Cedarwood Plaza
12504 Cedar Road, Cleveland Heights, OH 44106 · Cuyahoga County · 115 certified beds · avg 103 residents/day · certified since Jan 1, 1967
Part of chain: LEGACY HEALTH SERVICES (10 facilities, chain avg rating 3.5★)
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 15, 2024 · 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 (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 6, 2024 (Past Non-Compliance)
All citations in the current public record (30)
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 14, 2025 | 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. · from a complaint |
| Oct 14, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Oct 14, 2025 | E · Potential for harm, repeated | 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 |
| Oct 14, 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 14, 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. · from a complaint |
| Oct 14, 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. · from a complaint |
| Aug 30, 2025 | 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 |
| Aug 30, 2025 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. · from a complaint |
| Jul 1, 2025 | F · Potential for harm, facility-wide | 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. · from a complaint |
| Jul 1, 2025 | 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 |
| Feb 25, 2025 | 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 |
| Feb 25, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Jan 7, 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 |
| Jun 27, 2024 | 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 |
| May 15, 2024 | ▲ J · Immediate jeopardy, 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 |
| Mar 7, 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. · from a complaint |
| Feb 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. · from a complaint |
| Sep 28, 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. |
| Sep 28, 2023 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Sep 28, 2023 | 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. · from a complaint |
| Sep 28, 2023 | D · Potential for harm, one-off | 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. |
| Sep 28, 2023 | 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. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
| Mar 12, 2020 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Mar 12, 2020 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 12, 2020 | 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. |
| Mar 12, 2020 | D · Potential for harm, one-off | 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. |
| Jan 31, 2019 | 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. |
| Jan 31, 2019 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2020 | 4 | 0 | F |
| 2023 | 7 | 0 | F |
| 2024 | 4 | 1 | J ▲ |
| 2025 | 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)
1 fine totaling $8,171.
| Date | Type | Amount / length |
|---|---|---|
| May 15, 2024 | Fine | $8,171 |
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) | 3.28 | 3.45 | 3.95 | bottom 47% in Ohio; bottom 25% in the U.S. |
| Registered Nurse hours | 0.56 | 0.60 | 0.69 | top 44% in Ohio; bottom 47% in the U.S. |
| Weekend total nurse staffing | 2.88 | 3.07 | 3.50 | bottom 44% in Ohio; bottom 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.63 | 0.42 | 0.48 | top 13% in Ohio; top 21% in the U.S. |
| Total nursing staff turnover (%) | 57.5 | 48.7 | 45.8 | bottom 26% in Ohio; bottom 20% in the U.S. |
| RN turnover (%) | 73.3 | 43.9 | 42.9 | bottom 11% in Ohio; bottom 9% 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 3.72, RN 0.64, weekend 3.26. Staffing rating: 2/5.
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 |
|---|---|---|---|---|
| CC Oh10 Opco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/06/2022 |
| Chavos221 Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/06/2022 |
| Chavos221 Irrv Tr | Organization | 5% or Greater Indirect Ownership Interest | — | 07/06/2022 |
| Lionsview Opco NR LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/06/2022 |
| Lionsview SC LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/06/2022 |
| Living26 Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/06/2022 |
| Living26 Irrv Tr | Organization | 5% or Greater Indirect Ownership Interest | — | 07/06/2022 |
| Oh 10 Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/06/2022 |
| Sapphire143 Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 07/06/2022 |
| Sapphire143 Irrv Tr | Organization | 5% or Greater Indirect Ownership Interest | — | 07/06/2022 |
| Sharvit, Eliav | Individual | Corporate Officer | NOT APPLICABLE | 06/22/2007 |
| Stump, Barry | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/07/2019 |
| Stump, Barry | Individual | Corporate Officer | NOT APPLICABLE | 05/14/1998 |
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?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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?"
- "Can I see where garbage is stored and how often it's removed?"
- "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 |
|---|---|---|---|---|---|
| Judson Park | 0.8 mi | Cleveland, OH | ★★★★☆ | 4/5 | |
| University Manor Health & Reha | 0.8 mi | Cleveland, OH | ★☆☆☆☆ | 2/5 | |
| The Gardens of Fairfax Health Care Center | 1.7 mi | Cleveland, OH | ★★★☆☆ | 2/5 | |
| Candlewood Healthcare and Rehabilitation | 1.8 mi | East Cleveland, OH | ★★★☆☆ | 3/5 | |
| Crawford Manor Healthcare Center | 2.0 mi | Cleveland, OH | ★★☆☆☆ | 1/5 | abuse |
| Singleton Health Care Center | 2.1 mi | Cleveland, OH | ★★★★☆ | 4/5 | |
| Gardens of McGregor and Amasa Stone | 2.4 mi | East Cleveland, OH | ★★★★★ | 4/5 | |
| Cityview Healthcare and Rehabilitation | 2.7 mi | Cleveland, OH | ★★☆☆☆ | 1/5 | abuse |
| Eastbrook Healthcare Center | 3.8 mi | Cleveland, OH | ★★★☆☆ | 3/5 | |
| Shaker Gardens Nursing and Rehabilitation Center | 3.9 mi | Shaker Heights, OH | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365033.