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Larchwood Care
4110 Rocky River Drive, Cleveland, OH 44135 (opens Google Maps) · Cuyahoga County · (216) 941-6100· 74 certified beds · avg 66 residents/day · certified since Jan 23, 2008 · 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 Sep 8, 2025
1
Serious findings on record
most recent Sep 8, 2025
$0
Fines, last 3 years
3.57
Nurse hours/resident/day (adjusted)
Every record stays on this page.
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: 5/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): 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: Sep 25, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 19 inspection findings. Open the full record below to read every finding.
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 F-0684
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 F-0686
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
View all 19 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 |
|---|---|---|
| May 12, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| May 12, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Sep 8, 2025 | ▲ 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. · F-0689 |
| Sep 8, 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. · from a complaint · F-0558 |
| Sep 8, 2025 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Sep 8, 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 |
| Sep 8, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Sep 8, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Mar 5, 2024 | D · Potential for more than minimal harm, isolated | 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 |
| Mar 5, 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 |
| Aug 21, 2023 | 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 |
| Aug 21, 2023 | 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 |
| Sep 5, 2019 | F · Potential for more than minimal harm, widespread | 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. · F-0607 |
| Sep 5, 2019 | 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 |
| Sep 5, 2019 | E · Potential for more than minimal harm, pattern | 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 |
| Sep 5, 2019 | E · Potential for more than minimal harm, pattern | The facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · F-0800 |
| Sep 5, 2019 | E · Potential for more than minimal harm, pattern | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806 |
| Sep 5, 2019 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Sep 5, 2019 | D · Potential for more than minimal harm, isolated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
Inspection trend by year
All citationsSerious citations (G–L)
2019
All citations: 7
Serious citations (G–L): 0
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 1
2026
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityOhio averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.57
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 0.67
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.18
Ohio average: 3.07
U.S. average: 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) | 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 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 5.88, RN 1.11, weekend 5.23.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.88 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Larchwood Care. 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 - 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 |
All 8 owning or managing parties CMS has on file are shown — none excluded.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 42% 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 108 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 →
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.
- Life Care Center of Westlake — Westlake, OH · overall 2/5
- Lutheran Home — Westlake, OH · overall 4/5
- 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
- North Royalton Post Acute — Parma, OH · overall 1/5
- Northwestern Healthcare Center — Berea, OH · overall 3/5
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 366359.
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