Joshua Tree Care Center

27500 Mill Rd · North Olmsted, OH · 44070 · 4407778444

36 certified beds For profit - Individual

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 64
Serious harm & abuse 20% 100
Staffing 20% 67
Federal penalties 15% 100
Trend 10% 83
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.313.48 min · 4.1 strong
RN hours / resident-day0.630.55–0.75
Weekend hours / resident-day2.96≈ weekday level
Nursing turnover / year36%median 45%
Fines (3-yr window)none

Inspection citations (11 in the current record)

  • Potential for harm · D January 15, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 14, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 15, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected February 14, 2025 · Quality of Life and Care

  • Potential for harm · F January 15, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 14, 2025 · Nutrition and Dietary

  • No harm found · C January 15, 2025

    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.

    Corrected February 14, 2025 · Resident Rights

  • No harm found · C January 15, 2025

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected February 14, 2025 · Administration

  • Potential for harm · F March 9, 2023

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Corrected April 17, 2023 · Nursing and Physician Services

  • Potential for harm · F March 9, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 17, 2023 · Nutrition and Dietary

  • Potential for harm · F March 9, 2023

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Corrected April 17, 2023 · Administration

  • Potential for harm · F March 9, 2023

    Provide and implement an infection prevention and control program.

    Corrected April 17, 2023 · Infection Control

  • No harm found · B March 9, 2023

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected April 17, 2023 · Resident Rights

  • Potential for harm · F January 23, 2020

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected February 7, 2020 · Nutrition and Dietary

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365533 · certified since March 14, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.