Altenheim
18627 Shurmer Road, Strongsville, OH 44136 · Cuyahoga County · 128 certified beds · avg 110 residents/day · certified since Jan 1, 1967
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Oct 21, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 11, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (12)
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 |
|---|---|---|
| Oct 21, 2025 | ▲ G · Actual 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. · from a complaint |
| Oct 21, 2025 | 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. · from a complaint |
| Oct 21, 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. · from a complaint |
| Oct 21, 2025 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. · from a complaint |
| Jul 25, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 5, 2022 | C · Minimal risk, facility-wide | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Apr 18, 2019 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 18, 2019 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Apr 18, 2019 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Apr 18, 2019 | 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. |
| Apr 18, 2019 | 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. |
| Apr 18, 2019 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 6 | 0 | F |
| 2022 | 1 | 0 | C |
| 2024 | 1 | 0 | F |
| 2025 | 4 | 1 | G ▲ |
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) | 4.42 | 3.45 | 3.95 | top 8% in Ohio; top 25% in the U.S. |
| Registered Nurse hours | 0.54 | 0.60 | 0.69 | bottom 49% in Ohio; bottom 43% in the U.S. |
| Weekend total nurse staffing | 3.84 | 3.07 | 3.50 | top 9% in Ohio; top 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.42 | 0.48 | bottom 33% in Ohio; bottom 35% in the U.S. |
| Total nursing staff turnover (%) | 40.0 | 48.7 | 45.8 | top 27% in Ohio; top 36% in the U.S. |
| RN turnover (%) | 23.1 | 43.9 | 42.9 | top 19% in Ohio; top 18% 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 4.75, RN 0.58, weekend 4.13. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Brassell, Debbie | Individual | Corporate Director | NOT APPLICABLE | 02/28/2024 |
| Elber, Renate | Individual | Corporate Director | NOT APPLICABLE | 06/24/2024 |
| Haseley, Tamsin | Individual | Corporate Director | NOT APPLICABLE | 06/28/2021 |
| Helfrich, Karl | Individual | Corporate Director | NOT APPLICABLE | 06/28/2021 |
| Kaminski, James | Individual | Corporate Director | NOT APPLICABLE | 06/29/2022 |
| Kedzior, John | Individual | Corporate Director | NOT APPLICABLE | 06/28/2021 |
| Kedzior, John | Individual | Corporate Officer | NOT APPLICABLE | 06/28/2021 |
| Knowles, David | Individual | Corporate Director | NOT APPLICABLE | 06/25/2018 |
| Knowles, David | Individual | Corporate Officer | NOT APPLICABLE | 06/25/2018 |
| Manz, Norbert | Individual | Corporate Director | NOT APPLICABLE | 06/28/2021 |
| Manz, Norbert | Individual | Corporate Officer | NOT APPLICABLE | 06/28/2021 |
| Mueller, Reiner | Individual | Corporate Director | NOT APPLICABLE | 06/24/2024 |
| Mueller, Reiner | Individual | Corporate Officer | NOT APPLICABLE | 06/30/2025 |
| Oliveros, Ed | Individual | Corporate Director | NOT APPLICABLE | 06/28/2021 |
| Psota, Paul | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2009 |
| Psota, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2009 |
| Psota, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2009 |
| Riedthaler, Sue | Individual | Corporate Director | NOT APPLICABLE | 06/28/2021 |
| Roach, Melodie | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2023 |
| Roach, Melodie | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "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 |
|---|---|---|---|---|---|
| Falling Water Healthcare Center | 1.4 mi | Strongsville, OH | ★★★★☆ | 3/5 | |
| Strongsville Healthcare and Rehabilitation | 1.5 mi | Strongsville, OH | ★★★☆☆ | 2/5 | |
| Diplomat Healthcare | 3.7 mi | North Royalton, OH | ★★☆☆☆ | 1/5 | |
| Pearlview Rehab & Wellness Ctr | 3.9 mi | Brunswick, OH | ★★☆☆☆ | 1/5 | |
| Willowood Care Center of Brunswick | 4.2 mi | Brunswick, OH | ★★★☆☆ | 3/5 | |
| O'Neill Healthcare Middleburg Heights | 4.6 mi | Middleburg Heights, OH | ★★★★★ | 4/5 | |
| Hopkins Rehabilitation and Care Center | 4.7 mi | Middleburg Heights, OH | ★★☆☆☆ | 2/5 | |
| Aristocrat Berea Healthcare and Rehabilitation | 4.8 mi | Berea, OH | ★★☆☆☆ | 2/5 | |
| Parkside Villa | 4.9 mi | Middleburg Heights, OH | ★★★★☆ | 3/5 | |
| Brunswick Pointe Transitional Care | 5.4 mi | Brunswick, OH | ★★★★★ | 5/5 | |
| Riverview Pointe Care Center | 5.4 mi | Olmsted Falls, OH | ★★★★★ | 4/5 | |
| Royal Oak Nursing & Rehab Ctr | 5.4 mi | Middleburg Heights, OH | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365109.