Shaker Gardens Nursing and Rehabilitation Center
3550 Northfield Road, Shaker Heights, OH 44122 · Cuyahoga County · 50 certified beds · avg 45 residents/day · certified since Aug 11, 1995
Part of chain: LIONSTONE CARE (24 facilities, chain avg rating 2.5★)
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.
All citations in the current public record (17)
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 |
|---|---|---|
| May 1, 2026 | 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. · from a complaint |
| Oct 17, 2024 | 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. |
| Mar 6, 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 |
| Feb 13, 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 |
| May 2, 2022 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| May 2, 2022 | 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. |
| May 2, 2022 | E · Potential for harm, repeated | 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. |
| May 2, 2022 | E · Potential for harm, repeated | 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. |
| May 2, 2022 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 2, 2022 | 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. |
| May 2, 2022 | D · Potential for harm, one-off | The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. |
| May 2, 2022 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| May 2, 2022 | D · Potential for harm, one-off | The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. |
| May 2, 2022 | 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. |
| May 2, 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. |
| May 22, 2019 | 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. |
| May 22, 2019 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | D |
| 2022 | 11 | 0 | F |
| 2024 | 3 | 0 | D |
| 2026 | 1 | 0 | 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)
4 fines totaling $18,306.
| Date | Type | Amount / length |
|---|---|---|
| Sep 11, 2023 | Fine | $4,587 |
| Sep 5, 2023 | Fine | $4,545 |
| Aug 28, 2023 | Fine | $4,587 |
| Aug 21, 2023 | Fine | $4,587 |
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) | 2.81 | 3.45 | 3.95 | bottom 13% in Ohio; bottom 9% in the U.S. |
| Registered Nurse hours | 0.78 | 0.60 | 0.69 | top 16% in Ohio; top 29% in the U.S. |
| Weekend total nurse staffing | 2.55 | 3.07 | 3.50 | bottom 15% in Ohio; bottom 11% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.67 | 0.42 | 0.48 | top 10% in Ohio; top 18% in the U.S. |
| Total nursing staff turnover (%) | 40.8 | 48.7 | 45.8 | top 30% in Ohio; top 38% in the U.S. |
| RN turnover (%) | 18.2 | 43.9 | 42.9 | top 13% in Ohio; top 12% 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 3.18, RN 0.88, weekend 2.88. Staffing rating: 3/5.
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: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kazarnovsky, Solomon | Individual | 5% or Greater Direct Ownership Interest | 50% | 02/12/2018 |
| Stein, Abba | Individual | 5% or Greater Direct Ownership Interest | 50% | 02/12/2018 |
| Cusner, Adam | Individual | Corporate Officer | NOT APPLICABLE | 01/27/2025 |
| Cusner, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/27/2025 |
| Cusner, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 01/27/2025 |
| Degyansky, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2020 |
| Degyansky, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2020 |
| Degyansky, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2020 |
| Goldish, Eliezer | Individual | Corporate Officer | NOT APPLICABLE | 10/09/2023 |
| Goldish, Eliezer | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/09/2023 |
| Goldish, Eliezer | Individual | ADP of the SNF | NOT APPLICABLE | 10/09/2023 |
| Kazarnovsky, Solomon | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/16/2018 |
| Kazarnovsky, Solomon | Individual | ADP of the SNF | NOT APPLICABLE | 05/16/2018 |
| Stein, Abba | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/16/2018 |
| Stein, Abba | Individual | ADP of the SNF | NOT APPLICABLE | 05/16/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can I see where garbage is stored and how often it's removed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "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 |
|---|---|---|---|---|---|
| Harvard Gardens Rehabilitation & Care Center | 1.1 mi | Cleveland, OH | ★★☆☆☆ | 1/5 | |
| Daughters of Miriam Center for Nursing & Rehabilit | 1.1 mi | Beachwood, OH | ★★☆☆☆ | 1/5 | |
| Beachwood Pointe Care Center | 1.2 mi | Beachwood, OH | ★☆☆☆☆ | 1/5 | |
| Avenue Care and Rehabilitation Center, the | 1.6 mi | Warrensville Heights, OH | ★☆☆☆☆ | 1/5 | |
| Suburban Healthcare and Rehabilitation | 1.9 mi | North Randall, OH | ★☆☆☆☆ | 1/5 | |
| Phoenix of Maple Heights | 3.0 mi | Maple Heights, OH | ★★☆☆☆ | 1/5 | |
| King David Post Acute Nursing & Rehabilitation LLC | 3.5 mi | Beachwood, OH | ★★★☆☆ | 2/5 | abuse |
| Cedarwood Plaza | 3.9 mi | Cleveland Heights, OH | ★★★☆☆ | 2/5 | |
| University Manor Health & Reha | 4.3 mi | Cleveland, OH | ★☆☆☆☆ | 2/5 | |
| Judson Park | 4.3 mi | Cleveland, OH | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 366021.