St. Augustine Health Ministries
St. Augustine Health Ministries is situated in Cleveland, Ohio, within a neighborhood that boasts a walkability score of 79. For families frequently visiting loved ones during the sensitive end-of-life transition, this accessibility is a logistical benefit that simplifies the often stressful task of coordinating transit or securing parking. This specific environmental factor frequently escapes formal checklists, yet it significantly impacts the overall experience of the care journey.
The facility focuses its clinical scope on hospice care, complemented by a structured grief and bereavement support service. The bereavement component is particularly notable because it extends support to families well beyond the passing of a resident. This differs from many care models that treat hospice strictly as a bounded service with a defined termination point. Whether this continuity is a necessity for a family depends on their individual processing needs, but it represents a distinct and thoughtful departure from the standard, transactional approach to end-of-life care.
St. Augustine Health Ministries functions as a hospice-centered facility located in a highly accessible area of Cleveland, offering a care model that thoughtfully bridges the gap between terminal care and post-loss support for grieving families.
Staffing
Data period: Q4 2025 (October 1 – December 31, 2025).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Jun 2026).
Standout metric: RN, weekends is +26% above Ohio average
2 of 6 metrics below Ohio average
Daily care time per resident, by role
US average: 43m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 43m
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
US average: 2h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 26m
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
US average: 3h 32m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 32m
US average: 29m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 29m
Headcount
95.6% of staff hours were worked by the facility's own employees
Ohio average: 90.4% · Contractors this quarter: Certified Nursing Assistant (92), Clinical Nurse Specialist (9), Registered Nurse (6), Medical Director (6), Diagnostic X-ray Services Staff (3), Feeding Assistant (2)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Community insights.
High-capacity home · May provide extensive amenities, services and programs.
Based on 182.1 residents and 220 beds. Source: CMS Provider Information, average daily residents
About This Community
St. Augustine Health Ministries is administered by Elayne Newcomb.
CMS Health Inspection History
ALM Inspection Grade
7 points above the Ohio average for CMS-certified facilities (84/100)
Category breakdown
Citations
Typical
43 severity-weighted points (15 citations) · 42% lower than the typical CMS-certified OH facility (median: 74)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Typical
36 days to fix issues · slower than the typical CMS-certified OH facility (median: 33)
Citation severity
Latest inspection: Apr 02, 2026 · 3 citations, all corrected
Most cited category: Quality of Life & Care, 7 of 15 citations · 6 categories in total
Citations history
Most recent firstTop deficiency categories
Share of 15 citationsHow citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
12 of 15 citations resulted from standard inspections; and 3 of 15 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Show Inspection Reports
Penalties and fines
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 Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Ohio average.
11 long-stay measures: 8 better, 3 worse
3 short-stay measures: 3 better
Long-stay residents
People who live at the home · 11 measures
Daily care & independence
Safety & clinical stability
Physical & mental health
Preventive care
Short-stay residents
Rehab and recovery after a hospital stay · 3 measures
Physical & mental health
Preventive care
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
St. Augustine Health Ministries’s finances from its CMS cost report for the fiscal year ending December 2024. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Losing money on care, but less than last year
−10.3% operating margin
+4.7 pts vs prior year
An operating loss in 8 of the last 8 reported years. Other income ($2.4M) trims the net loss to −$0.9M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most Ohio homes
75.3% payroll share of revenue
OH average 54.7%
Payroll rose $2.2M while revenue rose $3.8M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Ohio homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | OH median | Compared with OH homesRank in OH | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $31.6M | +$3.8M | Trend 20172024 | OH median $9.8M | Rank in OH Not ranked | Not ranked No state rank for this year: homes are ranked only when their latest cost report is recent enough to compare. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $34.8M | +$2.9M | Trend 20172024 | OH median — | Rank in OH Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$3.2M | +$0.9M | Trend 20172024 | OH median — | Rank in OH Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −10.3% | +4.7 pts | Trend 20172024 | OH median — | Rank in OH Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $2.4M | — | Trend — | OH median — | Rank in OH Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$0.9M | −$0.2M | Trend — | OH median — | Rank in OH Not ranked | Loss The bottom line is below zero even after other income. |
Staffing spend
Spends more of revenue on staff than most Ohio homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | OH median | Compared with OH homesRank in OH | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $23.7M | +$2.2M | Trend 20172024 | OH median $5.4M | Rank in OH Not ranked | Not ranked No state rank for this year: homes are ranked only when their latest cost report is recent enough to compare. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 75.3% | −2.5 pts | Trend 20172024 | OH median 53.9% | Rank in OH Not ranked | 20.6 pts over OH average The OH average is 54.7% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · OH benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Ohio payroll average.
