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Nursing HomeMedicaid

Joshua Tree Care Center

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

27500 Mill Rd, North Olmsted, OH 4407036 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 1 Google review

Joshua Tree Care Center Nursing Home in North Olmsted, OH — Street View
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What this means for your family

Choosing Joshua Tree Care Center means your loved one is in a facility that ranks well on Medicare quality measures. While no facility is perfect, the clinical data here is encouraging.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.63hrs
85%
Registered nurses for medical care
Total Nursing
3.31hrs
81%
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
17%
Lower is better (< 30% = good)

Both 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

Medicare Rating
4/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility84.2%
Worse than Avg
Here
84.2%
US
12.1%
OH
28.2%
Cuyahoga
28.9%

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 Facility0.0%
Better than Avg
Here
0.0%
US
19.5%
OH
25.4%
Cuyahoga
20.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.1%
Worse than Avg
Here
21.1%
US
15.5%
OH
9.4%
Cuyahoga
8.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
OH
92.6%
Cuyahoga
87.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility14.2%
Mixed vs Avgs
Here
14.2%
US
15.3%
OH
6.9%
Cuyahoga
5.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility96.6%
Better than Avg
Here
96.6%
US
95.5%
OH
94.5%
Cuyahoga
91.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
OH
78.4%
Cuyahoga
68.7%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.9%
Better than Avg
Here
90.9%
US
79.8%
OH
75.6%
Cuyahoga
64.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.8%
Worse than Avg
Here
4.8%
US
1.6%
OH
1.2%
Cuyahoga
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Well below state 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, 2025Routine
9
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, 2023Routine
9
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, 2020Routine
8
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

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References & Resources

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