4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Focusing on skilled nursing and rehabilitation, Falling Water Healthcare Center is a nursing home in Strongsville, Ohio, with a 135-bed capacity. Private and semi-private rooms are also provided in a two-story setting, offering older adults with various options to match their preferences. Physical, occupational, and speech therapy are also provided, along with hospice and respite services. Medicare, Medicaid, and private pay are also accepted, offering multiple payment options.
With a current occupancy of 64.3%, the community’s average length of stay is around 181 days. Registered nurses, licensed practical nurses, and CNAs also provide care based on residents’ needs. Cars are also required to access most amenities and services, as it is set in a car-dependent area on Falling Water Road. Falling Water Healthcare Center also features an active resident council that oversees activities and community policies.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 122nd out of 199 homes in Ohio for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 30m per day | ▼ 22% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 8m per day | ▲ 18% State avg: 58m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 47m per day | ▼ 16% State avg: 2h 7m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 6m per day | ▼ 7% State avg: 3h 20m per day · National avg: 3h 27m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 14% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 30% State avg: 25m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Ohio average
5% better than Ohio average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
12 total: 8 full-time employees and 4 contractors.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursAssists with medical care and medications.
All 39 LPN Staff are full-time employees. No contractors work on this role.
39
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 81 CNA Staff are full-time employees. No contractors work on this role.
81
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
2,761 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 81 | 0 | 81 | 15,993 | 92 | 100% | 8.7 |
| Licensed Practical Nurse | 39 | 0 | 39 | 9,658 | 92 | 100% | 8.8 |
| Registered Nurse | 8 | 4 | 12 | 3,076 | 91 | 99% | 10.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 1,307 | 91 | 99% | 7.2 |
| Physical Therapy Aide | 0 | 3 | 3 | 862 | 67 | 73% | 7 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 825 | 65 | 71% | 9.9 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Dietitian | 1 | 0 | 1 | 498 | 63 | 68% | 7.9 |
| RN Director of Nursing | 1 | 0 | 1 | 477 | 50 | 54% | 9.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 440 | 55 | 60% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 411 | 62 | 67% | 6.6 |
| Speech Language Pathologist | 0 | 6 | 6 | 389 | 66 | 72% | 5.8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 321 | 66 | 72% | 4.9 |
| Occupational Therapy Aide | 1 | 0 | 1 | 301 | 50 | 54% | 6 |
| Qualified Social Worker | 0 | 2 | 2 | 179 | 62 | 67% | 2.9 |
| Medical Director | 0 | 1 | 1 | 50 | 25 | 27% | 2 |
| Occupational Therapy Assistant | 1 | 0 | 1 | 32 | 4 | 4% | 8 |
| Qualified Activities Professional | 0 | 2 | 2 | 6 | 5 | 5% | 1.2 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
84% lower than Ohio averageOhio average: $69K
46% fewer fines than Ohio averageOhio average: 1.9
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Ohio averageOhio average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Dec 19, 2024 · $11K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 19, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.9
In line with Ohio averageOhio average: 5.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.8
In line with Ohio averageOhio average: 12.7
Percent of long-stay residents whose need for help with daily activities has increased
5.7%
16% better than Ohio averageOhio average: 6.8%
Percent of long-stay residents whose ability to move independently worsened
7.6%
15% better than Ohio averageOhio average: 8.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.0%
14% worse than Ohio averageOhio average: 22.0%
Percent of long-stay residents experiencing one or more falls with major injury
3.4%
In line with Ohio averageOhio average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
7.4%
89% worse than Ohio averageOhio average: 3.9%
Percent of long-stay residents with a urinary tract infection
1.4%
159% worse than Ohio averageOhio average: 0.5%
Percent of long-stay residents who lose too much weight
5.7%
8% better than Ohio averageOhio average: 6.2%
Percent of long-stay residents who have depressive symptoms
15.6%
35% better than Ohio averageOhio average: 24.0%
Percent of long-stay residents who received an antipsychotic medication
5.7%
33% better than Ohio averageOhio average: 8.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
86.3%
7% worse than Ohio averageOhio average: 92.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
92.9%
In line with Ohio averageOhio average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
37.1%
52% worse than Ohio averageOhio average: 78.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
15% worse than Ohio averageOhio average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
59.7%
21% worse than Ohio averageOhio average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
15% of new residents, usually for short-term rehab.
85% of new residents, often for short stays.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
85Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Falling Water Healthcare Center from 2012–2024, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 03/2024.
