2/5
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.
2/5
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 Merriman is a distinguished assisted living and skilled nursing care facility in the heart of Akron, Ohio. Within its welcoming embrace, residents and patients discover a blend of warm indoor and inviting outdoor common spaces thoughtfully designed to provide comfort and relaxation. At The Merriman, a commitment to enhancing the quality of life is evident in their premium activities. These activities promote a healthy lifestyle and nurture a vibrant social life, recognizing the importance of social engagement in well-being.
What truly sets The Merriman apart is its exceptional staff, available around the clock to attend to medical, physical, and emotional needs. Regardless of the hour, their dedicated team ensures that residents and patients receive the required care and support. One notable aspect of The Merriman is its unique offering of assisted living and skilled nursing care on a single campus. This integrated approach ensures that residents and patients can access a continuum of care within a familiar and comforting environment.
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 99th out of 210 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.
| 27m per day | ▼ 30% 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.
| 1h 7m per day | ▲ 15% 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 52m per day | ▼ 12% State avg: 2h 8m per day · National avg: 2h 20m 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 55m per day | ▼ 11% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ▼ 30% 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.
| 27m per day | ▲ 6% State avg: 25m per day · National avg: 28m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
33% more staff per resident than Ohio average
6% 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.
34 total: 5 full-time employees and 29 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursAssists with medical care and medications.
40 total: 20 full-time employees and 20 contractors.
40
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursHelps with daily care and mobility.
37 total: 34 full-time employees and 3 contractors.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,627 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 3 | 37 | 8,109 | 92 | 100% | 8.4 |
| Licensed Practical Nurse | 20 | 20 | 40 | 3,729 | 92 | 100% | 8.2 |
| Other Dietary Services Staff | 7 | 0 | 7 | 1,575 | 86 | 93% | 7.1 |
| Registered Nurse | 5 | 29 | 34 | 1,389 | 78 | 85% | 8.6 |
| RN Director of Nursing | 3 | 0 | 3 | 1,105 | 71 | 77% | 7.3 |
| Speech Language Pathologist | 3 | 0 | 3 | 995 | 73 | 79% | 7.3 |
| Administrator | 1 | 0 | 1 | 507 | 65 | 71% | 7.8 |
| Physical Therapy Assistant | 1 | 0 | 1 | 483 | 63 | 68% | 7.7 |
| Nurse Practitioner | 2 | 2 | 4 | 450 | 57 | 62% | 7.9 |
| Physical Therapy Aide | 2 | 0 | 2 | 439 | 54 | 59% | 6.8 |
| Dental Services Staff | 1 | 0 | 1 | 377 | 52 | 57% | 7.3 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 152 | 61 | 66% | 2.2 |
| Qualified Social Worker | 3 | 0 | 3 | 151 | 27 | 29% | 5.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 92 | 14 | 15% | 6.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 88 | 11 | 12% | 8 |
| Medical Director | 0 | 2 | 2 | 27 | 13 | 14% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 15 | 5 | 5% | 3 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
54% lower than Ohio averageOhio average: $69K
62% 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.
1
86% more payment denials than Ohio averageOhio average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 9, 2025 · $17K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 9, 2025Last 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.
3.7
37% better than Ohio averageOhio average: 5.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.1
44% 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
3.2%
54% better than Ohio averageOhio average: 6.8%
Percent of long-stay residents whose ability to move independently worsened
5.7%
36% better than Ohio averageOhio average: 8.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.5%
43% better than Ohio averageOhio average: 22.0%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
40% worse than Ohio averageOhio average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
1.4%
64% better 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
3.2%
49% better than Ohio averageOhio average: 6.2%
Percent of long-stay residents who have depressive symptoms
37.3%
55% worse than Ohio averageOhio average: 24.0%
Percent of long-stay residents who received an antipsychotic medication
9.6%
14% worse than Ohio averageOhio average: 8.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.7%
In line with Ohio averageOhio average: 92.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.2%
In line with Ohio averageOhio average: 94.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
59.1%
24% worse than Ohio averageOhio average: 78.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Ohio averageOhio average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
47.1%
38% worse than Ohio averageOhio average: 75.6%
Percentage of SNF residents who experience falls with major injury during their stay.
4.2%
442% worse than Ohio averageOhio average: 0.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
11% of new residents, usually for short-term rehab.
65% of new residents, often for short stays.
24% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
53Residents 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 The Merriman from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #177 / 210Payroll — State benchmarkedThis home is ranked 177th out of 210 homes in Ohio. Shows total annual staff payroll benchmarked to the Ohio average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Ohio that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #54 / 210Payroll % — State benchmarkedThis home is ranked 54th out of 210 homes in Ohio. Shows payroll as a percentage of revenue versus the Ohio average. Well-run Ohio facilities typically land around 54–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Ohio that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Most new residents arrive under private pay (65% of admissions), and a typical private pay stay runs around 1 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
1.6 miles from city center
Estimated distance in miles from Akron's city center to The Merriman's address, calculated via Google Maps.
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The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
| Ohio Living Rockynol | NH AL IL MC NC | Akron (Highland Square) | 79
Facility
79
OH AVG
78
Rank
#150 / 323 |
34.2%
Facility
34.2%
OH AVG
78.7%
Rank
#209 / 211 | -57% | 3.99
Facility
3.99
OH AVG
3.54
Rank
#49 / 210 | -69% | +13% | $0
Facility
$0
OH AVG
$74.0k
Rank
#1 / 211 | 4
Facility
4
OH AVG
30.9
Rank
#4 / 210 | 2.0
Facility
2.0
OH AVG
4.6
Rank
#13 / 210 | - | 27 | A+ |
65
Facility
65
OH AVG
40
Rank
#107 / 705 | Laurence Gumina | $4.1M
Facility
$4.1M
OH AVG
$10.1M
Rank
#175 / 210 | $2.5M
Facility
$2.5M
OH AVG
$3.9M
Rank
#188 / 210 | 60.6%
Facility
60.6%
OH AVG
40.2%
Rank
#154 / 210 | 365051 | ||||
| The Merriman | NH HC PC RC | Akron (Highland Square) | 55
Facility
55
OH AVG
78
Rank
#209 / 323 |
76.5%
Facility
76.5%
OH AVG
78.7%
Rank
#143 / 211 | -3% | 3.52
Facility
3.52
OH AVG
3.54
Rank
#99 / 210 | +156% | -1% | $134.5k
Facility
$134.5k
OH AVG
$74.0k
Rank
#196 / 211 | 63
Facility
63
OH AVG
30.9
Rank
#197 / 210 | 3.9
Facility
3.9
OH AVG
4.6
Rank
#92 / 210 | 3 | 47 | - |
70
Facility
70
OH AVG
40
Rank
#67 / 705 | - | $5.8M
Facility
$5.8M
OH AVG
$10.1M
Rank
#179 / 210 | $2.7M
Facility
$2.7M
OH AVG
$3.9M
Rank
#177 / 210 | 47.1%
Facility
47.1%
OH AVG
40.2%
Rank
#54 / 210 | 365859 | ||||
| Highland Square Nursing & Rehabilitation | NH AL IL MC | Akron (Highland Square) | 91
Facility
91
OH AVG
78
Rank
#108 / 323 |
71.5%
Facility
71.5%
OH AVG
78.7%
Rank
#160 / 211 | -9% | 2.98
Facility
2.98
OH AVG
3.54
Rank
#177 / 210 | -35% | -16% | $403.0k
Facility
$403.0k
OH AVG
$74.0k
Rank
#211 / 211 | 66
Facility
66
OH AVG
30.9
Rank
#200 / 210 | 3.0
Facility
3.0
OH AVG
4.6
Rank
#45 / 210 | 5 | 65 | - |
39
Facility
39
OH AVG
40
Rank
#371 / 705 | Amy Martin | $7.3M
Facility
$7.3M
OH AVG
$10.1M
Rank
#139 / 210 | $3.3M
Facility
$3.3M
OH AVG
$3.9M
Rank
#161 / 210 | 45.6%
Facility
45.6%
OH AVG
40.2%
Rank
#171 / 210 | 365316 |
The Merriman is located in Akron, Ohio.
Here are the financial assistance programs available to residents in Ohio.
The Merriman is in the Highland Square neighborhood.
The Merriman has a walk score of 70. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
The Merriman's occupancy is 76.5%.
Yes — there are 17 photos of The Merriman in the photo gallery on this page.
The Merriman is located at 209 Merriman Rd, Akron, OH 44303.
(330) 762-9341 will put you in contact with the team at The Merriman.
Yes — The Merriman is a CMS-certified provider of Medicare and Medicaid.
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