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

GARDENS OF MAYFIELD VILLAGE

MAYFIELD HEIGHTS, OH · 99 certified beds · Last Life Safety survey February 4, 2026

CMS Certification Number 365355 · first certified July 1979

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

Ownership changed December 31, 2021 (change of ownership)from MAYFIELD HEIGHTS HEALTHCARE LLC

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within OH

45 citations — more than 98% 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

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 12. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens September 2027 — about 12 months from now. This facility’s last Life Safety survey was February 2026. 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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6 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

3 of the 45 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)

21 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 45 Life Safety citations above. The Physical Environment Index

F-0584 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.
F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0880 Provide and implement an infection prevention and control program.
F-0908 Keep all essential equipment working safely.
F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.
F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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.

Citations on file over three years, compared
Measure	Citations
This facility	45
Median facility in OH	16
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
November 6, 2019	10
March 30, 2023	20
May 29, 2025	6
February 4, 2026	9

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0923	Have proper medical gas storage and administration areas.	3	2026-02-04
K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	3	2026-02-04
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2026-02-04
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	2	2026-02-04
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2023-03-30
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	2	2023-03-30
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2025-05-29
K-0324	Provide properly protected cooking facilities.	2	2023-03-30

What the citations cover

Citations by CMS category

Smoke Deficiencies 17
Gas, Vacuum, and Electrical Systems Deficiencies 10
Miscellaneous Deficiencies 7
Egress Deficiencies 5
Other 6

Citations by CMS category
Category	Citations
Smoke Deficiencies	17
Gas, Vacuum, and Electrical Systems Deficiencies	10
Miscellaneous Deficiencies	7
Egress Deficiencies	5
Emergency Preparedness Deficiencies	3
Services Deficiencies	3

Every citation on file

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

February 4, 2026 — 9 citations

Citations issued on February 4, 2026
Tag	What the surveyor checks	Status
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (February 20, 2026)
K-0321	Ensure 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 (February 20, 2026)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (February 20, 2026)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (February 20, 2026)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (February 20, 2026)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (February 20, 2026)
K-0541	Install properly constructed and protected linen or trash chutes.	Deficient, Provider has date of correction (February 20, 2026)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (February 20, 2026)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (February 20, 2026)

May 29, 2025 — 6 citations

Citations issued on May 29, 2025
Tag	What the surveyor checks	Status
K-0321	Ensure 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 (July 22, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (July 22, 2025)
K-0781	Have restrictions on the use of portable space heaters.	Deficient, Provider has date of correction (July 22, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (July 25, 2025)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (July 22, 2025)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (July 22, 2025)

March 30, 2023 — 20 citations

Citations issued on March 30, 2023
Tag	What the surveyor checks	Status
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (April 28, 2023)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (April 28, 2023)
K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency.	Deficient, Provider has date of correction (April 28, 2023)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (April 28, 2023)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (April 28, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (April 28, 2023)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (April 28, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 28, 2023)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (April 28, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (April 28, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (April 28, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (April 28, 2023)
K-0500	Meet other general requirements that are deficient.	Deficient, Provider has date of correction (April 28, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (April 28, 2023)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (April 28, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (April 28, 2023)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (April 28, 2023)
K-0916	Have a battery powered remote alarm panel in a location accessible by operating personnel.	Waiver has been granted (May 12, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (April 28, 2023)
K-0923	Have proper medical gas storage and administration areas.	Deficient, Provider has date of correction (April 28, 2023)

November 6, 2019 — 10 citations

Citations issued on November 6, 2019
Tag	What the surveyor checks	Status
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has plan of correction (December 20, 2019)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (January 13, 2020)
K-0321	Ensure 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 (January 13, 2020)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (January 13, 2020)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (January 13, 2020)
K-0351	Install an approved automatic sprinkler system.	Deficient, Provider has date of correction (January 13, 2020)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (January 13, 2020)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (January 13, 2020)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (January 13, 2020)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (January 13, 2020)

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