Lutheran Home
2116 Dover Center Rd, Westlake, OH 44145 · Cuyahoga County · 40 certified beds · avg 59 residents/day · certified since Jan 1, 1967
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 (15)
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 |
|---|---|---|
| Nov 24, 2025 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. · from a complaint |
| Aug 24, 2023 | 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. |
| Aug 24, 2023 | D · Potential for 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. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Aug 24, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Aug 24, 2023 | 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. |
| Aug 24, 2023 | C · Minimal risk, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Jan 16, 2020 | 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. |
| Nov 29, 2018 | F · Potential for harm, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Nov 29, 2018 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Nov 29, 2018 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Nov 29, 2018 | D · Potential for 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. |
| Nov 29, 2018 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Nov 29, 2018 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Nov 29, 2018 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 7 | 0 | F |
| 2020 | 1 | 0 | F |
| 2023 | 6 | 0 | D |
| 2025 | 1 | 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) | 5.35 | 3.45 | 3.95 | top 2% in Ohio; top 9% in the U.S. |
| Registered Nurse hours | 0.65 | 0.60 | 0.69 | top 31% in Ohio; top 42% in the U.S. |
| Weekend total nurse staffing | 5.06 | 3.07 | 3.50 | top 2% in Ohio; top 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.42 | 0.48 | top 41% in Ohio; top 44% in the U.S. |
| Total nursing staff turnover (%) | 51.6 | 48.7 | 45.8 | bottom 41% in Ohio; bottom 33% in the U.S. |
| RN turnover (%) | 38.5 | 43.9 | 42.9 | top 42% in Ohio; top 44% 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 5.37, RN 0.65, weekend 5.08. Staffing rating: 4/5.
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: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alexander, Erin | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| American Medical Personel | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Anderson, Todd | Individual | Corporate Director | NOT APPLICABLE | 11/29/2023 |
| Bourne, Paula | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Bowersox, James | Individual | Corporate Director | NOT APPLICABLE | 09/01/2020 |
| Bowersox, James | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2020 |
| Britton, Angela | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Brueshaber, Larry | Individual | Corporate Director | NOT APPLICABLE | 09/01/2020 |
| Burgess, Douglas | Individual | Corporate Director | NOT APPLICABLE | 01/01/2026 |
| Burgess, Douglas | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2026 |
| Caring Communities Shared Services LTD. | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Carmany, Margaret | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Conlon, Celia | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Conlon, Celia | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2025 |
| Cope, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Debenedictis, Lance | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Debenedictis, Lance | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2025 |
| East, Sandra | Individual | Corporate Director | NOT APPLICABLE | 01/01/2026 |
| East, Sandra | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2026 |
| Fowerbaugh, Andrew | Individual | Corporate Director | NOT APPLICABLE | 11/29/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who on your staff manages IV therapy, and what training and monitoring is in place?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "How does your quality committee work, and can you share an example of a problem it identified 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 | Flags |
|---|---|---|---|---|---|
| Life Care Center of Westlake | 0.5 mi | Westlake, OH | ★★☆☆☆ | 2/5 | |
| Rae-Ann Westlake | 0.9 mi | Westlake, OH | ★★★★☆ | 4/5 | |
| Huntington Woods Care & Rehab Center | 1.4 mi | Westlake, OH | ★★★★★ | 5/5 | |
| Rae Ann Suburban | 1.4 mi | Westlake, OH | ★★☆☆☆ | 1/5 | |
| Brookdale Westlake Village | 1.5 mi | Westlake, OH | ★★★★★ | 4/5 | |
| Crocker Pointe Health and Rehabilitation | 2.1 mi | Westlake, OH | —/5 | ||
| O'Neill Healthcare Bay Village | 2.5 mi | Bay Village, OH | ★★☆☆☆ | 2/5 | |
| Joshua Tree Care Center | 2.7 mi | North Olmsted, OH | ★★★★☆ | 4/5 | |
| Gardens of North Olmsted | 2.7 mi | North Olmsted, OH | ★★☆☆☆ | 1/5 | |
| Welsh Home the | 3.0 mi | Rocky River, OH | ★★★★★ | 5/5 | |
| Avon Place Healthcare Center | 3.1 mi | Avon, OH | ★★☆☆☆ | 3/5 | |
| Normandy Manor of Rocky River | 3.1 mi | Rocky River, OH | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365020.