01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-08-14 | 4 | 2025-08-14 | 8 |
| Cycle 2 | 2023-08-10 | 5 | 2023-08-10 | 8 |
| Cycle 3 | 2019-12-12 | 1 | 2019-12-12 | 2 |
CMS CCN 3663502026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Gardens Of Mcgregor And Amasa Stone
14900 Private Dr · East Cleveland, OH 44112 · Cuyahoga County
Certified beds148CMS provider file
Recent citation rows28current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
28 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-14 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-08-29 · complaint2025-08-14 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-08-29 · complaint2025-08-14 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-08-29 · complaint2025-08-14 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-08-292025-08-14 · FIREK0291Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-08-292025-08-14 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-08-292025-08-14 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-08-292025-08-14 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-08-292025-08-14 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-08-292025-08-14 · FIREK0372Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-08-292025-08-14 · FIREK0781Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has date of correction · 2025-08-292025-08-14 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-08-292025-01-09 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-01-16 · complaint2023-08-10 · HEALTHF0623Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has plan of correction · 2023-08-232023-08-10 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-10 · HEALTHF0756Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-10 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-10 · FIREK0271Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-10 · FIREK0351Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-10 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-10 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-10 · FIREK0541Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Install properly constructed and protected linen or trash chutes.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-10 · FIREK0753Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Correction field: Deficient, Provider has date of correction · 2023-09-012023-08-10 · FIREK0916Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Correction field: Deficient, Provider has date of correction · 2023-09-0103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BALAJI, HARIGOPALIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 01/01/2020
- BOYD, KANESHAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 03/21/2022
- BOZMAN, YUVETTEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/15/2019
- CONN, ANNIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 05/28/2009
- HAYES, JENNIFERIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 05/16/2022
- DALLMAN, DEBORAHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- GIBBS, DONTEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- GLADSTONE, CAROLINEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/24/2019
- HARDWICK, RENEEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/25/2018
- HARING, ANDREWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/23/2015
- HEINTEL, CHRISTOPHERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/19/2017
- KIOUS MCGOVERN, LISAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/22/2022
- KNAPP, BRADLEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/27/2017
- NEISWANDER, KIRKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2010
- WILCOXSON, ANGELAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/15/2020
- ALTHANS, SUSANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/30/2015
- CONN, ANNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2020
- HAYES, JENNIFERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/16/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.85per resident day
RN hours0.37per resident day
Weekend nurse hours3.52per resident day
Staff turnover70.1%CMS reported field
06 / LOCAL RECORDS
Open the East Cleveland ledger →