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.
Shaker Gardens Assisted Living accepts Medicare, Medicaid, and private pay.
Shaker Gardens Assisted Living accepts Medicare, Medicaid, and private pay.

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.

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

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

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 Assistant 28 48 76 7,916 92 100% 6.9
Registered Nurse 12 0 12 3,225 92 100% 6.7
Licensed Practical Nurse 8 4 12 1,475 91 99% 7.3
Physical Therapy Aide 6 0 6 1,371 83 90% 7.1
Speech Language Pathologist 3 0 3 1,112 79 86% 6.8
Other Dietary Services Staff 7 0 7 989 68 74% 6.1
Qualified Social Worker 3 0 3 501 67 73% 5.9
Dental Services Staff 1 0 1 464 60 65% 7.7
Administrator 1 0 1 448 56 61% 8
Nurse Practitioner 1 0 1 441 56 61% 7.9
Clinical Nurse Specialist 2 0 2 361 46 50% 7.8
RN Director of Nursing 1 0 1 221 33 36% 6.7
Respiratory Therapy Technician 2 0 2 192 67 73% 2.3
Physical Therapy Assistant 2 0 2 188 63 68% 3
Medical Director 0 1 1 27 27 29% 1
Occupational Therapy Assistant 0 1 1 14 3 3% 4.5
Occupational Therapy Aide 0 1 1 10 3 3% 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%

Penalties and fines

Includes penalties issued in 2023

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
Penalty History

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

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

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

Last updated: Jan 2026

Quality of care over time

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

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 5.6
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%

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.

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

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%

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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Address

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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