2/5
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.
2/5
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.
Settled in the neighborhood of Akron, OH, Highland Square Nursing & Rehabilitation is a trusted senior care provider, offering an array of rehabilitation services, nursing care, and long-term care. Residents here are offered access to physical, speech, and occupational therapy services to make sure they are able to maintain or improve their mobility and overall functionality to continue living the lifestyle they want. An on-site medical director is available to facilitate residents’ care plans and ensure they are provided with the care they need.
Various activities and programs are also offered, such as social functions, live entertainment, celebrations, and more for residents’ enjoyment and enrichment. Home-style meals made fresh are served daily to make sure residents stay nourished and energized the whole day. An array of convenient amenities are also available to further enhance residents’ comfort and convenience.
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 177th out of 210 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.
| 32m per day | ▼ 17% 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.
| 51m per day | ▼ 12% 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 56m per day | ▼ 10% State avg: 2h 8m per day · National avg: 2h 21m 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.
| 2h 53m per day | ▼ 12% State avg: 3h 17m per day · National avg: 3h 26m 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.
| 2m per day | ▼ 44% 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.
| 22m per day | ▼ 11% State avg: 25m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% fewer staff per resident than Ohio average
9% worse 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.
All 6 RN Staff are full-time employees. No contractors work on this role.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursAssists with medical care and medications.
All 14 LPN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
52 total: 51 full-time employees and 1 contractor.
52
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,567 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 51 | 1 | 52 | 11,433 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 14 | 0 | 14 | 3,868 | 92 | 100% | 8.6 |
| Registered Nurse | 6 | 0 | 6 | 1,829 | 92 | 100% | 10.6 |
| RN Director of Nursing | 3 | 0 | 3 | 1,167 | 77 | 84% | 9 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 890 | 70 | 76% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 884 | 85 | 92% | 7.2 |
| Speech Language Pathologist | 0 | 1 | 1 | 483 | 64 | 70% | 7.5 |
| Administrator | 1 | 0 | 1 | 480 | 64 | 70% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 406 | 59 | 64% | 6.9 |
| Physical Therapy Aide | 0 | 2 | 2 | 376 | 67 | 73% | 5.6 |
| Dietitian | 2 | 0 | 2 | 331 | 63 | 68% | 5 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 167 | 44 | 48% | 3.7 |
| Medical Director | 0 | 1 | 1 | 130 | 26 | 28% | 5 |
| Qualified Social Worker | 0 | 2 | 2 | 126 | 35 | 38% | 3.6 |
| Dental Services Staff | 1 | 0 | 1 | 123 | 29 | 32% | 4.2 |
| Physical Therapy Assistant | 0 | 3 | 3 | 110 | 40 | 43% | 2.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 98 | 13 | 14% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 92 | 14 | 15% | 6.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 72 | 13 | 14% | 5.5 |
Includes penalties issued in 2024-2025
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)
69% higher than Ohio averageOhio average: $69K
116% more 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.
4 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 9, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 24, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 18, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 18, 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.
1.6
72% better than Ohio averageOhio average: 5.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.8
30% better than Ohio averageOhio average: 12.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
2.4%
66% better than Ohio averageOhio average: 6.8%
Percent of long-stay residents whose ability to move independently worsened
0.0%
100% better than Ohio averageOhio average: 8.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.1%
10% worse than Ohio averageOhio average: 22.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
86% better than Ohio averageOhio average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
3.1%
21% better than Ohio averageOhio average: 3.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Ohio averageOhio average: 0.5%
Percent of long-stay residents who lose too much weight
2.2%
65% better than Ohio averageOhio average: 6.2%
Percent of long-stay residents who have depressive symptoms
48.9%
104% worse than Ohio averageOhio average: 24.0%
Percent of long-stay residents who received an antipsychotic medication
6.5%
24% better than Ohio averageOhio average: 8.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
51.6%
44% worse than Ohio averageOhio average: 92.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.8%
In line with Ohio averageOhio average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
36.0%
54% worse than Ohio averageOhio average: 78.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Ohio averageOhio average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
44.4%
41% 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.
12% of new residents, usually for short-term rehab.
73% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
59Residents 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 Highland Square Nursing & Rehabilitation from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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 #161 / 210Payroll — State benchmarkedThis home is ranked 161st out of 210 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.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 #171 / 210Payroll % — State benchmarkedThis home is ranked 171st out of 210 homes in Ohio. 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.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).
Building Type: Single-story
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Most new residents arrive under private pay (73% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.6 miles from city center
Estimated distance in miles from Akron's city center to Highland Square Nursing & Rehabilitation's address, calculated via Google Maps.
