Below 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 Heritage Healthcare Of Euclid during CMS and state inspections, most recent first.
Multiple residents reported cold rooms and discomfort, with temperature readings in several areas falling below the facility's required range. Staff confirmed incomplete repairs, such as unpainted walls and missing baseboards, and acknowledged the lack of thermostats in resident rooms. Environmental deficiencies, including damaged walls and inadequate heat distribution, were observed and verified by both maintenance and administrative staff.
A resident with a history of cerebral infarction and dementia was left in a wheelchair for several hours without receiving incontinence care, resulting in skin breakdown. The resident, dependent on staff for daily living activities, was found with a soiled incontinence brief. CNA and RN assistance revealed improper perineal care and a small open wound, causing the resident pain. The facility's perineal care policy was not followed, leading to this deficiency.
The facility failed to provide evidence of water testing for Legionella bacteria, potentially affecting all 65 residents. Despite having a Legionella Water Management Program, the facility lacked documentation of regular testing. The Administrator confirmed the absence of evidence, and the Maintenance Director noted delays in receiving test results and missing records from the previous director. CDC guidance requires regular monitoring, which the facility did not demonstrate.
The facility failed to maintain a safe and clean environment, with issues such as discolored carpeting, exposed pipes, and debris in various areas. Resident equipment was also neglected, with one resident's wheelchair covered in debris and another's missing an armrest. Interviews confirmed these deficiencies, and the facility's cleaning policy was not followed.
The facility failed to properly label and store insulin, affecting five residents. Observations revealed that insulin pens and vials were not dated when opened, some were past expiration, and one was stored in the wrong container. An LPN and the ADON confirmed these deficiencies, which violated the facility's policy on insulin storage.
The facility failed to store food safely, affecting six residents. Containers of applesauce and pudding were found undated and warm in a medication cart. An LPN used these for residents with swallowing difficulties. Facility policy required such foods to be dated and stored at 41°F or lower, which was not followed.
A facility failed to maintain a resident's dignity during feeding. A resident with severe cognitive impairment and on a dysphasia puree diet was observed being fed by an STNA who was standing, contrary to proper protocol. The STNA admitted awareness of the requirement to sit while feeding residents.
The facility did not disburse a deceased resident's personal funds within the required 30-day period. The resident's funds account showed checks were issued to the Attorney General and to cover the resident's account balance, but not within the mandated timeframe. The Administrator confirmed awareness of the delay in disbursing the funds.
A facility failed to report an allegation of abuse involving a resident who was found with facial injuries after a lighter allegedly exploded in their room. Despite the resident's report, the incident was not filed with the Ohio Department of Health as required by the facility's policy.
A facility failed to transmit a resident's discharge MDS assessment data to CMS within the required 14 days. The resident, who did not return from an authorized leave of absence, had their assessment completed but not transmitted until several months later. This was confirmed by the DON, an LPN, and a Social Worker during interviews.
A facility failed to complete a timely PASARR Level I screen for a resident who stayed longer than 30 days. The resident, admitted with schizophrenia, COPD, and high blood pressure, was cognitively intact and required minimal assistance. The PASARR was completed months late, as confirmed by a social worker.
A facility did not timely act on a pharmacist's recommendations for a resident prescribed carvedilol, failing to ensure pulse monitoring before administration. Despite the pharmacist's advice to update the order entry and educate staff, the facility did not implement these changes, as confirmed by the DON.
A facility failed to monitor a resident's vital signs before administering carvedilol, as ordered. The resident, with diagnoses including visual hallucinations and bipolar disorder, was prescribed the medication with specific parameters for blood pressure and heart rate. However, from September 2023 to February 2024, no vital signs were documented before administration. A pharmacist noted this lapse and recommended system updates and staff education. The DON confirmed the oversight, which violated the facility's medication administration policy.
The facility did not display required contact information for the State Survey Agency and other pertinent agencies, affecting all 65 residents. The Administrator confirmed the absence of these postings during an interview.
The facility did not ensure that daily nursing staffing information was current and visible to residents and visitors. The information was outdated and located in a non-prominent area, as confirmed by a receptionist.
A resident developed new, in-house acquired bilateral heel pressure ulcers due to the facility's failure to implement proper prevention, treatment, and interventions. The resident, who was cognitively impaired and at risk for pressure ulcer development, did not receive consistent turning, repositioning, or heel protection as required, leading to actual harm.
The facility failed to provide proper and timely incontinence care for three residents, leading to significant deficiencies. One resident was found with two soaked incontinence briefs and a dirty bed, another had feces under her fingernails and soiled items on the floor, and a third was found with two saturated briefs and a wet bed. The STNAs involved did not follow proper procedures, and the facility's perineal care policy was not adhered to.
