St Augustine Manor
7801 Detroit Ave, Cleveland, OH 44102 · Cuyahoga County · 220 certified beds · avg 190 residents/day · certified since Jan 1, 1993
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
⚠ 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 2, 2026 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Apr 17, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (15)
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 2, 2026 | ▲ G · Actual 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 |
| Apr 2, 2026 | 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 |
| Apr 2, 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 |
| May 22, 2024 | E · Potential for harm, repeated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| May 22, 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. |
| May 22, 2024 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| May 10, 2023 | E · Potential for harm, repeated | 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 10, 2023 | 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. |
| May 10, 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. |
| May 10, 2023 | 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. |
| May 10, 2023 | 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. |
| May 10, 2023 | 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. |
| Dec 5, 2019 | 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. |
| Dec 5, 2019 | 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. |
| Dec 5, 2019 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | D |
| 2023 | 6 | 0 | E |
| 2024 | 3 | 0 | E |
| 2026 | 3 | 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) | 3.73 | 3.45 | 3.95 | top 24% in Ohio; bottom 48% in the U.S. |
| Registered Nurse hours | 0.76 | 0.60 | 0.69 | top 19% in Ohio; top 31% in the U.S. |
| Weekend total nurse staffing | 3.17 | 3.07 | 3.50 | top 33% in Ohio; bottom 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.42 | 0.48 | top 22% in Ohio; top 30% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 48.7 | 45.8 | — |
| RN turnover (%) | 0.0 | 43.9 | 42.9 | — |
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 4.59, RN 0.93, weekend 3.89. 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: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Catholic Charities Corporation | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/24/1969 |
| Dawson, Theresa | Individual | Corporate Director | NOT APPLICABLE | 07/01/2009 |
| Gosche, Janet | Individual | Corporate Director | NOT APPLICABLE | 07/01/2014 |
| Huba, Frank | Individual | Corporate Officer | NOT APPLICABLE | 01/14/1993 |
| McCarthy, Karen | Individual | Corporate Director | NOT APPLICABLE | 07/01/2009 |
| McGrievy, Mark | Individual | Corporate Director | NOT APPLICABLE | 06/08/2022 |
| Meserini, Rick | Individual | Corporate Officer | NOT APPLICABLE | 10/13/2014 |
| Newcomb, Elayne | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/01/2021 |
| Pumphrey, Robert | Individual | Corporate Director | NOT APPLICABLE | 07/01/2012 |
| Sheehan, Linda | Individual | Corporate Director | NOT APPLICABLE | 07/01/2009 |
| Streeter, Marilyn | Individual | Corporate Director | NOT APPLICABLE | 07/01/2010 |
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?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "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 |
|---|---|---|---|---|---|
| Eliza Jennings Home | 0.0 mi | Cleveland, OH | ★★★★☆ | 4/5 | |
| Algart Health Care | 0.0 mi | Cleveland, OH | ★★★★★ | 5/5 | |
| Franklin Plaza Extended Care | 0.7 mi | Cleveland, OH | ★★★☆☆ | 2/5 | |
| Cityview Healthcare and Rehabilitation | 3.1 mi | Cleveland, OH | ★★☆☆☆ | 1/5 | abuse |
| Singleton Health Care Center | 3.9 mi | Cleveland, OH | ★★★★☆ | 4/5 | |
| Crawford Manor Healthcare Center | 4.0 mi | Cleveland, OH | ★★☆☆☆ | 1/5 | abuse |
| Crestmont North Nursing Home | 4.1 mi | Lakewood, OH | ★★★★☆ | 3/5 | |
| Enniscourt Nursing Care | 4.1 mi | Lakewood, OH | ★★☆☆☆ | 2/5 | |
| The Gardens of Fairfax Health Care Center | 4.2 mi | Cleveland, OH | ★★★☆☆ | 2/5 | |
| O'Neill Healthcare Lakewood | 4.4 mi | Lakewood, OH | ★★★★☆ | 3/5 | |
| Snf-The Villa at Marymount | 4.7 mi | Garfield Heights, OH | ★★☆☆☆ | 2/5 | |
| University Manor Health & Reha | 5.1 mi | Cleveland, OH | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365883.