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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.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 171st out of 203 homes in Ohio for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 58m per day | ▲ 53% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 24m per day | ▼ 58% State avg: 58m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 54m per day | ▼ 11% State avg: 2h 8m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 57m per day | ▼ 10% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▼ 8% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 42m per day | ▲ 67% State avg: 25m per day · National avg: 29m per day |
Lower than the Ohio average: 78.7%Shaker Gardens Assisted Living is administrated by Lara Walker.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Ohio state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | OH Average | vs. OH Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 0 | 2 | This facility has 100% fewer total citations than a typical Ohio nursing home (0 vs. OH avg 2).↓ 100% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Ohio average: 86 / 100
Ohio average: 89 / 100
Ohio average: 95 / 100
Ohio average: 82 / 100
Ohio average: 86 / 100
Ohio average: 89 / 100
Ohio average: 80 / 100
Ohio average: 81 / 100
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Have you gotten or are you getting physical therapy, occupational therapy or speech therapy, while living at this care facility?
This facility68/100
Ohio average46/100
Did (Does) the therapy help you meet your goals?
This facility79/100
Ohio average88/100
Did (Do) you know who to speak to about your therapy progress?
This facility79/100
Ohio average85/100
Did (Do) the therapists help you set goals?
This facility84/100
Ohio average89/100
Can you decide how to spend your day?
This facility96/100
Ohio average94/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Are your personal items safe here?
This facility70/100
Ohio average92/100
Is it very clean here?
This facility75/100
Ohio average96/100
Do you feel you have enough privacy?
This facility81/100
Ohio average95/100
Can you find a place to be alone if you want to be alone?
This facility86/100
Ohio average96/100
Do you feel safe here?
This facility89/100
Ohio average98/100
Is it easy for you to get around in your room (or apartment)?
This facility96/100
Ohio average96/100
Are you able to get around the building if you want to?
This facility96/100
Ohio average95/100
Can you enjoy the outdoors if you want to?
This facility100/100
Ohio average91/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Did you receive a thorough orientation to SHAKER GARDENS ASSISTED LIVING?
This facility57/100
Ohio average70/100
Were you given enough information to learn how things work here?
This facility71/100
Ohio average82/100
Did you feel warmly welcomed as a new resident?
This facility76/100
Ohio average93/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Would you highly recommend SHAKER GARDENS ASSISTED LIVING to someone who needs this type of care?
This facility57/100
Ohio average89/100
Do the people who work here go above and beyond to give you a good life?
This facility65/100
Ohio average87/100
Are you friends with anyone who lives here?
This facility71/100
Ohio average81/100
Are your concerns taken care of in a timely way?
This facility73/100
Ohio average86/100
Overall, are you satisfied with the care you receive here?
This facility77/100
Ohio average94/100
Do the people who work here tell you when rules, policies, and procedures change?
This facility78/100
Ohio average78/100
Are you as involved in decisions about your care as you want to be?
This facility81/100
Ohio average85/100
Do the people who work here seem happy to work here?
This facility84/100
Ohio average92/100
Do the people who work here help you with technology, if needed?
This facility85/100
Ohio average89/100
Are you encouraged to speak up about things you don’t like here?
This facility93/100
Ohio average81/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Do you feel confident the people who work here would come quickly anytime you needed help?
This facility58/100
Ohio average85/100
Do the people who work here do things the way you want them done?
This facility59/100
Ohio average88/100
Do the people who work here check on you often enough to see if you need anything?
This facility61/100
Ohio average81/100
Do the people who work here ever get angry at you?
This facility70/100
Ohio average88/100
Do the people who work here make sure you are comfortable when they provide care or services?
This facility74/100
Ohio average95/100
Do the people who care for you explain your care and services to you?
This facility74/100
Ohio average85/100
Are the people who work here knowledgeable about your medical conditions and treatments?
This facility80/100
Ohio average90/100
Do the same people take care of you most of the time?
This facility86/100
Ohio average84/100
Do the people who work here do everything they can to protect you from getting sick?
This facility89/100
Ohio average94/100
Do you have opportunities to maintain your health and wellness, if you want?
This facility93/100
Ohio average92/100
Do the people who work here support you to do as much for yourself as you are able to do?