The facility failed to ensure that a resident with severe cognitive impairment had an individualized care plan to manage his dementia symptoms and prevent wandering into other residents' rooms. This led to multiple incidents of distress and physical altercations with other residents, including one resident sustaining a fracture in his right hand.
Failure to Maintain Homelike Environment and Adequate Room Temperatures
Penalty
Summary
The facility failed to ensure a homelike environment for its residents, as evidenced by multiple observations and interviews. Several residents reported that their rooms were cold, requiring them to wear extra clothing or request additional blankets. Temperature measurements in various rooms showed inconsistent and often inadequate heating, with some areas registering as low as 56 to 65 degrees Fahrenheit, below the facility's stated comfort range of 71 to 81 degrees Fahrenheit. Maintenance staff confirmed the lack of thermostats in resident rooms and noted that repairs and updates, such as painting walls and installing baseboards, were incomplete due to staff being reassigned to other buildings. Observations also revealed physical deficiencies in the environment, including long black marks, gashes in walls, peeling wallpaper, and missing baseboards in bathrooms. Interviews with residents and staff further confirmed the ongoing issues with room temperatures and the unfinished state of repairs. Residents consistently expressed discomfort due to the cold and dissatisfaction with the delayed maintenance. Both maintenance staff and the regional director of operations acknowledged the environmental deficiencies, including the need for painting, baseboard installation, and improved heat distribution. The facility's own policy requires a clean, sanitary, and orderly environment with comfortable and safe temperatures, which was not maintained for the affected residents.
Failure to Provide Timely Incontinence Care Leads to Skin Breakdown
Penalty
Summary
The facility failed to provide timely incontinence care for Resident #29, resulting in skin breakdown. Resident #29, who has a history of cerebral infarction, major depressive disorder, and unspecified dementia, was observed sitting in a wheelchair in the common area for several hours without receiving incontinence care. The resident is dependent on staff for activities of daily living and is frequently incontinent of urine and always incontinent of bowel. On the day of the observation, Resident #29 was left in the common area from 8:30 A.M. until 1:12 P.M. without receiving incontinence care. When CNA #400 and RN #401 finally assisted the resident to bed, they discovered a large amount of urine and feces in the resident's incontinence brief. During the cleaning process, CNA #400 did not follow proper perineal care procedures, using the same washcloth multiple times and wiping in a manner that could spread contamination. A small open area with a reddish-pink wound bed was found in the crease of the resident's right thigh and buttock, which caused the resident pain when touched. The Director of Nursing confirmed that the incontinence care provided by CNA #400 was not performed correctly. The facility's policy on perineal care emphasizes the importance of cleanliness, comfort, and prevention of skin breakdown, which was not adhered to in this instance. The deficiency was identified during an investigation under Master Complaint Number OH00160445 and Complaint Number OH00159858.
Failure to Provide Evidence of Legionella Water Testing
Penalty
Summary
The facility failed to provide evidence of water testing conducted to monitor and prevent the growth of Legionella bacteria in the building water system, which could potentially affect all 65 residents. During the entrance conference, the facility was unable to provide documentation of regular Legionella testing, despite having a policy titled 'Legionella Water Management Program' revised in September 2022. An interview with the Administrator confirmed the absence of documented evidence of water testing. The Maintenance Director stated that water testing was conducted and samples were sent out, but results took two to three weeks to return. Additionally, the facility was unable to locate records from the previous maintenance director, leaving them without evidence of routine water testing. The CDC guidance reviewed requires regular monitoring of key areas for potentially hazardous conditions, which the facility failed to demonstrate.
Facility Fails to Maintain Safe and Clean Environment
Penalty
Summary
The facility failed to maintain a safe, clean, and well-maintained environment, as observed during an environmental tour. The carpeting throughout the facility was significantly discolored and stained, and the ceiling in the 400 hall dining room was covered with plastic sheeting due to a previous collapse. The 300 and 400 Hall tub room had drilled-out holes exposing rusted pipes and cobwebs. The 100 and 200 Hall nurses' station had an uncovered ceiling light, and the tub room had a brown substance on the floor and various debris, including an open ketchup packet. The laundry area had multiple ceiling tiles missing, exposing piping, and light covers throughout the facility contained dead insects. Additionally, several residents' rooms had issues such as dried tube feeding supplement on a pole, exposed nails, holes in bathroom doors, and stained privacy curtains. The facility also failed to maintain resident equipment properly. Resident #12's electric wheelchair was found with food debris and dust, and Resident #56's wheelchair was missing an armrest and had cracked vinyl exposing the padding. Interviews with the Maintenance Director and Director of Nursing confirmed these observations. The facility's policy on cleaning and disinfection of resident-care equipment was not followed, as staff were responsible for cleaning visibly soiled equipment but failed to do so.
