Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Altenheim during CMS and state inspections, most recent first.
Two residents experienced harm when staff failed to timely identify, assess, monitor, and treat wounds as ordered. One resident with severe cognitive impairment and a history of toe infections developed a right great toe wound that was not properly assessed or treated for two months, leading to infection, sepsis, and hospitalization. Another resident with a pressure ulcer did not receive ordered wound care on multiple occasions. Staff interviews and record reviews confirmed missed assessments, lack of documentation, and failure to follow facility protocols.
The facility did not maintain infection surveillance logs for several months and failed to ensure staff followed contact isolation precautions for a resident with ESBL. An LPN entered a resident's room and provided care without wearing a required gown, despite clear signage and facility policy mandating both gown and gloves for contact precautions.
Staff did not perform required urinary catheter care or monitor urine output as ordered for two residents with catheters, despite physician orders and facility policy requiring care and monitoring each shift. The DON confirmed that care and monitoring were missed on multiple occasions, as documented in the TAR.
A resident with multiple infections and a complex medical history received several courses of antibiotics without the required antibiotic time out assessments being performed. Staff confirmed that these assessments, which are part of the facility's antibiotic stewardship program, were not completed as outlined in facility policy.
The facility failed to ensure proper food storage in the main kitchen freezer and memory care unit refrigerators. The main freezer was too cold and had ice buildup, while the memory care unit's refrigerator contained a spill and unlabeled staff food. These issues were confirmed by the Assistant Director of Dietary Services.
Failure to Timely Identify, Assess, and Treat Wounds Resulting in Actual Harm
Penalty
Summary
The facility failed to ensure timely identification, assessment, monitoring, and treatment of a right great toe ulcer/abrasion for a resident with severe cognitive impairment, functional quadriplegia, and a history of toe infections. Despite multiple skin audit reports and documentation by nurse aides indicating a bandage or skin integrity issue on the resident's right great toe over a two-month period, there was no corresponding nursing assessment, monitoring, or physician-ordered treatment documented in the medical record. The resident's care plan and physician orders required regular skin and foot assessments, but these were inconsistently completed, and the right great toe wound was not properly evaluated or treated by nursing or wound care staff. The wound was ultimately discovered by the resident's wife, who noticed a foul odor and persistent bandage, prompting a nurse to remove the dressing and find signs of infection. The resident was subsequently sent to the hospital, where he was diagnosed with osteomyelitis and sepsis, requiring intravenous antibiotics and a five-day hospital stay. Additionally, the facility failed to complete wound treatments as ordered for another resident with dementia and chronic kidney disease, who had a physician's order for daily wound care to a left heel pressure ulcer. Review of the treatment administration records revealed that nursing staff did not perform the ordered wound care on multiple documented dates over a two-month period. The care plan for this resident specifically included performing treatments as ordered by the physician, but these interventions were not consistently carried out. Interviews with facility staff, including the DON, LPNs, and wound nurse, confirmed a lack of awareness and documentation regarding the presence and treatment of wounds, as well as missed treatments. Facility policies required direct care staff to report skin integrity issues and for nurses to assess and document wounds, but these protocols were not followed, resulting in actual harm to at least one resident and affecting two of three residents reviewed for wounds.
Failure to Maintain Infection Surveillance and Adhere to Contact Isolation Precautions
Penalty
Summary
The facility failed to implement proper infection control policies and procedures, specifically in the areas of infection surveillance and adherence to contact isolation precautions. Review of infection control surveillance logs revealed that the facility did not maintain surveillance records for three consecutive months. The Assistant Director of Nursing confirmed that infection tracking was not documented for these months and was unable to explain how infection trends were monitored without up-to-date logs. Facility policy required the infection prevention and control nurse to track and monitor infections and antibiotic use, but this was not consistently done as evidenced by the missing logs. Additionally, the facility did not ensure staff compliance with contact isolation precautions for a resident diagnosed with ESBL, a multi-drug resistant organism. The resident had a physician's order for contact precautions, and signage on the door instructed staff and visitors to wear gowns and gloves. During observation, an LPN performed hand hygiene and donned gloves before entering the resident's room to provide care but failed to wear a gown as required. The LPN acknowledged the omission, and facility policy confirmed that both gown and gloves were necessary for contact isolation.
Failure to Provide Catheter Care and Monitor Urine Output as Ordered
Penalty
Summary
Staff failed to perform urinary catheter care and monitor urine output as ordered by physicians for two residents with urinary catheters. One resident with urinary retention and obstructive and reflux uropathy had physician orders and a care plan directing foley catheter care each shift, but review of the treatment administration record (TAR) showed that catheter care and output monitoring were not completed on multiple specified shifts. The Director of Nursing confirmed that catheter care was not performed on the dates listed, and facility policy required care every shift and as needed. Another resident with dementia and obstructive and reflux uropathy had orders for suprapubic catheter care each shift, later changed to monitoring foley output every shift. Review of the TAR for several months revealed that staff did not complete catheter care or monitor output on numerous shifts. The Director of Nursing verified these omissions, and facility policy also required catheter care every shift and as needed. These findings were confirmed through record review and staff interview.
Failure to Implement Antibiotic Stewardship Program
Penalty
Summary
The facility failed to implement its antibiotic stewardship program as required, specifically by not performing antibiotic time out assessments for a resident who had multiple courses of antibiotics. The resident, who had diagnoses including dementia, pressure ulcers, a history of urinary tract infections, and cellulitis of the right great toe, was prescribed antibiotics on several occasions for various infections such as urinary tract infections, clostridium difficile, cellulitis, toe infection, increased white blood count, conjunctivitis, and osteomyelitis. Despite these multiple antibiotic treatments, the medical record review revealed that antibiotic time out assessments were not completed on several dates when antibiotics were initiated. An interview with the Assistant Director of Nursing confirmed that staff did not perform the required antibiotic time out assessments for the resident on the specified dates. The facility's policy stated that the infection prevention and control nurse was responsible for tracking all antibiotic starts and monitoring adherence to criteria during infection management. The lack of these assessments was verified and acknowledged by facility staff, representing a failure to follow the established antibiotic stewardship program.
Improper Food Storage in Kitchen and Memory Care Unit
Penalty
Summary
The facility failed to ensure proper food storage in both the main kitchen freezer and the memory care unit refrigerators. During an observation, the main freezer was found to have an internal temperature of negative 19 degrees Fahrenheit, which is outside the facility's policy range of zero to negative 10 degrees Fahrenheit. There were significant amounts of frozen water drips across the ceiling, ice crystals on food boxes, and ice buildup on the condensers. A box of pretzel rolls was also found spilled on the freezer floor. These findings were confirmed by the Assistant Director of Dietary Services, who noted that a maintenance work order had been submitted but the freezer had not yet been inspected. In the memory care unit, a mini refrigerator freezer at the nursing station had ice buildup, and a residential refrigerator near the dining area contained a large, dried spill of an unidentified brown substance. The refrigerator also contained several unlabeled staff lunches and beverages, despite the policy stating it was for resident use only. The Assistant Director of Dietary Services confirmed these findings and removed the staff items. The facility's policy on unit refrigerators required labeling of resident food but did not address cleanliness, contributing to the observed deficiencies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Strongsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Falling Water Healthcare Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Strongsville Healthcare And Rehabilitation | 1.5 mi | ★★★★★ | 2 | 0 |
| Diplomat Healthcare | 3.7 mi | ★★★★★ | 8 | 0 |
| Pearlview Rehab & Wellness Ctr | 3.9 mi | ★★★★★ | 0 | 0 |
| Willowood Care Center Of Brunswick | 4.2 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.