Shaker Gardens Nursing And Rehabilitation Center

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.

Therapy staffing: this home’s payroll records show 0.85 therapist hours per resident per day in 2026Q1 — more than 95% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% 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 50 beds and averages 45.4 residents a day — about 91% occupied, or roughly 5 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 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.88 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.77 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 2.88 hrs/resident/day on weekends vs 3.30 on weekdays — 13% thinner on weekends. RN hours go from 0.96 to 0.67 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% 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 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.

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.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · F2026-05-01 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  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

  Based on observation, resident interview, and staff interview, the facility failed to ensure an adequate supply of washcloths and towels were available for resident care needs. This had the potential to affect all 46 residents residing in the facility. The facility census was 46.Findings include:Observation and interview with Certified Nurse Aide (CNA) #299 on 05/01/26 at 8:28 A.M. revealed there were no washcloths or towels were available on the first floor for resident care needs.Observation on 05/01/26 at 8:48 A.M. outside the laundry room revealed 26 bags of dirty laundry and three bags of clean laundry pending delivery to residents. Interview with Maintenance Director (MD) #200 at that time revealed only one clothes washer was operational. MD #200 stated a new washer was delivered the previous day; however, installation was delayed due to a non-functioning elevator, which required repair prior to delivery.Observation of the clean laundry room on 05/01/26 at 8:49 A.M. revealed no clean towels or washcloths available for resident care. Interview with MD #200 at the time of 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-10-17 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 ensure a medication error rate of five percent (%) or less. Five medication errors out of 27 observed opportunities for error, created a medication error rate of 18.5%. This affected two of three residents reviewed for medication administration (Resident #5 and #4). The total census was 48. Findings include: 1. Observation of a medication administration procedure for Resident #5 by Licensed Practical Nurse (LPN) #118 on 10/15/24 at 9:03 A.M. revealed the nurse prepared medications including a 2000 unit tabled of vitamin D-3, and polyethylene glycol (a laxative) powder, of which she measured 15 milliliters (ml) into a 30 ml medicine cup. She also prepared two eye drop medications (Brimonidine Tartrate and Ketorolac Tromethamine), which both included pharmacist instructions on their storage bags to wait five minutes between medications administered in the same eye. The nurse administered the above-noted medications and gave the eye drops in the right eye one immediately after the other at 9:19 A.M. Record…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-03-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure 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, interview, record review, and facility policy review the facility failed to ensure fall interventions were in place for Resident #47. This affected one resident (#47) of three residents reviewed for falls. The facility census was 50. Findings Include: Review of Resident #47's medical record revealed an admission date of 06/07/23 and diagnoses including acute pulmonary edema, bipolar disorder, generalized anxiety disorder, hypertension, depression, dementia with other behavioral disturbance, and moderate protein calorie malnutrition. Review of a quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #47 was cognitively impaired and did not reject care. Resident #47 required substantial/partial assistance to sit to stand. Resident #47 could wheel 50 feet in her wheelchair with two turns with supervision or touching assistance. Resident #47 had two falls coded since the prior assessment. Review of a fall risk evaluation dated 02/27/24 revealed Resident #47 had one to…

  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 · Dcited before2024-02-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure 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 record review, interview, and facility policy review the facility failed to ensure Resident #49 did not leave the facility without staff knowledge and did not ensure a safe discharge. This affected one resident (#49) of three residents reviewed for elopement. The facility census was 48. Findings include: Review of the closed medical record for Resident #49 revealed an admission date of 01/23/24 and a discharge date of 02/11/24. Diagnoses included human immunodeficiency virus (HIV), schizophrenia, depression, and dementia. He was his own responsible party. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #49 was moderately cognitively impaired. The assessment identified the resident had no wandering behaviors. The resident required supervision for ambulation. Review of the plan of care dated 01/23/24 revealed no evidence Resident #49 was at risk for elopement. Review of the elopement risk assessment dated [DATE] revealed Resident #49 was not at risk 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2022-05-02 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and staff interview, the facility failed to ensure the dumpsters and surrounding areas were maintained and free from trash and debris. This had the potential to affect all 42 residents currently residing in the facility. Finding include: Observation on 04/26/22 at 10:42 A.M. of the outside dumpsters revealed two dumpsters, both with the lids open with a moderate to a large amount of debris and trash on ground around the dumpsters. Interview on 04/26/22 at 10:42 A.M. with Dietary Manager (DM) #536 verified the observation.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2022-05-02 · 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 observations, staff interview, record review, review of facility infection control policies and the Centers for Disease Control and Prevention (CDC) website the facility failed to implement infection control procedures for Personal Protective Equipment (PPE). This had the potential to affect all 42 residents currently residing in the facility. The facility also failed to ensure tuberculosis (TB) testing was completed as required. This affected two (Residents #30 and #38) of five residents reviewed for TB testing. Findings include: 1. Observation on 04/25/22 at 7:13 P.M. revealed on the third floor, Licensed Practical Nurse (LPN) #631 with her facemask pulled down exposing her mouth and nose. LPN #631 was standing at the medication cart that was in front of the nurses' station. Interview at this time with LPN #631 verified the observation and stated she sometimes has to pull it down. LPN #631 then pulled up her facemask to cover her mouth and nose. 2. Review of the medical record for Resident #189 revealed an admission date of 04/21/22. Diagnoses included chronic obstructive…

