Hearth Record

Uh Cleveland Medical Center

An acute care hospital in Cleveland, Ohio 44106

11100 Euclid Avenue, Cleveland, Ohio 44106. (216) 844-1000.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 3 deficiencies in 1 month of the last 36. Last cited May 2024. Most serious: Condition-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean4
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Condition-level deficiency
For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.

What did inspectors find?

The last inspection on record was on Mar 2, 2026: a complaint inspection.

3 deficiencies cited in the last three years, 1 of them at condition level, the most serious.

1 deficiency at condition level, the more serious of CMS’s two levels

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

3 deficiencies in 1 month of the last 36. Last cited May 2024. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.

3 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

May 30, 2024: complaint inspection3 deficiencies

  • Nursing Services

    The inspectors’ words, 107 words

    “NURSING SERVICES CFR(s): 482.23 The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse. This Condition is not met as evidenced by: 31597 Based on record review, review of faciltiy policies, and staff interview the facility failed to ensure nursing staff followed the facility policy for measuring and assessing wounds (A395) and failed to ensure nursing staff implemented a care plan and followed the facility policy for prevention of pressure injuries (A396). The cumulative effects of these systemic practices resulted in the agency’s inability to ensure patient care needs would be met.”

    Rule A0385. Condition-level. From a complaint.

  • Rn Supervision Of Nursing Care

    The inspectors’ words, 304 words

    “RN SUPERVISION OF NURSING CARE CFR(s): 482.23(b)(3) A registered nurse must supervise and evaluate the nursing care for each patient. This Standard is not met as evidenced by: 31597 Based on medical record review, policy review and staff interview, the facility failed to ensure nursing staff followed the facility policy for measuring and assessing wounds for two (Patient #10 and Patient #11) of two medical records reviewed of patients with wounds. The facility’s census was 605. Findings include: 1. Patient #10 had a sacral wound assessed as measuring 6 centimeters (cm) by 6 cm on 05/17/24. The medical record did not contain any additional measurements. Patient #10 was an active patient as of 05/29/24. Review of the facility policy titled “Skin: Prevention and Treatment of Pressure Injuries and Wounds for Adults,” effective 09/2023, stated pressure Injuries are measured, reassessed by the bedside nurse (every 7 days) to assess response to treatment interventions. All wounds are measured weekly and as needed. Interview on 05/29/24 at 10:04 AM Staff P confirmed the findings. 2. Patient #11 was admitted ot he facility on 05/28/24. The record contained documentation of a wound on Patient #11’s abdomen. An Emergency Department note from 05/28/24 at 10:17 PM stated Patient #11 has two wounds on the abdomen, present for close to two years, which have had increased drainage and erythema. The note stated two additional chronic wounds were noted on the right side of the abdomen, both with scant purulent discharge and surrounding erythema. The medical record did not contain the size or image of the wounds. Review of the facility policy titled “Skin: Prevention and Treatment of Pressure Injuries and Wounds for Adults,” effective 09/2023, stated all wounds are assessed upon admission and documentation includes a photo with scale Interview on 05/30/24 at 9:08 AM Staff P confirmed the findings.”

    Rule A0395. Standard-level. From a complaint.

  • Nursing Care Plan

    The inspectors’ words, 602 words

    “NURSING CARE PLAN CFR(s): 482.23(b)(4) The hospital must ensure that the nursing staff develops, and keeps current, a nursing care plan for each patient that reflects the patient’s goals and the nursing care to be provided to meet the patient’s needs. The nursing care plan may be part of an interdisciplinary care plan. This Standard is not met as evidenced by: 31597 Based on medical record review, policy review and staff interview, the facility failed to ensure nursing staff implemented a care plan and followed the facility policy for prevention of pressure injuries for one (Patient #2) of 10 medical records reviewed. The facility’s census was 605. Findings include: Patient #2 was a direct admit to the facility on 04/10/24 at 2:58 AM and was discharged to a skilled nursing facility on 04/15/24 at 3:20 PM. The admission history and physical dated 04/10/24 identified Patient #2 had no rashes or wounds. Patient #2’s Braden scored from 04/10/24 through 04/15/24 ranged between 9 and 16, which revealed a risk for skin breakdown. The medical record of Patient #2 contained a care plan for skin. The goal was to prevent/minimize sheer/friction injuries. Interventions included to turn/reposition every two hours/use positioning/transfer devices. Patient #2’s Basic Mobility Score, as evaluated by a physical therapist on 04/10/24 at 2:25 PM, revealed Patient #2 needed assistance with mobility, including bed mobility. The medical record contained no documentation of Patient #2 turning or being repositioned from 04/12/24 at 9:00 PM until 04/13/24 at 7:15 AM. Per Staff S’s documentation in the medical record, Patient #2 was lying on Patient #2’s right side on 04/13/24 from 7:15 AM through 5:00 PM with the foot of bed elevated. On 04/13/24 at 7:15 AM, the medical record contained documentation stating Patient #2 had a skin tear and bruising. The location of the skin tear was not mentioned. On 04/14/24 at 9:10 PM, Staff T documented skin integrity as “bruising, skin tear, blister - blisters on the left back.” The medical record documentation revealed Patient #2 was lying on Patient #2’s right side from 04/14/24 at 7:15 AM through 04/14/24 at 5:00 PM. Additionally, the flowsheets revealed Patient #2’s heels were to be elevated off the bed, which only occurred on 04/13/24 at 4:29 PM and 04/14/24 at 9:48 PM. The flowsheet also revealed bilateral heel protectors were in use only on 04/15/24 at 7:31 AM and 8:40 AM. Interiew on 05/29/24 at 2:41 PM. Staff T reported identifying the blister on Patient #2. Staff T reported there were three blisters, with one or two of them opened, and one still formed. Staff T reported the Specified Patient was able to move around in the bed and move all extremities. Review of the facility policy titled “Skin: Prevention and Treatment of Pressure Injuries and Wounds for Adults,” effective 09/2023, stated he Braden Scale Pressure Injury Risk Assessment is reassessed daily and with change in condition. Refer to Attachments C and F for suggested interventions, tips for practice with supporting rational. Pressure Injury Prevention Standards for Adults are initiated for patients with a Braden score of less than or equal to 18. Attachment F titled “Pressure Injury Prevention Standards for Adults” stated to effectively reposition patients who are not able to completely reposition themselves at least on individualized schedule to redistribute pressure. A patient who is unable to completely reposition to offload pressure must be assisted to do so at least on a schedule best for them. Utilize positioning devices meant to off load pressure points such as heel boots, pillows for heels. Interview on 05/29/24 at 2:06 PM Staff P confirmed the findings.”

