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Shaker Gardens Assisted Living
Nursing Home, Assisted Living, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Shaker Heights, OH
CMS overall rating Info 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.

Shaker Gardens Assisted Living

Nursing Home, Assisted Living, Hospice Care, Memory Care, Palliative Care, Respite Care & Skilled Nursing · Shaker Heights, OH
CMS overall rating Info 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.
3550 Northfield Road, Shaker Heights, OH 44122 View map
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Shaker Gardens Assisted Living accepts Medicare, Medicaid, and private pay.
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Shaker Gardens Assisted Living accepts Medicare, Medicaid, and private pay.

Overview of Shaker Gardens Assisted Living

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Shaker Gardens Assisted Living, situated in Shaker Heights, Ohio, provides a range of care services including assisted living, memory care, skilled nursing, respite stays, hospice, and palliative care. Assisted living aids with personal daily tasks, whereas memory care offers a secured environment with structured supervision. The community features an on-site aquatic therapy pool and a full therapy gym for rehabilitation, alongside amenities such as outdoor seating areas, a fitness center, a chapel, a library, and a beauty salon. Dining options feature daily snacks, specialized diets, customized menus, and in-room meal service.

Managed by administrator Lara Walker, this 124-bed center allows residents to transition between different levels of care as their needs change over time. Nursing coverage across the building averages 2 hours and 49 minutes per resident per day. Accepted payment options include Medicare for short-term rehabilitation, Medicaid for extended residential care, and private pay.

Interested representatives can contact Shaker Gardens Assisted Living to inquire about specific admission criteria, schedule a tour of the campus amenities, or discuss current room availability.

Facility Direct Line (216) 752-5600
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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.
▲ 57.1% Above OH avg. ▲ 57.1% Above OH avg.OH average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 42.8% Above OH avg. ▲ 42.8% Above OH avg.OH average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 22.8% Above OH avg. ▲ 22.8% Above OH avg.OH average: 2.4Click the badge to see the full State ranking.Click here to see the full State ranking.
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.
▲ 14.7% Above OH avg. ▲ 14.7% Above OH avg.OH average: 4.4Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs Ohio averages

Rank #152 / 174Nurse hours — State benchmarkedThis nursing home is ranked 152nd out of 174 nursing homes we track in Ohio for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the Ohio average, with a ranking across 174 Ohio facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This nursing home is ranked 152nd out of 174 nursing homes we track 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.

2h 49m

21% below state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
47m
+23% State avg: 38m per day · National avg: 41m per day
LPN / LVN Info 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.
28m
−52% State avg: 58m per day · National avg: 52m per day
Nurse Aide Info 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 34m
−26% State avg: 2h 8m per day · National avg: 2h 21m per day
Weekend Total Nursing Info 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 33m
−22% State avg: 3h 17m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
3m
−13% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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.
40m
+61% State avg: 25m per day · National avg: 29m per day

4 of 6 metrics below state avg

Standout metric: Weekend RN is +61% above Ohio average

By The Numbers

Community insights.

Bed count Info A mid-sized community that may balance personal attention with shared amenities and social activities. 124 Rank #32 / 185Bed count — State benchmarkedThis nursing home is ranked 32nd out of 185 nursing homes we track in Ohio for bed count. Shows this facility's certified or reported bed count compared to other Ohio facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Medium-capacity home · Offers a balance of services and community atmosphere.

Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #202 / 232Walk Score — State benchmarkedThis nursing home is ranked 202nd out of 232 nursing homes we track in Ohio for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Ohio facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
15 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #153 / 155Occupancy rate — State benchmarkedThis nursing home is ranked 153rd out of 155 nursing homes we track in Ohio for occupancy. Shows this facility's occupancy rate versus the Ohio average, with its Statewide rank out of 155. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
38.7% This home usually has availability
Lower than the Ohio average: 85.1%
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
203 days

About this community

Awards

4-star overall CMS rating

License Details

StatusActive
CountyCuyahoga
CMS Certification Number366021

Ownership & Operating Entity

Shaker Gardens Assisted Living is administered by Lara Walker.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Doctor on Staff
24-Hour Staffing

Contact Information

Email mcalabrase@shakergardens.com
Fax(216) 752-8133

Amenities & Lifestyle

Outdoor Seating
Chapel
Fitness Center
Library
Salon
Multiple Gathering Rooms

Contact Shaker Gardens Assisted Living

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

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.

Show Inspection Reports

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

The structured, in-person survey instrument was developed by Scripps Gerontology Center at Miami University of Ohio and Vital Research.

