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Aristos Nursing and Rehabilitation
4650 Rocky River Dr, Cleveland, OH 44135 (opens Google Maps) · Cuyahoga County · (216) 267-5445· 57 certified beds · avg 51 residents/day · certified since Sep 1, 1996 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
2/5
Health inspection rating (on-site)
inspected Sep 29, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.66
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 41 inspection findings. Open the full record below to read every finding.
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 F-0880
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 F-0881
The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint F-0921
View all 41 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 13, 2026 | F · Potential for more than minimal harm, widespread | 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 · F-0880 |
| May 13, 2026 | F · Potential for more than minimal harm, widespread | 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 · F-0881 |
| May 13, 2026 | F · Potential for more than minimal harm, widespread | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921 |
| May 13, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0755 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0580 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint · F-0676 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint · F-0691 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint · F-0698 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | The facility did not make sure the resident's doctor reviewed their care and wrote, signed, and dated progress notes and orders at each required visit. · from a complaint · F-0711 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint · F-0773 |
| May 13, 2026 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Sep 29, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Sep 29, 2025 | E · Potential for more than minimal harm, pattern | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Sep 29, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| Sep 29, 2025 | E · Potential for more than minimal harm, pattern | The facility did not have policies on smoking. · F-0926 |
| Sep 29, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0645 |
| Sep 29, 2025 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0686 |
| Sep 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Sep 29, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Sep 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757 |
| Sep 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · F-0849 |
| Sep 29, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Aug 16, 2024 | F · Potential for more than minimal harm, widespread | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726 |
| Sep 28, 2023 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0580 |
| Nov 8, 2022 | F · Potential for more than minimal harm, widespread | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Nov 8, 2022 | E · Potential for more than minimal harm, pattern | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · F-0809 |
| Nov 8, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0558 |
| Aug 29, 2019 | F · Potential for more than minimal harm, widespread | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · F-0835 |
| Aug 29, 2019 | E · Potential for more than minimal harm, pattern | 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. · F-0656 |
| Aug 29, 2019 | E · Potential for more than minimal harm, pattern | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0580 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · F-0602 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Aug 29, 2019 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Aug 29, 2019 | C · Potential for minimal harm, widespread | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 11).
All citationsSerious citations (G–L)
2019
All citations: 12
Serious citations (G–L): 0
2022
All citations: 3
Serious citations (G–L): 0
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 1
Serious citations (G–L): 0
2025
All citations: 11
Serious citations (G–L): 0
2026
All citations: 13
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 12 | 0 | F |
| 2022 | 3 | 0 | F |
| 2023 | 1 | 0 | D |
| 2024 | 1 | 0 | F |
| 2025 | 11 | 0 | F |
| 2026 | 13 | 0 | F |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityOhio averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.66
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 0.68
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.40
Ohio average: 3.07
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.66 | 3.45 | 3.95 | top 28% in Ohio; bottom 45% in the U.S. |
| Registered Nurse hours | 0.68 | 0.60 | 0.69 | top 27% in Ohio; top 38% in the U.S. |
| Weekend total nurse staffing | 3.40 | 3.07 | 3.50 | top 21% in Ohio; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.42 | 0.48 | bottom 49% in Ohio; bottom 48% in the U.S. |
| Total nursing staff turnover (%) | 54.3 | 48.7 | 45.8 | bottom 33% in Ohio; bottom 26% in the U.S. |
| RN turnover (%) | 54.5 | 43.9 | 42.9 | bottom 32% in Ohio; bottom 29% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.27, RN 0.61, weekend 3.04.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.27 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Aristos Nursing and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Aaa Eminent LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/31/2024 |
| Aaa Eminent LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2024 |
| Aaa Opco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 12/31/2024 |
| Carerite Services LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 12/31/2024 |
| Armstead Pharmacy Provider Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Ausch, Chaim | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/31/2024 |
| Ausch, Chaim | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Ausch, Chaim | Individual | Limited Partnership Interest | NOT APPLICABLE | 12/31/2023 |
| Bhimani, Jayantilal | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Carerite Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Eminent Care Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Eminent Care Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Geldzahler, Yaakov | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/31/2024 |
| Geldzahler, Yaakov | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Geldzahler, Yaakov | Individual | General Partnership Interest | NOT APPLICABLE | 12/31/2023 |
| Howard, Wershbale & Co | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Med-Net Compliance LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Mercadante, Ashley | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Mercadante, Ashley | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Royer, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
Showing 20 of 25 parties CMS has on file for this facility; 5 are not displayed. The full list is in the CMS Ownership dataset.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you help residents maintain their daily living skills, and how do you measure whether it's working?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Which staff are trained in ostomy care, and how often is that care provided and checked?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 54% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 25 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 110 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Larchwood Care | 1.0 mi | Cleveland, OH | ★★★★★ | 4/5 | |
| Rocky River Gardens Rehab and Nursing Ctr | 1.1 mi | Cleveland, OH | ★★☆☆☆ | 1/5 | |
| Westpark Healthcare Campus | 1.4 mi | Cleveland, OH | ★★★★★ | 4/5 | |
| O'Neill Healthcare Fairview Park | 1.8 mi | Fairview Park, OH | ★★★★★ | 5/5 | |
| North Park Care Center | 2.6 mi | Brook Park, OH | ★★★★★ | 5/5 | |
| Gardens of North Olmsted | 2.7 mi | North Olmsted, OH | ★★☆☆☆ | 1/5 | |
| O'Neill Healthcare North Olmsted | 2.7 mi | North Olmsted, OH | ★★★★☆ | 3/5 | |
| Welsh Home the | 2.9 mi | Rocky River, OH | ★★★★★ | 5/5 | |
| East Park Care Center | 3.1 mi | Brook Park, OH | ★★☆☆☆ | 1/5 | |
| Berea Center | 3.1 mi | Berea, OH | ★★★★★ | 4/5 | |
| Northwestern Healthcare Center | 3.7 mi | Berea, OH | ★★★☆☆ | 2/5 | |
| Parkside Villa | 3.8 mi | Middleburg Heights, OH | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Cuyahoga, OH — 92 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Aventura at Walton Hills — Walton Hills, OH · overall 2/5
- Avenue at Broadview Heights — Broadview Heights, OH · overall 3/5
- Avenue at Brooklyn — Brooklyn, OH · overall 1/5
- Avenue at Lyndhurst — Lyndhurst, OH · overall 2/5SFF
- Avenue Care and Rehabilitation Center, the — Warrensville Heights, OH · overall 1/5
- Beachwood Pointe Care Center — Beachwood, OH · overall 1/5
- Broadview Multi Care Center — Parma, OH · overall 3/5abuse
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 366058.
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