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 Joshua Tree Care Center during CMS and state inspections, most recent first.
The facility failed to properly label, date, and dispose of food items, with several expired or unlabeled products found in the kitchen. Additionally, a dietary aide served food without a hair net, violating the facility's food safety policy. Dead bugs were also observed in the kitchenette area, indicating unsanitary conditions. These issues had the potential to affect all 35 residents.
The facility failed to create person-centered care plans for two residents with PTSD, lacking specific interventions to address triggers and mitigate their effects. The care plans did not identify trigger-specific strategies, resulting in a deficiency in individualized care.
A resident with multiple health conditions, including dementia, did not receive weekly showers as per her care plan and facility policy. Despite agreeing to a weekly shower schedule, documentation showed a 13-day gap between showers in December, confirmed by both the resident and the DON.
The facility failed to provide written bed hold policy notices to two residents upon their transfer to a hospital. One resident with kidney failure, hypertension, and bipolar disorder was discharged to a hospital without receiving the notice. Another resident with chronic kidney disease and COPD was transferred twice without receiving the policy. The facility's Owner confirmed the oversight was due to the departure of the responsible employee.
The facility's assessment failed to include required information on developing and maintaining a plan for recruitment and retention of direct care staff. This deficiency was confirmed by the Administrator and had the potential to affect all 35 residents.
Food Safety and Sanitation Deficiencies
Penalty
Summary
The facility failed to ensure proper food labeling, dating, and disposal practices, as well as maintaining sanitary conditions during food service. During a tour of the main kitchen and kitchenette, several food items were found to be improperly labeled or expired, including sour cream, raisins, liquid butter, baking soda, sprinkles, marshmallows, orange juice thickener, and peanut butter. Additionally, the ceiling lights above the kitchenette serving area contained numerous dead bugs, indicating a lack of cleanliness. During a dinner meal service, a dietary aide was observed serving food without wearing a hair net, which is a violation of the facility's food safety policy. This was confirmed by the Director of Nursing, who acknowledged the failure to adhere to the required sanitary conditions. These deficiencies had the potential to affect all 35 residents in the facility.
Failure to Develop Person-Centered Care Plans for PTSD
Penalty
Summary
The facility failed to develop person-centered care plans for two residents diagnosed with post-traumatic stress disorder (PTSD). Resident #10, who was admitted with multiple diagnoses including PTSD, had a care plan that did not identify specific triggers or interventions to minimize or eliminate these triggers. The care plan only included general interventions such as psychology consults and quarterly reviews, without addressing the specific needs related to PTSD. During an interview, a registered nurse confirmed that there was no specific care plan for PTSD for Resident #10, and PTSD was only referenced in other care plans related to nutrition, activities of daily living, and skin integrity. Similarly, Resident #24, who also had PTSD among other diagnoses, had a care plan that failed to identify specific factors influencing their psychosocial well-being or mood. The care plan lacked trigger-specific interventions or strategies to decrease exposure to potential triggers that could re-traumatize the resident. The absence of these critical elements in the care plans for both residents indicates a deficiency in providing comprehensive, individualized care for residents with PTSD.
Failure to Provide Weekly Showers for Resident
Penalty
Summary
The facility failed to ensure that showers were completed for a resident who required assistance with activities of daily living. The resident, who had diagnoses including type II diabetes, heart disease, depression, and dementia, was admitted with a care plan indicating the need for assistance with bathing and dressing. The resident had requested and agreed to receive a shower once a week on Monday mornings. However, documentation revealed that in December 2024, the resident received showers on only four occasions, with a gap of 13 days between two of the showers. An interview with the resident confirmed that she received a shower every other week, and the Director of Nursing verified the 13-day gap without a shower, which was inconsistent with the facility's policy of providing at least one shower or bath per week according to resident preference.
Failure to Provide Bed Hold Policy Notices
Penalty
Summary
The facility failed to provide written copies of the bed hold policy to residents or their representatives upon discharge or transfer to a hospital, affecting two residents. Resident #33, who had diagnoses including kidney failure, hypertension, and bipolar disorder, was discharged to an acute care hospital and did not return. There was no evidence in either the electronic or hard medical charts that Resident #33 received a copy of the facility's bed hold policy before or immediately after the transfer. Similarly, Resident #21, with diagnoses including chronic kidney disease, depressive disorder, peripheral vascular disease, and COPD, was transferred to the hospital on two occasions. The medical records for Resident #21 also lacked evidence of receiving the bed hold policy. An interview with the facility's Owner confirmed that the facility was not providing bed hold notices due to the departure of the responsible employee, and the task was not reassigned.
Facility Assessment Lacks Staffing Plan Details
Penalty
Summary
The facility failed to ensure its facility-wide assessment included all required information, specifically regarding the development and maintenance of a plan to maximize recruitment and retention of direct care staff. This deficiency was identified during a review of the facility assessment dated [DATE], which lacked the necessary details on staffing strategies. An interview with the Administrator on 01/17/25 confirmed that the assessment did not contain the required information on recruitment and retention of direct care staff. This oversight had the potential to affect all 35 residents in the facility, as the facility census was 35 at the time of the survey.
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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 North Olmsted
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Crocker Pointe Health And Rehabilitation | 1.6 mi | — | 1 | 0 |
| Brookdale Westlake Village | 1.7 mi | ★★★★★ | 4 | 0 |
| Health Center At The Renaissance | 1.7 mi | ★★★★★ | 11 | 0 |
| Life Care Center Of Westlake | 2.4 mi | ★★★★★ | 8 | 0 |
| O'neill Healthcare North Olmsted | 2.5 mi | ★★★★★ | 0 | 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.