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Nursing Home in Shaker Heights

CMS overall rating Info 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.

Shaker Gardens Assisted Living

Nursing Home in Shaker Heights

CMS overall rating Info 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.

Shaker Gardens Assisted Living

Overview of Shaker Gardens Assisted Living
Shaker Gardens Assisted Living offers a continuum of care based on the level of assistance and services required for residents. The community provides a broad range of lifestyle, service, and care options, including independent living, assisted living, and skilled nursing care. Located in the heart of Shaker Heights, it features spacious suites, restaurant-style dining, health and wellness services, and scheduled transportation.
(216) 752-5600

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
5/5
Ohio average: 3.4/5
Health Inspection Info 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.
4/5
Ohio average: 2.9/5
Staffing Info 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.
2/5
Ohio average: 2.9/5
Quality Measures Info 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.
5/5
Ohio average: 4.4/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
2h 58m per day

This home provides 23% less nursing time per resident than the Ohio average.

Ohio average: 3h 50m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 51m per day 38m per day 41m per day
Nurse Aide Info Nurse aide hours per resident per day. 1h 53m per day 2h 8m per day 2h 21m per day
Total Nursing (Weekend) Info Total number of nurse staff hours per resident per day on weekends. 2h 51m per day 3h 17m per day 3h 26m per day
Physical Therapist Info Physical therapist staff hours per resident per day. 2m per day 3m per day 4m per day
RN (Weekend) Info Registered nurse hours per resident per day on weekends. 38m per day 25m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 124

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Ohio average
Occupancy rate 38.7%
Residents per day (avg) 47
Occupancy rate
38.7%
Residents per day (avg)
47

Who this home usually serves

TYPE OF STAY

Primarily long-term care, limited rehab

Most residents stay long-term, while a smaller portion are admitted for short-term rehab.

Might be optimal for
Long-term residence Daily assistance Occasional rehab needs

Breakdown by payment type

Medicare

12% of new residents, usually for short-term rehab.

Typical stay 4 - 5 months

Private pay

69% of new residents, often for short stays.

Typical stay 2 years

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 7 - 8 months

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$11.5M
Profit
$124.0K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$11.5M
Profit
$124.0K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.4M
38% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.0M
Total costs $11.3M
Bed community size
124-bed community
A larger shared setting that may offer more common spaces and organized community services.

About this community

Occupancy

Occupancy rate
39%
In line with Ohio average
Occupied beds
48 / 124
Average residents 72 per day

License Details

Facility TypeResidential Care Facility
StatusActive
CountyCUYAHOGA

Additional Licensing Details

CMS Certification Number366021
Awards4-star overall CMS rating

Ownership & Operating Entity

Shaker Gardens Assisted Living is administrated by Lara Walker.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

3 services
Doctor on Staff
Skilled Nursing
24-Hour Staffing

Additional Services

1 service
Skilled Nursing

Contact Information

Fax(216) 752-8133

Amenities & Lifestyle

8 amenities
On-Site Aquatic Therapy Pool
Full-Therapy Gym
Outdoor Seating Areas
Multiple Gathering Rooms
Chapel
Fitness Center
Library
Beauty Salon
Specific ProgramsAssisted Living, Memory Care, Skilled nursing care, Dining Services, Classes, Events.

Dining & Nutrition

Food DescriptionCustomized nutritious menus, specialized diet options, pleasant dining room experience, in-room dining, snacks offered daily.

Contact Shaker Gardens Assisted Living

Inspection History

In Ohio, the Department of Health, Bureau of Survey and Certification conducts unannounced onsite inspections to evaluate the quality of care and environment in all licensed facilities.

5 visits/inspections

Latest inspection

Date September 19, 2025

0 total citations

Citations indicate regulatory violations. A higher number implies the facility had several areas requiring improvement.

Ohio average: 2 citations

17 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Ohio average: 29 deficiencies

Resident satisfaction survey results

Every two years, the Ohio Department of Aging and the Office of the State Long-Term Care Ombudsman organizations conduct a satisfaction survey among residents in long-term care facilities to assess their quality of care and life.

