Strongsville Healthcare and Rehabilitation
18936 Pearl Road, Strongsville, OH 44136 · Cuyahoga County · 99 certified beds · avg 91 residents/day · certified since Oct 18, 2021
Part of chain: PROGRESSIVE QUALITY CARE (11 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
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 · Dec 10, 2024 · 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 (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 25, 2024 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · Nov 14, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Oct 30, 2024 (Past Non-Compliance)
All citations in the current public record (24)
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 |
|---|---|---|
| Jun 16, 2026 | 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 16, 2026 | F · Potential for harm, facility-wide | 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. |
| Jun 16, 2026 | E · Potential for harm, repeated | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Jun 16, 2026 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 16, 2026 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Jun 16, 2026 | 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. |
| Jun 16, 2026 | 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. |
| Jun 16, 2026 | 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. |
| Sep 27, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Mar 6, 2025 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Mar 6, 2025 | 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 |
| Mar 6, 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. · from a complaint |
| Mar 6, 2025 | 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. · from a complaint |
| Dec 10, 2024 | ▲ J · Immediate jeopardy, 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 |
| Dec 10, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Nov 14, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 14, 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 6, 2024 | 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. · from a complaint |
| Feb 29, 2024 | E · Potential for harm, repeated | 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 29, 2024 | 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. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 29, 2024 | 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. |
| Feb 29, 2024 | 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. |
| Sep 12, 2023 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 10 | 2 | J ▲ |
| 2025 | 5 | 0 | E |
| 2026 | 8 | 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)
2 fines totaling $27,254.
| Date | Type | Amount / length |
|---|---|---|
| Nov 14, 2024 | Fine | $13,627 |
| Nov 14, 2024 | Fine | $13,627 |
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) | 2.54 | 3.45 | 3.95 | bottom 5% in Ohio; bottom 4% in the U.S. |
| Registered Nurse hours | 0.62 | 0.60 | 0.69 | top 35% in Ohio; top 45% in the U.S. |
| Weekend total nurse staffing | 2.43 | 3.07 | 3.50 | bottom 9% in Ohio; bottom 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.54 | 0.42 | 0.48 | top 21% in Ohio; top 28% in the U.S. |
| Total nursing staff turnover (%) | 53.2 | 48.7 | 45.8 | bottom 36% in Ohio; bottom 29% in the U.S. |
| RN turnover (%) | 19.0 | 43.9 | 42.9 | top 13% in Ohio; top 13% 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 3.06, RN 0.75, weekend 2.93. 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
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Flank, Eitan | Individual | 5% or Greater Indirect Ownership Interest | — | 10/10/2019 |
| Flank, Liat | Individual | 5% or Greater Indirect Ownership Interest | — | 10/10/2019 |
| Flank, Matan | Individual | 5% or Greater Indirect Ownership Interest | — | 10/10/2019 |
| Flank, Shaul | Individual | 5% or Greater Indirect Ownership Interest | — | 10/10/2019 |
| Guttman, Bezalel | Individual | 5% or Greater Indirect Ownership Interest | — | 10/10/2019 |
| Katz, Eliyohu | Individual | 5% or Greater Indirect Ownership Interest | — | 10/10/2019 |
| Katz, Yosef | Individual | 5% or Greater Indirect Ownership Interest | — | 10/10/2019 |
| Mike Flank Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 09/09/2022 |
| Sausen, Joel | Individual | 5% or Greater Indirect Ownership Interest | — | 10/10/2019 |
| Strongsville FK Healthcare Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 10/10/2019 |
| Strongsville FK Investor, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 10/10/2019 |
| Flank, Eitan | Individual | Corporate Officer | NOT APPLICABLE | 09/20/2019 |
| Flank, Eitan | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/20/2019 |
| Flank, Eitan | Individual | ADP of the SNF | NOT APPLICABLE | 09/20/2019 |
| Flank, Liat | Individual | Corporate Officer | NOT APPLICABLE | 09/20/2019 |
| Flank, Liat | Individual | ADP of the SNF | NOT APPLICABLE | 09/20/2019 |
| Flank, Matan | Individual | Corporate Officer | NOT APPLICABLE | 09/20/2019 |
| Flank, Matan | Individual | ADP of the SNF | NOT APPLICABLE | 09/20/2019 |
| Flank, Shaul | Individual | Corporate Officer | NOT APPLICABLE | 09/20/2019 |
| Flank, Shaul | Individual | ADP of the SNF | NOT APPLICABLE | 09/20/2019 |
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?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "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 |
|---|---|---|---|---|---|
| Altenheim | 1.5 mi | Strongsville, OH | ★★★★☆ | 3/5 | |
| Pearlview Rehab & Wellness Ctr | 2.4 mi | Brunswick, OH | ★★☆☆☆ | 1/5 | |
| Willowood Care Center of Brunswick | 2.7 mi | Brunswick, OH | ★★★☆☆ | 3/5 | |
| Falling Water Healthcare Center | 2.9 mi | Strongsville, OH | ★★★★☆ | 3/5 | |
| Brunswick Pointe Transitional Care | 3.8 mi | Brunswick, OH | ★★★★★ | 5/5 | |
| Diplomat Healthcare | 5.0 mi | North Royalton, OH | ★★☆☆☆ | 1/5 | |
| O'Neill Healthcare Middleburg Heights | 6.1 mi | Middleburg Heights, OH | ★★★★★ | 4/5 | |
| Hopkins Rehabilitation and Care Center | 6.3 mi | Middleburg Heights, OH | ★★☆☆☆ | 2/5 | |
| Aristocrat Berea Healthcare and Rehabilitation | 6.3 mi | Berea, OH | ★★☆☆☆ | 2/5 | |
| Parkside Villa | 6.4 mi | Middleburg Heights, OH | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 366491.