GoodStanding

Nursing home report

JOSHUA TREE CARE CENTER

NORTH OLMSTED, OH · Medicare-certified · 36 beds

In good standing
For-profit
4 of 5 overall

Joshua Tree Care Center in North Olmsted, OH has an overall rating of 4 out of 5 stars, with 4-star health inspection and quality ratings and a 3-star staffing rating. Reported nurse staffing is 3.31 hours per resident per day versus the 4.1-hour federal benchmark, with $0 in fines in the last 24 months and recent inspection citations in food handling, registered nurse coverage, and QAPI/QAA planning.

Facility ratings

Health inspections

Staffing

3.3102 hrs/resident/day

Quality measures

Last inspection: January 15, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3102.

Staffing detail

Registered nurses
0.63
Licensed practical nurses
0.90
Nurse aides
1.78
Weekend nursing
2.96

Hours per resident per day.

Total staff turnover: 36%
Registered nurse turnover: 17%

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

25%

Residents with a fall causing major injury

0%6.2%Worsening

Residents with pressure ulcers (bedsores)

0%2.5%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%8.7%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

0%16.7%Worsening

Residents whose ability to walk got worse

14.2%

Long-stay residents on antianxiety or sleep medication

0%0%No change

Short-stay residents newly given an antipsychotic

4.8%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

26.4%25%Improving

Residents with depressive symptoms

84.6%86.7%Worsening

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

96.6%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

90.9%

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited March 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited March 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 865 — 42 CFR §483.75 — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited January 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Operator & ownership

Ownership
For profit - Individual
Occupancy
34.3 residents on an average day (95% of 36 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.