Average score

76 / 100

Ohio average: 86 / 100

2022 – 2023 Period

Care and services

86 / 100

Ohio average: 89 / 100

Environment

87 / 100

Ohio average: 95 / 100

Moving in

68 / 100

Ohio average: 82 / 100

Facility culture

76 / 100

Ohio average: 86 / 100

Caregivers

76 / 100

Ohio average: 89 / 100

Spending time

68 / 100

Ohio average: 80 / 100

Meals and dining

69 / 100

Ohio average: 81 / 100

Health Inspection History

Inspections
Total health inspections 6

Ohio average 6.7


Last Health inspection on Oct 2024

Total health citations 17

Ohio average 30.9

Citations per inspection
2.83

Ohio average 4.59


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

14 of 17 citations resulted from standard inspections; and 3 of 17 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Ohio average

Ohio average: 0.3


Serious Health citations More info 0
100% better than Ohio average

Ohio average: 0.9

0 critical citations More info Ohio average: 0.3

0 serious citations More info Ohio average: 0.9

17 moderate citations More info Ohio average: 29

0 minor citations More info Ohio average: 0.7
Citations history (last 3 years)
Pharmacy moderate citation Info Issues related to medication management, including how drugs are stored, administered, and monitored. Oct 17, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Mar 06, 2024
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Feb 13, 2024
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jan 10, 2023
Corrected

Compare Nursing Homes around Shaker Heights 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 · Updated Apr 2026

Filter by care type
Shaker Gardens Assisted Living
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.

Shaker Heights
172
75.7%
-4%
2.96
-7%
-16%
8
17
2.8
0
47
-
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Shaker Gardens Management Llc
$11.1M
$4.4M
39.3%
366021
Library Court Senior Housing
-
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.

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).

Cleveland
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-
-
-
-
-
-
-
0
0
0.0
0
-
-
70
-
-
-
-
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StoryPoint Shaker Heights (HarborChase)
-
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.

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).

Shaker Heights
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0
0
0.0
0
-
A-
66
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-
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-

Places of interest near Shaker Gardens Assisted Living

Address 226.8 miles from city center

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 139
Employees 84
Contractors 55
Staff to resident ratio 2.90:1
35% better than Ohio average

Ohio average ratio: 2.14:1

Avg staff/day 33
Average shift 6.8 hours
16% worse than Ohio average

Ohio average: 8.1 hours

Total staff hours (quarter) 20,403
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.6 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 55
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours

This role is partially covered by contractors.

Contractor staffing

Total hours from contractors

3.6%

742 contractor hours this quarter

Certified Nursing Assistant: 22 Licensed Practical Nurse: 15 Physical Therapy Aide: 4 Speech Language Pathologist: 3 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 2 Clinical Nurse Specialist: 2 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant3322558,58491100%7.3
Registered Nurse120122,52291100%6.6
Licensed Practical Nurse915242,06391100%7.7
Physical Therapy Aide64101,4988088%7.1
Other Dietary Services Staff5051,3908796%5.7
Speech Language Pathologist4371,1678088%6.5
Qualified Social Worker4265076875%5.4
Nurse Practitioner2024996774%7.5
Dental Services Staff1014866673%7.4
Administrator1014856167%7.9
Clinical Nurse Specialist1234225257%7.8
RN Director of Nursing1012564145%6.3
Physical Therapy Assistant3252157178%3
Respiratory Therapy Technician2241786268%2.2
Occupational Therapy Aide011941314%7.2
Medical Director011252527%1
Occupational Therapy Assistant0111433%4.7
55 Certified Nursing Assistant
% of Days 100%
12 Registered Nurse
% of Days 100%
24 Licensed Practical Nurse
% of Days 100%
10 Physical Therapy Aide
% of Days 88%
5 Other Dietary Services Staff
% of Days 96%
7 Speech Language Pathologist
% of Days 88%
6 Qualified Social Worker
% of Days 75%
2 Nurse Practitioner
% of Days 74%
1 Dental Services Staff
% of Days 73%
1 Administrator
% of Days 67%
3 Clinical Nurse Specialist
% of Days 57%
1 RN Director of Nursing
% of Days 45%
5 Physical Therapy Assistant
% of Days 78%
4 Respiratory Therapy Technician
% of Days 68%
1 Occupational Therapy Aide
% of Days 14%
1 Medical Director
% of Days 27%
1 Occupational Therapy Assistant
% of Days 3%

