Hearth Record

Cleveland Clinic

An acute care hospital in Cleveland, Ohio 44195

9500 Euclid Avenue, Cleveland, Ohio 44195. (216) 952-9829.

  • Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 3 deficiencies in 2 months of the last 36. Last cited Jan 2025. Most serious: Standard-level. Every month

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

What these words mean3
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.

What did inspectors find?

The last inspection on record was on Aug 18, 2026: a complaint inspection.

4 deficiencies cited in the last three years, 2 of them under EMTALA, the law requiring an emergency department to examine and stabilise anyone who comes to it.

Source:

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

When those deficiencies happened

3 deficiencies in 2 months of the last 36. Last cited Jan 2025. Most serious: Standard-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.

Jan 9, 2025: complaint inspection2 deficiencies

  • Compliance With 489.24

    The inspectors’ words, 97 words

    “COMPLIANCE WITH 489.24 CFR(s): 489.20(l) [The provider agrees,] in the case of a hospital as defined in §489.24(b), to comply with §489.24. This Standard is not met as evidenced by: 21893 Based on record review and interview, the facility failed to ensure individuals transferred to another hospital had a physician signed certification with a summary of the risks and benefits of the transfer. This affected one (Patient #1) of seven medical records reviewed (Patient #1). In the last six months, the facility’s emergency department saw 33,988 patients and 508 patients were transferred to other facilities. See A2409”

    Rule A2400. Standard-level. From a complaint.

  • Appropriate Transfer

    The inspectors’ words, 768 words

    “APPROPRIATE TRANSFER CFR(s): 489.24(e)(1)-(2) (1) General If an individual at a hospital has an emergency medical condition that has not been stabilized (as defined in paragraph (b) of this section), the hospital may not transfer the individual unless - (i) The transfer is an appropriate transfer (within the meaning of paragraph (e)(2) of this section); and (ii)(A) The individual (or a legally responsible person acting on the individual’s behalf) requests the transfer, after being informed of the hospital’s obligations under this section and of the risk of transfer. The request must be in writing and indicate the reasons for the request as well as indicate that he or she is aware of the risks and benefits of the transfer. (B) A physician (within the meaning of section 1861(r)(1) of the Act) has signed a certification that, based upon the information available at the time of transfer, the medical benefits reasonably expected from the provision of appropriate medical treatment at another medical facility outweigh the increased risks to the individual or, in the case of a woman in labor, to the woman or the unborn child, from being transferred. The certification must contain a summary of the risks and benefits upon which it is based; or (C) If a physician is not physically present in the emergency department at the time an individual is transferred, a qualified medical person (as determined by the hospital in its bylaws or rules and regulations) has signed a certification described in paragraph (e)(1)(ii)(B) of this section after a physician (as defined in section 1861(r)(1) of the Act) in consultation with the qualified medical person, agrees with the certification and subsequently countersigns the certification. The certification must contain a summary of the risks and benefits upon which it is based. (2) A transfer to another medical facility will be appropriate only in those cases in which - (i) The transferring hospital provides medical treatment within its capacity that minimizes the risks to the individual’s health and, in the case of a woman in labor, the health of the unborn child; (ii) The receiving facility (A) Has available space and qualified personnel for the treatment of the individual; and (B) Has agreed to accept transfer of the individual and to provide appropriate medical treatment. (iii) The transferring hospital sends to the receiving facility all medical records (or copies thereof) related to the emergency condition which the individual has presented that are available at the time of the transfer, including available history, records related to the individual’s emergency medical condition, observations of signs or symptoms, preliminary diagnosis, results of diagnostic studies or telephone reports of the studies, treatment provided, results of any tests and the informed written consent or certification (or copy thereof) required under paragraph (e)(1)(ii) of this section, and the name and address of any on-call physician (described in paragraph (g) of this section) who has refused or failed to appear within a reasonable time to provide necessary stabilizing treatment. Other records (e.g., test results not yet available or historical records not readily available from the hospital’s files) must be sent as soon as practicable after transfer; and (iv) The transfer is effected through qualified personnel and transportation equipment, as required, including the use of necessary and medically appropriate life support measures during the transfer. This Standard is not met as evidenced by: 21893 Based on record review and interview, the facility failed to ensure individuals transferred to another hospital had a physician signed certification with a summary of the risks and benefits of the transfer. This affected one (Patient #1) of seven medical records reviewed (Patient #1). In the last six months, the facility’s emergency department saw 33,988 patients and 508 patients were transferred to other facilities. Findings include: Review of the medical record for Patient #1 revealed an arrival date of 11/27/24 at 12:51 AM to the emergency department. The medical record contained documentation the patient had preterm premature rupture of membranes with unknown onset of labor. The patient requested to be transferred to a different acute care hospital where her physician was. The patient was transferred to the requested hospital on 11/27/24 at 3:54 AM. Review of the “Patient Transfer Form” for Patient #1 revealed the physician checked the reason for transfer as patient request and the risks and benefits of being transferred have been explained to the patient. The physician signed and dated the form. However the Risks and Benefits section did not have any of the boxes checked and nothing was written in this section. During an interview on 01/08/25 at 4:15 PM, Staff K verified the above findings.”

    Rule A2409. Standard-level. From a complaint.

