THE GARDENS OF FAIRFAX HEALTH CARE CENTER
9014 CEDAR AVE, CLEVELAND, OH 44106 · CCN 366106
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 98
- Avg residents/day
- 42.8
- Phone
- 2167951363
Inspection history vs Ohio & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Ohio avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2023-05-16 | 21 | 10.2 | 9.5 | +10.8 worse |
| 2 | 2019-10-23 | 18 | 10.7 | 9.8 | +7.3 worse |
| 3 | 2018-09-13 | 4 | 9.9 | 9.3 | -5.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 5 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 3 |
| Pharmacy service | 2 |
| Administration | 2 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.79 | — |
| RN staffing (reported) | 0.51 | — |
| Total nurse staffing (adjusted) | 3.41 | — |
Fines & penalties
- Total fines
- $200,208
- Number of fines
- 34
- Number of penalties
- 35
- Payment denials
- 1
Chain
- Chain
- FOUNDATIONS HEALTH SOLUTIONS
- Facilities in chain
- 63
- Chain avg overall
- 4.00 / 5
Inspection citations (43)1 immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-24 · Health · corrected 2025-11-24
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-24 · Health · corrected 2025-09-15
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-03-29 · Health · corrected 2024-04-23
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-03-29 · Health · corrected 2024-04-23
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-29 · Health · corrected 2024-04-23
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-29 · Health · corrected 2024-04-23
Immediate jeopardy
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-12-06 · Health · corrected 2024-01-04
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-12-06 · Health · corrected 2024-01-04
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- CF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-05-16 · Health · corrected 2023-09-14
Potential for minimal harm
- FF0880Provide and implement an infection prevention and control program.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2023-05-16 · Health · corrected 2023-09-14
Potential for more than minimal harm
- CF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2023-05-16 · Health · corrected 2023-06-26
Potential for minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-20 · Health · corrected 2023-09-14
Potential for more than minimal harm
- EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2019-10-23 · Health · corrected 2020-02-12
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-10-23 · Health · corrected 2020-02-12
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2019-10-23 · Health · corrected 2020-02-12
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-10-23 · Health · corrected 2020-03-07
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2019-10-23 · Health · corrected 2020-03-07
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-10-23 · Health · corrected 2020-03-07
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2019-10-23 · Health · corrected 2020-02-12
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2019-10-23 · Health · corrected 2020-02-12
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2019-10-23 · Health · corrected 2020-02-12
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2019-10-23 · Health · corrected 2020-03-06
Potential for minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2019-10-23 · Health · corrected 2020-02-12
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2019-10-23 · Health · corrected 2020-02-12
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2019-10-23 · Health · corrected 2020-03-07
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2019-10-23 · Health · corrected 2020-02-12
Potential for more than minimal harm
- FF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2018-09-13 · Health · corrected 2018-10-12
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FOUNDATIONS HEALTH LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-09-01 |
| COLLERAN FAM TR DATED 01-01-2018 | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2024-09-01 |
| FOUNDATIONS HEALTH SOLUTIONS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| COLLERAN, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| EDEH, NKECHI | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| KRYSTOWSKI, JOHN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-09-01 |
| COLLERAN, BRIAN | Individual | CORPORATE OFFICER | — | 2024-09-01 |
| KRYSTOWSKI, JOHN | Individual | CORPORATE OFFICER | — | 2024-09-01 |
Other facilities in CLEVELAND
| Name | Overall | Beds |
|---|---|---|
| LARCHWOOD CARE | ★★★★★ | 74 |
| ST AUGUSTINE MANOR | ★★★★☆ | 234 |
| HILLSIDE PLAZA | ★★★★☆ | 47 |
| WESTPARK HEALTHCARE CAMPUS | ★★★★☆ | 100 |
| JUDSON PARK | ★★★★☆ | 36 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.