MIDDLEBURG HEIGHTS, OH · Medicare-certified · 82 beds
Needs attention
For-profitChain member
★★★★★5 of 5 overall
O'NEILL HEALTHCARE MIDDLEBURG HEIGHTS has a 5-star overall rating, with strong health inspection and quality scores but a low 2-star staffing rating. Reported staffing is below the federal benchmark (3.72 vs 4.1 hours per resident per day), and it had $166,764 in fines in the last 24 months plus a recent federal penalty.
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 3.7196.
Staffing detail
Registered nurses
0.56
Licensed practical nurses
1.11
Nurse aides
2.05
Weekend nursing
3.19
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 44%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1%Improving
Residents with a fall causing major injury
1.7%Improving
Residents with pressure ulcers (bedsores)
2.4%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
5.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.8%Improving
Residents whose ability to walk got worse
6.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
15.4%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
15.6%Worsening
Residents with depressive symptoms
35%Worsening
Long-stay residents given the seasonal flu vaccine
92.9%Steady
Long-stay residents given the pneumonia vaccine
94.3%Worsening
Short-stay residents given the seasonal flu vaccine
81.5%Steady
Short-stay residents given the pneumonia vaccine
85.5%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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $166,764 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
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
Ownership
For profit - Limited Liability company
Chain
Part of O'NEILL HEALTHCARE · 6 homes · 4.3 stars avg
Occupancy
60 residents on an average day (73% 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.