O'Neill Healthcare North Olmsted
4800 Clague Road, North Olmsted, OH 44070 · Cuyahoga County · 67 certified beds · avg 49 residents/day · certified since Jun 12, 2003
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: ★★★☆☆3/5 · CMS overall rating: 4/5
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)
▲ Actual harm, one-off · Apr 9, 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 5, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (20)
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 |
|---|---|---|
| Apr 9, 2025 | ▲ G · Actual 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. |
| Apr 9, 2025 | E · Potential for harm, repeated | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Apr 9, 2025 | D · Potential for harm, one-off | 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. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Apr 9, 2025 | 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. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Apr 9, 2025 | 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. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Apr 9, 2025 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Nov 5, 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 |
| Jan 30, 2024 | 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 |
| Oct 5, 2023 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Oct 5, 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. |
| Oct 5, 2023 | 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. |
| Oct 5, 2023 | 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. |
| Jul 13, 2021 | 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. |
| Jul 13, 2021 | 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. |
| Jul 13, 2021 | 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. |
| Jul 13, 2021 | 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. |
| Jul 13, 2021 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 5 | 0 | F |
| 2023 | 4 | 0 | E |
| 2024 | 2 | 0 | D |
| 2025 | 9 | 1 | G ▲ |
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) | 3.19 | 3.45 | 3.95 | bottom 40% in Ohio; bottom 21% in the U.S. |
| Registered Nurse hours | 0.62 | 0.60 | 0.69 | top 36% in Ohio; top 46% in the U.S. |
| Weekend total nurse staffing | 2.59 | 3.07 | 3.50 | bottom 18% in Ohio; bottom 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.42 | 0.48 | top 33% in Ohio; top 39% in the U.S. |
| Total nursing staff turnover (%) | 53.7 | 48.7 | 45.8 | bottom 35% in Ohio; bottom 28% in the U.S. |
| RN turnover (%) | 66.7 | 43.9 | 42.9 | bottom 18% in Ohio; bottom 15% 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 0.71, weekend 2.97. 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: 3/5
Who owns this facility
For profit - Corporation
| 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 |
| O'Neill Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/15/2001 |
| Oneill, Deborah | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2012 |
| Oneill, John | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2012 |
| Williams, Karen | Individual | Contracted Managing Employee | NOT APPLICABLE | 01/02/2019 |
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?"
- "Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "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 |
|---|---|---|---|---|---|
| Gardens of North Olmsted | 1.1 mi | North Olmsted, OH | ★★☆☆☆ | 1/5 | |
| Berea Center | 2.4 mi | Berea, OH | ★★★★★ | 4/5 | |
| O'Neill Healthcare Fairview Park | 2.4 mi | Fairview Park, OH | ★★★★★ | 5/5 | |
| Joshua Tree Care Center | 2.5 mi | North Olmsted, OH | ★★★★☆ | 4/5 | |
| Health Center at the Renaissance | 2.7 mi | Olmsted TWP, OH | ★★★★☆ | 4/5 | |
| Aristos Nursing and Rehabilitation | 2.7 mi | Cleveland, OH | ★★☆☆☆ | 2/5 | |
| Welsh Home the | 2.8 mi | Rocky River, OH | ★★★★★ | 5/5 | |
| Northwestern Healthcare Center | 2.9 mi | Berea, OH | ★★★☆☆ | 2/5 | |
| Life Care Center of Westlake | 2.9 mi | Westlake, OH | ★★☆☆☆ | 2/5 | |
| Village of the Falls | 3.3 mi | Olmsted Falls, OH | ★★★★★ | 4/5 | |
| Larchwood Care | 3.4 mi | Cleveland, OH | ★★★★★ | 4/5 | |
| Rocky River Gardens Rehab and Nursing Ctr | 3.4 mi | Cleveland, OH | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 366272.