Falling Water Healthcare Center
Nursing Home, Memory Care, Respite Care & Hospice Care · Strongsville, OH
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.

Falling Water Healthcare Center

Nursing Home, Memory Care, Respite Care & Hospice Care · Strongsville, OH
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and 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.
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Falling Water Healthcare Center accepts Medicare and private pay.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 171
Employees 148
Contractors 23
Staff to resident ratio 2.01:1
0% compared with Ohio average
Ohio average ratio: 2.04:1 Ohio average ratio: 2.04:1See full Ohio ranking
Avg staff/day 46
Average shift 8.5 hours
5% better than Ohio average
Ohio average: 8.1 hours Ohio average shift: 8.1 hoursSee full Ohio ranking
Total staff hours (quarter) 35,848

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.4 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff 39
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff 81
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours

No contractors work on this role.

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

7.7%

2,761 contractor hours this quarter

Speech Language Pathologist: 6 Registered Nurse: 4 Physical Therapy Assistant: 3 Physical Therapy Aide: 3 Respiratory Therapy Technician: 2 Qualified Social Worker: 2 Qualified Activities Professional: 2 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant8108115,99392100%8.7
Licensed Practical Nurse390399,65892100%8.8
Registered Nurse84123,0769199%10.4
Other Dietary Services Staff4041,3079199%7.2
Physical Therapy Aide0338626773%7
Clinical Nurse Specialist8088256571%9.9
Administrator1015126470%8
Nurse Practitioner1015126470%8
Dietitian1014986368%7.9
RN Director of Nursing1014775054%9.5
Mental Health Service Worker2024405560%8
Respiratory Therapy Technician0224116267%6.6
Speech Language Pathologist0663896672%5.8
Physical Therapy Assistant0333216672%4.9
Occupational Therapy Aide1013015054%6
Qualified Social Worker0221796267%2.9
Medical Director011502527%2
Occupational Therapy Assistant1013244%8
Qualified Activities Professional022655%1.2
81 Certified Nursing Assistant
% of Days 100%
39 Licensed Practical Nurse
% of Days 100%
12 Registered Nurse
% of Days 99%
4 Other Dietary Services Staff
% of Days 99%
3 Physical Therapy Aide
% of Days 73%
8 Clinical Nurse Specialist
% of Days 71%
1 Administrator
% of Days 70%
1 Nurse Practitioner
% of Days 70%
1 Dietitian
% of Days 68%
1 RN Director of Nursing
% of Days 54%
2 Mental Health Service Worker
% of Days 60%
2 Respiratory Therapy Technician
% of Days 67%
6 Speech Language Pathologist
% of Days 72%
3 Physical Therapy Assistant
% of Days 72%
1 Occupational Therapy Aide
% of Days 54%
2 Qualified Social Worker
% of Days 67%
1 Medical Director
% of Days 27%
1 Occupational Therapy Assistant
% of Days 4%
2 Qualified Activities Professional
% of Days 5%

Penalties and fines

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)

Total fines amount $11K Rank #141 / 203Federal fines — State benchmarkedThis home is ranked 141st out of 203 homes in Ohio. Shows this facility's cumulative CMS federal fine dollars versus the Ohio average among facilities with fines, and where it ranks among 203 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
84% lower than Ohio average

Ohio average: $69K

Number of fines 1
46% fewer fines than Ohio average

Ohio average: 1.9

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Ohio average

Ohio average: 0.5

Fines amount comparison
Fines amount comparison
This facility $11K
Ohio average $69K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Dec 19, 2024 · $11K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 19, 2024
$11K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

Ohio average: 5.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.8
In line with Ohio average

Ohio average: 12.7

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 5.7%
16% better than Ohio average

Ohio average: 6.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 7.6%
15% better than Ohio average

Ohio average: 8.9%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 25.0%
14% worse than Ohio average

Ohio average: 22.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.4%
In line with Ohio average

Ohio average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.4%
89% worse than Ohio average

Ohio average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.4%
159% worse than Ohio average

Ohio average: 0.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.7%
8% better than Ohio average

Ohio average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 15.6%
35% better than Ohio average

Ohio average: 24.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 5.7%
33% better than Ohio average

Ohio average: 8.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 86.3%
7% worse than Ohio average

Ohio average: 92.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 92.9%
In line with Ohio average

Ohio average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 37.1%
52% worse than Ohio average

Ohio average: 78.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.5%
15% worse than Ohio average

Ohio average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 59.7%
21% worse than Ohio average

Ohio average: 75.6%

Breakdown by payment type

Medicare

15% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

85% of new residents, often for short stays.