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2019 · 7 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 6

Ohio average 6.5

Last Health inspection on May 2026

Total health citations
17 Rank #48 / 177Health citations — State benchmarkedThis nursing home is ranked 48th out of 177 nursing homes we track in Ohio for health citations. Shows this facility's total health deficiency citations benchmarked to the Ohio State average, with a ranking across all 177 OH facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Ohio average 31.1

Citations per inspection
2.83 Rank #28 / 177Citations per inspection — State benchmarkedThis nursing home is ranked 28th out of 177 nursing homes we track in Ohio for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the Ohio mean across 177 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Ohio average 4.76

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 7 years)
Critical health citations
0
100% better than Ohio average

Ohio average: 0.3

Serious health citations
0
100% better than Ohio average

Ohio average: 0.9

0 critical citations Ohio average: 0.3
0 serious citations Ohio average: 0.9
17 moderate citations Ohio average: 29.3
0 minor citations Ohio average: 0.7
Citations history (last 7 years)
Environmental moderate citation May 01, 2026
Corrected
Pharmacy moderate citation Oct 17, 2024
Corrected
Quality of Care moderate citation Mar 06, 2024
Corrected
Quality of Care moderate citation Feb 13, 2024
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. 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.

Staffing Data

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

Total staff 132
Employees 77
Contractors 55
Staff to resident ratio 2.75 : 1
38% more staff per resident than Ohio average
Ohio average ratio: 1.99 : 1 Ohio average ratio: 1.99 : 1See full Ohio ranking
Avg staff/day 31
Average shift 6.6 hours
19% worse than Ohio average
Ohio average: 8.1 hours Ohio average shift: 8.1 hoursSee full Ohio ranking
Total staff hours (quarter) 18,954

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 Info All 12 RN Staff are full-time employees. No contractors work on this role. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 12 total: 8 full-time employees and 4 contractors. 12
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 76 total: 28 full-time employees and 48 contractors. 76
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.9 hours

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

2.8%

538 contractor hours this quarter

Certified Nursing Assistant: 48 Licensed Practical Nurse: 4 Medical Director: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 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 Assistant2848767,91692100%6.9
Registered Nurse120123,22592100%6.7
Licensed Practical Nurse84121,4759199%7.3
Physical Therapy Aide6061,3718390%7.1
Speech Language Pathologist3031,1127986%6.8
Other Dietary Services Staff7079896874%6.1
Qualified Social Worker3035016773%5.9
Dental Services Staff1014646065%7.7
Administrator1014485661%8
Nurse Practitioner1014415661%7.9
Clinical Nurse Specialist2023614650%7.8
RN Director of Nursing1012213336%6.7
Respiratory Therapy Technician2021926773%2.3
Physical Therapy Assistant2021886368%3
Medical Director011272729%1
Occupational Therapy Assistant0111433%4.5
Occupational Therapy Aide0111033%3.3
76 Certified Nursing Assistant
% of Days 100%
12 Registered Nurse
% of Days 100%
12 Licensed Practical Nurse
% of Days 99%
6 Physical Therapy Aide
% of Days 90%
View All Staffing Data in Shaker Heights

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 Rank #152 / 177Federal fines — State benchmarkedThis nursing home is ranked 152nd out of 177 nursing homes we track in Ohio for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the Ohio average among facilities with fines, and where it ranks among 177 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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: 4.7 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%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

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

Total residents 48
Medicare
1
2.1% of residents
Medicaid
41
85.4% of residents
Private pay or other
6
12.5% 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.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a business corporation.
Net patient revenue Info 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."
$9.2M
Net patient income Info 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."
-$244.1K
For-profit Operated by a business corporation.
Net patient revenue Info 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."
$9.2M Rank #84 / 172Net patient revenue — State benchmarkedThis nursing home is ranked 84th out of 172 nursing homes we track in Ohio. Shows this facility's net patient revenue compared to the Ohio average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info 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."
-$244.1K
Other income Info 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.
$368.2K
Payroll costs Info 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 #86 / 172Payroll costs — State benchmarkedThis nursing home is ranked 86th out of 172 nursing homes we track in Ohio. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Ohio average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$4.9M 53.2% of net patient revenue Info 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 #93 / 172Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 93rd out of 172 nursing homes we track in Ohio. Shows payroll as a percentage of net patient revenue versus the Ohio average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Ohio that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info 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).
$4.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$9.5M
How we calculate these figures

This home is administered by Lara Walker.

This home is owned by Shaker Gardens Management LLC

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 366021

Show certification details

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.

Most new residents arrive under private pay (69% of admissions), and a typical private pay stay runs around 2 years.

Admissions
81 total

Coverage residents most often arrive under.

Medicare 12%
Private pay 69%
Medicaid 19%
Discharges
185 total

Coverage residents most often leave under.

Medicare 12%
Private pay 69%
Medicaid 19%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Shaker Gardens Assisted Living

Address 1.7 miles from city center Info Estimated distance in miles from Shaker Heights's city center to Shaker Gardens Assisted Living's address, calculated via Google Maps.