This facility100/100
Ohio average96/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Are there enjoyable things to do on the weekends, if you want?
This facility39/100
Ohio average63/100
Are you as connected to the community as you want to be?
This facility46/100
Ohio average71/100
Do you have enough opportunities to go on outings and special events?
This facility65/100
Ohio average73/100
Do you like the activities here?
This facility68/100
Ohio average83/100
Do you feel included in life here?
This facility68/100
Ohio average89/100
Do you have something to look forward to most days?
This facility71/100
Ohio average77/100
Do you have plenty of opportunities to do things that are meaningful to you?
This facility75/100
Ohio average83/100
Do you usually enjoy how you spend your time?
This facility86/100
Ohio average87/100
Are you able to do the activities offered here, if you want?
This facility100/100
Ohio average93/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Does the menu change often enough?
This facility57/100
Ohio average77/100
Do you have input on the food that is served?
This facility64/100
Ohio average68/100
Do you get enough fresh food options here?
This facility71/100
Ohio average81/100
Do you look forward to mealtimes?
This facility71/100
Ohio average80/100
Do you get enough to eat here?
This facility74/100
Ohio average95/100
Do you like the food here?
This facility81/100
Ohio average81/100
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Ohio average 6.7
Last Health inspection on Oct 2024
Ohio average 30.9
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.
100% better than Ohio averageOhio average: 0.3
100% better than Ohio averageOhio average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
35% more staff per resident than Ohio average
19% worse than Ohio average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 12 RN Staff are full-time employees. No contractors work on this role.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hoursAssists with medical care and medications.
12 total: 8 full-time employees and 4 contractors.
12
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursHelps with daily care and mobility.
76 total: 28 full-time employees and 48 contractors.
76
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
538 contractor hours this quarter
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 |
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)
39% lower than Ohio averageOhio average: $69K
332% more fines than Ohio averageOhio average: 1.9
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Ohio averageOhio average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
7 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 11, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 5, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 28, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 21, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.6
In line with Ohio averageOhio average: 5.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.1
20% better than Ohio averageOhio average: 12.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
4.0%
41% better than Ohio averageOhio average: 6.8%
Percent of long-stay residents whose ability to move independently worsened
7.1%
20% better than Ohio averageOhio average: 8.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.1%
13% better than Ohio averageOhio average: 22.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.2%
66% better than Ohio averageOhio average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
5.6%
43% worse than Ohio averageOhio average: 3.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Ohio averageOhio average: 0.5%
Percent of long-stay residents who lose too much weight
10.1%
62% worse than Ohio averageOhio average: 6.2%
Percent of long-stay residents who have depressive symptoms
36.6%
52% worse than Ohio averageOhio average: 24.0%
Percent of long-stay residents who received an antipsychotic medication
9.5%
12% worse than Ohio averageOhio average: 8.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.4%
5% worse than Ohio averageOhio average: 92.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.5%
In line with Ohio averageOhio average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
47.7%
39% worse than Ohio averageOhio average: 78.0%
Percent of short-stay residents who newly received an antipsychotic medication
5.7%
345% worse than Ohio averageOhio average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
48.2%
36% worse than Ohio averageOhio average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
12% of new residents, usually for short-term rehab.
69% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
48Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Shaker Gardens Assisted Living based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #124 / 203Payroll — State benchmarkedThis home is ranked 124th out of 203 homes in Ohio for payroll. Shows total annual staff payroll benchmarked to the Ohio average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
226.8 miles from city center
Estimated distance in miles from Shaker Heights's city center to Shaker Gardens Assisted Living's address, calculated via Google Maps.
Add your location
Shaker Gardens Assisted Living is located in SHAKER HEIGHTS, Ohio.
Here are the financial assistance programs available to residents in Ohio.
Shaker Gardens Assisted Living has a walk score of 15. Car-dependent. Most errands require a car, with limited nearby walkable options.
Shaker Gardens Assisted Living's occupancy is 39%.
The team at Shaker Gardens Assisted Living can be reached at [email protected].
Lara Walker is the administrator of Shaker Gardens Assisted Living.
Shaker Gardens Assisted Living has 124 beds.
Shaker Gardens Assisted Living has no recently reported deficiencies or citations.
Shaker Gardens Assisted Living is located at 3550 NORTHFIELD ROAD.
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