Northwestern Healthcare Center

570 North Rocky River Drive · Berea, OH · 44017 · 4402432122

100 certified beds For profit - Corporation Chain: Communicare Health

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $131,813 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$131,813 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 42
Staffing 20% 60
Federal penalties 15% 31
Trend 10% 74
Context 5% 100

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

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.343.48 min · 4.1 strong
RN hours / resident-day0.580.55–0.75
Weekend hours / resident-day3.02≈ weekday level
Nursing turnover / year59%median 45%
Fines (3-yr window)3 · $188,945

Inspection citations (33 in the current record)

  • Immediate jeopardy · J August 27, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected September 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G August 27, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 20, 2025 · Quality of Life and Care

  • Potential for harm · D August 27, 2025

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected September 20, 2025 · Resident Rights

  • Potential for harm · D August 27, 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 September 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D August 27, 2025

    Assist a resident in gaining access to vision and hearing services.

    Corrected September 20, 2025 · Quality of Life and Care

  • Potential for harm · D August 27, 2025

    Provide appropriate foot care.

    Corrected September 20, 2025 · Quality of Life and Care

  • Potential for harm · D August 27, 2025

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected September 20, 2025 · Nutrition and Dietary

  • Potential for harm · F August 27, 2025

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

    Corrected September 20, 2025 · Nutrition and Dietary

  • Potential for harm · F August 27, 2025

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

    Corrected September 20, 2025 · Administration

  • Potential for harm · F August 27, 2025

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected September 20, 2025 · Administration

  • Potential for harm · E August 27, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 20, 2025 · Infection Control

  • Potential for harm · D August 27, 2025 · found via complaint

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Corrected September 20, 2025 · Resident Rights

  • No harm found · C August 27, 2025

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected September 20, 2025 · Administration

  • No harm found · C August 27, 2025

    Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

    Corrected September 20, 2025 · Administration

  • Potential for harm · E December 9, 2024 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected December 26, 2024 · Resident Rights

  • Potential for harm · D December 9, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 26, 2024 · Quality of Life and Care

  • Potential for harm · D December 9, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected December 26, 2024 · Pharmacy Service

  • Potential for harm · D December 9, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 26, 2024 · Infection Control

  • Potential for harm · D September 24, 2024 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 1, 2024 · Pharmacy Service

  • Actual harm · G August 26, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 13, 2024 · Quality of Life and Care

  • Potential for harm · D August 26, 2024 · found via complaint

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

    Corrected September 13, 2024 · Quality of Life and Care

  • Potential for harm · D August 26, 2024 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 13, 2024 · Quality of Life and Care

  • Potential for harm · D August 26, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 13, 2024 · Quality of Life and Care

  • Potential for harm · E August 26, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected September 13, 2024 · Infection Control

  • Immediate jeopardy · K May 7, 2024 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected May 22, 2024 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 27, 2025Fine$105,000
August 26, 2024Fine$26,813
May 7, 2024Fine$57,132

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365811 · certified since October 25, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.