Joshua Tree Care Center
North Olmsted, Ohio · CCN 365533
6 surveys since 2013. The first finding at harm level was recorded in 2017.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 18
- Surveys
- 6
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 36
- Ownership
- For profit - Individual
- Chain
- Independent
- County
- Cuyahoga
- Medicare-certified since
- 1980
CMS ratings
- Overall
- 4
- Health inspection
- 4
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=10, floor 20).
Last survey on record
Jan 15, 2025
663 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.32 | 3.57 |
| Registered-nurse hours per resident day | 0.62 | — |
| Annual nurse turnover | 37.5% | 46.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D218.2% | E— | F654.5% |
| No harm, potential for minimal | A— | B19.1% | C218.2% |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5821×
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- F6251×
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6771×
Provide care and assistance to perform activities of daily living for any resident who is unable.
In the surveyor’s words
From the most serious findings on record at Joshua Tree Care Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Jan 15, 2025
Based on observation, staff interview, and policy review, the facility failed ensure food was labeled and dated in a manner to prevent food contamination and spoilage, failed to ensure expired food was disposed of timely, and failed to ensure food was served to residents in a clean and sanitary manner. This had the potential to affect all residents. The facility census was 35. Findings include: 1. Tour of the facility's main kitchen and kitchenette on [DATE] between 8:00 A.M. and 8:33 A.M. with Dietary Manager (DM) #759 revealed the following that was observed and verified at the time of discovery: a. An open plastic container of sour cream with an expiration date of [DATE]. b. Five packages of raisins with an expiration date of [DATE]. c. An open package of liquid butter with no date. d. […]
- No harm, potential for more than minimal, widespreadF727Mar 9, 2023
Based on record review and staff interview the facility failed to ensure the service of a Registered Nurse (RN) for at least eight hours a day seven days a week as required. This had the potential to affect all residents. The facility census was 30. Findings Include: Review of facility staffing schedules revealed on 04/02/22, 04/03/22, 04/16/22, 04/17/22, 04/30/22, 05/01/22, 05/14/22, 05/28/22, 05/29/22, 06/12/22, and 06/25/22 the facility did not have the services of an RN for eight consecutive hours as required. Interview with the Administrator on 03/07/23 at 5:00 P.M. verified the lack of RN hours on the dates listed above.
- No harm, potential for more than minimal, widespreadF812Mar 9, 2023
Based on observation and staff interview the facility failed to ensure food was labeled and dated properly and the walk in freezer was maintained in good working condition. This had the potential to affect all residents. The facility census was 30. Findings Include: Observation during tour of the kitchen on 03/06/23 between 7:15 A.M. and 7:33 A.M. revealed the following. 1. The walk in in freezer had significant ice build up. Multiple chunks of ice more then six inches in diameter with ice crystals formed were stuck to the freezer shelves. One of the chunks of ice had engulfed a box of tater tots and the box of tater tots was stuck to the ice block and immovable. Hanging from the top of freezer were over ten, six inch long icicles. […]
- No harm, potential for more than minimal, widespreadF865Mar 9, 2023
Based on record review and interview the facility failed to implement and maintain a comprehensive Quality Assurance Performance and Improvement (QAPI) plan. This had the potential to affect all 30 residents residing at the facility. Findings Include: Review of the QAPI program documentation revealed no evidence the plan addressed the full range of care and services provided by the facility which was comprehensive, data driven and ongoing. There were no indicators focusing on outcomes of care, quality of life or resident rights. Interview with Director of Nursing (DON) on 03/09/23 at 2:10 P.M. revealed the facility did not have a plan to provide the survey team. The last QAPI plan was completed on 03/16/21. Interview with the Administrator on 03/09/23 at 2:15 P.M. […]
- No harm, potential for more than minimal, widespreadF880Mar 9, 2023
Based on record review and interview the facility failed to implement and monitor measures to prevent the potential spread of Legionella. This had the potential to affect all 30 residents residing at the facility. Findings include: Review of the facility's policy titled Legionella Prevention Program dated November 2017, revealed control measures including physical control measures, water temperature management, disinfectant level controls, visual inspections, environmental testing for pathogens and specific testing protocols with acceptable ranges for control measures. Parameters included: Hot water to be maintained above a temperature of 122 degrees Fahrenheit (F). Cold water temperatures to be maintained below 77 degrees F. […]
Every survey on record
FindingsAt actual harm or above
- Jan 15, 2025Standard5 findings
- Mar 9, 2023Standard5 findings
- Jan 23, 2020Standard1 finding
- Aug 24, 2017Complaint1 finding · 1 harm
- Mar 11, 2015Standard1 finding
- Dec 19, 2013—5 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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