Facility Characteristics

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

Total census
48 residents
Residents by payment source
Medicare
1 resident (2.1%)
Medicaid
41 residents (85.4%)
Private pay or other
6 residents (12.5%)
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.

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. 5.6
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. 10.1
20% better than Ohio average

Ohio average: 12.7

Long-stay resident measures
Significantly above average Ohio avg: 4.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 4.0%
41% better than Ohio average

Ohio average: 6.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 7.1%
20% 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 19.1%
13% better 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 1.2%
66% better than Ohio average

Ohio average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.6%
43% worse than Ohio average

Ohio average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than Ohio average

Ohio average: 0.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 10.1%
62% worse than Ohio average

Ohio average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 36.6%
52% worse than Ohio average

Ohio average: 24.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.5%
12% worse than Ohio average

Ohio average: 8.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.4%
5% worse than Ohio average

Ohio average: 92.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 91.5%
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 47.7%
39% worse than Ohio average

Ohio average: 78.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 5.7%
345% worse than Ohio average

Ohio average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 48.2%
36% worse than Ohio average

Ohio average: 75.6%

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 Jan 2026)

Total fines amount $42K
39% lower than Ohio average

Ohio average: $69K

Number of fines 8
332% more 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 $42K
Ohio average $69K
Penalty History

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

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 11, 2023
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 5, 2023
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 28, 2023
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Aug 21, 2023
$5K

Last updated: Jan 2026

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Financial Aid for Ohio Seniors

Get financial aid guidance

PASSPORT Waiver

Ohio Medicaid PASSPORT

Age 60+, Ohio resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Administered through regional agencies; waitlists possible.

Ohio Home Care Program (non-Medicaid)

OH HCP

Age 60+, Ohio resident, at risk of decline.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; regional variation.

Assisted Living Waiver (ALW)

Ohio Assisted Living Waiver

Age 21+ (65+ prioritized), OH resident, Medicaid-eligible, NFLOC.

~$2,829/month (individual); QIT required.

$2,000 (individual), $3,000 (couple).

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

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

Ohio PACE (e.g., McGregor PACE)

Age 55+, OH resident (specific counties), NFLOC, safe with PACE support.

~$2,829/month (Medicaid-eligible); private pay option available.

$2,000 (individual), $3,000 (couple) for Medicaid enrollees.

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

Medicare Savings Program (MSP)

Ohio Medicare Savings Program

Age 65+ or disabled, OH resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

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

Home Energy Assistance Program (HEAP)

Ohio HEAP

Age 60+ prioritized, OH resident, low-income household.

~$3,970/month (individual, 185% FPL).

Not assessed; income-focused.

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

Family Caregiver Support Program (FCSP)

Ohio Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).

Prioritizes ~$24,980/year (individual); no strict cap.

Not assessed; need-based.

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

Senior Community Service Employment Program (SCSEP)

Ohio SCSEP

Age 55+, unemployed, low-income, OH resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents; AARP partnership.

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

Ohio VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, OH resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand; supports care in multiple settings.

Homestead Exemption

Ohio Homestead Exemption

Age 65+ (or disabled), OH resident, homeowner, low-income.

~$38,500/year (individual, adjusted annually).

Not assessed; home ownership required.

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

Save the Dream Ohio (Homeowner Assistance Fund)

Ohio Save the Dream

Age 60+ prioritized, OH resident, homeowner, hardship post-Jan 21, 2020.

~$147,600/year (family of 4, 150% AMI; varies by county).

Not assessed; hardship-focused.

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