01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-12-05 | 15 | 2024-12-05 | 15 |
| Cycle 2 | 2022-05-19 | 12 | 2022-05-19 | 14 |
| Cycle 3 | 2019-04-18 | 19 | 2019-04-18 | 13 |
CMS CCN 3658322026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
University Manor Health & Reha
2186 Ambleside Rd · Cleveland, OH 44106 · Cuyahoga County
Certified beds149CMS provider file
Recent citation rows88current CMS citation release
Penalty rows1current 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
88 rows in the current release
2 rows carry G–L scope/severity codes; 2 carry J–L. 16 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-02-03 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2025-02-17 · complaint2025-02-03 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · 2025-01-24 · complaint2025-01-02 · HEALTHF0755Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-02-17 · complaint2024-12-05 · HEALTHF0569Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · HEALTHF0679Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · 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 · 2025-02-172024-12-05 · HEALTHF0698Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · 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 · 2025-02-172024-12-05 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · HEALTHF0800Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · HEALTHF0921Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · FIREK0161Severity F · widespread; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · FIREK0223Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · 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 · 2025-02-172024-12-05 · FIREK0311Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-02-172024-12-05 · 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 · 2025-02-1703 / 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 |
|---|---|---|---|
| 2024-04-22 | Fine | $16,801 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- OHIO AVIV THREE, LLCOrganization · 5% OR GREATER SECURITY INTERESTNOT APPLICABLE · since 03/01/2016
- NICOLUZAKIS, GREGORYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2019
- VOLPE, BENJAMINIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2019
- WEISBERG, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2019
- SHG MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/01/2019
- CEKANSKI, CYNTHIAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/25/2021
- KNOWLES, ANGELAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/02/2024
- WEISBERG, WILLIAMIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 01/27/2026
- OHIO AVIV THREE, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 03/01/2016
- SABER GOVERNANCE LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/01/2019
- SABER HEALTHCARE GROUP LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/15/2002
- SHG BOA LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/27/2026
- SHG MANAGEMENT LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/01/2019
- SHG MT, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/27/2026
- CEKANSKI, CYNTHIAIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/25/2021
- HALL, GREGORYIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/02/2003
- KNOWLES, ANGELAIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/02/2024
- NICOLUZAKIS, GREGORYIndividual · ADP OF THE SNFNOT APPLICABLE · since 03/01/2019
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 hours3.01per resident day
RN hours0.30per resident day
Weekend nurse hours2.84per resident day
Staff turnover47.8%CMS reported field
06 / LOCAL RECORDS
Open the Cleveland ledger →Other published facilities nearby
Algart Health Care78 beds · CMS overall 5/527 citation rowsAristos Nursing And Rehabilitation57 beds · CMS overall 2/558 citation rowsCityview Healthcare And Rehabilitation146 beds · CMS overall 2/5113 citation rowsCrawford Manor Healthcare Center50 beds · CMS overall 2/584 citation rowsEastbrook Healthcare Center109 beds · CMS overall 3/575 citation rowsEliza Jennings Home126 beds · CMS overall 4/551 citation rowsFranklin Plaza Extended Care178 beds · CMS overall 3/575 citation rowsGardens Of Euclid Beach99 beds · CMS overall 2/597 citation rows