Joshua Tree Care Center

Name: Joshua Tree Care Center
Address: 27500 MILL RD, North Olmsted, OH, 44070, US
Telephone: 4407778444

27500 Mill Rd, North Olmsted, OH 44070 · Cuyahoga County · 36 certified beds · avg 34 residents/day · certified since Mar 14, 1980 · 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 →

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.94

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · 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.

All citations in the current public record (11)

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
Jan 15, 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.
Jan 15, 2025	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.
Jan 15, 2025	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.
Jan 15, 2025	C · Minimal risk, facility-wide	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Jan 15, 2025	C · Minimal risk, facility-wide	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies.
Mar 9, 2023	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.
Mar 9, 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.
Mar 9, 2023	F · Potential for harm, facility-wide	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Mar 9, 2023	F · Potential for harm, facility-wide	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.
Mar 9, 2023	B · Minimal risk, repeated	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 23, 2020	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).

Year	Citations	Worst severity that year
2020	1	F
2023	5	F
2025	5	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)

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)	2.94	3.45	3.95	bottom 21% in Ohio; bottom 12% in the U.S.
Registered Nurse hours	0.55	0.60	0.69	top 48% in Ohio; bottom 45% in the U.S.
Weekend total nurse staffing	2.58	3.07	3.50	bottom 17% in Ohio; bottom 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.42	0.48	bottom 36% in Ohio; bottom 37% in the U.S.
Total nursing staff turnover (%)	37.5	48.7	45.8	top 22% in Ohio; top 30% in the U.S.
RN turnover (%)	20.0	43.9	42.9	top 13% in Ohio; top 13% 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 3.32, RN 0.62, weekend 2.92. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Individual

Owner / manager	Type	Role	Stake	Since
Coury, Kimberly	Individual	5% or Greater Direct Ownership Interest	100%	01/01/2000
Coury, Kimberly	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/1990

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Crocker Pointe Health and Rehabilitation	1.6 mi	Westlake, OH		—/5
Brookdale Westlake Village	1.7 mi	Westlake, OH	★★★★★	4/5
Health Center at the Renaissance	1.7 mi	Olmsted TWP, OH	★★★★☆	4/5
Life Care Center of Westlake	2.4 mi	Westlake, OH	★★☆☆☆	2/5
O'Neill Healthcare North Olmsted	2.5 mi	North Olmsted, OH	★★★★☆	3/5
Lutheran Home	2.7 mi	Westlake, OH	★★★★☆	4/5
Gardens of North Olmsted	2.8 mi	North Olmsted, OH	★★☆☆☆	1/5
Village of the Falls	3.0 mi	Olmsted Falls, OH	★★★★★	4/5
Rae-Ann Westlake	3.3 mi	Westlake, OH	★★★★☆	4/5
Rae Ann Suburban	3.4 mi	Westlake, OH	★★☆☆☆	1/5
Avenue at North Ridgeville	3.5 mi	North Ridgeville, OH	★★☆☆☆	1/5
Avon Place Healthcare Center	3.8 mi	Avon, OH	★★☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in North Olmsted →

Facility data as of CMS processing date 2026-08-01. CCN 365533.

The Care File

Visit checklist — Joshua Tree Care Center

27500 Mill Rd, North Olmsted, OH 44070 · 4407778444

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 365533 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)