% of net patient revenue
Payroll share Operating margin OH payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $20.1M | $21.0M | $22.1M | $22.6M | $25.2M | $24.9M | $27.8M | $31.6M |
| Operating expenses | $24.2M | $25.4M | $25.9M | $26.3M | $26.6M | $30.2M | $31.9M | $34.8M |
| Net patient income | −$4.2M | −$4.4M | −$3.8M | −$3.7M | −$1.4M | −$5.3M | −$4.1M | −$3.2M |
| Operating margin | −20.9% | −20.9% | −17.3% | −16.4% | −5.6% | −21.3% | −14.9% | −10.3% |
| Net income | −$1.2M | −$1.8M | −$0.8M | $0.2M | $0.1M | −$2.6M | −$0.7M | −$0.9M |
| Payroll costs | $16.1M | $16.2M | $17.6M | $17.9M | $17.0M | $19.4M | $21.6M | $23.7M |
| Payroll share of revenue | 80.5% | 77.0% | 80.0% | 79.3% | 67.5% | 78.3% | 77.8% | 75.3% |
| Beds | 248 | 234 | 234 | 234 | 234 | 234 | 220 | 220 |
| Gross revenue | $29.6M | $31.7M | $32.4M | $30.6M | $32.4M | $34.0M | $37.8M | $42.6M |
| Salaries | $13.5M | $13.6M | $14.3M | $14.5M | $13.9M | $16.2M | $18.2M | $20.2M |
| Wage-related costs | $2.6M | $2.6M | $3.4M | $3.4M | $3.1M | $3.2M | $3.4M | $3.6M |
| Contract labor | — | — | $0.0M | $0.1M | $1.6M | $1.9M | $0.8M | $0.3M |
| Other operating costs | $8.1M | $9.3M | $8.2M | $8.4M | $9.6M | $10.7M | $10.3M | $11.0M |
| Net patient revenue per day | $261 | $285 | $296 | $318 | $360 | $365 | $404 | $460 |
| Cost per day | $316 | $345 | $347 | $370 | $380 | $442 | $464 | $507 |
| Average length of stay | 175.6 days | 137.0 days | 66.0 days | 109.1 days | 143.1 days | 143.5 days | 145.0 days | 158.2 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Compare Assisted Living around Cleveland
Info below is compiled from the OH Dept. of Health, senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HC (Home Care):
Professional care delivered in the person's own home, from companionship to skilled nursing.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
PC (Palliative Care):
Comfort-focused care for serious illness at any stage, including alongside curative treatment.
CCRC (Continuing Care Retirement Community):
A campus with multiple care levels so residents can age in place without moving.
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City and state of the facility. Used for mapping and state-average comparisons.
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Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Indicates whether residents are allowed to have pets in the facility.
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Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
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Description of bed or unit types offered (e.g. assisted living, memory care), as reported in state or facility disclosures.
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Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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A named contact for the facility. Hover the name to see their role — Administrator (state administrator of record or facility-provided administrator), Nursing Director, Medical Director, or Staff. The most authoritative available is shown.
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A score out of 100 based on in-person interviews with residents, conducted by an independent third party on behalf of the Ohio Department of Aging. Residents are asked about staff, activities, meals, administration, and overall experience. <em>Source: Ohio Long-Term Care Quality Navigator</em>
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Total count of citations (cited regulatory issues) recorded in the selected reporting period. Read alongside inspection counts for context.
| |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St. Augustine Health Ministries | AL HC HOS NH PC SNF | Cleveland | 220 | A- | No |
79
Facility
79
OH AVG
41
Rank
#22 / 424 | - | - | Elayne Newcomb | - | - |
| Franklin Plaza Extended Care | AL HOS MC NH RC SNF | Cleveland (Ohio City) | 178
Facility
178
OH AVG
68
Rank
#3 / 218 | B- | No |
87
Facility
87
OH AVG
41
Rank
#4 / 424 | Private Rooms | - | Darrell Scott | - | 0
Facility
0
OH AVG
6
Rank
#149 / 151 |
| Mcgregor at Overlook | AL CCRC HOS IL NH RC SNF | East Cleveland | 148
Facility
148
OH AVG
68
Rank
#10 / 218 | A+ | No |
52
Facility
52
OH AVG
41
Rank
#135 / 424 | Studio / 1 Bed | - | Kanesha Boyd | - | - |
| Algart Health Care | AL HOS MC NH RC SNF | Cleveland (Edgewater) | 47
Facility
47
OH AVG
68
Rank
#171 / 218 | ? | No |
62
Facility
62
OH AVG
41
Rank
#84 / 424 | Private Rooms / Semi-Private Rooms | A+ | Joseph Ireland | 80
Facility
80
OH AVG
85.9
Rank
#160 / 179 | 0
Facility
0
OH AVG
6
Rank
#110 / 151 |
| Mount Alverna Village | AL IL MC NH RC SNF | Parma | 45
Facility
45
OH AVG
68
Rank
#7 / 218 | ? | No |
16
Facility
16
OH AVG
41
Rank
#358 / 424 | - | - | Patrick Welsh | 92
Facility
92
OH AVG
85.9
Rank
#19 / 179 | 3
Facility
3
OH AVG
6
Rank
#61 / 151 |
Rank badges are statewide and care-type specific: each assisted living community is ranked against every other OH assisted living community we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial Assistance for
Assisted Living in Ohio
St. Augustine Health Ministries is located in Cleveland, Ohio.
Here are the financial assistance programs available to residents in Ohio.




