O'Neill Healthcare Bay Village

Name: O'Neill Healthcare Bay Village
Address: 605 BRADLEY RD, Bay Village, OH, 44140, US
Telephone: 4408713474

605 Bradley Rd, Bay Village, OH 44140 · Cuyahoga County · 138 certified beds · avg 112 residents/day · certified since Jan 28, 1971

Part of chain: O'NEILL HEALTHCARE (6 facilities, chain avg rating 4.2★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.02

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 (28)

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 21, 2026	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 21, 2026	F · Potential for harm, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jan 21, 2026	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Jan 21, 2026	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Jan 21, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jan 21, 2026	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jan 21, 2026	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 21, 2026	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 21, 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
Jan 21, 2026	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. · from a complaint
Jan 21, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jan 21, 2026	D · Potential for harm, one-off	The facility did not help residents with transportation to and from laboratory services outside the facility. · from a complaint
Jan 21, 2026	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
Jan 21, 2026	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Jan 21, 2026	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jan 21, 2026	C · Minimal risk, facility-wide	The facility did not dispose of garbage and refuse properly.
Mar 11, 2025	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
Mar 11, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Dec 31, 2024	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
Dec 31, 2024	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. · from a complaint
Jun 12, 2024	E · Potential for harm, repeated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint
Jun 12, 2024	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint
Jun 12, 2024	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · from a complaint
Mar 13, 2024	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 13, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Feb 15, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Mar 3, 2022	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 3, 2022	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 16).

Year	Citations	Worst severity that year
2022	2	F
2024	8	F
2025	2	D
2026	16	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)	3.02	3.45	3.95	bottom 27% in Ohio; bottom 14% in the U.S.
Registered Nurse hours	0.53	0.60	0.69	bottom 47% in Ohio; bottom 42% in the U.S.
Weekend total nurse staffing	2.64	3.07	3.50	bottom 21% in Ohio; bottom 14% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.42	0.48	bottom 24% in Ohio; bottom 27% in the U.S.
Total nursing staff turnover (%)	54.4	48.7	45.8	bottom 33% in Ohio; bottom 26% in the U.S.
RN turnover (%)	47.1	43.9	42.9	bottom 44% in Ohio; bottom 40% 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 3.34, RN 0.58, weekend 2.93. 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: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Carlow LLC	Organization	5% or Greater Direct Ownership Interest	100%	01/01/2012
Oneill, Deborah	Individual	5% or Greater Indirect Ownership Interest	13%	01/01/2012
Oneill, John	Individual	5% or Greater Indirect Ownership Interest	53%	01/01/2012
Ziska, Doreen	Individual	5% or Greater Indirect Ownership Interest	12%	01/01/2012
O'Neill Management, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/1999
Oneill, Deborah	Individual	Corporate Director	NOT APPLICABLE	01/01/2011
Oneill, Deborah	Individual	Corporate Officer	NOT APPLICABLE	01/01/2012
Oneill, John	Individual	Corporate Director	NOT APPLICABLE	01/10/1991
Oneill, John	Individual	Corporate Officer	NOT APPLICABLE	01/10/1991
Trockley, Kevin	Individual	Contracted Managing Employee	NOT APPLICABLE	01/18/2021

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?"
"How is pest control handled here, and when was the last treatment or inspection?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"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
Rae Ann Suburban	1.3 mi	Westlake, OH	★★☆☆☆	1/5
Huntington Woods Care & Rehab Center	1.6 mi	Westlake, OH	★★★★★	5/5
Rae-Ann Westlake	1.6 mi	Westlake, OH	★★★★☆	4/5
Avon Place Healthcare Center	2.1 mi	Avon, OH	★★☆☆☆	3/5
Lutheran Home	2.5 mi	Westlake, OH	★★★★☆	4/5
Brookdale Westlake Village	2.9 mi	Westlake, OH	★★★★★	4/5
Life Care Center of Westlake	3.1 mi	Westlake, OH	★★☆☆☆	2/5
St Mary of the Woods	3.2 mi	Avon, OH	★★★★☆	4/5
Crocker Pointe Health and Rehabilitation	3.3 mi	Westlake, OH		—/5
Main Street Care Center	3.6 mi	Avon Lake, OH	★★★☆☆	2/5
Normandy Manor of Rocky River	4.6 mi	Rocky River, OH	★★☆☆☆	2/5
Woods on French Creek Nursing & Rehab Center the	4.6 mi	Avon, OH	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Bay Village →

Facility data as of CMS processing date 2026-08-01. CCN 365264.

The Care File

Visit checklist — O'Neill Healthcare Bay Village

605 Bradley Rd, Bay Village, OH 44140 · 4408713474

Health inspection rating 2/5 · CMS overall 2/5· 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?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "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 365264 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)