    Rule A0396. Standard-level. From a complaint.

All 7 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Mar 2, 2026Complaint inspectionNo deficiencies cited
Oct 20, 2025Complaint inspectionNo deficiencies cited
May 12, 2025Complaint inspectionNo deficiencies cited
Dec 10, 2024Complaint inspectionNo deficiencies cited
Sep 19, 2024Complaint inspectionNo deficiencies cited
May 30, 2024Complaint inspection3 deficiencies cited
Nov 7, 2023Complaint inspectionNo deficiencies cited

How do patients fare?

  • CMS’s overall for it is 3 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 1 better and 0 worse of 8; safety of care, 2 better and 0 worse of 8; readmission, 0 better and 3 worse of 11.
  • Patients rate it 3 of 5 in CMS’s patient survey (4,802 surveys completed, Oct 1, 2024 to Sep 30, 2025): 69% rated it 9 or 10 out of 10, and 69% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, worse than the national benchmark; C. diff infections, better than the national benchmark.
  • CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 12.9%, heart failure 8.2%, pneumonia 12.9%, COPD 7.3%, stroke 12.3%, heart bypass surgery 2.1%. CMS gives no comparison with the national rate for them in this release.
  • Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 16.4%, heart failure 21.2%, pneumonia 17.2%, COPD 21.2%, heart bypass surgery 10.3%. CMS gives no comparison with the national rate for them in this release.
  • After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
  • Emergency department patients spent a median of 241 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 5% left before being seen.
  • 60% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
  • Medicare’s spending per patient here is 1.05 times the national median (Jan 1, 2024 to Dec 31, 2024).
Source:

CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.

CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 53 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 53 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Jul 1, 1966.
  • Ownership: voluntary non-profit - private.
  • It is accredited by DNV, whose surveys stand in for the state’s routine inspections.
  • Cited at in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
  • Voluntary non-profit - Private.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for hospitals.
  • Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
  • 3 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

What do patients say about their care?

  • CMS doesn’t publish staffing levels for hospitals.
  • In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
  • 76% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • University Hospitals Health System Inc. owns 100% directly since Jan 1, 1997.
  • 8 owners or officers are people: Daniel I Simon (corporate officer); Daniel I Simon (corporate director); Daniel I Simon (managing employee (on the payroll)); Michelle Gallucci (corporate officer); Jason Pirtz (corporate officer); Jason Pirtz (managing employee (on the payroll)); Cliff Andrew Megerian (corporate officer); Cliff Andrew Megerian (corporate director).
  • CMS’s Provider of Services file records 1 change of ownership.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
University Hospitals Health System Inc.Owns 5% or more directly100%Jan 1, 1997

How does it compare nearby?

  • Of the 18 hospitals CMS lists in Cuyahoga County, 14 have an overall star rating from CMS: 4 rated 5 of 5, 6 rated 4 of 5, 4 rated 3 of 5.
  • CMS rates this one 3 of 5.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

12 compared
PlaceOverall star rating
Louis Stokes Cleveland VA Medical Center4
Rainbow Babies and Childrens HospitalNot given
Parma Community General Hospital4
Metrohealth System3
Fairview Hospital5
Euclid Hospital4
Lutheran Hospital3
Uh St John Medical Center4
Marymount Hospital5
South Pointe Hospital5
Southwest General Health Center4
Cleveland Clinic4

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
  • QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
  • CMS doesn’t publish staffing levels for hospitals.
  • In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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