Nursing HomeMedicaid Investigative

Cedarwood Plaza

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

12504 Cedar Road, Cleveland Heights, OH 44106|115 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

3.1/5

based on 130 Google reviews

(216) 371-3600 Directions Website

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5/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (2/5 stars)
Above-median deficiencies (17 vs median 8.0)
High staff turnover (50%)
High RN turnover (62%)

Bottom 25% in OH · Meets national RN staffing standard · Above recommended total nurse staffing · Worst in LEGACY HEALTH SERVICES chain · $8,171 in fines

Source: Medicare data

What this means for your family

While the facility has a strong wound care and therapy team, the recurring reports of neglect, poor hygiene, and pest infestations are critical red flags. If you choose to tour, we strongly recommend visiting unannounced and checking the cleanliness of the resident rooms and common areas personally.

Google Reviews

130 reviews on Google

“Cedarwood Plaza receives highly polarized reviews, with some families praising the wound care and therapy teams, while others report severe neglect and unprofessionalism. Common complaints include poor hygiene, unresponsive staff, and inadequate medical oversight, leading to serious health complications for residents. Families considering this facility should be aware of the significant inconsistency in care quality reported across different years and departments.”

Quality Themes

Tap a score for details

Strengths

Effective wound care nursing
Strong rehabilitation and therapy department
Helpful and communicative social workers
Accommodating staff during visitation restrictions

Concerns

Neglect and lack of basic hygiene (soiled linens, lack of bathing) (mentioned by 12 reviewers)
Unresponsive or rude nursing and aide staff (mentioned by 14 reviewers)
Unsanitary facility conditions (foul odors, bedbugs, roaches) (mentioned by 7 reviewers)
Poor medication management and communication (mentioned by 6 reviewers)
Theft of personal belongings (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 133 analyzed

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

1I noticed that your team is very active in responding to feedback online; how do you use that family input to improve daily operations and resident care?
2Given the recent focus on facility maintenance, what specific protocols are in place to ensure high standards of cleanliness and hygiene in resident rooms?
3With the rehabilitation and therapy department being a highlight here, how do you coordinate that care with the nursing staff to ensure consistent support throughout the day?
4What is your current process for ensuring that residents receive timely assistance with personal care and bathing needs?
5Could you walk me through how you manage medication administration and how you keep families informed if there is a change in a resident's health status?
6What steps are taken to ensure that residents' personal belongings are kept secure and accounted for?

Personalized based on this facility's data

Key Review Excerpts

“My mom was recently at Cedarwood plaza and it was the most horrible thing we could’ve ever did for my mother fighting cancer. this nursing home neglected my mom. She only had 3 baths her whole state , they never turned her over so she wouldn’t catch bed sores , she was very dehydrated.”

Long-term resident's family · 2023★☆☆☆☆

“I came in with 4 stage 4 sores on my rear end that would not go away a wound care nurse by the name of Jardine was the only nurse who was able to get rid of those sores on his rear end She gave weekly updates and explained every step of the way what we were up against taught us more than one way to heal the sores.”

Rehab patient · 2026★★★★★

“My mother-in-law and our family had a horrible experience with this facility and the staff. She was there for rehab services and ended up having her family remove her for lack of care and very poor treatment. After being treated at ER she had developed blood clots in both legs while in their care.”

Rehab patient's family · 2022★☆☆☆☆

Source: 130 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.79hrs

Registered nurses for medical care

Total Nursing

3.91hrs

95%

All nurses + aides combined

Staff Turnover

56%

Lower is better (< 30% = good)

RN Turnover

72%

Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility60.6%

Worse than Avg

Here

60.6%

12.1%

28.2%

Cuyahoga

29.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility5.9%

Better than Avg

Here

5.9%

19.5%

25.4%

Cuyahoga

20.2%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility1.2%

Better than Avg

Here

1.2%

15.4%

9.4%

Cuyahoga

8.6%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility33.5%

Worse than Avg

Here

33.5%

19.4%

21.6%

Cuyahoga

20.3%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility2.8%

Better than Avg

Here

2.8%

15.3%

6.9%

Cuyahoga

5.6%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility2.5%

Better than Avg

Here

2.5%

14.4%

5.8%

Cuyahoga

5.1%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility61.6%

Worse than Avg

Here

61.6%

81.8%

78.4%

Cuyahoga

69.3%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility77.5%

Mixed vs Avgs

Here

77.5%

79.7%

75.6%

Cuyahoga

64.7%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

1.2%

Cuyahoga

1.3%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies

1penalties

Well above state avg (10.1)

18 complaint-triggered

$8,171 in fines

Cedarwood Plaza has serious recurring problems with nutrition and dietary services that persist across multiple years, prompting numerous family complaints. The facility has struggled repeatedly with food safety, proper food storage, meal planning, and food temperatures, with 18 complaint-triggered deficiencies indicating families have filed reports about these and other care issues. Additional problems include infection control, resident care quality, and fire safety systems, though the facility has correction dates for all violations.

Oct 14, 2025Complaint6 findings

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 30, 2025Complaint2 findings

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

Jul 1, 2025Complaint2 findings

0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Feb 25, 2025Complaint2 findings

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Jan 7, 2025Complaint1 finding

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Jun 27, 2024Complaint1 finding

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

May 15, 2024

$8,171

Ownership & Operations

Who Operates This Facility

Owner / Operator

Cedarwood Plaza

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Health Services

Chain Size

10 facilities nationwide

Chain avg rating: 3.2/5 · Rank 10 of 14 (Worst)

Ownership & Management

Owners

Oh 10 Holdco LLC

Owner · Organization

100%

Cc Oh10 Opco LLC