Joshua Tree Care Center

27500 Mill Rd, North Olmsted, OH 44070 (opens Google Maps) · Cuyahoga County · (440) 777-8444· 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)

inspected Jan 15, 2025

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)

New to these records? How to read an inspection report →

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

Inspection findings in the public record

Showing the latest 3 of 11 inspection findings. Open the full record below to read every finding.

Jan 15, 2025F · 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
Jan 15, 2025D · Potential for more than minimal harm, isolated
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. F-0656
Jan 15, 2025D · 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. F-0677

View all 11 inspection findingsShow only the latest 3 findings

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
Jan 15, 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
Jan 15, 2025	D · Potential for more than minimal harm, isolated	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. · F-0656
Jan 15, 2025	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. · F-0677
Jan 15, 2025	C · Potential for minimal harm, widespread	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. · F-0625
Jan 15, 2025	C · Potential for minimal harm, widespread	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. · F-0838
Mar 9, 2023	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. · F-0727
Mar 9, 2023	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
Mar 9, 2023	F · Potential for more than minimal harm, widespread	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. · F-0865
Mar 9, 2023	F · Potential for more than minimal harm, widespread	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. · F-0880
Mar 9, 2023	B · Potential for minimal harm, pattern	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. · F-0582
Jan 23, 2020	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

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2020

2023

2025

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityOhio averageU.S. average

Total nurse staffing (hours per resident per day)

2.94

3.45

3.95

Registered Nurse hours

0.55

0.60

0.69

Weekend total nurse staffing

2.58

3.07

3.50

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)	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 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 3.32, RN 0.62, weekend 2.92.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.32 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Joshua Tree Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

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.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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 - 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

All 2 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Ohio midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 38% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 93 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 →

Other facilities in the same county

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.

Judson Park — Cleveland, OH · overall 4/5
King David Post Acute Nursing & Rehabilitation LLC — Beachwood, OH · overall 3/5abuse
Larchwood Care — Cleveland, OH · overall 5/5
Mount Saint Joseph Rehab Center — Euclid, OH · overall 4/5
Mt Alverna Home INC — Parma, OH · overall 2/5
Normandy Manor of Rocky River — Rocky River, OH · overall 2/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in North Olmsted →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Joshua Tree Care Center

27500 Mill Rd, North Olmsted, OH 44070 · (440) 777-8444

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?"
☐ "Your weekend nurse staffing is reported below the Ohio midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 38% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)