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 August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Pearlview Rehab & Wellness Ctr during CMS and state inspections, most recent first.
The facility failed to follow its abuse policy by not completing or documenting required background, reference, and credential checks for multiple employees, including a CNA, DON, LPN, and RN. Personnel files showed missing evidence that references were contacted, a blank background check envelope for the CNA, and a delayed credentials check for the DON. The background check log was also incomplete and did not include former employees or applicants.
Incomplete Investigation of Alleged SSN Misappropriation A CNA was arrested after police came to the facility and also reported an allegation that the CNA was stealing residents’ SSNs. The facility did not interview staff about unauthorized access to resident information, did not notify all POAs/guardians of the possible compromise, did not tell interviewed residents about the allegation, and did not audit staff access to personal information. The DON and Administrator confirmed the investigation documentation was incomplete and that no staff interviews or POA notifications were done.
The facility failed to complete required orientation and competency evaluations for a CNA, including an initial skills check and 30-day and 90-day performance reviews. The Administrator confirmed the missing documentation and stated there had been a lapse in HR staffing until a new HR person was hired. The deficiency was identified during a complaint investigation and had the potential to affect all 40 residents.
Unsanitary food storage and kitchen conditions were observed when surveyors found freezers with heavy ice build-up and no visible thermometer, a walk-in cooler with sticky spills and dark fuzzy substance, expired ricotta cheese, moldy bread, and multiple food and non-food items stored directly on the floor. The DA verified the findings, and the DM confirmed the conditions and stated the freezers were constantly defrosting and that some items had been missed during cleaning.
A facility failed to complete baseline TB testing for some staff, including an administrator, a CNA, and an RN, despite a TB risk assessment requiring it. Staff were also observed handling a resident’s ready-to-eat food with bare hands during feeding assistance and using contaminated gloves to touch bed linens, the bed control, and sink handles during incontinence care for a cognitively impaired resident who was incontinent of bowel and bladder.
Kitchen equipment was not maintained in proper working order, affecting nearly all residents who received meals from the kitchen. Surveyors observed significant ice buildup in two reach-in freezers, including on food products, and found the garbage disposal covered. Dietary staff said the disposal had been broken for about a year, and the DM reported the freezers were constantly in defrost with possible door seal problems. Maintenance confirmed the disposal needed replacement and said approval was delayed because the facility was being sold.
Surveyors found ongoing water intrusion and deteriorated ceiling tiles in multiple resident-use and common areas. The DON confirmed the ceiling pipes sweat and leak onto the tiles, and the Maintenance Director said the tiles had to be replaced every two to three weeks because of the water damage. A contracted repairman also reported mold throughout the ceiling and rusted metal parts falling out while installing insulation on the pipes.
A resident who required a pureed diet was served a lunch entree with visible lumps, and the CNA confirmed the puree was lumpy. The ST stated the resident needed a pureed consistency and that pureed foods should be smooth with no lumps or bumps. The report also identified six additional residents receiving pureed texture who could have been affected.
The facility did not accurately report direct care staffing data to CMS, as required, due to incorrect coding of a CNA's hours and lower weekend staffing levels. This resulted in the facility being flagged for low weekend staffing, potentially affecting all residents.
The facility did not maintain written evidence of a completed background check for an Interim DON at the time of hire, as required by facility policy. Although the individual's nursing license and the Nurse Aide Registry were verified, the necessary background check documentation was missing from the personnel file, and the oversight was discovered during a transition in HR leadership.
Failure to Complete Required Employee Screening Checks
Penalty
Summary
Develop and implement policies and procedures to prevent abuse, neglect, and theft was cited because the facility did not follow its abuse policy for screening potential employees and maintaining proof that required checks were completed. Review of personnel files showed CNA #220 had a hire date of 09/10/25, but the reference check page only listed reference names and contact information with no evidence the references were contacted, and the confidential envelope contained only a blank sheet of paper with no background check results. CNA #220’s employment was later terminated on 06/04/26 when law enforcement arrived and arrested the CNA for outstanding warrants. The Administrator confirmed the background check had not been completed, and Regional Nurse #217 also verified the facility discovered the background check was missing at the time of the incident. Additional personnel file review showed similar failures for the DON, LPN #233, and RN #232. The DON had a hire date of 09/02/25, but the credentials check was not completed until 04/28/26, about eight months after hire, and there was no evidence the references were contacted or that a license verification occurred before that date. LPN #233 and RN #232 each had reference check pages listing names, but there was no contact information and no evidence the references were ever contacted. The Administrator verified the reference checks were not completed for these employees and stated there had been a lapse in Human Resources staff around the time of hire. Review of the facility’s background check log showed it did not include former employees or applicants, and the Administrator and BOM confirmed the log was incomplete and had to be created from scratch for current employees only.