  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 · E2022-05-02 · tag F0569 — pattern
  Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and review of resident accounts the facility failed to notify residents who receive Medicaid benefits when the amount in their account reached $200.00 less than the SSI (supplemental security income) resource limit for one person. This affected five (Residents #9, #17, #33, #36 and #91) of six residents whose accounts were reviewed of nine resident accounts the facility managed. Findings include: Review of Resident #9's account revealed the balance to be #3401.67, Resident #17's balance was $4812.73, Resident #33's balance was $2385.47, Resident #36's balance was $5068.84 and Resident #91's balance was $7063.79. All of these residents received Medicaid benefits and the balance exceeded the Medicaid benefit limit of $2000.00 placing them at risk of losing Medicaid benefits. Interview with the Administrator on 04/27/22 at 4:30 P.M. revealed the residents' accounts were above the limit because of the stimulus monies they received. Stimulus monies were to be used within one year of receipt. Each of the resident's received a $1400.00 stimulus check on 04/07/21. None of…

  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 · E2022-05-02 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, staff interview, and policy review the facility failed to ensure serving sizes for vegetables were provided according to the menu. This had the potential to affect all residents except Residents #21, #24, #25, #139, and #190, who received nothing by mouth. The facility also failed to ensure serving sizes for the mechanical soft beef was served according to the menu. This had the potential to affect nine residents (#7, #10, #12, #18, #22, #29, #34, #189, and #239) who received a mechanical soft or ground diet. The facility census was 42. Findings include: Review of the menu for lunch on 04/27/22 revealed a one ½ cup (four ounces) serving of zucchini and for the residents on mechanical soft diet ground Salisbury steak using a number eight (#8) scoop which provided a four ounce serving. Observations on 04/27/22 between 11:23 A.M. and 11:29 A.M. of tray line revealed Dietary [NAME] (DC) #513 was observed give one serving each of the zucchini using a three-ounce serving spoon. Then observed DC #513 serve one serving each of the mechanical soft beef…

  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 · E2022-05-02 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  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 ensure influenza and pneumonia vaccinations were completed as required. This affected four (Residents #30, #40, #191, and #192) of five residents (#30, #38, #40, #191, and #192) reviewed for influenza and pneumonia immunizations. The facility census was 42. Findings include: 1. Review of the open medical record for Resident #30 revealed an admission date of 02/18/22. Diagnoses included congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), and gastroesophageal reflux disease (GERD). There was no noted evidence of influenza or pneumonia immunizations. 2. Review of the closed medical record of Resident #40 revealed an admission date of 12/08/21 and a discharge date of 02/25/22. Diagnoses included first lumbar vertebra fracture, alcohol abuse, history of falling, and chronic obstructive pulmonary disease (COPD). There was no noted evidence of influenza or pneumonia immunizations. 3. Review of the open medical record of Resident #191 revealed an admission date of 04/19/22. Diagnoses included…

  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 · D2022-05-02 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor 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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview the facility failed to ensure residents' signed advance directive forms were contained in their medical record. This affected two (Residents #189 and #191) of two residents reviewed for advance directives. The facility census was 42. Findings include: 1. Review of the medical record for Resident #191 revealed an admission date of 04/19/22. Diagnoses included COVID-19, prostate cancer, spinal stenosis, and chronic cough. Review of the physician orders for April 2022 revealed orders for a Do Not Resuscitate Comfort Care-Arrest (DNRCC-Arrest) dated 04/19/22 for code status. Review of Resident #191's medical record revealed no signed and dated DNR Comfort Care form. 2. Review of the medical record for Resident #189 revealed an admission date of 04/21/22. Diagnoses included chronic obstructive pulmonary disease (COPD), lung cancer, and major depressive disorder. Review of the physician orders for April 2022 revealed orders for a Do Not Resuscitate Comfort Care-Arrest (DNRCC-Arrest) dated 04/22/22 for code status. Review of Resident #189's 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.

  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

$18,306 in federal fines across 4 penalties.

• $4,587 — penalty dated 2023-09-11
• $4,545 — penalty dated 2023-09-05
• $4,587 — penalty dated 2023-08-28
• $4,587 — penalty dated 2023-08-21

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to LIONSTONE CARE — 24 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

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 $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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