Canterbury of Twinsburg
9928 Vail Drive, Twinsburg, OH 44087 · Summit County · 50 certified beds · avg 47 residents/day · certified since Mar 19, 2010
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jun 18, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: May 20, 2025 (Past Non-Compliance)
▲ Actual harm, one-off · Jun 28, 2022 · F-0686
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Aug 3, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (28)
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 |
|---|---|---|
| Jun 18, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Nov 14, 2024 | 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. |
| Nov 14, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Nov 14, 2024 | 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. |
| Jun 14, 2024 | 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. · from a complaint |
| Feb 29, 2024 | 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. · from a complaint |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 19, 2023 | E · Potential for harm, repeated | 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 |
| Dec 19, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Dec 19, 2023 | 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 |
| Dec 19, 2023 | 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 |
| Dec 19, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint |
| Dec 19, 2023 | 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 |
| Aug 11, 2023 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Aug 11, 2023 | 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. · from a complaint |
| Jun 28, 2022 | ▲ G · Actual 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 28, 2022 | E · Potential for harm, repeated | 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. |
| Jun 28, 2022 | D · Potential for harm, one-off | 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. |
| Jun 28, 2022 | 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 28, 2022 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Jun 28, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 28, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Jun 27, 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. |
| Jun 27, 2019 | 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 27, 2019 | D · Potential for harm, one-off | 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. |
| Jun 27, 2019 | 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. |
| Jun 27, 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. |
| Jun 27, 2019 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 6 | 0 | F |
| 2022 | 7 | 1 | G ▲ |
| 2023 | 8 | 0 | F |
| 2024 | 6 | 0 | D |
| 2025 | 1 | 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) | 4.45 | 3.45 | 3.95 | top 7% in Ohio; top 25% in the U.S. |
| Registered Nurse hours | 0.81 | 0.60 | 0.69 | top 14% in Ohio; top 27% in the U.S. |
| Weekend total nurse staffing | 3.96 | 3.07 | 3.50 | top 7% in Ohio; top 24% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.42 | 0.48 | bottom 42% in Ohio; bottom 42% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 48.7 | 45.8 | bottom 46% in Ohio; bottom 38% in the U.S. |
| RN turnover (%) | 40.0 | 43.9 | 42.9 | top 43% in Ohio; top 46% 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 5.10, RN 0.92, weekend 4.54. 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: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Berardino, Nicholas | Individual | 5% or Greater Direct Ownership Interest | 25% | 09/28/2018 |
| Cilone, Joseph | Individual | 5% or Greater Direct Ownership Interest | 25% | 09/28/2018 |
| Huber, Michael | Individual | 5% or Greater Direct Ownership Interest | 25% | 09/28/2018 |
| Berardino, Nicholas | Individual | Corporate Officer | NOT APPLICABLE | 09/28/2018 |
| Berardino, Nicholas | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/28/2018 |
| Berardino, Nicholas | Individual | ADP of the SNF | NOT APPLICABLE | 09/28/2018 |
| Cilone, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 09/28/2018 |
| Cilone, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/28/2018 |
| Cilone, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 09/28/2018 |
| Foy, Valerie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/23/2023 |
| Foy, Valerie | Individual | ADP of the SNF | NOT APPLICABLE | 01/23/2023 |
| Huber, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 09/28/2018 |
| JCTH Holdings, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/28/2018 |
| Lument Real Estate Capital LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 03/18/2022 |
| Mullen, Leslie | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/15/2024 |
| Mullen, Leslie | Individual | ADP of the SNF | NOT APPLICABLE | 05/15/2024 |
| Petrozzi, Larry | Individual | ADP of the SNF | NOT APPLICABLE | 09/28/2018 |
| Rastogi, Vijay | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/1970 |
| Rastogi, Vijay | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/1970 |
| Vail Drive Property Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/09/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "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 |
|---|---|---|---|---|---|
| Manor of Grande Village | 2.1 mi | Twinsburg, OH | ★★★☆☆ | 3/5 | |
| Twinsburg Post Acute | 2.7 mi | Twinsburg, OH | ★☆☆☆☆ | 1/5 | |
| Anna Maria of Aurora | 3.5 mi | Aurora, OH | ★★★★☆ | 3/5 | |
| Kensington at Anna Maria | 3.6 mi | Aurora, OH | ★★★★★ | 5/5 | |
| Heritage Health Care Center | 3.9 mi | Oakwood Village, OH | ★★☆☆☆ | 2/5 | |
| Grande Oaks | 3.9 mi | Oakwood Village, OH | ★★☆☆☆ | 1/5 | |
| Avenue at Macedonia | 4.1 mi | Macedonia, OH | ★★☆☆☆ | 2/5 | |
| Aurora Manor Special Care Cent | 4.4 mi | Aurora, OH | ★★☆☆☆ | 2/5 | abuse |
| Northfield Village Retirement Community | 4.8 mi | Northfield, OH | ★★★★★ | 4/5 | |
| Aventura at Walton Hills | 4.9 mi | Walton Hills, OH | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366385.