Falling Water Healthcare Center
18840 Falling Water, Strongsville, OH 44136 · Cuyahoga County · 135 certified beds · avg 102 residents/day · certified since Jan 16, 1997
Part of chain: COMMUNICARE HEALTH (110 facilities, chain avg rating 3.2★)
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 · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Dec 4, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 3, 2024 (Past Non-Compliance)
All citations in the current public record (20)
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 |
|---|---|---|
| Aug 4, 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. |
| Aug 4, 2025 | E · Potential for harm, repeated | 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 |
| Aug 4, 2025 | 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. |
| Aug 4, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to manage their own money and financial affairs. · from a complaint |
| Aug 4, 2025 | 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. |
| Aug 4, 2025 | D · Potential for harm, one-off | 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. |
| Aug 4, 2025 | D · Potential for harm, one-off | 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 |
| Dec 19, 2024 | ▲ 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 |
| Dec 19, 2024 | D · Potential for harm, one-off | 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 |
| Sep 25, 2024 | F · Potential for harm, facility-wide | 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 |
| Sep 25, 2024 | D · Potential for harm, one-off | 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 |
| Sep 25, 2024 | D · Potential for harm, one-off | 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 |
| Sep 25, 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. · from a complaint |
| Jun 10, 2024 | ▲ 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 |
| Apr 15, 2024 | D · Potential for harm, one-off | 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 |
| Apr 15, 2024 | 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. · from a complaint |
| Oct 5, 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 |
| Jan 9, 2020 | E · Potential for harm, repeated | 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. |
| Jan 9, 2020 | 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. |
| Jan 9, 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. |
Inspection trend by year
| 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.
Fines and enforcement (last 3 years)
1 fine totaling $10,839.
| Date | Type | Amount / length |
|---|---|---|
| Dec 19, 2024 | Fine | $10,839 |
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) | 3.43 | 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, 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. 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 - 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 |
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?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How are residents' personal funds handled here, and what records can families review?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "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 |
|---|---|---|---|---|---|
| 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 |
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Facility data as of CMS processing date 2026-08-01. CCN 366111.