O'neill Healthcare Middleburg Heights
Strong Medicare quality ratings; families often praise highly effective physical and occupational therapy teams. Still worth an in-person visit.
based on 90 Google reviews
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What this means for your family
While the facility's physical therapy team receives consistent praise, the recurring reports of severe neglect, hygiene issues, and slow response times are significant red flags. If you choose this facility, we strongly recommend frequent, unannounced visits to monitor your loved one's care and to ensure that basic needs like hygiene and call-bell response are being met.
Google Reviews
Google Reviews
90 reviews on Google“O'Neill Healthcare Middleburg Heights presents a highly polarized experience for families, with reviews split between praise for the therapy department and severe allegations of neglect. While some families report excellent, compassionate care and successful rehabilitation, a significant number of reviewers describe chronic understaffing, poor hygiene, and unresponsive management. Prospective families should be aware of consistent reports regarding delayed call-bell response times and concerns about basic resident dignity.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy teams
- Warm and professional nursing staff (cited in positive reviews)
- Clean and welcoming common areas (noted by some visitors)
- Strong support for short-term rehab patients
Concerns
- Severe understaffing leading to long wait times for call bells (mentioned by 12 reviewers)
- Poor hygiene and failure to assist with basic toileting/diaper changes (mentioned by 9 reviewers)
- Unresponsive or dismissive administrative and social work staff (mentioned by 7 reviewers)
- Poor communication regarding medical status and incidents (mentioned by 5 reviewers)
- Low-quality or cold food service (mentioned by 4 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 92 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about your physical and occupational therapy teams; could you tell us more about how they work with residents during rehab?
- 2How do you ensure that call bells are answered promptly, especially during busy shifts or overnight?
- 3What specific protocols do you have in place to ensure consistent hygiene care and assistance with personal needs like toileting?
- 4How does the nursing staff communicate important updates or changes in medical status to family members?
- 5Could you describe the daily meal service and how you ensure the food is both nutritious and served at a pleasant temperature?
- 6What kind of social activities or daily outings are planned to keep residents engaged in the common areas?
Personalized based on this facility's data
Key Review Excerpts
“My grandfather had to call 911 himself while having a heart attack because he was ignored multiple times by his CNA.”
“The staff has been so caring and warm from day one. The clinical staff has been guardian angels to her and I.”
“The physical therapists were great! The management was terrible.. my dad is 6’5” and 300 lbs.. he was in a bed too small for him the entire time he was there.”
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
14
measures
1
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 on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has recurring fire safety and building maintenance issues, with the same sprinkler system and exit door problems appearing across multiple surveys from 2020 to 2025, suggesting persistent infrastructure challenges. Recent concerns include respiratory care deficiencies and families have filed complaints resulting in citations for accident prevention and incontinence care. While all deficiencies show correction dates, the repeated fire safety violations across five years may indicate ongoing facility management difficulties.
Dec 4, 2025Routine7
Egress Deficiencies
Have properly located and lighted "Exit" signs.
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Oct 29, 2024Complaint1
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.
Jul 6, 2023Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 27, 2022Routine11
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.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
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
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems Deficiencies
Have power receptacles that are properly grounded.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 20, 2020Routine16
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Egress Deficiencies
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
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
Properly provide smoke detection systems in areas open to corridors.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Emergency Preparedness Deficiencies
Establish policies and procedures for volunteers.
Emergency Preparedness Deficiencies
Establish roles under a Waiver declared by secretary.
Federal Penalties
Fine
Oct 29, 2024
$166,764
Ownership & Operations
Who Operates This Facility
O'neill Healthcare Middleburg Heights
for profit
Chain Affiliation
O'neill Healthcare
6 facilities nationwide
Chain avg rating: 3.8/5 · Rank 2 of 6 (Best)
Ownership & Management
Owners
Carlow LLC
Owner · Organization
Oneill, Deborah
Owner (parent company)
Oneill, John
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
90 reviews from families & visitors
Official Website
Visit oneillhc.com
Medicare data downloads
Original nursing home datasets
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