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 October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Shaker Gardens Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with dementia, altered mental status, and wandering behaviors was identified as an elopement risk and placed on a secured unit, but he exited through an alarmed door without staff knowledge. Staff heard the alarm while occupied with other duties, could not locate the resident, and police later found him several miles away at his former residence. Records and interviews showed he had been pacing, attempting to leave, and expressing a desire to go home or to work.
Insufficient linens were available for resident care needs. A CNA reported no washcloths or towels were available on the first floor, the clean laundry room had none available, and a linen cart on another floor contained only one towel and one washcloth. The MD said only one washer was working and that linens were stored in his office for emergencies, while a resident reported being cold, bringing in his own bedding, and missing a shower because towels were unavailable.
The facility recorded an 18.5% medication error rate, exceeding the acceptable threshold of 5%. An LPN administered incorrect doses of vitamin D-3 and B-12 to two residents and failed to follow proper procedures for eye drops and inhaler use. These errors were confirmed through interviews and policy review.
Failure to Supervise a Wandering Resident
Penalty
Summary
The facility failed to provide adequate supervision to prevent a cognitively impaired resident with a history of wandering from leaving the secured unit without staff knowledge. The resident had diagnoses including dementia, altered mental status, restlessness, and agitation, and was noted on assessment to have moderate cognitive impairment. Although the resident had been identified as an elopement risk and had been moved to the secured unit, he was able to exit the third floor through an alarmed door and leave the building unnoticed by staff at the time of the exit. On the evening of the incident, staff heard a door alarm near the third-floor staircase while nursing staff were occupied with medication administration and care activities. When staff responded, the resident was no longer on the unit. The facility searched the building and surrounding area, but the resident could not be located. The local police were notified and later found the resident approximately five miles away from the facility, underneath a parked car at his former residence. He was confused when found and was transported by EMS to a hospital for evaluation. The resident’s record showed that he had wandering behaviors and had been observed attempting to leave the unit and enter the elevator area. Staff interviews reflected that he was confused, pacing, and sometimes redirectable, but also that he had attempted to leave and stated he needed to go home or go to work. The facility’s investigation concluded that the resident was able to elope after staff did not respond in time to the sounding door alarm. The police report and hospital record confirmed that he had been missing for several hours before being located and treated for a UTI while awaiting placement elsewhere.
Insufficient linens available for resident care
Penalty
Summary
The facility failed to ensure an adequate supply of washcloths and towels were available for resident care needs. During observation and interview, a CNA stated there were no washcloths or towels available on the first floor for resident care needs. Later observations outside the laundry room showed 26 bags of dirty laundry and three bags of clean laundry pending delivery to residents, and the Maintenance Director stated only one clothes washer was operational. He also stated a new washer had been delivered the previous day, but installation was delayed because the elevator was not functioning and needed repair before delivery could occur. Observation of the clean laundry room revealed no clean towels or washcloths available for resident care, and the Maintenance Director stated linens were stored in his office for emergency situations, including nine packages of clothing and four packages of towels, but he was unaware of the need for linens on resident floors. A CNA reported that showers barely get done because linens are not available and that it is hard to do get-ups because personal clothing is not available; the CNA also stated staff had encouraged placing residents in hospital gowns due to the lack of clothing, but declined because of dignity concerns. On the third floor, the linen cart contained only one towel and one washcloth. A resident stated he was often cold, had to bring in his own bedsheets and blankets, and did not receive a shower on 04/30/26 due to lack of towels.
Medication Error Rate Exceeds Acceptable Threshold
Penalty
Summary
The facility failed to maintain a medication error rate of five percent or less, resulting in an 18.5% error rate. This was observed during medication administration procedures for two residents. For one resident, a Licensed Practical Nurse (LPN) administered a 2000 unit tablet of vitamin D-3 and 15 milliliters of polyethylene glycol, despite the active orders being for a 5000 unit tablet of vitamin D-3 and 17 grams of polyethylene glycol. Additionally, the LPN administered two eye drop medications consecutively without waiting the required five minutes between applications as instructed by the pharmacist. For another resident, the LPN administered a 1000 microgram tablet of vitamin B-12, contrary to the active order for a 100 microgram pill. The LPN also failed to instruct the resident to rinse their mouth after administering a Fluticasone-Salmeterol inhaler, as per pharmacy instructions. These actions were confirmed through interviews with the LPN and a review of the facility's medication administration policy, which emphasized the importance of verifying the right dose when preparing medications.
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 1,115 citations issued within 25 miles in the last 12 months — including the 5 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 Shaker Heights
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Harvard Gardens Rehabilitation & Care Center | 1.1 mi | ★★★★★ | 37 | 0 |
| Daughters Of Miriam Center For Nursing & Rehabilit | 1.1 mi | ★★★★★ | 0 | 0 |
| Beachwood Pointe Care Center | 1.2 mi | ★★★★★ | 4 | 0 |
| Avenue Care And Rehabilitation Center, The | 1.6 mi | ★★★★★ | 2 | 0 |
| Suburban Healthcare And Rehabilitation | 1.9 mi | ★★★★★ | 7 | 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 October 2026) and official state health department websites.