Improper Insulin Labeling and Storage
Penalty
Summary
The facility failed to ensure proper labeling and storage of insulin, affecting five residents who receive insulin treatment. During an observation, it was found that a used injector pen of Humalog insulin for one resident was stored in a medication cart without a date indicating when it was opened. A Licensed Practical Nurse confirmed that all insulin pens should be dated upon opening, and verified that the insulin pen in question was not dated. Further observations revealed additional issues with insulin storage and labeling. Two residents had used injector pens of Lispro insulin stored in a medication cart without dates indicating when they were opened. Additionally, an open vial of Lispro insulin for another resident was found to be past its expiration date, and a vial of Humalog insulin for a different resident was stored in a box labeled for another resident. The Assistant Director of Nursing confirmed these findings and acknowledged that insulin generally expires 28 days after opening, as per the facility's policy.
Improper Food Storage in Medication Cart
Penalty
Summary
The facility failed to store food in a safe and sanitary manner, affecting six residents on the 300 and 400 units. During an observation, four containers of applesauce without dates and a container of pudding dated four days prior were found in the top drawer of the medication cart. These containers were warm to the touch, indicating improper storage. An LPN stated that the containers were already in the cart when she arrived and used them for residents who had difficulty swallowing medications. The facility's policy required that time and temperature-controlled foods, such as applesauce and pudding, be dated and stored at 41 degrees Fahrenheit or lower, which was not adhered to in this instance.
Failure to Maintain Resident Dignity During Feeding
Penalty
Summary
The facility failed to treat a resident with dignity during feeding, as observed by surveyors. Resident #48, who has diagnoses including cerebral infarction, seizures, dementia, and dysphasia, was admitted on an unspecified date and has severely impaired cognition according to a quarterly MDS assessment. The resident was ordered a dysphasia puree texture diet and required feeding assistance with all meals. During an observation, the resident was in a Broda chair with a plate of puree food. A State tested Nurse Aide (STNA) was seen standing while feeding the resident, which the STNA acknowledged was against proper protocol, as she should have been seated to feed the resident.
Failure to Disburse Deceased Resident's Funds Timely
Penalty
Summary
The facility failed to disburse the personal funds of a deceased resident within the required 30-day timeframe. The medical record review indicated that the resident was admitted to the facility and subsequently passed away. Upon reviewing the resident's funds account, it was found that a check for $90.56 was sent to the Attorney General and another check for $1,768.00 was issued to cover the balance due on the resident's account. However, these actions were not completed within the 30-day period following the resident's death. An interview with the Administrator confirmed that the personal funds of the resident were not disbursed within the mandated timeframe. The Administrator acknowledged awareness of the issue regarding the delay in issuing the checks within the 30-day limit.
Failure to Report Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of abuse, neglect, or injury of unknown origin to the State Survey Agency as required. This deficiency affected a resident who was admitted with diagnoses including chronic obstructive pulmonary disease, congestive heart failure, high blood pressure, and nicotine dependence. The resident was cognitively intact and required assistance for activities of daily living. On a specific date, the resident was found with swollen nose and lips, surrounded by a small amount of dry blood, and reported that a lighter had exploded in their face during the early morning hours. Despite this incident, no report was filed with the Ohio Department of Health's Enhanced Information Dissemination Collection System. The facility's policy mandates that all incidents and allegations of abuse, neglect, exploitation, mistreatment, or misappropriation of resident property, as well as injuries of unknown source, must be reported immediately to the Administrator or designee. In cases involving allegations of abuse or serious bodily injury, the report should be made to the Ohio Department of Health immediately, but no later than two hours after the allegation is made. An interview with the Administrator confirmed that the facility did not file the required report for the resident's allegations, thus failing to comply with the policy and state requirements.
Failure to Timely Transmit MDS Assessment Data
Penalty
Summary
The facility failed to electronically transmit encoded, accurate, and complete Minimum Data Set (MDS) assessment data to the Centers for Medicare and Medicaid Services (CMS) system within the required 14 days of completing the assessment. This deficiency affected one of the three residents reviewed for discharge. Specifically, the medical record for Resident #2 showed that a discharge MDS assessment was completed but not transmitted by the deadline. Resident #2 was discharged after failing to return from an authorized leave of absence on January 1, 2024. The Director of Nursing, a Licensed Practical Nurse, and a Social Worker confirmed during interviews that the resident did not return from the leave of absence and that the discharge MDS assessment was not transmitted until June 26, 2024.
