Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HILLSIDE PLAZA

CLEVELAND, OH · 47 certified beds · Last Life Safety survey May 19, 2025

CMS Certification Number 365006 · first certified January 1967

Ownership

Operated by LEGACY HEALTH SERVICES · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

15
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within OH

15 citations — more than 44% of the 922 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was May 2025. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

2 of the 15 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 15 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

This facility15OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility15
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
32019-0572022-0752025-05
Citations at each Life Safety survey
Survey dateCitations
May 16, 20193
July 20, 20227
May 19, 20255

Most-cited tags

Most-cited tags at this facility
K-02112E-00311E-00151K-03531K-07121K-03211K-03721K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.22025-05-19
E-0031Provide emergency officials' contact information.12025-05-19
E-0015Address subsistence needs for staff and patients.12022-07-20
K-0353Inspect, test, and maintain automatic sprinkler systems.12022-07-20
K-0712Have simulated fire drills held at unexpected times.12025-05-19
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12025-05-19
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12025-05-19
K-0324Provide properly protected cooking facilities.12022-07-20

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Egress Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Miscellaneous Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Egress Deficiencies3
Emergency Preparedness Deficiencies2
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 19, 2025 — 5 citations

Citations issued on May 19, 2025
TagWhat the surveyor checksStatus
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (May 27, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (May 27, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (May 27, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (May 27, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 27, 2025)

July 20, 2022 — 7 citations

Citations issued on July 20, 2022
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (September 21, 2022)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (September 21, 2022)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (September 21, 2022)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 21, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 21, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 21, 2022)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (September 21, 2022)

May 16, 2019 — 3 citations

Citations issued on May 16, 2019
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (May 27, 2019)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (May 27, 2019)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 27, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.