Calculate Travel Distance to Shaker Gardens Assisted Living

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Compare Nursing Homes around Shaker Heights

Info below is compiled from CMS reports & 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.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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. 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.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Ohio average is: 55.7% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Shaker Gardens Assisted Living ★ ★ ★ ★ ★
NH
AL
HOS
MC
PC
RC
SNF
Shaker Heights
124
Facility 124
OH AVG 82
Rank #32 / 185
38.7%
Facility 38.7%
OH AVG 85.1%
Rank #153 / 155
-55%
2.81
Facility 2.81
OH AVG 3.54
Rank #152 / 174
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ -1%-21%
$35.9k
Facility $35.9k
OH AVG $74.0k
Rank #152 / 177
17
Facility 17
OH AVG 30.9
Rank #48 / 177
2.8
Facility 2.8
OH AVG 4.6
Rank #28 / 177
-48-
15
Facility 15
OH AVG 42
Rank #202 / 232
Shaker Gardens Management LLC
$9.2MFiscal year ending 12/2023
Facility $9.2MFiscal year ending 12/2023
OH AVG $9.6M
Rank #84 / 172
$4.9MFiscal year ending 12/2023
Facility $4.9MFiscal year ending 12/2023
OH AVG $5.2M
Rank #86 / 172
53.2%Fiscal year ending 12/2023
Facility 53.2%Fiscal year ending 12/2023
OH AVG 55.7%
Rank #93 / 172
366021
Jennings Assisted Living ★ ★ ★ ☆ ☆
NH
AL
IL
RC
SNF
Garfield Heights
55
Facility 55
OH AVG 82
Rank #123 / 185
100.0%
Facility 100.0%
OH AVG 85.1%
Rank #1 / 155
+18%
3.30
Facility 3.30
OH AVG 3.54
Rank #96 / 174
 ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -44%-7%
$0
Facility $0
OH AVG $74.0k
Rank #1 / 177
17
Facility 17
OH AVG 30.9
Rank #48 / 177
3.4
Facility 3.4
OH AVG 4.6
Rank #57 / 177
-160-
21
Facility 21
OH AVG 42
Rank #187 / 232
Jennings Center For Older Adults
$24.2MFiscal year ending 12/2023
Facility $24.2MFiscal year ending 12/2023
OH AVG $9.6M
Rank #2 / 172
$16.0MFiscal year ending 12/2023
Facility $16.0MFiscal year ending 12/2023
OH AVG $5.2M
Rank #1 / 172
66.2%Fiscal year ending 12/2023
Facility 66.2%Fiscal year ending 12/2023
OH AVG 55.7%
Rank #26 / 172
366045
Beachwood Commons by New Perspective ★ ☆ ☆ ☆ ☆
NH
AL
IL
MC
SNF
Beachwood
120
Facility 120
OH AVG 82
Rank #36 / 185
83.0%
Facility 83.0%
OH AVG 85.1%
Rank #109 / 155
-2%
2.69
Facility 2.69
OH AVG 3.54
Rank #156 / 174
 ★ ☆ ☆ ☆ ☆ ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ☆ -63%-24%
$0
Facility $0
OH AVG $74.0k
Rank #1 / 177
46
Facility 46
OH AVG 30.9
Rank #145 / 177
4.2
Facility 4.2
OH AVG 4.6
Rank #87 / 177
-100A+
15
Facility 15
OH AVG 42
Rank #202 / 232
Beachwood Holdco LLC
$11.1MFiscal year ending 12/2023
Facility $11.1MFiscal year ending 12/2023
OH AVG $9.6M
Rank #50 / 172
$5.1MFiscal year ending 12/2023
Facility $5.1MFiscal year ending 12/2023
OH AVG $5.2M
Rank #73 / 172
46.6%Fiscal year ending 12/2023
Facility 46.6%Fiscal year ending 12/2023
OH AVG 55.7%
Rank #144 / 172
365071

Rank badges are statewide and care-type specific: each nursing home is ranked against every other OH nursing home we track that reports that metric, not just the 3 on this page. See how we rank facilities

Nursing Home Explorer

Financial Assistance for
Nursing Home in Ohio

Shaker Gardens Assisted Living is located in SHAKER HEIGHTS, 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.)

Frequently Asked Questions about Shaker Gardens Assisted Living

Is Shaker Gardens Assisted Living in a walkable area?

Shaker Gardens Assisted Living has a walk score of 15. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the occupancy rate at Shaker Gardens Assisted Living?

Shaker Gardens Assisted Living's occupancy is 38.7%.

Are pets allowed at Shaker Gardens Assisted Living?

No, Shaker Gardens Assisted Living has a no-pet policy.

What is the best email address for Shaker Gardens Assisted Living?

The team at Shaker Gardens Assisted Living can be reached at MCALABRASE@SHAKERGARDENS.COM.

Does Shaker Gardens Assisted Living operate as a for-profit or non-profit?

Shaker Gardens Assisted Living is registered as a for-profit in OH.

Who is the administrator of Shaker Gardens Assisted Living?

Lara Walker is the administrator of Shaker Gardens Assisted Living.

What is the overall rating for Shaker Gardens Assisted Living?

Shaker Gardens Assisted Living received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

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