Altercare of Mayfield Village, INC
290 North Commons Blvd, Mayfield Village, OH 44143 · Cuyahoga County · 52 certified beds · avg 44 residents/day · certified since May 15, 2003
Part of chain: ALTERCARE (22 facilities, chain avg rating 3.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
⚠ 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)
▲ Immediate jeopardy, one-off · May 14, 2026 · F-0678 · triggered by a complaint
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Why it matters: In a cardiac or breathing emergency, failure to start CPR promptly can be the difference between life and death.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 15, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (17)
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 |
|---|---|---|
| May 14, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint |
| Dec 21, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Dec 3, 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 |
| Dec 3, 2024 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint |
| Apr 17, 2024 | 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. · from a complaint |
| Nov 2, 2023 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Nov 2, 2023 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Nov 2, 2023 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Nov 2, 2023 | C · Minimal risk, facility-wide | The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention. |
| Oct 12, 2023 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Jun 28, 2021 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jun 28, 2021 | D · Potential for harm, one-off | 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. |
| Jun 28, 2021 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jun 28, 2021 | 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 28, 2021 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Jun 28, 2021 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 1, 2019 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | D |
| 2021 | 6 | 0 | D |
| 2023 | 5 | 0 | F |
| 2024 | 4 | 0 | D |
| 2026 | 1 | 1 | J ▲ |
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)
1 fine totaling $72,646.
| Date | Type | Amount / length |
|---|---|---|
| May 14, 2026 | Fine | $72,646 |
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) | 3.85 | 3.45 | 3.95 | top 20% in Ohio; top 46% in the U.S. |
| Registered Nurse hours | 0.95 | 0.60 | 0.69 | top 7% in Ohio; top 18% in the U.S. |
| Weekend total nurse staffing | 3.27 | 3.07 | 3.50 | top 27% in Ohio; bottom 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.57 | 0.42 | 0.48 | top 18% in Ohio; top 25% in the U.S. |
| Total nursing staff turnover (%) | 66.7 | 48.7 | 45.8 | bottom 11% in Ohio; bottom 8% in the U.S. |
| RN turnover (%) | 57.1 | 43.9 | 42.9 | bottom 28% in Ohio; bottom 26% 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 4.24, RN 1.05, weekend 3.60. Staffing rating: 3/5.
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: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Andrew M Schroer | Organization | 5% or Greater Indirect Ownership Interest | — | 12/15/2015 |
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Gerald F Schroer Jr | Organization | 5% or Greater Indirect Ownership Interest | — | 12/15/2015 |
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Matthew Schroer | Organization | 5% or Greater Indirect Ownership Interest | — | 12/15/2015 |
| Gerald F Schroer Dynasty Tr Ua 12312009 Margaret S Goodman | Organization | 5% or Greater Indirect Ownership Interest | — | 12/15/2015 |
| Susanne Schroer Dynasty Trust U/A | Organization | 5% or Greater Indirect Ownership Interest | — | 08/01/2018 |
| The Schroer Group, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 01/01/2003 |
| TSG Nursing Centers, INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2003 |
| Altercare of Ohio, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2003 |
| Film, George | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2018 |
| Goodman, John | Individual | Corporate Officer | NOT APPLICABLE | 05/15/2003 |
| Johnson, Kathy | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2010 |
| Mock, Douglas | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/20/2021 |
| Mock, Douglas | Individual | Corporate Officer | NOT APPLICABLE | 09/20/2021 |
| Nutter, Orian | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "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 |
|---|---|---|---|---|---|
| Highland Pointe Health & Rehab Center | 1.8 mi | Highland Heights, OH | ★☆☆☆☆ | 1/5 | |
| Grande Pointe Healthcare Commu | 2.1 mi | Richmond Heights, OH | ★★☆☆☆ | 2/5 | |
| Wickliffe Country Place | 3.0 mi | Wickliffe, OH | ★★★☆☆ | 2/5 | |
| Tranquility of Richmond Heights | 3.2 mi | Richmond Heights, OH | ★★☆☆☆ | 2/5 | |
| Gardens of Mayfield Village | 3.2 mi | Mayfield Heights, OH | ★★☆☆☆ | 1/5 | SFF |
| Ohio Living Breckenridge Village | 3.7 mi | Willoughby, OH | ★★★★☆ | 4/5 | |
| Avenue at Lyndhurst | 3.7 mi | Lyndhurst, OH | ★★☆☆☆ | 1/5 | SFF |
| Heritage Healthcare of Lyndhurst | 3.9 mi | Lyndhurst, OH | ★☆☆☆☆ | 1/5 | |
| Mount Saint Joseph Rehab Center | 4.5 mi | Euclid, OH | ★★★★☆ | 4/5 | |
| Ahc of Landerhaven LLC | 4.5 mi | Mayfield Heights, OH | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 366267.