Momentous Health at Richfield
4360 Brecksville Rd · Richfield, OH · 44286 · 3306596166
72 certified beds For profit - Limited Liability company
Why this verdict
- On the federal Special Focus list of the most persistently poor performers.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $158,534 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility
CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$158,534 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.97 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
70% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated
| Total nurse hours / resident-day | 2.97 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.31 | 0.55–0.75 |
| Weekend hours / resident-day | 2.85 | ≈ weekday level |
| Nursing turnover / year | 70% | median 45% |
| Fines (3-yr window) | 1 · $158,534 |
Inspection citations (103 in the current record)
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Potential for harm · D June 11, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 20, 2025 · Resident Rights
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Potential for harm · F June 11, 2025 · found via complaint
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.
Corrected June 20, 2025 · Resident Rights
-
Potential for harm · E June 11, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected June 20, 2025 · Quality of Life and Care
-
Potential for harm · D June 11, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · F June 11, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 20, 2025 · Nutrition and Dietary
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Actual harm · G March 31, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 11, 2025 · Quality of Life and Care
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Actual harm · G March 31, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 11, 2025 · Quality of Life and Care
-
Potential for harm · D March 31, 2025
Honor the resident's right to manage his or her financial affairs.
Corrected June 11, 2025 · Resident Rights
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Potential for harm · D March 31, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected June 11, 2025 · Resident Rights
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Potential for harm · D March 31, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected June 11, 2025 · Resident Rights
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Potential for harm · E March 31, 2025
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.
Corrected June 20, 2025 · Resident Rights
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Potential for harm · D March 31, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 31, 2025
Ensure each resident receives an accurate assessment.
Corrected June 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 31, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 31, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 31, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 31, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · D March 31, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · D March 31, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected June 11, 2025 · Quality of Life and Care
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Potential for harm · F March 31, 2025
Observe each nurse aide's job performance and give regular training.
Corrected June 11, 2025 · Nursing and Physician Services
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Potential for harm · E March 31, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 11, 2025 · Pharmacy Service
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Potential for harm · D March 31, 2025
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.
Corrected June 11, 2025 · Pharmacy Service
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Potential for harm · F March 31, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 11, 2025 · Nutrition and Dietary
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Potential for harm · F March 31, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected June 20, 2025 · Administration
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Potential for harm · F March 31, 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 June 11, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 31, 2025 | Fine | $158,534 |
| March 31, 2025 | Payment Denial | 58 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365370 · certified since January 12, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.