents who were provided…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2019-09-05 · tag F0806 — failed to honor food preferences — patternEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure that resident food preferences were honored. This affected five residents (#7, #13, #15, #53, and #56) of 64 residents that take food by mouth. Findings include: 1. Review of resident's medical record revealed Resident #7 was admitted on [DATE] with diagnoses including but not limited to epilepsy, heart failure, chronic obstructive pulmonary disease, and cerebral infarction without residual deficits. Resident # 7's quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident was moderately cognitively impaired and required extensive assistance with two people for most Activities of Daily Living (ADLs) except eating is supervision with set up only. Further review of Resident #7's medical record revealed that she had a weight loss and was receiving nutritional supplements to promote extra calories which resulted in a weight gain. Her body mass index (BMI) was 17.5 which indicates underweight for her height and weight. 2.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2019-09-05 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview the facility failed to maintain the environment in a clean and sanitary manner. This affected Residents #20, #7, #39, #23, #13, #22, #37, #64 and #4. The facility census was 64. Findings include: 1. Observations during the initial tour of the facility and screening of residents for the annual survey on 09/02/19 from 8:17 A.M. to 11:37 A.M. revealed the following: Resident #20's ceiling had mold on the bathroom ceiling and paint was peeling on the wall in his room. This was verified at the time of observation on 09/02/19 at 9:31 A.M. by Maintenance Assistant #85. Resident #7's carpet was stained and near the window, there was dried food stain on the carpet. This was verified at the time of observation by Housekeeper #54 on 09/02/19 at 9:35 A.M. Resident #39's ceiling had mold on the bathroom ceiling. This was verified at the time of observation on 09/02/19 at 9:36 A.M. by Director of Nursing #100. Resident #23's ceiling paint was peeling and holes in the wall in his room. This was verified at the time of observation on 09/02/19 at 11:04 A.M. by…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-05 · tag F0908 — failed to keep essential equipment working — isolatedKeep all essential equipment working safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview and policy review, the facility failed to ensure oxygen concentrators were maintained in a clean and sanitary condition. This affected two residents (Residents #21 and #53) of four residents identified with oxygen concentrators in the facility. Findings include: Review of the medical record revealed Resident #21 was admitted to the facility on [DATE] with diagnoses including acute and chronic respiratory failure, pneumonia and congestive heart failure. Review of the comprehensive assessment (MDS 3.0) dated 06/08/19 indicated he used oxygen. Review of the plan of care indicated he had oxygen therapy related to respiratory failure and congestive heart failure. On 09/03/19 at 11:50 A.M. Resident #21 was observed seated in his wheelchair using oxygen via a concentrator and nasal cannula. The back of the oxygen concentrator had a black removable filter that was thick with white dust. On 09/04/19 at 11:55 A.M., during interview, State Tested Nurse Aide (STNA) #17 verified…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| LARCHWOOD INVESTORS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | since 05/01/2019 |
| UNION COMMERCE CAPITAL LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | since 05/01/2019 |
| KOTHARI, ZAHID | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | since 05/01/2019 |
| COBB, MICHAEL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | since 05/01/2019 |
| KRUTOWSKY, JOSHUA | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | since 05/01/2019 |
| THOMPSON, LOWELL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | since 05/01/2019 |
| SHANK, KELSEY | Individual | W-2 MANAGING EMPLOYEE | — | since 05/01/2019 |
| WW HEALTHCARE CONSULTANTS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 05/01/2019 |
3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.2M paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OH
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366359. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-09-08, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.