Nursing HomeMedicaid

Joshua Tree Care Center

Strong Medicare quality ratings. Still worth an in-person visit before deciding.

27500 Mill Rd, North Olmsted, OH 44070|36 beds|Licensed & active

4/5

Medicare

Inspection

Quality

Staffing

Google rating

4.0/5

based on 1 Google review

(440) 777-8444 Directions Website

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Public Medicare Flags to Review

These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.

Low staffing rating (2/5 stars)

No Medicare penalties on record

Source: Medicare data

What this means for your family

Joshua Tree Care Center has a strong overall Medicare rating. Review the component ratings and current source records before deciding.

Staffing

Staffing Hours

per resident/day · Medicare public data

RN Hours

0.62hrs

83%

Registered nurses for medical care

Total Nursing

3.32hrs

81%

All nurses + aides combined

Staff Turnover

38%

Lower is better (< 30% = good)

RN Turnover

20%

Lower is better (< 30% = good)

Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.

Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.

Quality Measures

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

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

Residents with depression symptoms

↓ Lower is better

This Facility84.5%

Worse than Avg

Here

84.5%

12.8%

30.1%

Cuyahoga

29.5%

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 Facility1.0%

Better than Avg

Here

1.0%

19.5%

25.5%

Cuyahoga

20.1%

Residents on antipsychotic medication

↓ Lower is better

This Facility21.8%

Worse than Avg

Here

21.8%

15.4%

8.8%

Cuyahoga

7.6%

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.5%

92.7%

Cuyahoga

89.3%

Residents whose walking got worse

↓ Lower is better

This Facility13.4%

Mixed vs Avgs

Here

13.4%

14.1%

6.1%

Cuyahoga

5.4%

Residents needing more daily help over time

↓ Lower is better

This Facility10.1%

Mixed vs Avgs

Here

10.1%

13.9%

5.3%

Cuyahoga

5.3%

Short-Stay Residents (Rehab / Post-Acute)

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

82.0%

78.5%

Cuyahoga

72.2%

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility90.9%

Better than Avg

Here

90.9%

79.8%

75.6%

Cuyahoga

66.6%

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility6.5%

Worse than Avg

Here

6.5%

1.6%

1.2%

Cuyahoga

1.1%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

Detailed Medicare record · up to 3-year lookback

26findings in history

Latest survey: 5 · well below OH avg (10.1)

This facility has persistent issues across multiple surveys, with recurring problems in food safety, fire/building safety, and care planning that span from 2020 to 2025. Food handling deficiencies appeared in all three surveys, while fire safety violations including emergency systems, sprinkler maintenance, and smoke barriers recurred frequently. Though all violations have correction dates, the pattern of repeated food safety and building safety issues suggests ongoing operational challenges families should carefully consider.

Jan 15, 2025Routine9 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.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0656Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0625Minimal · WidespreadCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0838Minimal · WidespreadCorrected

Administration Deficiencies

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Mar 9, 2023Routine9 findings

0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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.

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0781Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0582Minimal · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Jan 23, 2020Routine8 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.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0700Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0511Minimal · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Joshua Tree Care Center

Organization Type

for profit

Ownership & Management

Owners

Coury, Kimberly

Owner

100%

Key personnel

Coury, KimberlyManager

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

(440) 777-8444

jtslc.com

27500 Mill Rd

North Olmsted, OH 44070

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

1 reviews from families & visitors

Official Website

Visit jtslc.com

Medicare data downloads

Original nursing home datasets

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