Suburban Healthcare and Rehabilitation
20265 Emery Rd, North Randall, OH 44128 · Cuyahoga County · 150 certified beds · avg 112 residents/day · certified since Mar 19, 1969
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
⚠ 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 22, 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 (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 6, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 7, 2024 · 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 6, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 17, 2024 · F-0790 · triggered by a complaint
The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Why it matters: Untreated dental problems cause pain, make eating difficult, and can lead to infections and weight loss.
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: Feb 2, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Sep 5, 2023 · 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 6, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 4, 2022 · F-0600
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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 25, 2022 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 4, 2022 · F-0686
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Mar 25, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (66)
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 |
|---|---|---|
| Aug 16, 2025 | 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 |
| Mar 15, 2025 | 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. · from a complaint |
| Mar 15, 2025 | 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. · from a complaint |
| Sep 27, 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 |
| Sep 4, 2024 | 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 |
| Sep 4, 2024 | 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 |
| Sep 4, 2024 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint |
| Apr 22, 2024 | ▲ 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 |
| Apr 22, 2024 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. · from a complaint |
| Apr 22, 2024 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Apr 22, 2024 | F · Potential for harm, facility-wide | 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. · from a complaint |
| Mar 7, 2024 | ▲ 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. |
| Mar 7, 2024 | F · Potential for harm, facility-wide | 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. |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 7, 2024 | 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. |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Mar 7, 2024 | E · Potential for harm, repeated | The facility did not have firmly secured handrails on both sides of its hallways. |
| Mar 7, 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. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Mar 7, 2024 | 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. |
| Mar 7, 2024 | 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. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Mar 7, 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. |
| Mar 7, 2024 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jan 17, 2024 | ▲ G · Actual harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. · from a complaint |
| Jan 17, 2024 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint |
| Jan 17, 2024 | F · Potential for harm, facility-wide | 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. · from a complaint |
| Jan 17, 2024 | F · Potential for harm, facility-wide | The facility has more than 120 beds but did not hire a qualified full-time social worker as required. · from a complaint |
| Jan 17, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| Jan 17, 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. · from a complaint |
| Jan 17, 2024 | 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 |
| Jan 17, 2024 | 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. · from a complaint |
| Sep 5, 2023 | ▲ 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 |
| Feb 4, 2022 | ▲ G · Actual harm, 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. |
| Feb 4, 2022 | ▲ G · Actual 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. |
| Feb 4, 2022 | F · Potential for harm, facility-wide | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Feb 4, 2022 | F · Potential for harm, facility-wide | 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. |
| Feb 4, 2022 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Feb 4, 2022 | F · Potential for harm, facility-wide | 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. |
| Feb 4, 2022 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Feb 4, 2022 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Feb 4, 2022 | F · Potential for harm, facility-wide | 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. |
| Feb 4, 2022 | F · Potential for harm, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Feb 4, 2022 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Feb 4, 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. |
| Feb 4, 2022 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Feb 4, 2022 | 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. |
| Feb 4, 2022 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Feb 4, 2022 | E · Potential for harm, repeated | 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. |
| Feb 4, 2022 | E · Potential for harm, repeated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Feb 4, 2022 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 4, 2022 | E · Potential for harm, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 4, 2022 | 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. |
| Feb 4, 2022 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Feb 4, 2022 | 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. |
| Feb 4, 2022 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Feb 4, 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. |
| Feb 4, 2022 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Feb 4, 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. |
| Feb 4, 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. |
| Feb 4, 2022 | C · Minimal risk, facility-wide | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Jan 15, 2020 | F · Potential for harm, facility-wide | 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. |
| Jan 15, 2020 | 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. |
| Jan 15, 2020 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Jan 15, 2020 | E · Potential for harm, repeated | 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 (28 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 4 | 0 | F |
| 2022 | 28 | 2 | G ▲ |
| 2023 | 1 | 1 | G ▲ |
| 2024 | 30 | 3 | G ▲ |
| 2025 | 3 | 0 | E |
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 $94,587, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 7, 2024 | Fine | $14,353 |
| Mar 7, 2024 | Fine | $27,367 |
| Mar 7, 2024 | Payment Denial | 33 days from Apr 3, 2024 |
| Jan 17, 2024 | Fine | $37,754 |
| Sep 5, 2023 | Fine | $15,113 |
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) | 2.87 | 3.45 | 3.95 | bottom 15% in Ohio; bottom 10% in the U.S. |
| Registered Nurse hours | 0.51 | 0.60 | 0.69 | bottom 43% in Ohio; bottom 40% in the U.S. |
| Weekend total nurse staffing | 2.68 | 3.07 | 3.50 | bottom 25% in Ohio; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.42 | 0.48 | top 39% in Ohio; top 43% in the U.S. |
| Total nursing staff turnover (%) | 58.3 | 48.7 | 45.8 | bottom 25% in Ohio; bottom 19% in the U.S. |
| RN turnover (%) | 33.3 | 43.9 | 42.9 | top 31% in Ohio; top 33% 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 3.33, RN 0.59, weekend 3.11. 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: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Guttman, Mayer | Individual | 5% or Greater Indirect Ownership Interest | — | 02/01/2022 |
| North Randall Opco LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2022 |
| Shapiro, Naftali | Individual | 5% or Greater Indirect Ownership Interest | — | 02/01/2022 |
| Suburban Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/01/2022 |
| Suburban Nursing LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2022 |
| Agarwal, Rajesh | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Agarwal, Rajesh | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Garhill Integrated MGN LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Garhill Integrated MGN LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/03/2025 |
| Guttman, Mayer | Individual | Corporate Director | NOT APPLICABLE | 02/01/2022 |
| Guttman, Mayer | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Guttman, Mayer | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| North Randall Opco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Shapiro, Naftali | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| Shapiro, Naftali | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| Suburban Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
| White, Nicholas | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2022 |
| White, Nicholas | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2022 |
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?"
- "How do residents get routine dental care, and what happens if someone has a dental emergency at night?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "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 |
|---|---|---|---|---|---|
| Avenue Care and Rehabilitation Center, the | 0.6 mi | Warrensville Heights, OH | ★☆☆☆☆ | 1/5 | |
| Phoenix of Maple Heights | 1.1 mi | Maple Heights, OH | ★★☆☆☆ | 1/5 | |
| Harvard Gardens Rehabilitation & Care Center | 1.1 mi | Cleveland, OH | ★★☆☆☆ | 1/5 | |
| Shaker Gardens Nursing and Rehabilitation Center | 1.9 mi | Shaker Heights, OH | ★★★★★ | 4/5 | |
| Beachwood Pointe Care Center | 2.4 mi | Beachwood, OH | ★☆☆☆☆ | 1/5 | |
| Daughters of Miriam Center for Nursing & Rehabilit | 2.6 mi | Beachwood, OH | ★★☆☆☆ | 1/5 | |
| Solon Pointe at Emerald Ridge | 3.6 mi | Solon, OH | ★★☆☆☆ | 2/5 | |
| Jennings Hall | 4.1 mi | Garfield Heights, OH | ★★★☆☆ | 3/5 | |
| King David Post Acute Nursing & Rehabilitation LLC | 5.2 mi | Beachwood, OH | ★★★☆☆ | 2/5 | abuse |
| Grande Oaks | 5.3 mi | Oakwood Village, OH | ★★☆☆☆ | 1/5 | |
| Heritage Health Care Center | 5.3 mi | Oakwood Village, OH | ★★☆☆☆ | 2/5 | |
| Aventura at Walton Hills | 5.3 mi | Walton Hills, OH | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365215.