O'Neill Healthcare Middleburg Heights
7250 Old Oak Blvd, Middleburg Heights, OH 44130 · Cuyahoga County · 82 certified beds · avg 69 residents/day · certified since Oct 20, 1987
Part of chain: O'NEILL HEALTHCARE (6 facilities, chain avg rating 4.2★)
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)
▲ Immediate jeopardy, one-off · Oct 29, 2024 · F-0690 · triggered by a complaint
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.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 8, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (10)
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 |
|---|---|---|
| Dec 4, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Oct 29, 2024 | ▲ J · Immediate jeopardy, 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 |
| Dec 27, 2022 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Dec 27, 2022 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Dec 27, 2022 | D · Potential for harm, one-off | The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. |
| Dec 27, 2022 | 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. |
| Feb 20, 2020 | 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. |
| Feb 20, 2020 | 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. |
| Feb 20, 2020 | 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. |
| Feb 20, 2020 | 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 decreased between the last two inspection cycles (4 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 4 | 0 | D |
| 2022 | 4 | 0 | F |
| 2024 | 1 | 1 | J ▲ |
| 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)
1 fine totaling $166,764.
| Date | Type | Amount / length |
|---|---|---|
| Oct 29, 2024 | Fine | $166,764 |
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) | 2.95 | 3.45 | 3.95 | bottom 21% in Ohio; bottom 12% in the U.S. |
| Registered Nurse hours | 0.38 | 0.60 | 0.69 | bottom 18% in Ohio; bottom 20% in the U.S. |
| Weekend total nurse staffing | 2.51 | 3.07 | 3.50 | bottom 13% in Ohio; bottom 10% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.42 | 0.48 | bottom 25% in Ohio; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 44.1 | 48.7 | 45.8 | top 37% in Ohio; top 48% in the U.S. |
| RN turnover (%) | 44.4 | 43.9 | 42.9 | bottom 49% in Ohio; bottom 45% 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 3.47, RN 0.45, weekend 2.95. 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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Carlow LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/01/2021 |
| Oneill, Deborah | Individual | 5% or Greater Indirect Ownership Interest | 13% | 02/01/2021 |
| Oneill, John | Individual | 5% or Greater Indirect Ownership Interest | 40% | 02/01/2021 |
| Middleburg Heights Holdings LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 02/01/2021 |
| O'Neill Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2021 |
| Oneill, Deborah | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2021 |
| Oneill, John | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2021 |
| Verlinger, Elizabeth | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/01/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you make sure residents — especially those who can't ask — get enough fluids throughout the day?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Parkside Villa | 0.3 mi | Middleburg Heights, OH | ★★★★☆ | 3/5 | |
| Hopkins Rehabilitation and Care Center | 0.4 mi | Middleburg Heights, OH | ★★☆☆☆ | 2/5 | |
| Aristocrat Berea Healthcare and Rehabilitation | 1.0 mi | Berea, OH | ★★☆☆☆ | 2/5 | |
| Northwestern Healthcare Center | 1.5 mi | Berea, OH | ★★★☆☆ | 2/5 | |
| Berea Center | 1.8 mi | Berea, OH | ★★★★★ | 4/5 | |
| Royal Oak Nursing & Rehab Ctr | 2.1 mi | Middleburg Heights, OH | ★★★☆☆ | 3/5 | |
| East Park Care Center | 2.3 mi | Brook Park, OH | ★★☆☆☆ | 1/5 | |
| North Park Care Center | 2.4 mi | Brook Park, OH | ★★★★★ | 5/5 | |
| Diplomat Healthcare | 3.1 mi | North Royalton, OH | ★★☆☆☆ | 1/5 | |
| Falling Water Healthcare Center | 3.3 mi | Strongsville, OH | ★★★★☆ | 3/5 | |
| Greenbrier Health Center | 3.4 mi | Parma Heights, OH | ★★☆☆☆ | 1/5 | |
| Riverview Pointe Care Center | 3.7 mi | Olmsted Falls, OH | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365702.