Larchwood Care
4110 Rocky River Drive, Cleveland, OH 44135 · Cuyahoga County · 74 certified beds · avg 66 residents/day · certified since Jan 23, 2008
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 · Sep 8, 2025 · F-0689
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: Sep 25, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| May 12, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 12, 2026 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Sep 8, 2025 | ▲ 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. |
| Sep 8, 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. · from a complaint |
| Sep 8, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Sep 8, 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. |
| Sep 8, 2025 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Sep 8, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 5, 2024 | D · Potential for harm, one-off | 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 |
| Mar 5, 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 |
| Aug 21, 2023 | 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 |
| Aug 21, 2023 | 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 |
| Sep 5, 2019 | F · Potential for harm, facility-wide | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Sep 5, 2019 | 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 5, 2019 | E · Potential for harm, repeated | 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. |
| Sep 5, 2019 | E · Potential for harm, repeated | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. |
| Sep 5, 2019 | E · Potential for harm, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Sep 5, 2019 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Sep 5, 2019 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 0 | F |
| 2023 | 2 | 0 | D |
| 2024 | 2 | 0 | D |
| 2025 | 6 | 1 | G ▲ |
| 2026 | 2 | 0 | D |
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) | 3.57 | 3.45 | 3.95 | top 31% in Ohio; bottom 40% in the U.S. |
| Registered Nurse hours | 0.67 | 0.60 | 0.69 | top 28% in Ohio; top 39% in the U.S. |
| Weekend total nurse staffing | 3.18 | 3.07 | 3.50 | top 32% in Ohio; bottom 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.77 | 0.42 | 0.48 | top 6% in Ohio; top 13% in the U.S. |
| Total nursing staff turnover (%) | 42.3 | 48.7 | 45.8 | top 33% in Ohio; top 42% in the U.S. |
| RN turnover (%) | 23.8 | 43.9 | 42.9 | top 20% in Ohio; top 20% 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 5.88, RN 1.11, weekend 5.23. Staffing rating: 3/5.
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: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cobb, Michael | Individual | 5% or Greater Indirect Ownership Interest | 45% | 05/01/2019 |
| Kothari, Zahid | Individual | 5% or Greater Direct Ownership Interest | 5% | 05/01/2019 |
| Krutowsky, Joshua | Individual | 5% or Greater Indirect Ownership Interest | 5% | 05/01/2019 |
| Larchwood Investors LLC | Organization | 5% or Greater Direct Ownership Interest | 90% | 05/01/2019 |
| Thompson, Lowell | Individual | 5% or Greater Indirect Ownership Interest | 45% | 05/01/2019 |
| Union Commerce Capital LLC | Organization | 5% or Greater Direct Ownership Interest | 5% | 05/01/2019 |
| Shank, Kelsey | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/01/2019 |
| WW Healthcare Consultants, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2019 |
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?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 |
|---|---|---|---|---|---|
| Rocky River Gardens Rehab and Nursing Ctr | 0.0 mi | Cleveland, OH | ★★☆☆☆ | 1/5 | |
| Aristos Nursing and Rehabilitation | 1.0 mi | Cleveland, OH | ★★☆☆☆ | 2/5 | |
| Westpark Healthcare Campus | 1.1 mi | Cleveland, OH | ★★★★★ | 4/5 | |
| O'Neill Healthcare Fairview Park | 1.6 mi | Fairview Park, OH | ★★★★★ | 5/5 | |
| Welsh Home the | 2.6 mi | Rocky River, OH | ★★★★★ | 5/5 | |
| Gardens of North Olmsted | 3.0 mi | North Olmsted, OH | ★★☆☆☆ | 1/5 | |
| O'Neill Healthcare Lakewood | 3.4 mi | Lakewood, OH | ★★★★☆ | 3/5 | |
| North Park Care Center | 3.4 mi | Brook Park, OH | ★★★★★ | 5/5 | |
| O'Neill Healthcare North Olmsted | 3.4 mi | North Olmsted, OH | ★★★★☆ | 3/5 | |
| Crestmont North Nursing Home | 3.5 mi | Lakewood, OH | ★★★★☆ | 3/5 | |
| Enniscourt Nursing Care | 3.5 mi | Lakewood, OH | ★★☆☆☆ | 2/5 | |
| East Park Care Center | 3.8 mi | Brook Park, OH | ★★☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366359.