O'Neill Healthcare Lakewood

Name: O'Neill Healthcare Lakewood
Address: 13900 DETROIT AVE, Lakewood, OH, 44107, US
Telephone: 2162287650

13900 Detroit Ave, Lakewood, OH 44107 · Cuyahoga County · 114 certified beds · avg 90 residents/day · certified since Aug 6, 1971

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

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.34

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · 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 (25)

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
Feb 18, 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
Feb 18, 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
Oct 7, 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
Aug 27, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
May 14, 2025	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint
May 29, 2024	D · Potential for harm, one-off	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. · from a complaint
May 29, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint
May 29, 2024	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
May 29, 2024	D · Potential for harm, one-off	The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. · from a complaint
Feb 2, 2024	D · Potential for harm, one-off	The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · from a complaint
Sep 28, 2023	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
Aug 31, 2023	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.
Aug 31, 2023	F · Potential for harm, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Aug 31, 2023	D · Potential for harm, one-off	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Aug 31, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 30, 2020	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Jan 30, 2020	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.
Jan 30, 2020	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.
Nov 8, 2018	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Nov 8, 2018	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Nov 8, 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 8, 2018	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Nov 8, 2018	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.
Nov 8, 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.
Nov 8, 2018	C · Minimal risk, facility-wide	The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 4).

Year	Citations	Worst severity that year
2018	7	E
2020	3	D
2023	5	F
2024	5	D
2025	3	D
2026	2	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)	3.34	3.45	3.95	top 49% in Ohio; bottom 28% in the U.S.
Registered Nurse hours	0.46	0.60	0.69	bottom 32% in Ohio; bottom 32% in the U.S.
Weekend total nurse staffing	2.87	3.07	3.50	bottom 43% in Ohio; bottom 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.42	0.48	bottom 43% in Ohio; bottom 44% in the U.S.
Total nursing staff turnover (%)	52.7	48.7	45.8	bottom 38% in Ohio; bottom 30% in the U.S.
RN turnover (%)	60.0	43.9	42.9	bottom 24% in Ohio; bottom 22% 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 3.65, RN 0.50, weekend 3.13. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Individual

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	11%	01/01/2017
Oneill, John	Individual	5% or Greater Indirect Ownership Interest	30%	01/01/2012
Ziska, Doreen	Individual	5% or Greater Indirect Ownership Interest	19%	01/01/2012
Chuma, Kimberly	Individual	Contracted Managing Employee	NOT APPLICABLE	05/03/2017
O'Neill Management, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2006
Oneill, Deborah	Individual	Corporate Officer	NOT APPLICABLE	01/01/2012
Oneill, John	Individual	Corporate Officer	NOT APPLICABLE	01/02/2012

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"Who would be my family member's attending doctor here, and how often would they be seen?"
"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
Crestmont North Nursing Home	0.3 mi	Lakewood, OH	★★★★☆	3/5
Enniscourt Nursing Care	0.3 mi	Lakewood, OH	★★☆☆☆	2/5
Rocky River Gardens Rehab and Nursing Ctr	3.4 mi	Cleveland, OH	★★☆☆☆	1/5
Larchwood Care	3.4 mi	Cleveland, OH	★★★★★	4/5
Westpark Healthcare Campus	3.5 mi	Cleveland, OH	★★★★★	4/5
Franklin Plaza Extended Care	3.9 mi	Cleveland, OH	★★★☆☆	2/5
O'Neill Healthcare Fairview Park	4.2 mi	Fairview Park, OH	★★★★★	5/5
Welsh Home the	4.3 mi	Rocky River, OH	★★★★★	5/5
Normandy Manor of Rocky River	4.4 mi	Rocky River, OH	★★☆☆☆	2/5
St Augustine Manor	4.4 mi	Cleveland, OH	★★★★★	4/5
Eliza Jennings Home	4.4 mi	Cleveland, OH	★★★★☆	4/5
Algart Health Care	4.4 mi	Cleveland, OH	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Lakewood →

Facility data as of CMS processing date 2026-08-01. CCN 365267.

The Care File

Visit checklist — O'Neill Healthcare Lakewood

13900 Detroit Ave, Lakewood, OH 44107 · 2162287650

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "Who would be my family member's attending doctor here, and how often would they be seen?"
☐ "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 365267 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)