Ohio Living Breckenridge Village
36855 Ridge Rd, Willoughby, OH 44094 · Lake County · 72 certified beds · avg 66 residents/day · certified since Jun 11, 1982
Part of chain: OHIO LIVING COMMUNITIES (11 facilities, chain avg rating 4.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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 · Nov 25, 2025 · F-0689 · triggered by a complaint
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: Sep 9, 2025 (Past Non-Compliance)
All citations in the current public record (5)
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 25, 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. · from a complaint |
| May 15, 2025 | 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. |
| Jun 30, 2022 | 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. |
| Jun 30, 2022 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Jun 27, 2019 | E · Potential for harm, repeated | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (2 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 1 | 0 | E |
| 2022 | 2 | 0 | D |
| 2025 | 2 | 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) | 3.61 | 3.45 | 3.95 | top 30% in Ohio; bottom 42% in the U.S. |
| Registered Nurse hours | 0.63 | 0.60 | 0.69 | top 35% in Ohio; top 45% in the U.S. |
| Weekend total nurse staffing | 3.27 | 3.07 | 3.50 | top 27% in Ohio; bottom 45% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.42 | 0.48 | top 41% in Ohio; top 45% in the U.S. |
| Total nursing staff turnover (%) | 34.6 | 48.7 | 45.8 | top 15% in Ohio; top 23% in the U.S. |
| RN turnover (%) | 23.1 | 43.9 | 42.9 | top 19% in Ohio; top 18% 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 4.12, RN 0.72, weekend 3.73. 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: 5/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adam, Sandra | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Belfance, Leslie | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Decaro, Garren | Individual | ADP of the SNF | NOT APPLICABLE | 05/20/2024 |
| Gumina, Laurence | Individual | Corporate Officer | NOT APPLICABLE | 12/28/2011 |
| Gumina, Laurence | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/28/2011 |
| Hanzie, Kara | Individual | ADP of the SNF | NOT APPLICABLE | 05/02/2022 |
| Ingwersen, Melissa | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Joyce, James | Individual | Corporate Director | NOT APPLICABLE | 07/01/2020 |
| Stillman, Robert | Individual | Corporate Officer | NOT APPLICABLE | 04/15/2013 |
| Stillman, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2016 |
| White, Terry | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "Where do you post your latest state inspection results and the ombudsman's contact information?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Willoughby Post Acute | 1.0 mi | Willoughby, OH | ★★★★☆ | 3/5 | |
| Wickliffe Country Place | 3.3 mi | Wickliffe, OH | ★★★☆☆ | 2/5 | |
| Altercare of Mayfield Village, INC | 3.7 mi | Mayfield Village, OH | ★★★☆☆ | 2/5 | |
| Kirtland Woods of Journey | 3.8 mi | Kirtland, OH | ★☆☆☆☆ | 1/5 | |
| Mentor Hills Post Acute | 4.4 mi | Mentor, OH | ★★★☆☆ | 3/5 | |
| Mentor Ridge Health and Rehabilitation | 4.4 mi | Mentor, OH | ★★★★★ | 5/5 | |
| Highland Pointe Health & Rehab Center | 4.9 mi | Highland Heights, OH | ★☆☆☆☆ | 1/5 | |
| Grande Pointe Healthcare Commu | 5.2 mi | Richmond Heights, OH | ★★☆☆☆ | 2/5 | |
| Heritage Healthcare of Euclid | 6.3 mi | Euclid, OH | ★☆☆☆☆ | 2/5 | |
| Tranquility of Richmond Heights | 6.3 mi | Richmond Heights, OH | ★★☆☆☆ | 2/5 | |
| Mount Saint Joseph Rehab Center | 6.5 mi | Euclid, OH | ★★★★☆ | 4/5 | |
| Gardens of Mayfield Village | 6.8 mi | Mayfield Heights, OH | ★★☆☆☆ | 1/5 | SFF |
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Facility data as of CMS processing date 2026-08-01. CCN 365581.