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 Judson Park during CMS and state inspections, most recent first.
A resident at high risk for falls suffered a fractured hip after being left unsupervised due to a no-show sitter. The facility failed to notify the family or sitter company and did not implement fall interventions. The care plan lacked specific fall prevention measures, and there was no documentation of post-fall assessments or investigations.
A facility failed to provide a resident's representative with a bed hold notice upon the resident's emergency discharge to a hospital. The resident, who had impaired cognition and multiple diagnoses, was transferred after a fall. The Admission Director could not confirm that the required information was given, and the resident's son reported not receiving the notice, although he later requested a bed hold based on the admission agreement.
A resident was not re-admitted to the facility after hospitalization despite available capacity, due to an internal policy of reserving beds for potential admissions from sister facilities. The resident's son was not given a bed-hold notice and was informed that a bed could not be held, contrary to the facility's policy allowing unlimited bed-hold days for Medicare Advantage payers. The resident was eventually admitted to another nursing home.
A resident with impaired cognition and at risk for falls experienced two undocumented falls, one resulting in a left femur fracture. The facility failed to document the specifics of the falls, post-fall assessments, or investigations. Interviews confirmed the lack of progress notes for these incidents, highlighting a deficiency in maintaining accurate medical records.
Failure to Prevent Falls and Ensure Supervision
Penalty
Summary
The facility failed to ensure adequate supervision and individualized care planned interventions to prevent falls and injuries for a resident identified as high risk for falls. Resident #27, who had diagnoses including Alzheimer's disease and chronic kidney disease, was found on the floor with a fractured hip after being left unsupervised. The scheduled sitter did not show up, and neither the family nor the company providing the sitter was notified to arrange a replacement. Additionally, there was no evidence that facility fall interventions were in place at the time of the fall. The medical records and interviews revealed that Resident #27 was disoriented and required assistive devices. Despite being identified as high risk for falls, the care plan lacked specific interventions to prevent falls. The facility's fall risk assessment indicated the resident was disoriented daily, and the initial care plan included basic interventions like keeping the call light within reach and ensuring proper footwear. However, there was no documentation of a post-fall assessment or investigation following a previous fall on 08/27/24, which could have potentially prevented the subsequent fall. Interviews with staff and review of facility records confirmed that alarms and fall mats were not consistently implemented, and there was no documentation to support their use. The Director of Nursing and Resident Care Coordinator acknowledged the lack of progress notes and fall investigations. The facility's failure to notify the family or the sitter company about the absence of the sitter and the lack of increased supervision contributed to the resident's fall and injury. The facility's visitor log confirmed the sitter did not sign in on the day of the incident.
Failure to Provide Bed Hold Notice
Penalty
Summary
The facility failed to provide written information to a resident or their representative regarding the bed hold policy upon discharge to a hospital. This deficiency was identified during a review of the medical record for a resident who was admitted with diagnoses including restlessness, agitation, chronic kidney disease, Alzheimer's disease, and delirium. The resident was transferred to the hospital after a fall, and the facility did not confirm that the resident or their representative received the required bed hold notice. The Admission Director indicated that each resident discharged to the hospital should receive a packet containing bed hold information, but could not confirm that this was provided to the resident in question. The resident's son confirmed that he did not receive a bed hold notice or discharge packet when his mother was emergently discharged to the hospital. He later contacted the facility to request a bed hold based on information from the admission agreement. This deficiency was investigated under a specific complaint number.
Failure to Re-admit Resident After Hospitalization
Penalty
Summary
The facility failed to allow a resident to return after hospitalization, violating their own bed-hold policy. Resident #27, who had diagnoses including restlessness, agitation, chronic kidney disease, Alzheimer's disease, and delirium, was transferred to the hospital after a fall and subsequent femur fracture. Despite the facility having available capacity, the Admission Director was instructed to refuse readmission to reserve beds for potential admissions from sister facilities. This decision was made despite the facility's policy, which allows for unlimited bed-hold days for Medicare Advantage payers with payment of the daily room rate. The resident's son did not receive a bed-hold notice upon the emergency discharge and was informed that a bed could not be held for his mother, despite contacting the facility within 24 hours to request it. The facility's policy stated that residents should be readmitted if their needs could be met by the facility and if they required the services provided. The resident was eventually discharged from the hospital and admitted to another nursing home, highlighting the facility's non-compliance with their bed-hold and return policy.
Deficiency in Accurate Medical Record Documentation for Resident Falls
Penalty
Summary
The facility failed to ensure that the medical record for a resident accurately represented the resident's actual experience, specifically regarding falls. The resident, who had diagnoses including restlessness, agitation, chronic kidney disease, Alzheimer's disease, and delirium, was at risk for falls. The medical record lacked detailed documentation of a fall that occurred on 08/27/24, including the time, place, and specifics of the fall, as well as any post-fall assessment, monitoring, or investigation. Additionally, there was no documentation of a fall on 09/02/24, despite the resident's son requesting emergency services due to increased pain levels and a long wait for x-rays. Interviews with staff revealed that the resident was found on the floor outside her room on 09/02/24, with complaints of left hip pain and inability to move the leg. It took three staff members to transfer the resident from the floor to her wheelchair and then to her bed. The resident was eventually sent to the hospital upon the son's request, where she was diagnosed with a left femur fracture. The Director of Nursing and Resident Care Coordinator confirmed the absence of progress notes regarding the falls on both 08/27/24 and 09/02/24, indicating a deficiency in maintaining accurate medical records.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,143 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Cleveland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| University Manor Health & Reha | 0 mi | ★★★★★ | 0 | 0 |
| Cedarwood Plaza | 0.8 mi | ★★★★★ | 8 | 0 |
| The Gardens Of Fairfax Health Care Center | 0.9 mi | ★★★★★ | 14 | 0 |
| Crawford Manor Healthcare Center | 1.4 mi | ★★★★★ | 2 | 0 |
| Singleton Health Care Center | 1.5 mi | ★★★★★ | 2 | 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.