Hudson Springs Nursing and Rehab
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 263 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.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (22 vs median 8.0)
- High staff turnover (75%)
- High RN turnover (65%)
Bottom 25% in OH · Meets national RN staffing standard · Above average staffing · Very high staff turnover · Worst in GARDEN SPRINGS HEALTHCARE chain · No penalties on record
What this means for your family
While the facility is visually appealing and offers an excellent activities program, the recurring reports of understaffing and communication breakdowns are significant red flags. We recommend that families conduct an unannounced visit during a weekend or evening shift to observe staffing levels firsthand and ask specifically about their protocol for handling family concerns and billing transparency.
Google Reviews
Google Reviews
263 reviews on Google“Hudson Springs Nursing and Rehab (formerly Altercare Western Reserve) receives highly polarized feedback. Many families praise the facility for its cleanliness, modern atmosphere, and the exceptional efforts of the activities and therapy departments. However, a significant number of reviewers report serious concerns regarding chronic understaffing, neglectful care, and poor communication from management.”
Quality Themes
Tap a score for detailsStrengths
- Engaging and creative activities program
- Professional and effective physical therapy team
- Clean, modern, and well-maintained facility
- Compassionate and attentive individual staff members
Concerns
- Chronic understaffing leading to neglect (mentioned by 9 reviewers)
- Poor communication and lack of responsiveness from management (mentioned by 6 reviewers)
- Unsanitary conditions or odors in certain areas (mentioned by 4 reviewers)
- Billing errors and lack of transparency regarding costs (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 236 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed the facility has a very active calendar; could you walk me through how you ensure residents with different mobility levels are able to participate in these creative activities?
- 2Given the recent feedback regarding communication, what is your standard protocol for keeping families updated on their loved one's daily health status and care plan changes?
- 3With your current staffing levels, what specific systems do you have in place to ensure that call lights are answered promptly and that residents receive timely assistance?
- 4I understand there have been some challenges with billing transparency; could you explain how you handle monthly invoicing to ensure families have a clear understanding of all charges?
- 5How does your nursing team manage medication administration and oversight to ensure accuracy for residents with complex health needs?
- 6What is your facility's current strategy for maintaining high standards of cleanliness and odor control in common areas and resident rooms?
Personalized based on this facility's data
Key Review Excerpts
“The respiratory team stood out—they were knowledgeable, responsive, and truly cared about patient comfort and progress. Megan, the director, does an excellent job leading the team and creating a positive environment.”
“The activities director, Alecia, does a great job in creating a warm, lively, and engaging environment for the residents. She has a genuine passion for enriching the lives of others.”
“Since being at Hudson Springs, we have literally had to ask them to do everything they should already be doing. They are supposed to clean the rooms daily”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
7
measures
2
measures
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 vaccinated for pneumonia
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
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
Hudson Springs has a concerning pattern of recurring deficiencies across multiple surveys, with families filing 17 complaints that triggered inspections. The facility repeatedly struggles with care planning, medication management, and daily care assistance, with these issues persisting across years rather than being fully resolved. Most recent problems include uncorrected deficiencies from January 2026 involving resident rights and care planning, suggesting ongoing operational challenges that warrant careful consideration before placement.
Apr 29, 2026Complaint4
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jan 22, 2026Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Oct 23, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Feb 20, 2025Complaint1
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Dec 10, 2024Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Aug 21, 2024Routine21
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Ownership & Operations
Who Operates This Facility
Hudson Springs Nursing and Rehab
for profit
Chain Affiliation
Garden Springs Healthcare
7 facilities nationwide
Chain avg rating: 1.7/5 · Rank 5 of 6 (Worst)
Ownership & Management
Owners
Yfr Equities LLC
Owner · Organization
Barenbaum, Bryan
Owner
Friedman, Gitty
Owner
Friedman, Matis
Owner
Friedman, Pessi
Owner
Mahilnitski, Ilya
Owner
Friedman, Matis
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
263 reviews from families & visitors
Official Website
Visit hudsonspringshc.com
Medicare data downloads
Original nursing home datasets
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