Nursing Care Index

Shaker Gardens Nursing And Rehabilitation Center

Shaker Heights, Cuyahoga County, Ohio · CCN 366021 · For-profit (Corporation) · part of Lionstone Care (24 facilities, chain average 2.5 stars)

CMS rates Shaker Gardens Nursing And Rehabilitation Center 5 of 5 overall as of August 2026. 50 certified beds, 45 residents a day on average. 17 citations on record from the current inspection cycles; 4 fines totalling $18,306.

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★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing3.17562 hours per resident per day
Registered nurses0.87685 hours per resident per day
Weekend total2.88166 hours per resident per day
Nursing staff turnover40.8% (registered nurses 18.2%)
Administrators who left0

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.

SurveyFindingSeverityStatus
2026-05-01
complaint survey
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · tag F0921
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2026-05-27
2024-10-17 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
2024-12-05
2024-03-06
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
2024-03-19
2024-02-13
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
2024-03-19
2022-05-02 Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · tag F0814
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-06-17
2022-05-02 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2022-06-17
2022-05-02 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies · tag F0569
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-06-17
2022-05-02 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-06-17
2022-05-02 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-06-17
2022-05-02 Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-06-17
2022-05-02 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies · tag F0622
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-06-17
2022-05-02 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-06-17
2022-05-02 Prepare residents for a safe transfer or discharge from the nursing home.
Resident Rights Deficiencies · tag F0624
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-06-17
2022-05-02 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-06-17
2022-05-02 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2022-06-17
2019-05-22 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
2019-06-21
2019-05-22 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2019-06-21

Fines and payment denials

DatePenaltyAmount
2023-09-11Fine$4,587
2023-09-05Fine$4,545
2023-08-28Fine$4,587
2023-08-21Fine$4,587

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.

NameRoleShareSince
Kazarnovsky, Solomon
Individual
5% or greater direct ownership interest50%2018-02-12
Stein, Abba
Individual
5% or greater direct ownership interest50%2018-02-12
Cusner, Adam
Individual
adp of the snf2025-01-27
Degyansky, Jeffrey
Individual
adp of the snf2020-01-01
Goldish, Eliezer
Individual
adp of the snf2023-10-09
Kazarnovsky, Solomon
Individual
adp of the snf2018-05-16
Stein, Abba
Individual
adp of the snf2018-05-16
Cusner, Adam
Individual
corporate officer2025-01-27
Degyansky, Jeffrey
Individual
corporate officer2020-01-01
Goldish, Eliezer
Individual
corporate officer2023-10-09
Cusner, Adam
Individual
operational/managerial control2025-01-27
Degyansky, Jeffrey
Individual
operational/managerial control2020-01-01
Goldish, Eliezer
Individual
operational/managerial control2023-10-09
Kazarnovsky, Solomon
Individual
operational/managerial control2018-05-16
Stein, Abba
Individual
operational/managerial control2018-05-16

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 Shaker Gardens Nursing And Rehabilitation Center.

Double opt-in. One email per change, unsubscribe in one click. No newsletter. Privacy policy.

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.