The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
GARDENS OF MAYFIELD VILLAGE
MAYFIELD HEIGHTS, OH · Medicare-certified · 99 beds
Needs attention
Special Focus candidateFor-profit
2 of 5 overall
2-star overall nursing home with very low health inspection and staffing ratings, despite a 5-star quality measures score. It is a special-focus candidate/facility, has had $113,035 in fines in the last 24 months, and reports 3.02 nursing hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.0212 hrs/resident/day
Quality measures
Last inspection: February 4, 2026Penalties, last 24 months: $113,035special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0212.
Staffing detail
- Registered nurses
- 0.41
- Licensed practical nurses
- 0.93
- Nurse aides
- 1.68
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 72%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.7%6.1%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
3.7%5.9%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.3%5.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%0%No change
Residents whose ability to walk got worse
0%0%No change
Long-stay residents on antianxiety or sleep medication
16.4%22.6%Worsening
Short-stay residents newly given an antipsychotic
—6.5%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
31.7%21%Improving
Residents with depressive symptoms
41.7%18.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—35.9%—
Long-stay residents given the pneumonia vaccine
44.1%83.6%Improving
Short-stay residents given the seasonal flu vaccine
—18.4%—
Short-stay residents given the pneumonia vaccine
10.5%46.7%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited May 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $113,035 was recorded.
- INSPECTION
Health inspection found 38 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $153,497 in total fines · 2 payment denials.
- 29 days
Medicare/Medicaid payment denial
May 29, 2025
- $113,035
Federal fine
May 29, 2025
- 119 days
Medicare/Medicaid payment denial
Apr 4, 2024
- $40,462
Federal fine
Apr 4, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 57.9 residents on an average day (58% of 99 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 46 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.