Northwestern Healthcare Center
Berea, Cuyahoga County, Ohio · CCN 365811 · For-profit (Corporation) · part of Communicare Health (110 facilities, chain average 3.2 stars)
CMS rates Northwestern Healthcare Center 3 of 5 overall as of August 2026. 100 certified beds, 48 residents a day on average. 33 citations on record from the current inspection cycles, 2 at immediate jeopardy; 3 fines totalling $152,195.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 5 / — of 5 |
Staffing
| Total nurse staffing | 3.45189 hours per resident per day |
|---|---|
| Registered nurses | 0.64414 hours per resident per day |
| Weekend total | 3.18983 hours per resident per day |
| Nursing staff turnover | 60% (registered nurses 64.3%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-08-27 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 complaint survey |
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · tag F0568 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · tag F0569 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 | Provide appropriate foot care. Quality of Life and Care Deficiencies · tag F0687 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-09-20 |
| 2025-08-27 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Administration Deficiencies · tag F0843 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-09-20 |
| 2024-12-09 complaint survey |
Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-26 |
| 2024-12-09 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-26 |
| 2024-12-09 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-26 |
| 2024-12-09 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-26 |
| 2024-09-24 complaint survey |
Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-10-01 |
| 2024-08-26 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2024-08-26 complaint survey |
Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-13 |
| 2024-08-26 complaint survey |
Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2024-08-26 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2024-08-26 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-13 |
| 2024-05-07 complaint survey |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-05-22 |
| 2023-09-05 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-29 |
| 2021-09-14 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2021-10-06 |
| 2021-09-14 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2021-10-06 |
| 2021-09-14 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2021-10-06 |
| 2021-09-14 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-06 |
| 2021-09-14 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-06 |
| 2021-09-14 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · tag F0661 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-06 |
| 2021-09-14 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · tag F0685 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2021-10-06 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-27 | Fine | $68,250 |
| 2024-08-26 | Fine | $26,813 |
| 2024-05-07 | Fine | $57,132 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Second Option Op Co LLC Organization | 5% or greater direct ownership interest | 100% | 2008-04-01 |
| Option Holdings II LLC Organization | 5% or greater indirect ownership interest | — | 2008-04-01 |
| C R Stoltz II LLC Organization | adp of the snf | — | 2008-04-01 |
| C.R. Stoltz Irrevocable Trust Organization | adp of the snf | — | 2008-04-01 |
| Hc Real Estate Holdings, LLC Organization | adp of the snf | — | 2008-04-01 |
| I. Rosedale Irrevocable Trust Organization | adp of the snf | — | 2008-04-01 |
| Omg Re Holdings LLC Organization | adp of the snf | — | 2008-04-01 |
| Option Holdings II LLC Organization | adp of the snf | — | 2008-04-01 |
| R.S. Wilheim Irrevocable Trust Organization | adp of the snf | — | 2008-04-01 |
| Rocky River Management Co LLC Organization | adp of the snf | — | 2025-04-15 |
| Ronald S Wilheim 2012 Spousal Trust Organization | adp of the snf | — | 2008-04-01 |
| Rosedale Family Investment Company, Inc. Organization | adp of the snf | — | 2008-04-01 |
| Rrw, LLC Organization | adp of the snf | — | 2008-04-01 |
| S.L. Rosedale Irrevocable Trust Organization | adp of the snf | — | 2008-04-01 |
| Wilheim Family Investment Company, Inc. Organization | adp of the snf | — | 2008-04-01 |
| Rocky River Management Co LLC Organization | operational/managerial control | — | 2008-04-01 |
| Afzal, Endia Individual | adp of the snf | — | 2023-08-24 |
| Damtew, Belai Individual | adp of the snf | — | 2025-05-14 |
| Romeo, Dominic Individual | corporate officer | — | 2023-04-01 |
| Stoltz, Charles Individual | corporate officer | — | 2008-04-01 |
| Wilheim, Ronald Individual | corporate officer | — | 2008-04-01 |
| Afzal, Endia Individual | operational/managerial control | — | 2023-08-24 |
| Damtew, Belai Individual | operational/managerial control | — | 2018-11-10 |
| Groves, Donna Individual | operational/managerial control | — | 2023-04-14 |
| Romeo, Dominic Individual | operational/managerial control | — | 2023-04-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Northwestern Healthcare Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Cuyahoga County.