Delayed PASARR Screening for Resident
Penalty
Summary
The facility failed to ensure a timely completion of the Preadmission Screening and Resident Review (PASARR) Level I screen for a resident who remained in the facility for more than 30 days. This deficiency affected one of the two residents reviewed for PASARR compliance. The resident in question was admitted with diagnoses including schizophrenia, chronic obstructive pulmonary disease, and high blood pressure. Despite being cognitively intact and requiring minimal assistance with activities of daily living, the PASARR was not completed until several months after admission. This delay was confirmed by a social worker during an interview.
Failure to Implement Pharmacist's Recommendations for Medication Monitoring
Penalty
Summary
The facility failed to act promptly on a pharmacist's recommendations regarding medication administration for a resident. The resident, who was admitted with diagnoses including visual hallucinations, repeated falls, and bipolar disorder, was prescribed carvedilol for hypertension. The pharmacist noted that the nursing staff was not documenting blood pressure and pulse before administering the medication, as required by the physician's order. Despite the pharmacist's recommendation to update the order entry to ensure compliance and educate the nursing staff, the facility did not implement the necessary changes in a timely manner. The resident's medication administration record for March 2024 showed that while blood pressure monitoring was added and completed, pulse monitoring was not conducted as recommended. A subsequent pharmacist recommendation in April 2024 reiterated the lack of pulse monitoring. The Director of Nursing confirmed in an interview that the facility did not respond promptly to the pharmacist's notification about the failure to obtain the resident's pulse before administering carvedilol.
Failure to Monitor Vital Signs Before Medication Administration
Penalty
Summary
The facility failed to adequately monitor a resident's vital signs before administering a medication as ordered. Resident #40, who was admitted with diagnoses including visual hallucinations, repeated falls, and bipolar disorder, was prescribed carvedilol for hypertension. The physician's order specified that the medication should be held if the resident's systolic blood pressure was below 100 mmHg or if the heart rate was below 60 beats per minute. However, a review of the resident's medication administration records from September 2023 to February 2024 revealed that no blood pressure or pulse measurements were documented prior to administering the medication, as required by the physician's order. The deficiency was further highlighted by a pharmacist's recommendation in March 2024, which noted that nursing staff had stopped taking and documenting the necessary vital signs before administering the medication. The pharmacist recommended updating the order entry system to ensure compliance and educating the nursing staff on the importance of checking parameters attached to medication orders. An interview with the Director of Nursing confirmed that the nursing staff did not obtain the required vital signs before administering carvedilol during the specified period. The facility's policy on administering medications, dated April 2019, mandates that medications be administered in accordance with prescriber orders, including any required time frames.
Failure to Post Required Contact Information
Penalty
Summary
The facility failed to ensure that all required postings, including contact information for the State Survey Agency and other pertinent agencies and advocacy groups, were displayed in a manner that was accessible and understandable to residents and their representatives. This deficiency was observed during a facility inspection conducted on June 26, 2024, between 2:45 P.M. and 3:00 P.M. The absence of these postings had the potential to affect all 65 residents residing in the facility. During an interview at 3:10 P.M. on the same day, the Administrator confirmed that the required information was not posted.
Failure to Post Current Nursing Staffing Information
Penalty
Summary
The facility failed to ensure that daily nursing staffing information was up-to-date and posted in a prominent place readily accessible to residents and visitors. During an observation on June 24, 2024, at 8:45 A.M., it was noted that the nursing staff information was located on a bulletin board inside a staffing information area near the front desk, which was not visible to residents and visitors. Additionally, the posted nursing staffing information was outdated, with the last update being on June 14, 2024. This deficiency was confirmed during an interview with a receptionist, who verified that the information was neither current nor visible to residents or visitors.
