South Pointe Hospital
An acute care hospital in Warrensville Heights, Ohio 44122
20000 Harvard Road, Warrensville Heights, Ohio 44122. (216) 491-6523.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 5of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 2 deficiencies cited in the last three years (needs attention)
- 180 beds
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 Nov 7, 2024: a complaint inspection.
2 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
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Nov 2024. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
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.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Nov 7, 2024: complaint inspection2 deficiencies
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Nursing Services
The inspectors’ words, 99 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: 29000 Based on medical record review, policy review, and staff interview, the facility failed to ensure staff communicated and assessed the dietary needs of a patient to prevent a choking episode. This affected one (Patient #2) out of four records reviewed. (A0395) The cumulative effects of these systemic practices resulted in the agency’s inability to ensure patient care needs would be met.”
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Rn Supervision Of Nursing Care
The inspectors’ words, 829 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: 29000 Based on medical record review, policy review, and staff interview, the facility failed to ensure staff communicated and assessed the dietary needs of a patient to prevent a choking episode. This affected one (Patient #2) out of twelve records reviewed. The facility’s active census was 113. Findings include: The medical record revealed Patient #2 presented to the hospital on 07/25/24 from a local emergency department for constipation. Additional diagnosis included autism and down syndrome. The patient was non-verbal. The first note in the medical record for Patient #2 was from the admission nurse (Staff H). This note stated the patient came to the hospital on 07/25/24 at 9:27 PM from an outside emergency department and was a direct admit to Room 605. Nursing notes at 10:20 PM stated the caregiver from the group home informed the nurse to give his pills crushed in applesauce/pudding and the patient eats a pureed blended diet with thin liquids. Nursing notes indicated information was gathered from the caregiver and the binder provided from the Group Home. No documentation was found of any swallow test completed upon admission or of communication note to indicate the prescribing providers were informed of the need for a pureed diet. The history and physical (H&P) was completed on 07/26/24 at 10:04 AM by Staff G. The H&P documented no diet was ordered. Physician notes further stated the group home manager was called with a message left. On 07/26/24 at 10:00 AM the nurse practitioner (NP) ordered a regular diet. A regular diet was provided and consumed by Patient #2 on 07/26/24 at 1:00 PM and 5:00 PM and with each meal on 07/27/24. Documentation revealed Patient #2 consumed 100 % of each of these meals. Documentation on 07/28/24 during the lunch meal revealed a rapid response was called due to Patient #2 choking on pizza. The rapid response notes of 07/28/24 stated the team was paged at 12:21 PM. Respiratory staff were at the bedside at 12:21 PM and the physician at 12:22 PM. The notes stated Patient #2 choked due to eating too fast. The Heimlich was completed with the patient dislodging the food and vomiting. An x-ray was ordered, completed at 12:53 PM with no results of broken ribs or other issues. Interview with the NP (Staff O) who ordered Patient #2’s diet was completed on 11/06/24 at 12:15 PM. Staff O stated when ordering a diet the bedside nurse will do a swallow test then reach out for a diet. Staff O stated the staff did not inform her the patient required a pureed diet and she did not ask if there were any modifications needed. Staff O stated she was made aware Patient #2 choked after the incident. Interview on 11/06/24 at 3:00 PM the nurse who completed the Heimlich maneuver (Staff I) stated stated Patient #2 had eaten breakfast without a problem. Staff I set him up for lunch, he took a bite of the mac/cheese and had no issues. When he ate a bite of pizza he started choking. Staff I attempted to get him up and couldn’t so they climbed in the bed and completed the Heimlich and called a rapid response. Interview on 11/07/24 at 7:30 AM, the admitting nurse (Staff H) stated Patient #2 arrived to the unit with a caregiver from the group home and had a binder with him. Staff H went thru the admission questions and found out he needed his pills crushed and a pureed diet. She relayed this to the NP when they came into examine him. The patient was nothing per mouth (NPO) thru the night. Staff H put a note in the record stating he required a pureed diet when ordered. Staff H stated this information was passed on to the night NP and also passed on in report the next day. Staff H stated they did not do a swallow test due to this patient being combative on admission and not cooperative. Review of the facility policy titled “Admission Assessment and Interdisciplinary Screening Consults Standard Operating Procedure,” dated 099/13/23, revealed the policy instructs the registered nurse (RN) to complete a nursing admission assessment within 24 hours of admission. This assessment will identity risk factors per patient screenings to refer to the appropriate caregiver professional and or physician. Information gathering uses multiple methods including but not limited to: verbal, available health records, patient and/or significant others/caregiver, observational and overall physical assessment findings and clinical knowledge. Initial admission assessment components are not limited to vital signs, weight, skin, falls, pain, communication/language/sensory needs and dysphasia swallow screening assessments. Interview on on 11/06/24 at 4:50 PM, Staff A verified the facility did not follow the policy to identify the dietary needs of Patient #2, who was provided the incorrect diet which led to a choking episode.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Nov 7, 2024 | Complaint inspection | 2 deficiencies cited |
How do patients fare?
