18840 Falling Water, Strongsville, OH 44136 (opens Google Maps) · Cuyahoga County · (440) 238-1100· 135 certified beds · avg 102 residents/day · certified since Jan 16, 1997 · 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 →
Part of chain: COMMUNICARE HEALTH (110 facilities, chain avg rating 3.2★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · 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.
▲ Actual harm, isolated · Dec 19, 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 (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 4, 2024 (Past Non-Compliance)
▲ Actual harm, isolated · Jun 10, 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 (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Jun 3, 2024 (Past Non-Compliance)
Showing the latest 3 of 20 inspection findings. Open the full record below to read every finding.
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
The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint F-0553
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
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 |
|---|---|---|
| Aug 4, 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 |
| Aug 4, 2025 | E · Potential for more than minimal harm, pattern | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · from a complaint · F-0553 |
| Aug 4, 2025 | 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 4, 2025 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to manage their own money and financial affairs. · from a complaint · F-0567 |
| Aug 4, 2025 | 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 4, 2025 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759 |
| Aug 4, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint · F-0806 |
| Dec 19, 2024 | ▲ G · Actual harm, isolated | 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 · F-0689 |
| Dec 19, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint · F-0744 |
| Sep 25, 2024 | F · Potential for more than minimal harm, widespread | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint · F-0727 |
| Sep 25, 2024 | 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 |
| Sep 25, 2024 | 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. · from a complaint · F-0677 |
| Sep 25, 2024 | D · Potential for more than minimal harm, isolated | 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 |
| Jun 10, 2024 | ▲ G · Actual harm, isolated | 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 · F-0689 |
| Apr 15, 2024 | D · Potential for more than minimal harm, isolated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint · F-0759 |
| Apr 15, 2024 | 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 |
| Oct 5, 2023 | E · Potential for more than minimal harm, pattern | 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 |
| Jan 9, 2020 | E · Potential for more than minimal harm, pattern | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919 |
| Jan 9, 2020 | 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 |
| Jan 9, 2020 | 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 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 3 | 0 | E |
| 2023 | 1 | 0 | E |
| 2024 | 9 | 2 | G ▲ |
| 2025 | 7 | 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.
How to file a complaint about care →
1 fine totaling $10,839.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Dec 19, 2024 | Fine | $10,839 |
What these staffing numbers mean →
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) | 3.43 | 3.45 | 3.95 | top 41% in Ohio; bottom 33% in the U.S. |
| Registered Nurse hours | 0.60 | 0.60 | 0.69 | top 40% in Ohio; top 49% in the U.S. |
| Weekend total nurse staffing | 3.28 | 3.07 | 3.50 | top 26% in Ohio; bottom 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.42 | 0.48 | top 50% in Ohio; bottom 49% in the U.S. |
| Total nursing staff turnover (%) | 51.5 | 48.7 | 45.8 | bottom 41% in Ohio; bottom 33% in the U.S. |
| RN turnover (%) | 71.4 | 43.9 | 42.9 | bottom 12% in Ohio; bottom 11% 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 3.34, RN 0.58, weekend 3.20.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.34 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Falling Water Healthcare Center. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Consolidated Health Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2020 |
| Consolidated Health LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2020 |
| Consolidated Op Co., LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2020 |
| NE Baker Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2020 |
| The Stephen L. Rosedale 2012 Spousal Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 05/01/2020 |
| Armstrong, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/12/2024 |
| Armstrong, Kimberly | Individual | ADP of the SNF | NOT APPLICABLE | 05/09/2025 |
| C.R. Stoltz Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 01/10/2008 |
| Consolidated Health Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2020 |
| Consolidated Health LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2020 |
| Falling Mgt Co LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2020 |
| Falling Mgt Co LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/26/2025 |
| Gregorin, Jason | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Gregorin, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 05/09/2025 |
| Groves, Donna | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2020 |
| I. Rosedale Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2020 |
| NE Baker Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2020 |
| Odenthal, Richard | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 05/09/2025 |
| R.S. Wilheim Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 11/06/2003 |
| Romeo, Dominic | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2023 |
Showing 20 of 29 parties CMS has on file for this facility; 9 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Communicare Health — 110 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 109 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Altenheim | 1.4 mi | Strongsville, OH | ★★★★☆ | 3/5 | |
| Strongsville Healthcare and Rehabilitation | 2.9 mi | Strongsville, OH | ★★★☆☆ | 2/5 | |
| Diplomat Healthcare | 3.0 mi | North Royalton, OH | ★★☆☆☆ | 1/5 | |
| O'Neill Healthcare Middleburg Heights | 3.3 mi | Middleburg Heights, OH | ★★★★★ | 4/5 | |
| Hopkins Rehabilitation and Care Center | 3.4 mi | Middleburg Heights, OH | ★★☆☆☆ | 2/5 | |
| Aristocrat Berea Healthcare and Rehabilitation | 3.4 mi | Berea, OH | ★★☆☆☆ | 2/5 | |
| Parkside Villa | 3.5 mi | Middleburg Heights, OH | ★★★★☆ | 3/5 | |
| Northwestern Healthcare Center | 4.1 mi | Berea, OH | ★★★☆☆ | 2/5 | |
| Royal Oak Nursing & Rehab Ctr | 4.3 mi | Middleburg Heights, OH | ★★★☆☆ | 3/5 | |
| Riverview Pointe Care Center | 4.4 mi | Olmsted Falls, OH | ★★★★★ | 4/5 | |
| Berea Center | 4.7 mi | Berea, OH | ★★★★★ | 4/5 | |
| North Royalton Post Acute | 4.9 mi | Parma, OH | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
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.
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 366111.
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