GoodStanding

Nursing home report

O'NEILL HEALTHCARE MIDDLEBURG HEIGHTS

MIDDLEBURG HEIGHTS, OH · Medicare-certified · 82 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
5 of 5 overall

O'NEILL HEALTHCARE MIDDLEBURG HEIGHTS has an overall 5-star rating, with strong quality measures and a 4-star health inspection rating, but lower staffing at 2 stars and reported nurse staffing of 3.47 hours per resident per day below the 4.1 federal benchmark. It also has $166,764 in fines in the last 24 months and a recent federal penalty, with recent inspection citations involving care, RN coverage, and respiratory care.

Facility ratings

Health inspections

Staffing

3.4715 hrs/resident/day

Quality measures

Last inspection: December 4, 2025Penalties, last 24 months: $166,764recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4715.

Staffing detail

Registered nurses
0.45
Licensed practical nurses
1.11
Nurse aides
1.91
Weekend nursing
2.95

Hours per resident per day.

Total staff turnover: 44%
Registered nurse turnover: 44%

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

0%0%No change

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

1.7%4.6%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

3.1%14.3%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

0%3.4%Worsening

Residents whose ability to walk got worse

2.3%

Long-stay residents on antianxiety or sleep medication

15.6%19.4%Worsening

Short-stay residents newly given an antipsychotic

0%0.8%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

8.4%30.2%Worsening

Residents with depressive symptoms

29.3%47.1%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

92.9%

Long-stay residents given the pneumonia vaccine

97.6%92.7%Worsening

Short-stay residents given the seasonal flu vaccine

81.5%

Short-stay residents given the pneumonia vaccine

97.4%93.4%Worsening

What the inspectors found

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited October 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: J

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 December 2022 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

The home failed to provide safe and appropriate breathing care when a resident needed it. Cited December 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 695 — 42 CFR §483.25(i) — S/S: D

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, potential for harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: D

The home failed to properly label and securely store medications and biologicals. Cited December 2022 — isolated incident, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — 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 1 health deficiency.

    See what inspectors found
  3. PENALTY

    A federal fine of $166,764 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $166,764 in total fines.

  • Federal fine

    Oct 29, 2024

    $166,764

Operator & ownership

Recent ownership change · Feb 1, 2021

Now operated by O'neill Healthcare Middleburg Heights, previously Accord Care Community Middleburg Heights.

Ownership
For profit - Limited Liability company
Chain
Part of O'NEILL HEALTHCARE · 6 homes · 4.2 stars avg
Occupancy
68.9 residents on an average day (84% of 82 beds)
Resident voice
Resident council
Medicare history
Certified for 38 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.