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Nursing home report

SHAKER GARDENS NURSING AND REHABILITATION CENTER

SHAKER HEIGHTS, OH · Medicare-certified · 50 beds

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

Shaker Gardens Nursing and Rehabilitation Center in Shaker Heights has an overall rating of 4 out of 5 stars, with strong quality measures (5 stars) but middling health inspection and staffing ratings (3 stars each). Its reported nurse staffing is 3.18 hours per resident day, below the 4.1-hour federal benchmark, and it has had $25,495 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.1756 hrs/resident/day

Quality measures

Last inspection: July 16, 2026Penalties, last 24 months: $25,495recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1756.

Staffing detail

Registered nurses
0.88
Licensed practical nurses
0.52
Nurse aides
1.77
Weekend nursing
2.88

Hours per resident per day.

Total staff turnover: 41%
Registered nurse turnover: 18%

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

8.3%8.7%No change

Residents with a fall causing major injury

0%5.1%Worsening

Residents with pressure ulcers (bedsores)

5.3%8.2%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

7.7%6.1%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

0%6.5%Worsening

Residents whose ability to walk got worse

—3.8%—

Long-stay residents on antianxiety or sleep medication

12.5%20%Worsening

Short-stay residents newly given an antipsychotic

—0%—

Residents with a long-term catheter

1.7%0%Improving

Residents with new or worsening incontinence

22.1%6.5%Improving

Residents with depressive symptoms

43.2%53.1%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

—91.5%—

Long-stay residents given the pneumonia vaccine

86%71.8%Worsening

Short-stay residents given the seasonal flu vaccine

—48.1%—

Short-stay residents given the pneumonia vaccine

32.3%42.6%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

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

The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited May 2026 — widespread issue, potential for harm.

View the original federal record

F-Tag 921 — 42 CFR §483.90 — S/S: F

The home failed to properly dispose of garbage and other waste. Cited May 2022 — widespread issue, potential for harm.

View the original federal record

F-Tag 814 — 42 CFR §483.60 — 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 May 2022 — widespread issue, potential for harm.

View the original federal record

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

The home failed to notify residents about certain money balances and to return resident funds when someone was discharged, evicted, or died. Cited May 2022 — limited pattern, potential for harm.

View the original federal record

F-Tag 569 — 42 CFR §483.10 — S/S: E

Recent history

  1. STAFFING

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

  2. PENALTY

    A federal fine of $25,495 was recorded.

  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. STAFFING

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

  5. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  6. STAFFING

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

  7. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  8. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  9. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $25,495 in total fines.

  • Federal fine

    Jul 16, 2026

    $25,495

Operator & ownership

Recent ownership change · May 16, 2018

Now operated by Shaker Gardens Nursing and Rehab, previously Shaker Gardens Nursing & Rehab Center.

Ownership
For profit - Corporation
Chain
Part of LIONSTONE CARE · 24 homes · 2.5 stars avg
Occupancy
45.4 residents on an average day (91% of 50 beds)
Resident voice
Resident council
Medicare history
Certified for 31 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.