Heritage Healthcare of Painesville

Location & what’s nearby

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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

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.

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.

59.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 42 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.44 therapist hours per resident per day in 2026Q1 — more than 75% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 20% 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.

Staffing

How full it usually is: this home is certified for 78 beds and averages 60.4 residents a day — about 77% occupied, or roughly 18 beds typically open. It usually has some room. 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 3.05 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.77 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.81 is below 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 2.72 hrs/resident/day on weekends vs 3.18 on weekdays — 14% thinner on weekends. RN hours go from 0.88 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 70% is well above the national median of 45%. 1 administrator has left in the past year.

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 fewer than at the previous inspection — improving. 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · Fcited before2024-09-18 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of personnel files and interview, the facility did not ensure tuberculosis testing was completed on or prior to the date of hire for the Administrator, Director of Nursing (DON), Assistant Director of Nursing (ADON) #202, Human Resources/Payroll #205, State Tested Nurse Aide (STNA) #212, Licensed Practical Nurse (LPN) #243, and LPN #238. This affected seven of the 12 personnel files reviewed and had the potential to affect all 52 residents residing in the facility. Findings include: Review of the personnel file for the Administrator revealed the date of hire was 07/03/24, and the tuberculosis test was not administered until 07/16/24. Review of the personnel file for the DON revealed the date of hire was 04/23/24, and the tuberculosis test was not administered until 07/16/24. Review of the personnel file for the ADON #202 revealed the date of hire was 06/12/24, and the tuberculosis test was not administered until 07/16/24. Review of the personnel file for Human Resources/Payroll #205 revealed the date of hire was 04/29/24, and the tuberculosis test was not…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-09-18 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide 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 record review and interview, the facility failed to ensure showers/bed baths were provided to Residents #18, #23, and #29 as scheduled. This affected three residents (#18, #23, and #29) of five residents reviewed for showers. The facility census was 52. Findings include: 1. Review of the medical record for Resident #18 revealed an admission date of 07/19/24. Diagnoses included fracture of left pubis, dementia, Bell's palsy, chronic pain syndrome, and fracture of the fifth lumbar vertebra. Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #18 was cognitively intact. Review of shower/bathing task report for Resident #18 for 30-days revealed the resident received bed baths on 08/23/24, 08/27/24, 09/13/24, and 09/14/24. Review of the shower/bathing sheets for Resident #18 for two months revealed none had been completed, Interview on 09/15/24 at 11:33 A.M. Resident #18 stated she rarely got a bed bath. Staff never mentioned them to her. 2. Review of the medical…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-18 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide 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 observation, interview, and record review, the facility failed to ensure Resident #39 received wound care according to physician's orders. This affected one resident (#39) of one resident reviewed for pressure ulcers. The facility census was 52. Findings include: Record review of Resident #39 revealed he was admitted to the facility on [DATE] and had diagnoses including diabetes, atrial fibrillation, and end stage renal disease. He was admitted with unstageable pressure ulcers (full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan, gray, green or brown) and/or eschar (tan, brown or black) in the wound bed) to both heels as well as two pressure sores to his gluteus. The gluteus pressure sores had since healed, and the heel pressure sores progressed to stage III pressure ulcers (full thickness tissue loss, subcutaneous fat may be visible, but bone, tendon or muscle are not exposed, slough may be present but does not obscure the depth of tissue loss, may include…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-08-02 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and policy review the facility failed to maintain a clean and sanitary environment. This affected nine residents (#9, #10, #15, #20, #21, #23, #27, #32 and #33) and had the potential to affect all 46 residents residing in the facility. Findings include: Observation on 08/01/23 at 9:10 A.M. revealed a strong odor of urine from the center of the 200-hallway while walking toward the end of the hallway. There were a few black gnats flying within the hallway. Resident #32 was observed in the assigned room with the window partially open, sitting up in a wheelchair and spraying air freshener toward the center of the room. There were several small black gnats flying around the room. Interview at the time of the observation with Resident #32 stated the staff assisted when needed but was able to toilet independently except when urinating in the toilet it also got onto the floor but could not be prevented. Resident #32 indicated housekeeping cleaned no more than every other day because they were shorthanded, and the staff knew about how urine…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-08-02 · tag F0925 — failed to control pests — pattern
  Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and facility policy review the facility failed to maintain effective pest control. This affected three residents (#9, #10 and #32) and had the potential to affect all 46 residents residing in the facility. Findings include: Observation on 08/01/23 at 9:10 A.M. revealed a strong odor of urine from the center of hallway 200 while walking toward the end of the hallway. There were a few black gnats flying within the hallway. Resident #32 was observed in the assigned room with the window partially open, sitting up in a wheelchair and spraying air freshener toward the center of the room. There were several small black gnats flying around the room. Interview at the time of the observation with Resident #32 stated the staff assisted when needed but was able to toilet independently except when urinating in the toilet it also got onto the floor but could not prevent it. Resident #32 indicated housekeeping cleaned no more than every other day because they were shorthanded, and the staff knew about how urine would get onto the floor. Resident…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2022-11-03 · tag F0809 — failed to serve meals on a reasonable schedule — widespread
  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to serve meals in a timely manner. This had the potential to affect all residents residing in the facility who receive meals. The facility identified two residents (Resident's #36 and #260) with physician's orders for nothing by mouth (NPO). The facility census was 55. Findings include: Upon entry on 10/24/22 at 8:30 A.M. a list of mealtimes was requested and received. Review of the list indicated mealtimes were 7:30 A.M. for breakfast, 11:30 A.M. for lunch, and 5:30 P.M. for dinner. Observation on 10/24/22 at 8:58 A.M. revealed staff passing breakfast trays on the 100-unit. Observation 10/24/22 at 11:30 A.M. revealed six residents sitting in dining room waiting for lunch meal. Observed residents filtering into dining room for lunch meal from 11:31 A.M. to 12:00 P.M. At 12:00 P.M. observed administrator enter kitchen. Interview on 10/24/22 at 12:10 P.M. with Administrator revealed dinner mealtime was changed to 5:30 P.M. during week of 10/14/22. The Administrator indicated the updated dinner mealtime was posted…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2022-11-03 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure 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, interview, and policy review the facility failed to maintain a clean and sanitary kitchen area. This had the potential to affect all residents residing in the facility who received meals. The facility identified two (Resident's #36 and #260) with nothing by mouth (NPO) diet orders. The facility census was 55. Findings include: Observations on 10/24/22 from 9:00 A.M. to 9:15 A.M. of facility kitchen revealed the double door reach in cooler had a tray with seven bowls of uncovered and undated beets and a second tray was a bowl of mandarin oranges and seven bowls of apples which were uncovered and undated. Additionally, in the double door reach-in cooler was an unidentified covered bowl without date and a pot of vegetable soup covered with plastic wrap with no label or date. In the single door reach-in cooler there was a spill down back of cooler. Observation of the microwave revealed food splatter on the inside top and sides. Observation of food splatter on the inside of the door of kitchen. Observation of the walk-in cooler revealed a bag of lettuce hanging out…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-11-03 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard 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 interview, record review, and policy review, the facility failed to ensure documentation was completed on five residents (Residents #26, #30, #37, #48, and #262) of 25 residents reviewed for documentation. The facility census was 55. Findings include: 1. Review of the medical record revealed Resident #26 was admitted to the facility on [DATE] with diagnoses including cardiomyopathy, bipolar disorder, diabetes, and high blood pressure. Review of the progress notes for Resident #26 revealed on 08/27/22 at 11:44 P.M. paged Physician (MD) #56 regarding the resident for an unknown reason. At 11:52 P.M. MD #56 returned the page and ordered Zofran (an anti-nausea medication) 8 milligrams three times a day as needed for nausea as well as an abdominal x-ray. Further review revealed the last documentation regarding Resident #26 was on 08/30/22 by Social Services Designee (SSD) #37. 2. Review of the medical record for Resident #30 revealed the resident was admitted on [DATE] with diagnoses including heart disease,…

