We arrange tours, appointments, and even moving support so you don’t have to
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.
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.
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 171st out of 203 homes in Ohio. 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.
|
29m per day | ▼ 24% 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.
|
56m per day | ▼ 3% 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.
|
2h 0m per day | ▼ 6% 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.
|
3h 2m per day | ▼ 7% 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 | ▼ 33% 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.
|
19m per day | ▼ 24% State avg: 25m per day · National avg: 29m per day |
Occupancy lower than 85% suggests more openings may be available.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
17% worse 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.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This role is partially covered by contractors.
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 average
Ohio average: $69K
116% more fines than Ohio average
Ohio 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 average
Ohio 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, 2024
Last 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 average
Ohio average: 5.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.8
30% better than Ohio average
Ohio 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 average
Ohio average: 6.8%
Percent of long-stay residents whose ability to move independently worsened
0.0%
100% better than Ohio average
Ohio average: 8.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.1%
10% worse than Ohio average
Ohio average: 22.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.5%
86% better than Ohio average
Ohio average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
3.1%
21% better than Ohio average
Ohio average: 3.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Ohio average
Ohio average: 0.5%
Percent of long-stay residents who lose too much weight
2.2%
65% better than Ohio average
Ohio average: 6.2%
Percent of long-stay residents who have depressive symptoms
48.9%
104% worse than Ohio average
Ohio average: 24.0%
Percent of long-stay residents who received an antipsychotic medication
6.5%
24% better than Ohio average
Ohio average: 8.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
51.6%
44% worse than Ohio average
Ohio average: 92.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.8%
In line with Ohio average
Ohio average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
36.0%
54% worse than Ohio average
Ohio average: 78.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Ohio average
Ohio average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
44.4%
41% worse than Ohio average
Ohio 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
59
Residents 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 based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #155 / 203Payroll — State benchmarkedThis home is ranked 155th 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total Residents: 117
Building Type: Single-story
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
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.
— 2.17 miles to nearest hospital (Akron Children's Hospital)
Add your location
Highland Square Nursing & Rehabilitation is located in Akron, Ohio.
Here are the financial assistance programs available to residents in Ohio.
The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Ohio Living Rockynol |
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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. |
Akron (Highland Square) | 79 | 34.2% | -57% | 3.99 | -69% | +13% | $0 | 4 | 2.0 | - | 34 | A+ | 65 | Laurence Gumina | $6.5M | $3.0M | 45.7% | 365051 | ||||
| Hickory Ridge Nursing & Rehab 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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Akron (Cascade Valley) | 155 | 94.8% | +20% | 2.66 | -39% | -25% | $0 | 21 | 3.5 | - | 147 | A+ | 5 | Foundations Health LLC | $15.5M | $9.0M | 58.1% | 365134 | ||||
| The Merriman |
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. |
Akron (Highland Square) | 55 | 76.5% | -3% | 3.52 | +156% | -1% | $31.4k | 63 | 3.9 | 3 | 51 | - | 70 | - | $6.0M | $3.3M | 55.5% | 365859 | ||||
| Highland Square Nursing & Rehabilitation |
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).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
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. |
Akron (Highland Square) | 99 | 71.5% | -9% | 2.98 | -35% | -16% | $116.5k | 66 | 3.0 | 5 | 62 | - | 39 | Amy Martin | $9.1M | $3.9M | 43.6% | 365316 |
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 is located at 1211 W Market St, Akron, OH 44313, United States.
(330) 867-8530 will put you in contact with the team at Highland Square Nursing & Rehabilitation.
Yes — Highland Square Nursing & Rehabilitation is a CMS-certified provider of Medicare and Medicaid.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
