Cardinal Woods Skilled Nursing & Rehab Ctr
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 62 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- High staff turnover (71%)
- High RN turnover (83%)
Bottom 25% in OH · Critically understaffed (RN) · Very high staff turnover · Worst in AOM HEALTHCARE chain · $27,318 in fines · Abuse citation
What this means for your family
While the facility is praised for its clean environment and recent upgrades, the presence of serious allegations regarding resident safety and management communication is concerning. We strongly advise families to conduct an unannounced visit and ask specifically about their protocols for incident reporting and family communication.
Google Reviews
Google Reviews
62 reviews on Google“Cardinal Woods Skilled Nursing & Rehab receives highly polarized feedback, with many reviewers praising the quiet, wooded setting and recent facility upgrades, while others report severe concerns regarding resident safety and management. While some families describe the staff as compassionate and the environment as clean, there are alarming allegations of resident abuse, neglect, and poor communication from management. Prospective families should be aware of these significant inconsistencies in care quality and conduct thorough, in-person visits.”
Quality Themes
Tap a score for detailsStrengths
- Quiet, scenic, and wooded location
- Clean and well-maintained facility
- Engaging activity programs
- Recent facility upgrades and leadership changes
Concerns
- Allegations of resident abuse or neglect (mentioned by 4 reviewers)
- Poor communication and lack of responsiveness from management (mentioned by 3 reviewers)
- Inadequate staffing levels (mentioned by 2 reviewers)
- Concerns regarding quality of food (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 67 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed the facility is in a beautiful, wooded setting; what kind of outdoor activities or nature-focused programs are available for residents to enjoy the grounds?
- 2With the recent changes in leadership, what specific improvements have you implemented to ensure consistent and proactive communication with family members regarding their loved one's care?
- 3I understand that staffing levels are a top priority for quality care; how are you currently managing your staffing ratios to ensure residents receive timely assistance and attention?
- 4Given the recent focus on facility upgrades, what steps are being taken to enhance the dining experience and ensure that meal quality meets the nutritional and personal preferences of the residents?
- 5How does your nursing team approach medication management and oversight to ensure the highest level of safety and accuracy for all residents?
- 6What is your facility's specific protocol for addressing and investigating any concerns regarding resident safety or well-being to ensure a secure environment for everyone?
Personalized based on this facility's data
Key Review Excerpts
“The activity director, Alice, is phenomenal at planning fun and creative activities for residents. The administrator at this building is also super kind and hardworking, it’s great to see all the recent updates and positive changes he has made since taking over!”
“I witnessed so much resident abuse I would literally be in tears leaving the building.”
“The nursing staff that we dealt with was terrible and very unprofessional! They did not communicate with us about my fathers care and they stopped his medication without consulting us.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
4
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Cardinal Woods shows a concerning pattern of recurring safety and protection issues, with families filing 10 complaint-triggered deficiencies. The most problematic areas are protection from abuse and neglect (with repeated violations in 2024 and 2025), accident prevention and safety supervision, and nutrition/dietary services. While fire safety and building code violations appear frequently, these seem to be corrected during inspections, but the core care issues around resident protection and safety supervision persist across multiple years, suggesting ongoing systemic problems.
Dec 3, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Apr 10, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Jan 22, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Aug 28, 2024Routine20
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Egress Deficiencies
Have exits that are accessible at all times.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have properly sized and located compartments to protect residents from smoke.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Jun 28, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 11, 2024Complaint1
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Federal Penalties
Fine
Jun 28, 2024
$16,801
Fine
Dec 5, 2023
$10,517
Ownership & Operations
Who Operates This Facility
Cardinal Woods Skilled Nursing & Rehab Ctr
for profit
Chain Affiliation
Aom Healthcare
20 facilities nationwide
Chain avg rating: 2.6/5 · Rank 20 of 20 (Worst)
Ownership & Management
Owners
Pointe Woods Investment LLC
Owner · Organization
Goldstein, Jeffrey
Owner (parent company)
Sherman, Alexander
Owner (parent company)
Sherman, Samuel
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
62 reviews from families & visitors
Official Website
Visit cardinalwoodsrehab.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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