PlainNursing
CMS Nursing Home Compare · August 2026

Falling Water Healthcare Center

18840 Falling Water, Strongsville, OH 44136

Falling Water Healthcare Center, a 135-bed for profit - limited liability company nursing facility in Strongsville, OH, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #376 of 912 rated homes in OH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 4402381100

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4 / 5
Above average · CMS overall · nat'l 3.0
#376 of 912
In-state rank among rated OH homes
3.34
Below average · nurse hrs/day · nat'l 3.86
20
Inspection findings · 2 serious

The verdict

Falling Water Healthcare Center, a 135-bed for profit - limited liability company nursing facility in Strongsville, OH, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #376 of 912 rated homes in OH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

4 / 5
CMS overall · national 3.0
#376 of 912
In-state rank among rated OH homes
3.34
Nurse hrs/resident-day · national 3.86
20
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 922 OH nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
366111
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
135
Residents
102
In Hospital
No
County
Cuyahoga
Last Inspection
Aug 4, 2025

Staffing Data

How the 3.34 total nursing hours per resident-day are staffed:

RN Hours
0.58 (nat'l avg: 0.69)
LPN Hours
0.98
CNA Hours
1.78
Total Nursing Hours
3.34 (nat'l avg: 3.86)
PT Hours
0.05
Nursing Turnover
51.5%
RN Turnover
71.4%

What the CMS Record Reveals About Falling Water Healthcare Center

According to CMS Nursing Home Compare, Falling Water Healthcare Center ranks #376 of 912 rated nursing homes in OH on overall stars (tie-broken by health+staffing+quality, then fewer fines). Falling Water Healthcare Center operates 135 certified beds in Strongsville, OH with approximately 102 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 3★ · staffing 2★ · quality 5★).

The inspection file contains 20 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $11K. Per resident day, this facility reports 3.34 total nursing hours (national average 3.86) and 0.58 RN hours.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Falling Water Healthcare Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 51.5% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (20 most recent)

D - Isolated - Minimal harm Aug 4, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 8, 2025

D - Isolated - Minimal harm Aug 4, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Sep 8, 2025

D - Isolated - Minimal harm Aug 4, 2025 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Sep 8, 2025

D - Isolated - Minimal harm Aug 4, 2025 Tag: 0567

Honor the resident's right to manage his or her financial affairs.

Category: Resident Rights Deficiencies

Corrected: Sep 8, 2025

D - Isolated - Minimal harm Aug 4, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Sep 8, 2025

E - Pattern - Minimal harm Aug 4, 2025 Tag: 0553

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Category: Resident Rights Deficiencies

Corrected: Sep 8, 2025

F - Widespread - Minimal harm Aug 4, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 8, 2025

D - Isolated - Minimal harm Dec 19, 2024 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 3, 2025

G - Isolated - Actual harm Dec 19, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 4, 2024

D - Isolated - Minimal harm Sep 25, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 11, 2024

D - Isolated - Minimal harm Sep 25, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 11, 2024

D - Isolated - Minimal harm Sep 25, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Oct 11, 2024

F - Widespread - Minimal harm Sep 25, 2024 Tag: 0727

Have 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.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 1, 2024

G - Isolated - Actual harm Jun 10, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 3, 2024

D - Isolated - Minimal harm Apr 15, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 30, 2024

D - Isolated - Minimal harm Apr 15, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Apr 30, 2024

E - Pattern - Minimal harm Oct 5, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 18, 2023

D - Isolated - Minimal harm Jan 9, 2020 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 29, 2020

D - Isolated - Minimal harm Jan 9, 2020 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jan 29, 2020

E - Pattern - Minimal harm Jan 9, 2020 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Jan 29, 2020

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 6.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.9% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 4.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 16.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 96.6% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 22.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 92.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 26.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 53.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 59.6% No

Penalty History 1 penalties totaling $11K

Date Type Amount
Dec 19, 2024 Fine $11K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Falling Water Healthcare Center, both outside OH so the neighborhoods are not the same-state geography list below.

What the CMS records show for Falling Water Healthcare Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The OH registry aggregates state averages and the highest-rated homes in this cohort. View OH registry
  • Peer homes near 135 beds show how CMS stars vary at a similar scale in OH. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Falling Water Healthcare Center?
Falling Water Healthcare Center has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (5★).
Where does Falling Water Healthcare Center rank among nursing homes in OH?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Falling Water Healthcare Center ranks 376th among 912 rated nursing homes in OH (#376 of 912). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Falling Water Healthcare Center?
Falling Water Healthcare Center reports 3.34 total nursing hours per resident day (national average: 3.86). RN hours are 0.58 per resident day (national average: 0.69). Nursing staff turnover is 51.5%.
How many beds does Falling Water Healthcare Center have?
Falling Water Healthcare Center has 135 certified beds with approximately 102 residents. The facility is located at 18840 Falling Water, Strongsville, OH 44136.
Does Falling Water Healthcare Center have any deficiencies on record?
Yes, Falling Water Healthcare Center has 20 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Falling Water Healthcare Center received any fines or penalties?
Yes, Falling Water Healthcare Center has received 1 penalties totaling $11K.
Who owns Falling Water Healthcare Center?
Falling Water Healthcare Center is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Falling Water Healthcare Center last inspected?
The most recent health inspection for Falling Water Healthcare Center was on Aug 4, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Falling Water Healthcare Center?
Falling Water Healthcare Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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