Typical stay 1 - 2 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 85
Medicare
3
3.5% of residents
Medicaid
60
70.6% of residents
Private pay or other
22
25.9% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$12.3M
Operating loss
-$827.5K
Privately-owned community Operated by a business corporation.
Home revenue
$12.3M Rank #80 / 203Revenue — State benchmarkedThis home is ranked 80th out of 203 homes in Ohio. Shows this facility's annual revenue compared to the Ohio SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$827.5K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #95 / 203Payroll — State benchmarkedThis home is ranked 95th out of 203 homes in Ohio. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.6M
45.2% of revenue Rank #155 / 203Payroll % — State benchmarkedThis home is ranked 155th out of 203 homes in Ohio. Shows payroll as a percentage of revenue versus the Ohio average. Well-run Ohio SNFs typically land around 54–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.6M
Total costs $13.2M

What does this home offer?

Housing options icon
Housing options icon

Housing Options: Private / Semi-Private Rooms

Building type icon
Building type icon

Building Type: 2-story

Rehabilitative support icon
Rehabilitative support icon

Rehabilitative Support

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Places of interest near Falling Water Healthcare Center

Address 0.8 miles from city center Info Estimated distance in miles from Strongsville's city center to Falling Water Healthcare Center's address, calculated via Google Maps.

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Financial Assistance for
Nursing Home in Ohio

Falling Water Healthcare Center is located in Strongsville, Ohio.
Here are the financial assistance programs available to residents in Ohio.

Get Financial aid guidance

PASSPORT Waiver

Ohio Medicaid PASSPORT

Age 60+
General Ohio resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
OH

Administered through regional agencies; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Ohio Home Care Program (non-Medicaid)

OH HCP

Age 60+
General Ohio resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
OH

Limited funding; regional variation.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Assisted Living Waiver (ALW)

Ohio Assisted Living Waiver

Age 21+ (65+ prioritized)
General OH resident, Medicaid-eligible, NFLOC.
Income Limits (2025) ~$2,829/month (individual); QIT required.
Asset Limits $2,000 (individual), $3,000 (couple).
OH

Covers ~300 facilities; room/board not included (separate cost).

Benefits
Personal care Meals Medication management Transportation (~$3,000-$4,000/month value)

Program of All-Inclusive Care for the Elderly (PACE)

Ohio PACE (e.g., McGregor PACE)

Age 55+
General OH resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OH

Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Ohio Medicare Savings Program

Age 65+ or disabled
General OH resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
OH

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Home Energy Assistance Program (HEAP)

Ohio HEAP

Age 60+ prioritized
General OH resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
OH

Covers gas, electric, oil; emergency aid via Winter/Summer Crisis Programs.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

Ohio Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
OH

12 AAAs; rural/low-income priority; volunteer respite option.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Ohio VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General OH resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
OH

High veteran demand; supports care in multiple settings.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Homestead Exemption

Ohio Homestead Exemption

Age 65+ (or disabled)
General OH resident, homeowner, low-income.
Income Limits (2025) ~$38,500/year individual, adjusted annually
Asset Limits Not assessed; home ownership required.
OH

Reduces taxable value by $25,000; applies to primary residence.

Benefits
Tax reduction (~$400-$800/year avg., varies by county)

Save the Dream Ohio (Homeowner Assistance Fund)

Ohio Save the Dream

Age 60+ prioritized
General OH resident, homeowner, hardship post-Jan 21, 2020.
Income Limits (2025) ~$147,600/year family of 4, 150% AMI; varies by county
Asset Limits Not assessed; hardship-focused.
OH

Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.

Benefits
Mortgage aid ($25,000 max) Utility/property tax aid ($5,000 avg.)

Compare Nursing Home around Strongsville

The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.

3 facilities compared · CMS & OH Dept. of Health data

Filter by care type
Parkside Villa
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Middleburg Heights (North Ontario)200 85.9% +9%3.10 +29%-12%$0253.6-143 44 -$35.9M$13.9M38.8%366229
Falling Water Healthcare Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Strongsville (Orange)135 64.3% -18%3.28 -24%-7%$10.8k192.4295 22 Collena Rhodes$12.3M$5.6M45.2%366111
Avenue at Strongsville Care and Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Strongsville (West Orange Avenue)99 81.3% +3%2.88 +90%-19%$27.3k222.4294 75 Strongsville Fk Healthcare Holdings LLC$10.9M$6.1M55.8%366491

Frequently Asked Questions about Falling Water Healthcare Center

What neighborhood is Falling Water Healthcare Center in?

Falling Water Healthcare Center is in the Orange neighborhood.

Is Falling Water Healthcare Center in a walkable area?

Falling Water Healthcare Center has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Falling Water Healthcare Center?

Falling Water Healthcare Center's occupancy is 64.3%.

What is the address of Falling Water Healthcare Center?

Falling Water Healthcare Center is located at 18840 Falling Water Rd, Strongsville, OH 44136.

What is the phone number of Falling Water Healthcare Center?

(440) 238-1100 will put you in contact with the team at Falling Water Healthcare Center.

Is Falling Water Healthcare Center Medicare or Medicaid certified?

Yes — Falling Water Healthcare Center is a CMS-certified provider of Medicare and Medicaid.

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