Ahc of Landerhaven LLC
2108 Lander Road, Mayfield Heights, OH 44124 · Cuyahoga County · 46 certified beds · avg 41 residents/day · certified since Oct 16, 2017
Part of chain: ADVANCED HEALTH CARE (26 facilities, chain avg rating 4.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 19, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jun 23, 2025 | E · Potential for harm, repeated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Jun 23, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jun 23, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jun 23, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jun 23, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jun 23, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Jun 23, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 27, 2024 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Aug 27, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Feb 20, 2020 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 20, 2020 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 20, 2020 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Feb 20, 2020 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Feb 20, 2020 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 5 | 0 | F |
| 2024 | 2 | 0 | E |
| 2025 | 8 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.87 | 3.45 | 3.95 | top 4% in Ohio; top 15% in the U.S. |
| Registered Nurse hours | 1.15 | 0.60 | 0.69 | top 4% in Ohio; top 11% in the U.S. |
| Weekend total nurse staffing | 4.33 | 3.07 | 3.50 | top 4% in Ohio; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.84 | 0.42 | 0.48 | top 4% in Ohio; top 10% in the U.S. |
| Total nursing staff turnover (%) | 78.8 | 48.7 | 45.8 | bottom 1% in Ohio; bottom 2% in the U.S. |
| RN turnover (%) | 89.3 | 43.9 | 42.9 | bottom 2% in Ohio; bottom 2% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 5.49, RN 1.30, weekend 4.87. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: —/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| New Ahc Holdings, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2021 |
| The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2024 |
| The G&H Miller Utah Trust Dated February 26, 2019 | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2024 |
| The Gail Miller GST Trust | Organization | 5% or Greater Indirect Ownership Interest | 72% | 01/01/2024 |
| LHMSH LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Mukunda, Beejadi | Individual | ADP of the SNF | NOT APPLICABLE | 04/25/2025 |
| New Ahc Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| Oxnam, Nathan | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Oxnam, Nathan | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 09/16/2025 |
| Winston, Candy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Winston, Candy | Individual | ADP of the SNF | NOT APPLICABLE | 04/25/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Heritage Healthcare of Lyndhurst | 1.2 mi | Lyndhurst, OH | ★☆☆☆☆ | 1/5 | |
| King David Post Acute Nursing & Rehabilitation LLC | 1.4 mi | Beachwood, OH | ★★★☆☆ | 2/5 | abuse |
| Gardens of Mayfield Village | 1.8 mi | Mayfield Heights, OH | ★★☆☆☆ | 1/5 | SFF |
| Avenue at Lyndhurst | 1.9 mi | Lyndhurst, OH | ★★☆☆☆ | 1/5 | SFF |
| Tranquility of Richmond Heights | 3.4 mi | Richmond Heights, OH | ★★☆☆☆ | 2/5 | |
| Daughters of Miriam Center for Nursing & Rehabilit | 3.6 mi | Beachwood, OH | ★★☆☆☆ | 1/5 | |
| Beachwood Pointe Care Center | 3.6 mi | Beachwood, OH | ★☆☆☆☆ | 1/5 | |
| Grande Pointe Healthcare Commu | 3.8 mi | Richmond Heights, OH | ★★☆☆☆ | 2/5 | |
| Highland Pointe Health & Rehab Center | 4.0 mi | Highland Heights, OH | ★☆☆☆☆ | 1/5 | |
| Altercare of Mayfield Village, INC | 4.5 mi | Mayfield Village, OH | ★★★☆☆ | 2/5 | |
| Shaker Gardens Nursing and Rehabilitation Center | 4.6 mi | Shaker Heights, OH | ★★★★★ | 4/5 | |
| Mount Saint Joseph Rehab Center | 5.6 mi | Euclid, OH | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 366458.