01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-09 | 0 | 2026-04-09 | 5 |
| Cycle 2 | 2025-05-30 | 0 | 2025-05-30 | 4 |
| Cycle 3 | 2022-08-25 | 3 | 2022-08-25 | 1 |
CMS CCN 3662402026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Western Reserve Masonic Comm
4931 Nettleton Road · Medina, OH 44256 · Medina County
Certified beds50CMS provider file
Recent citation rows13current 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
13 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-09 · 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 · 2026-04-242026-04-09 · FIREK0324Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-09 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2026-04-242026-04-09 · 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 · 2026-04-242026-04-09 · FIREK0923Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-04-242025-05-30 · 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 · 2025-06-132025-05-30 · FIREK0374Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-30 · FIREK0500Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Meet other general requirements that are deficient.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-30 · 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 · 2025-06-132024-07-23 · HEALTHF0602Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Past Non-Compliance · 2024-01-31 · complaint2023-10-24 · 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 · 2022-10-12 · complaint2023-10-24 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2023-11-21 · complaint · infection control2022-08-25 · 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 · 2022-08-2603 / 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 |
|---|---|---|---|
| 2023-09-11 | Fine | $2,797 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BECKNER, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2012
- HAGER, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- JACKSON, FREDERICKIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/07/2022
- MEYERSON, ADAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/07/2022
- NILSEN, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- RICE, COLLEENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/07/2022
- WILLIAMS, GARYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/04/2010
- BUCHANAN, SCOTTIndividual · CORPORATE OFFICERNOT APPLICABLE · since 10/01/2013
- FRENCH, JASONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/30/2017
- HERRING, ADRIENNEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/17/2020
- SURSO, JOHNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/05/2002
- TAYLOR, DALLASIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/10/2023
- FRENCH, JASONIndividual · ADP OF THE SNFNOT APPLICABLE · since 01/10/2025
- SURSO, JOHNIndividual · ADP OF THE SNFNOT APPLICABLE · since 02/04/2025
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 hours4.48per resident day
RN hours1.05per resident day
Weekend nurse hours4.04per resident day
Staff turnover50.7%CMS reported field
06 / LOCAL RECORDS
Open the Medina ledger →Other published facilities nearby
Avenue At Medina70 beds · CMS overall 5/538 citation rowsChampion Creek Health And Rehabilitation99 beds · CMS overall —/50 citation rowsLife Care Center Of Medina149 beds · CMS overall 4/567 citation rowsMedina Bsd Opco Llc60 beds · CMS overall 2/542 citation rowsMedina Center For Rehabilitation And Nursing80 beds · CMS overall 2/5135 citation rowsSamaritan Care Center And Villa56 beds · CMS overall 4/551 citation rows