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

SHAKER GARDENS NURSING AND REHABILITATION CENTER

SHAKER HEIGHTS, OH · 50 certified beds · Last Life Safety survey October 17, 2024

CMS Certification Number 366021 · first certified August 1995

Ownership

Operated by LIONSTONE CARE · For profit - Corporation

  • Ownership changed May 16, 2018 (change of ownership)to SHAKER GARDENS NURSING AND REHAB from MFF SOMERSET, L.L.C
17
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within OH

17 citations — more than 53% 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 6 citations; the earlier surveys in the window averaged 5.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: June 2026 to June 2027. This facility’s last Life Safety survey was October 2024. 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

4 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.

Physical environment (health survey)

4 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 17 Life Safety citations above. The Physical Environment Index

  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • 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.

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 facility17OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility17
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
32019-0582022-0562024-10
Citations at each Life Safety survey
Survey dateCitations
May 22, 20193
May 2, 20228
October 17, 20246

Most-cited tags

Most-cited tags at this facility
K-03452K-03532K-01612K-07122K-05112K-07811K-07411K-09161
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22024-10-17
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-10-17
K-0161Use approved construction type or materials.22024-10-17
K-0712Have simulated fire drills held at unexpected times.22024-10-17
K-0511Have properly installed electrical wiring and gas equipment.22024-10-17
K-0781Have restrictions on the use of portable space heaters.12022-05-02
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12022-05-02
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.12024-10-17

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Miscellaneous Deficiencies 4
  • Services Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Miscellaneous Deficiencies4
Services Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Construction Deficiencies2
Egress Deficiencies2

Every citation on file

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

October 17, 2024 — 6 citations

Citations issued on October 17, 2024
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Fire Safety Evaluation Survey (December 5, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 5, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (December 5, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (December 5, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 5, 2024)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (December 5, 2024)

May 2, 2022 — 8 citations

Citations issued on May 2, 2022
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Waiver has been granted
K-0222Add 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 (June 17, 2022)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (June 17, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 17, 2022)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (June 17, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 17, 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 (June 17, 2022)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (June 17, 2022)

May 22, 2019 — 3 citations

Citations issued on May 22, 2019
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 21, 2019)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 21, 2019)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 21, 2019)

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