Failure to Prevent and Treat Pressure Ulcers
Penalty
Summary
The facility failed to ensure individualized care planned interventions were developed and followed to prevent a resident from developing pressure ulcers and failed to ensure the pressure ulcers were timely identified, properly treated, and interventions were initiated to promote healing. Resident #17, who was cognitively impaired and at risk for pressure ulcer development, developed new, in-house acquired bilateral heel pressure ulcers that were first assessed to be unstageable. The facility did not implement proper prevention, treatment, and interventions, which led to actual harm to the resident on 01/06/24. Resident #17's care plan dated 10/18/23 included interventions such as a pressure-reducing cushion to the chair and mattress to the bed but lacked specific interventions related to turning, repositioning, or offloading heels from the mattress. The resident's Braden Scale dated 12/16/23 revealed a moderate risk for developing a pressure ulcer, but no additional care plans or interventions were related to the resident's bilateral pressure ulcers until 03/04/24, two months after the pressure ulcers were identified. The facility's records and observations showed that the resident was not consistently turned, repositioned, or provided with heel protectors as ordered. Observations and interviews revealed that Resident #17 frequently slid down in bed, with heels resting directly on the mattress and against the footboard, without wearing Prevalon boots or lying on a low air loss mattress. The facility staff, including LPNs and STNAs, confirmed the lack of proper interventions and care for the resident's pressure ulcers. The facility's documentation and physician orders were inconsistent and incomplete, leading to inadequate treatment and care for the resident's pressure ulcers. The facility's policy on pressure injury prevention and management was not followed, resulting in the resident's condition worsening and the development of additional pressure ulcers.
Failure to Provide Proper Incontinence Care
Penalty
Summary
The facility failed to ensure proper and timely incontinence care for three residents, leading to significant deficiencies in their care. Resident #55, who was always incontinent of urine and bowel and dependent on staff for all ADLs, was found wearing two soaked incontinence briefs, with a wet draw sheet and a dirty fitted sheet. The STNA confirmed the use of two briefs due to the resident being a heavy wetter and proceeded to replace them with another set of two briefs, one of which was modified to act as a liner. The Director of Nursing acknowledged that using two incontinence briefs was not acceptable and required immediate staff education. Resident #1, who had severe cognitive impairment and was always incontinent of urine and bowel, was found in a bathroom with feces under her fingernails and a strong odor of feces and urine in the room. The resident's bed had a large wet spot on the bare mattress, and dirty sheets and incontinence briefs were found on the floor. The STNA assisting Resident #1 confirmed the presence of the soiled items and stated that the resident often removed her incontinence briefs. The STNA was vague about the last time incontinence care was provided to Resident #1. Resident #24, who was cognitively intact but always incontinent of urine and bowel, was found with two saturated incontinence briefs, a wet draw sheet, and a large dried urine ring on the fitted sheet. The STNA confirmed the use of two briefs to prevent leaks and stated that the resident preferred a larger brief. The resident expressed discomfort from lying in urine and not thinking to use the call light for assistance. The STNA did not change gloves between tasks and used the same soapy water for incontinence care and cleaning the resident's face, acknowledging the oversight when it was pointed out. The facility's policy on perineal care was not followed in these instances, leading to the deficiencies noted in the report.
Failure to Manage Dementia Symptoms and Prevent Wandering
Penalty
Summary
The facility failed to ensure that Resident #45, who had severe cognitive impairment due to dementia, had an individualized care plan with appropriate interventions to manage his symptoms and prevent wandering into other residents' rooms. Despite multiple progress notes indicating that Resident #45 required continuous supervision and redirection due to his wandering behavior, the care plan only included general interventions such as reorienting and redirecting as needed. This lack of specific interventions led to several incidents where Resident #45 entered other residents' rooms, causing distress and physical altercations with other residents, including Resident #10 and Resident #53. On one occasion, Resident #45 wandered into Resident #10's room and began going through his belongings, leading to a verbal and physical altercation. Resident #10, who also had dementia, hit Resident #45 on the head with his cane to get him out of the room. Both residents were separated, and Resident #45 had a small bump on his head. In another incident, Resident #45 entered Resident #53's room and attempted to take his belongings, resulting in Resident #53 hitting his hand on the dresser while trying to retrieve his items. This incident led to Resident #53 sustaining a fracture in his right hand, which was initially missed by the facility's x-ray but later confirmed by a hospital ER visit. Further observations and interviews revealed that Resident #45 continued to exhibit aggressive behavior and used his wheelchair as a weapon when agitated. Staff members, including an LPN and an STNA, confirmed that Resident #45 was difficult to manage and often became combative when redirected. Despite these ongoing issues, the facility did not update Resident #45's care plan to include specific interventions to prevent him from entering other residents' rooms and causing further incidents. This lack of appropriate care planning and intervention contributed to the physical and emotional distress experienced by other residents in the facility.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 953 citations issued within 25 miles in the last 12 months — including the 9 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Euclid
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Slovene Home For The Aged | 0.7 mi | ★★★★★ | 1 | 0 |
| Euclid Subacute Care Center | 1 mi | — | 0 | 0 |
| Mount Saint Joseph Rehab Center | 1.3 mi | ★★★★★ | 0 | 0 |
| Gardens Of Euclid Beach | 1.7 mi | ★★★★★ | 43 | 2 |
| Willows Health And Rehab Ctr | 1.8 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.