Incomplete Investigation of Alleged Misappropriation of Resident Social Security Numbers
Penalty
Summary
The facility failed to conduct a thorough investigation of an allegation that a CNA misappropriated residents’ social security numbers. After law enforcement arrived at the facility and arrested the CNA on an outstanding warrant, police also notified the facility of the allegation that the CNA was stealing residents’ social security numbers. The facility’s investigation did not include interviews with staff about whether anyone had accessed residents’ information without authorization or whether there was any suspicion of social security number theft, and the only staff statements obtained were from two staff members who had interacted with police when they arrived. The facility also did not notify all residents’ POAs or guardians of the allegation that social security numbers could be compromised, and residents who were interviewed were not told of the allegation or instructed to monitor financial data for discrepancies. There was no evidence the facility audited staff access to residents’ personal information. The Administrator confirmed that no staff were interviewed regarding the allegation and that POAs were not notified, and the facility’s policies required immediate investigation of suspected exploitation and protection of personal information, including social security numbers.
Missing CNA Orientation and Competency Evaluations
Penalty
Summary
The facility failed to ensure that required staff orientation and performance evaluations were completed as part of the competency assessment process for CNA #220. Review of the personnel file showed a hire date of 09/10/25, but there was no evidence of an orientation, an initial skills evaluation, a 30-day performance evaluation, or a 90-day performance evaluation. During an interview on 06/17/26 at 12:35 P.M., the Administrator confirmed the findings in the personnel file and stated there had been a lapse in HR staffing until a new HR person was hired in January 2026. This deficiency was identified as an incidental finding during the investigation of Complaint Number 3037008 and was noted as having the potential to affect all 40 residents in the facility.
Unsanitary Food Storage and Kitchen Conditions
Penalty
Summary
Food was not stored, prepared, distributed, and served in accordance with professional standards. During a kitchen observation, surveyors found reach-in freezer #1 without a visible interior thermometer and with significant ice build-up on the freezer and food products. Reach-in freezer #2 also had significant ice build-up on the freezer and food products. In the walk-in cooler, there was a dark colored sticky substance spilled on the floor and multiple areas of a dark colored fuzzy substance throughout the cooler, including by the light fixture, in the corner to the left of the door, above the door, behind the fan, and along the wall to the right of the door. The reach-in cooler contained ricotta cheese that had expired on 06/03/26. The dry storage room contained one loaf of moldy bread and multiple food items stacked on the floor, including cases of marinara sauce, pasta, syrup, honey, toasted oats, and applesauce. Non-food items were also stacked on the floor, including Styrofoam cups, lids, and Styrofoam food containers with plastic utensils on top. The kitchen floor throughout the walking space had a heavy coating of a sticky substance. Dietary Aide #224 verified the findings, and Dietary Manager #223 confirmed them, stating the freezers were constantly in a state of defrost, the food on the floor had been delivered that morning and was placed directly on the floor, the moldy bread and expired ricotta had been missed during cleaning, and the sticky floor was a constant battle because it was a kitchen.
TB Screening, Hand Hygiene, and Food Handling Deficiencies
Penalty
Summary
The facility failed to conduct initial TB testing upon hire for all staff. Review of the personnel files for former Administrator #230, CNA #220, and RN #232 showed no documented evidence that TB testing was completed before hire. The facility's 2026 TB risk assessment stated that baseline TB skin testing would be performed for healthcare workers, annual TB testing would be completed, and TB test records would be maintained by Human Resources. During interview, the Administrator verified that there were no TB test results in the personnel files for those staff members. The facility also failed to ensure appropriate hand hygiene and food handling practices during resident care and mealtime assistance. During lunch in the dining room, CNA #225 was observed handling Resident #37's hamburger bun with bare hands while cutting the hamburger into bite-size pieces, and she confirmed she had handled the resident's food with her bare hands while assisting with feeding. In addition, during incontinence care for Resident #39, who had diagnoses including diabetes mellitus type two, arthritis, peripheral vascular disease, kidney disease, and dementia, and was cognitively impaired, dependent for toileting, and incontinent of bowel and bladder, CNAs #200 and #205 were observed providing care. CNA #200 completed perineal care and then used the same contaminated gloves to touch the bed linens, bed control, and sink handles before removing the gloves and washing her hands.