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The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
| Ohio Living Rockynol | NH AL IL MC NC | Akron (Highland Square) | 79
Facility
79
OH AVG
78
Rank
#150 / 323 |
34.2%
Facility
34.2%
OH AVG
78.7%
Rank
#209 / 211 | -57% | 3.99
Facility
3.99
OH AVG
3.54
Rank
#49 / 210 | -69% | +13% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 211 | 4
Facility
4
OH AVG
30.9
Rank
#4 / 210 | 2.0
Facility
2.0
OH AVG
4.6
Rank
#13 / 210 | - | 27 | A+ |
65
Facility
65
OH AVG
40
Rank
#107 / 705 | Laurence Gumina | $4.1M
Facility
$4.1M
OH AVG
$10.1M
Rank
#175 / 210 | $2.5M
Facility
$2.5M
OH AVG
$3.9M
Rank
#188 / 210 | 60.6%
Facility
60.6%
OH AVG
40.2%
Rank
#154 / 210 | 365051 | ||||
| Hickory Ridge Nursing & Rehab Center | NH NC | Akron (Cascade Valley) | 155
Facility
155
OH AVG
78
Rank
#12 / 323 |
94.8%
Facility
94.8%
OH AVG
78.7%
Rank
#41 / 211 | +20% | 2.66
Facility
2.66
OH AVG
3.54
Rank
#201 / 210 | -39% | -25% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 211 | 21
Facility
21
OH AVG
30.9
Rank
#72 / 210 | 3.5
Facility
3.5
OH AVG
4.6
Rank
#67 / 210 | - | 140 | A+ |
5
Facility
5
OH AVG
40
Rank
#649 / 705 | Foundations Health LLC | $14.2M
Facility
$14.2M
OH AVG
$10.1M
Rank
#48 / 210 | $9.0M
Facility
$9.0M
OH AVG
$3.9M
Rank
#27 / 210 | 63.4%
Facility
63.4%
OH AVG
40.2%
Rank
#34 / 210 | 365134 | ||||
| The Merriman | NH HC PC RC | Akron (Highland Square) | 55
Facility
55
OH AVG
78
Rank
#209 / 323 |
76.5%
Facility
76.5%
OH AVG
78.7%
Rank
#143 / 211 | -3% | 3.52
Facility
3.52
OH AVG
3.54
Rank
#99 / 210 | +156% | -1% | $134.5k
Facility
$134.5k
OH AVG
$74.0k
Rank
#196 / 211 | 63
Facility
63
OH AVG
30.9
Rank
#197 / 210 | 3.9
Facility
3.9
OH AVG
4.6
Rank
#92 / 210 | 3 | 47 | - |
70
Facility
70
OH AVG
40
Rank
#67 / 705 | - | $5.8M
Facility
$5.8M
OH AVG
$10.1M
Rank
#179 / 210 | $2.7M
Facility
$2.7M
OH AVG
$3.9M
Rank
#177 / 210 | 47.1%
Facility
47.1%
OH AVG
40.2%
Rank
#54 / 210 | 365859 | ||||
| Highland Square Nursing & Rehabilitation | NH AL IL MC | Akron (Highland Square) | 91
Facility
91
OH AVG
78
Rank
#108 / 323 |
71.5%
Facility
71.5%
OH AVG
78.7%
Rank
#160 / 211 | -9% | 2.98
Facility
2.98
OH AVG
3.54
Rank
#177 / 210 | -35% | -16% | $403.0k
Facility
$403.0k
OH AVG
$74.0k
Rank
#211 / 211 | 66
Facility
66
OH AVG
30.9
Rank
#200 / 210 | 3.0
Facility
3.0
OH AVG
4.6
Rank
#45 / 210 | 5 | 65 | - |
39
Facility
39
OH AVG
40
Rank
#371 / 705 | Amy Martin | $7.3M
Facility
$7.3M
OH AVG
$10.1M
Rank
#139 / 210 | $3.3M
Facility
$3.3M
OH AVG
$3.9M
Rank
#161 / 210 | 45.6%
Facility
45.6%
OH AVG
40.2%
Rank
#171 / 210 | 365316 |
Highland Square Nursing & Rehabilitation is located in Akron, Ohio.
Here are the financial assistance programs available to residents in Ohio.
Highland Square Nursing & Rehabilitation is in the Highland Square neighborhood.
Highland Square Nursing & Rehabilitation has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Highland Square Nursing & Rehabilitation's occupancy is 71.5%.
Highland Square Nursing & Rehabilitation is registered as a for-profit.
Yes — there are 4 photos of Highland Square Nursing & Rehabilitation in the photo gallery on this page.
Highland Square Nursing & Rehabilitation is located at 1211 W Market St, Akron, OH 44313.
(330) 867-8530 will put you in contact with the team at Highland Square Nursing & Rehabilitation.
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