Deficiency Index

Western Reserve Masonic Comm

Medina, Ohio · CCN 366240

9 surveys since 2010. 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
31
Surveys
9
Harm or worse
1
Immediate jeopardy
0
The record, 2010–2024
’10’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worse1

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file6/9

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
50
Ownership
Non profit - Corporation
Chain
Independent
County
Medina
Medicare-certified since
2002

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=3, floor 20).

Last survey on record

Jul 23, 2024

839 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.484.41
Registered-nurse hours per resident day1.05—
Annual nurse turnover50.7%50.8%

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

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD350.0%E116.7%F116.7%
No harm, potential for minimalA—B—C116.7%
CMS’s current file: 6 of the 31 citations on record.

In the surveyor’s words

From the most serious findings on record at Western Reserve Masonic Comm, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF602Jul 23, 2024

    THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on interview, record review, review of two Self-Reported Incidents (SRI), and policy and procedure review, the facility failed to prevent misappropriation of resident property. This affected two residents (Residents #51 and #52) of three residents reviewed for misappropriation. This facility census was 36. Findings Include: 1. Resident #52 was admitted to the facility on [DATE] with diagnoses of dementia without behavioral disturbance, Alzheimer's disease, osteoporosis, and high cholesterol. […]

  • No harm, potential for more than minimal, isolatedF600Oct 24, 2023

    THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on self-reported incident (SRI) review, record review and interview, the facility failed to ensure Resident #24 was free from sexual abuse. This finding affected one (Resident #24) of three residents reviewed for abuse. Findings include: Review of Resident #7's medical record revealed the resident was initially admitted to the assisted living facility (ALF) on 06/15/17 and was transitioned to the skilled nursing facility (SNF) on 02/02/23 with diagnoses including aftercare following joint replacement surgery, Parkinson's disease, and depression. […]

  • No harm, potential for more than minimal, isolatedF686Oct 24, 2023

    Based on record review, facility policy review and interview, the facility failed to develop and implement a comprehensive pressure ulcer program to ensure ongoing assessment/monitoring of skin integrity was completed and to ensure treatments were implemented as ordered for Resident #23. This affected one resident (#23) of three residents reviewed for pressure ulcers. Findings include: Review of Resident #23's assisted living (AL) Wound Provider Consultation form dated 09/27/23 revealed the resident had a right gluteal in-house pressure ulcer measuring 4.0 cm (centimeters) by 3.5 cm by no cm depth and moisture associated skin damage (MASD). […]

Read 20 findings in full →The most serious and the most recent: 20 of 31 on record.

Every survey on record

FindingsAt actual harm or above

  • Jul 23, 2024Complaint1 finding
  • Oct 24, 2023Complaint2 findings
  • Aug 22, 2019Standard3 findings
  • Sep 8, 2017Standard3 findings · 1 harm
  • Apr 23, 2015Standard5 findings
  • Jul 9, 2014Standard1 finding
  • Apr 5, 2013—9 findings
  • Dec 8, 2011—5 findings
Show the 1 earlier survey
  • Nov 10, 2010—2 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.

Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction