THE GARDENS OF FAIRFAX HEALTH CARE CENTER
Open-data reference.
THE GARDENS OF FAIRFAX HEALTH CARE CENTER is a for profit - corporation facility in CLEVELAND, OH with 98 certified beds and a 1-star overall CMS rating. The facility has 43 deficiency records on file. Total penalties: $200K.
9014 CEDAR AVE, CLEVELAND, OH 44106
Phone: 2167951363
Overall Rating
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 366106
- Ownership
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 98
- Residents
- 43
- In Hospital
- No
- County
- Cuyahoga
- Last Inspection
- May 16, 2023
Staffing Data
- RN Hours
- 0.51 (nat'l avg: 0.68)
- LPN Hours
- 1.16
- CNA Hours
- 2.12
- Total Nursing Hours
- 3.79 (nat'l avg: 3.89)
- PT Hours
- 0.02
What the CMS Record Reveals About THE GARDENS OF FAIRFAX HEALTH CARE CENTER
THE GARDENS OF FAIRFAX HEALTH CARE CENTER operates 98 certified beds in CLEVELAND, OH with approximately 43 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (1★), and quality measures (4★). 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.
The inspection file contains 43 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 34 penalties totaling $200K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.79 total nursing hours per resident day (national average 3.89), with RN coverage at 0.51 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, THE GARDENS OF FAIRFAX HEALTH CARE CENTER falls into a category where comparative context matters. 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. 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 details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (43 most recent)
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: Sep 15, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Nov 24, 2025
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: Apr 23, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 23, 2024
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 23, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 23, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 4, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 4, 2024
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Category: Administration Deficiencies
Corrected: Jun 26, 2023
Implement a program that monitors antibiotic use.
Category: Infection Control Deficiencies
Corrected: Sep 14, 2023
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Sep 14, 2023
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Category: Administration Deficiencies
Corrected: Sep 14, 2023
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 14, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 14, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Category: Nutrition and Dietary Deficiencies
Corrected: Sep 14, 2023
Implement 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.
Category: Pharmacy Service Deficiencies
Corrected: Sep 14, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Category: Pharmacy Service Deficiencies
Corrected: Sep 14, 2023
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: Sep 14, 2023
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 14, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 14, 2023
Provide 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.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 14, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 14, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 14, 2023
Respond appropriately to all alleged violations.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Sep 14, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Sep 14, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Sep 14, 2023
Reasonably accommodate the needs and preferences of each resident.
Category: Resident Rights Deficiencies
Corrected: Sep 14, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Sep 14, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Category: Environmental Deficiencies
Corrected: Feb 12, 2020
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Mar 7, 2020
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Category: Administration Deficiencies
Corrected: Feb 12, 2020
Implement 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.
Category: Pharmacy Service Deficiencies
Corrected: Feb 12, 2020
Post nurse staffing information every day.
Category: Nursing and Physician Services Deficiencies
Corrected: Mar 6, 2020
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Category: Nursing and Physician Services Deficiencies
Corrected: Feb 12, 2020
Ensure 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.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 12, 2020
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 12, 2020
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 7, 2020
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 7, 2020
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Mar 7, 2020
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 12, 2020
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Category: Resident Rights Deficiencies
Corrected: Feb 12, 2020
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Category: Resident Rights Deficiencies
Corrected: Feb 12, 2020
Ensure residents have reasonable access to and privacy in their use of communication methods.
Category: Resident Rights Deficiencies
Corrected: Oct 12, 2018
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 6.3% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 6.6% | No |
| 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 | 0.0% | Yes |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 64.2% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.5% | Yes |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 97.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 58.1% | No |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.5% | Yes |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 12.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.4% | Yes |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 16.5% | No |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.8% | Yes |
Penalty History 34 penalties totaling $200K
| Date | Type | Amount |
|---|---|---|
| Mar 29, 2024 | Fine | $10K |
| Feb 20, 2024 | Fine | $5K |
| Feb 12, 2024 | Fine | $5K |
| Jan 22, 2024 | Fine | $15K |
| Jan 8, 2024 | Fine | $5K |
| Jan 2, 2024 | Fine | $5K |
| Dec 11, 2023 | Fine | $14K |
| Nov 20, 2023 | Fine | $5K |
| Nov 13, 2023 | Fine | $5K |
| Nov 6, 2023 | Fine | $5K |
| Oct 30, 2023 | Fine | $5K |
| Oct 23, 2023 | Fine | $5K |
| Oct 17, 2023 | Fine | $5K |
| Oct 10, 2023 | Fine | $5K |
| Oct 2, 2023 | Fine | $5K |
| Sep 25, 2023 | Fine | $5K |
| Sep 18, 2023 | Fine | $5K |
| Sep 11, 2023 | Fine | $5K |
| Sep 5, 2023 | Fine | $5K |
| Aug 28, 2023 | Fine | $5K |
| Aug 21, 2023 | Fine | $5K |
| Aug 14, 2023 | Fine | $5K |
| Aug 7, 2023 | Fine | $5K |
| Jul 17, 2023 | Fine | $14K |
| Jun 26, 2023 | Fine | $5K |
| Jun 20, 2023 | Fine | $5K |
| Jun 12, 2023 | Fine | $5K |
| Jun 5, 2023 | Fine | $5K |
| May 30, 2023 | Fine | $5K |
| May 23, 2023 | Fine | $5K |
| May 15, 2023 | Fine | $5K |
| May 8, 2023 | Fine | $5K |
| Apr 20, 2023 | Payment Denial | - |
| Apr 17, 2023 | Fine | $14K |
| Mar 20, 2023 | Fine | $5K |
| Mar 13, 2023 | Fine | $5K |
| Feb 21, 2023 | Fine | $14K |
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Frequently Asked Questions
What is the overall CMS rating for THE GARDENS OF FAIRFAX HEALTH CARE CENTER?
What are the staffing levels at THE GARDENS OF FAIRFAX HEALTH CARE CENTER?
How many beds does THE GARDENS OF FAIRFAX HEALTH CARE CENTER have?
Does THE GARDENS OF FAIRFAX HEALTH CARE CENTER have any deficiencies on record?
Has THE GARDENS OF FAIRFAX HEALTH CARE CENTER received any fines or penalties?
Who owns THE GARDENS OF FAIRFAX HEALTH CARE CENTER?
When was THE GARDENS OF FAIRFAX HEALTH CARE CENTER last inspected?
What quality measures are tracked for THE GARDENS OF FAIRFAX HEALTH CARE CENTER?
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. Always verify information directly with the facility or your state health department.
Read our methodology — how this data is sourced, computed, and verified.