Kitchen Equipment Not Maintained in Working Order
Penalty
Summary
The facility failed to maintain kitchen equipment in proper working order, affecting all 39 residents who received food from the kitchen except one resident who had orders for nothing by mouth. Maintenance records showed dietary staff reported the garbage disposal was not working on 07/21/25, but the work order was not set to completed until 08/29/25. A repair quote dated 03/11/26 showed the garbage disposal needed replacement. During an observation on 06/15/26, surveyors found reach-in freezer #1 and reach-in freezer #2 had significant ice buildup, including on food products, and the garbage disposal had a cover over it. Dietary staff confirmed the ice buildup and stated the garbage disposal had been broken for about a year and the facility did not want to pay to fix it. The Dietary Manager stated the two reach-in freezers were constantly in a state of defrost and believed there was something wrong with the door seals. The Maintenance Director confirmed the garbage disposal needed replacement and stated the quote was not approved until 06/15/26 because the facility was being sold.
Water-Damaged Ceiling Tiles and Mold Concerns
Penalty
Summary
The facility failed to maintain the physical environment in a safe, sanitary condition by not addressing ongoing water intrusion and the resulting deterioration of ceiling tiles in multiple resident-use and common areas. Maintenance records showed staff reported a moldy ceiling tile in one room on 06/30/25 and ceiling tiles that were wet and black in another room on 08/15/25. During observation on 06/15/26, surveyors found multiple ceiling tiles with visible brown water damage and several tiles with black discoloration in the hallway outside the Administrator's office, the hallway outside the business office, and hallways by two resident rooms. The DON confirmed the ceiling damage and stated the pipes in the ceiling sweat and leak onto the tiles. The Maintenance Director also confirmed the water-damaged ceiling tiles and stated they had to be replaced every two to three weeks because of the water damage. A contracted repairman later stated there was mold throughout the ceiling and that metal parts were rusted through and falling out while he was installing insulation on the pipes.
Pureed Diet Served With Visible Lumps
Penalty
Summary
The facility failed to serve mechanically altered foods at an appropriate texture for a resident who required a pureed diet. Resident #24 had diagnoses including Alzheimer's disease, depression, hypertension, and COPD, and the record showed dysphagia with recommendations for puree consistency. The resident's care plan and MDS indicated severe cognitive impairment, dependence for eating, and a mechanically altered diet. During a lunch observation, the resident's pureed meat entree was plated and later served with visible lumps throughout it, and the CNA feeding the resident confirmed that the puree was lumpy. The CNA stated that pureed foods were not always completely smooth and that the consistency depended on what food items were pureed. The speech therapist stated the resident required a pureed diet because of decline and that a mechanical soft or ground meat texture would not be appropriate. The therapist also stated pureed foods should not have visible lumps or bumps and should be smooth. The report further identified six additional residents receiving pureed texture who could have been affected by the same issue.
Inaccurate Reporting of Direct Care Staffing Data to CMS
Penalty
Summary
The facility failed to ensure accurate reporting of direct care staffing data to CMS, as required. Review of the Payroll Based Journal (PBJ) report, staff schedules, and interviews revealed that staffing data submitted for the period in question did not accurately reflect actual staffing levels. Specifically, a Certified Nurse Assistant (CNA) who also performed activities duties worked on the floor providing direct care, but her hours were not coded correctly in the data submitted to CMS. Additionally, on certain weekend night shifts, only one CNA was present along with two nurses, resulting in lower direct care hours compared to weekday averages. These discrepancies led to the facility triggering for excessively low weekend staffing in the PBJ report, potentially affecting all 31 residents in the facility. No concerns were identified from the provider regarding the average direct care hours, but the inaccurate reporting of staffing data constituted a deficiency in compliance with CMS requirements.
Failure to Maintain Background Check Documentation for Interim DON
Penalty
Summary
The facility failed to maintain written evidence that a background check was completed for the Interim Director of Nursing (IDON) at the time of hire. Review of the IDON's personnel file showed no documentation of a completed background check, despite facility policy requiring such screening for all potential employees. The Administrator and Human Resources (HR) staff were unable to confirm when or if the background check was completed, and no copy was available in the employee file. The IDON reported having completed the background check, but was unable to provide documentation, and the facility later determined that a new background check would need to be obtained. Interviews with the Administrator and HR staff revealed that the oversight occurred during a transition in HR leadership, and the issue was only discovered several months after the IDON's hire. Although the facility verified the IDON's nursing license and checked the Nurse Aide Registry at the time of hire, the required background check documentation was missing. Facility policies reviewed indicated that background, reference, and credential checks must be conducted and documented for all personnel prior to employment.
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What surveyors actually found near you
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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 Brunswick
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Willowood Care Center Of Brunswick | 1.1 mi | ★★★★★ | 1 | 0 |
| Brunswick Pointe Transitional Care | 1.5 mi | ★★★★★ | 8 | 0 |
| Strongsville Healthcare And Rehabilitation | 2.4 mi | ★★★★★ | 14 | 0 |
| Altenheim | 3.9 mi | ★★★★★ | 4 | 0 |
| Life Care Center Of Medina | 5 mi | ★★★★★ | 1 | 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 August 2026) and official state health department websites.