- CMS’s overall 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. for it is 5 of 5.
- Of the measures behind its 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., CMS counts against the national value: mortality, 2 better and 0 worse of 5; safety of care, 1 better and 0 worse of 6; readmission, 0 better and 2 worse of 8.
- Patients rate it 3 of 5 in CMS’s patient survey (740 surveys completed, Oct 1, 2024 to Sep 30, 2025): 67% rated it 9 or 10 out of 10, and 67% 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; MRSA bloodstream infections, no different than 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 failure 7.7%, pneumonia 9.8%, COPD 6.1%, stroke 8.6%. 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 failure 20.5%, pneumonia 17%, COPD 19.6%. 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 166 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 3% left before being seen.
- 70% 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 0.96 times the national median (Jan 1, 2024 to Dec 31, 2024).
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.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 5 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - other.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- Cited at 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. in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
- Voluntary non-profit - Other.
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.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
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.
- 86% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- The Cleveland Clinic Foundation owns 100% directly since Feb 7, 1997.
- The Cleveland Clinic Foundation runs it.
- 45 owners or officers are people: Ronald Weinberg (corporate director); Marianne Crosley (corporate director, 0%); Deborah Crawford (corporate director, 0%); Marcia Ballinger (corporate director, 0%); Catherine M. Kilbane (corporate director, 0%); Dan Schulman (corporate director, 0%); Beth Mooney (corporate officer, 0%); Beth Mooney (corporate director, 0%); Melinda Rich (corporate director, 0%); Spencer Kowal (corporate officer); Betty Kemper (corporate director, 0%); Mark Ross (corporate director, 0%); Doreen Meredith (managing employee (on the payroll)); Dennis L Laraway (corporate officer, 0%); Carole Hoover (corporate director, 0%); Stewart Kohl (corporate director, 0%); Bonnie Gwin (corporate director, 0%); Hiroyuki Fujita (corporate director, 0%); Larry Pollock (corporate director, 0%); Margaret L Mckenzie (managing employee (on the payroll), 0%); Richard J. Kramer (corporate director, 0%); Tomislav Mihaljevic (corporate director, 0%); Michael Petras (corporate director); Mark P Malloy (corporate officer, 0%); Stephanie Santin (managing employee (on the payroll)); Jessica Mcardle (managing employee (on the payroll)); Miguel Regueiro (corporate director, 0%); John Waldron (corporate director, 0%); Jorge Alberto Guzman (corporate officer, 0%); Jorge Alberto Guzman (corporate director, 0%); Albert Salvatore (corporate director, 0%); Thomas Paumier (corporate director, 0%); Lorraine Vega (corporate director); Pamela Miller (corporate director); Alex Gorsky (corporate director, 0%); Heidi Sathre (managing employee (on the payroll), 0%); Michael E. Maroone (corporate director, 0%); Mark Lerner (corporate director); Rachel Byrnes (managing employee (on the payroll)); Frederick Nance (corporate director, 0%); Dragana Rodic (managing employee (on the payroll)); Omar Ishrak (corporate director, 0%); Patricia A Warther (corporate director, 0%); Robert Oblander (corporate officer); Umberto Fedeli (corporate director, 0%).
- CMS’s Provider of Services file records 1 change of ownership, the latest on May 23, 1996.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
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.
| Organisation | Role | Share | Since |
|---|---|---|---|
| The Cleveland Clinic Foundation | Owns 5% or more directly | 100% | Feb 7, 1997 |
| The Cleveland Clinic Foundation | Runs it (operational or managerial control) | 100% | Feb 7, 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 5 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
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
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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.
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.