  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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-11-03 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  Make 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and facility policy review the facility failed to have a well-maintained environment. This affected nine resident occupied rooms (rooms #102, #105, #107, #108, #110, #202, #205, #207, #303). The facility census was 55. Findings include: An environmental tour was conducted on 10/27/22 between 12:00 P.M. and 12:15 P.M. with the Maintenance Supervisor #32. The following was verified and observed at the time of the tour: • room [ROOM NUMBER] had one extra-large sheet of vinyl adhesive applied to the wall behind the bed, which was partially coming off the wall. Behind the sheet of vinyl were four large holes in the wall. • room [ROOM NUMBER] had one medium size hole in the brown wooden hollow bathroom door with white patching material partially covering the hole. • room [ROOM NUMBER] had one large white patched area on the wall between the two televisions and four large white patched areas on the wall next to the bed closest to the hallway. • room [ROOM NUMBER] had four…

  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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-11-03 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, staff interviews, and facility policy review, the facility failed to notify Resident #50's physician and resident representative of significant weight changes. This affected one (Resident #50) of three residents who were reviewed for nutrition. The facility census was 55. Findings include: Review of medical record for Resident #50 revealed an admission date of 12/08/18 with diagnoses including myelodysplastic syndrome (disorder caused by blood cells that are poorly formed or do not work properly), unspecified psychosis, major depressive disorder, anxiety disorder, and schizophreniform disorder (a mental disorder diagnosed when symptoms of schizophrenia are present for a significant portion of time). Minimum Data Set (MDS) 3.0 annual assessment, dated 10/03/22, revealed moderately impaired cognition; independent with no staff assistance for set-up for bed mobility, transfers, walk in room and corridor, locomotion, dressing, toilet use, and personal hygiene; and supervision with staff assistance for set-up for eating. Review of Resident #50's physician…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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