Based on CMS SNF Cost Report for fiscal year ending in 03/2024.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #97 / 199Payroll — State benchmarkedThis home is ranked 97th out of 199 homes in Ohio for Payroll. Shows total annual staff payroll benchmarked to the Ohio average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Ohio that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #153 / 199Payroll % — State benchmarkedThis home is ranked 153rd out of 199 homes in Ohio for Payroll %. Shows payroll as a percentage of revenue versus the Ohio average. Well-run Ohio facilities typically land around 54–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Ohio that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
No pets allowed
Housing Options: Private / Semi-Private Rooms
Building Type: 2-story
Rehabilitative Support
On-site Medical Care and Health Services
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (85% of admissions), and a typical private pay stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
18840 Falling Water Rd, Strongsville, OH 44136
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The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
| Parkside Villa | NH | Middleburg Heights (North Ontario) | 178
Facility
178
OH AVG
76
Rank
#3 / 315 |
87.3%
Facility
87.3%
OH AVG
81.9
Rank
#66 / 145 | +7% | 3.10
Facility
3.10
OH AVG
3.54
Rank
#156 / 199 | +29% | -12% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 200 | 25
Facility
25
OH AVG
30.9
Rank
#89 / 199 | 3.6
Facility
3.6
OH AVG
4.6
Rank
#69 / 199 | - | 155 | - |
44
Facility
44
OH AVG
40
Rank
#322 / 704 | - | $23.5MFiscal year ending 12/2023
Facility
$23.5MFiscal year ending 12/2023
OH AVG
$10.1M
Rank
#6 / 199 | $11.6MFiscal year ending 12/2023
Facility
$11.6MFiscal year ending 12/2023
OH AVG
$3.9M
Rank
#9 / 199 | 49.4%Fiscal year ending 12/2023
Facility
49.4%Fiscal year ending 12/2023
OH AVG
40.2%
Rank
#185 / 199 | 366229 | ||||
| Falling Water Healthcare Center | NH HOS MC RC | Strongsville (Orange) | 135
Facility
135
OH AVG
76
Rank
#27 / 315 |
71.9%
Facility
71.9%
OH AVG
81.9
Rank
#119 / 145 | -12% | 3.28
Facility
3.28
OH AVG
3.54
Rank
#122 / 199 | -24% | -7% | $10.8k
Facility
$10.8k
OH AVG
$74.0k
Rank
#147 / 200 | 19
Facility
19
OH AVG
30.9
Rank
#56 / 199 | 2.4
Facility
2.4
OH AVG
4.6
Rank
#21 / 199 | 2 | 97 | - |
22
Facility
22
OH AVG
40
Rank
#525 / 704 | Collena Rhodes | $9.3MFiscal year ending 03/2024
Facility
$9.3MFiscal year ending 03/2024
OH AVG
$10.1M
Rank
#83 / 199 | $4.8MFiscal year ending 03/2024
Facility
$4.8MFiscal year ending 03/2024
OH AVG
$3.9M
Rank
#97 / 199 | 51%Fiscal year ending 03/2024
Facility
51%Fiscal year ending 03/2024
OH AVG
40.2%
Rank
#153 / 199 | 366111 | ||||
| Avenue at Strongsville Care and Rehabilitation Center | NH AL HOS PC RC SNF | Strongsville (West Orange Avenue) | 99
Facility
99
OH AVG
76
Rank
#73 / 315 |
90.2%
Facility
90.2%
OH AVG
81.9
Rank
#46 / 145 | +10% | 2.88
Facility
2.88
OH AVG
3.54
Rank
#180 / 199 | +90% | -19% | $27.3k
Facility
$27.3k
OH AVG
$74.0k
Rank
#164 / 200 | 22
Facility
22
OH AVG
30.9
Rank
#74 / 199 | 2.4
Facility
2.4
OH AVG
4.6
Rank
#21 / 199 | 2 | 89 | - |
75
Facility
75
OH AVG
40
Rank
#47 / 704 | Strongsville Fk Healthcare Holdings LLC | $9.8MFiscal year ending 12/2023
Facility
$9.8MFiscal year ending 12/2023
OH AVG
$10.1M
Rank
#107 / 199 | $4.3MFiscal year ending 12/2023
Facility
$4.3MFiscal year ending 12/2023
OH AVG
$3.9M
Rank
#80 / 199 | 44.1%Fiscal year ending 12/2023
Facility
44.1%Fiscal year ending 12/2023
OH AVG
40.2%
Rank
#51 / 199 | 366491 |
Falling Water Healthcare Center is located in Strongsville, Ohio.
Here are the financial assistance programs available to residents in Ohio.
Falling Water Healthcare Center is in the Orange neighborhood.
Falling Water Healthcare Center has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.
Falling Water Healthcare Center's occupancy is 64.3%.
Falling Water Healthcare Center is registered as a for-profit.
Falling Water Healthcare Center is located at 18840 Falling Water Rd, Strongsville, OH 44136.
(440) 238-1100 will put you in contact with the team at Falling Water Healthcare Center.
Yes — Falling Water Healthcare Center is a CMS-certified provider of Medicare and Medicaid.
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