Feb 7, 2024: complaint inspection1 deficiency

  • Patient Rights: Restraint Or Seclusion

    The inspectors’ words, 287 words

    “PATIENT RIGHTS: RESTRAINT OR SECLUSION CFR(s): 482.13(e)(5) §§482.13(e)(5) - The use of restraint or seclusion must be in accordance with the order of a physician or other licensed practitioner who is responsible for the care of the patient and authorized to order restraint or seclusion by hospital policy in accordance with State law. This Standard is not met as evidenced by: 31597 Based on medical record review, policy review and interview, the facility failed to ensure the use of restraints was in accordance with a physician’s order for one of four medical records reviewed for restraints (Patient #2). The facility’s census was 1098. Findings include: Review of the facility policy titled, Restraint Use Procedure for Non-Violent/Non-Self-Destructive Behavior (NVNSD) (Version 5, Effective 11/01/22) revealed if alternatives are unsuccessful, immediately notify the physician/licensed independent practitioner (LIP) who is primarily responsible for the patient and obtain and enter a verbal order, or the physician/LIP will enter the order for the restraint. Apply the least restrictive restraint. In an emergent situation, apply the least restrictive restraint. Immediately notify the physician/LIP who is primarily responsible for the patient and enter a verbal order. The need for restraint intervention may occur so quickly that an order cannot be obtained prior to the application of restraints. In these emergency application situations, the order must be obtained either during the emergency application of the restraint, or immediately after the restraint is applied. Review of Patient #2’s medical record revealed the patient was placed in restraints on 01/11/24 at 8:00 PM. The medical record for Patient #2 did not contain an order for restraints until 01/12/24 at 2:22 AM. The findings were shared with Staff A in an interview on 02/05/24 at 9:46 AM and confirmed.”

    Rule A0168. Standard-level. From a complaint.

Nov 14, 2023: complaint inspection1 deficiency

  • Administration Of Drugs

    The inspectors’ words, 438 words

    “ADMINISTRATION OF DRUGS CFR(s): 482.23(c)(1), (c)(1)(i) & (c)(2) (1) Drugs and biologicals must be prepared and administered in accordance with Federal and State laws, the orders of the practitioner or practitioners responsible for the patient’s care as specified under §482.12(c), and accepted standards of practice. (i) Drugs and biologicals may be prepared and administered on the orders of other practitioners not specified under §482.12(c) only if such practitioners are acting in accordance with State law, including scope of practice laws, hospital policies, and medical staff bylaws, rules, and regulations. (2) All drugs and biologicals must be administered by, or under supervision of, nursing or other personnel in accordance with Federal and State laws and regulations, including applicable licensing requirements, and in accordance with the approved medical staff policies and procedures. This Standard is not met as evidenced by: 31597 Based on medical record review, policy review, and interview, the facility failed to ensure drugs were prepared and administered in accordance with accepted standards of practice for one of 10 patients reviewed (Patient #2). The facility’s census was 1083. Findings include: Review of the facility’s policy titled, The facility’s Enteral Tubes for Feeding, Medication Administration: Care of the Adult Patient with Protocol (Version 5, Effective Date 05/11/22), revealed to prepare medications for administration via feeding tube, verify which medication may be crushed with Pharmacy Formulary Guidelines. Pharmaceutical products which are controlled release (CR), long acting (LA), sustained release (SR), time released (TR), sustained (SA), enteric coated (EC) or extended release (XR, XL, CD) are not administered via an enteral feeding tube. Alternatives are discussed with Pharmacy and physician/LIP prior to administering the medication to the patient. Notify Pharmacy and physician/LIP of the need to supply liquid medications rather than pills when applicable. Crush and administer each medication separately. Do not crush hazardous medications. Flush tube with 15 milliliters ml - 30 ml of water before, between and after each medication administration. Use oral dispensers (amber syringes) to administer oral liquid medications, including medications crushed and added to liquid for administration. A larger syringe (ex. Toomey or Davol) may also be used. Do not use injectable syringes to administer oral liquid medications. Per medical record review, Staff L administered Patient #2’s multiple medications via a feeding tube on 09/15/23 at 9:14 PM. Staff L was interviewed on 11/14/23 at 8:25 AM. Staff L reported she crushed individual patient medications separately but administered all of a patient’s crushed medications mixed together, at the same time. The findings were shared with Staff G in an interview on 11/14/23 at 8:32 AM and confirmed. This deficiency represents non-compliance investigated under Substantial Allegation OH00146762.”

    Rule A0405. Standard-level. From a complaint.

All 9 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Aug 18, 2026Complaint inspectionNo deficiencies cited
Jul 15, 2025Complaint inspectionNo deficiencies cited
Mar 13, 2025Complaint inspectionNo deficiencies cited
Jan 9, 2025Complaint inspection2 deficiencies cited
Nov 8, 2024Complaint inspectionNo deficiencies cited
Jul 22, 2024Complaint inspectionNo deficiencies cited
Mar 25, 2024Complaint inspectionNo deficiencies cited
Feb 7, 2024Complaint inspection1 deficiency cited
Nov 14, 2023Complaint inspection1 deficiency cited

How do patients fare?

  • CMS’s overall for it is 4 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 6 better and 0 worse of 8; safety of care, 3 better and 1 worse of 8; readmission, 4 better and 3 worse of 11.
  • Patients rate it 3 of 5 in CMS’s patient survey (7,072 surveys completed, Oct 1, 2024 to Sep 30, 2025): 75% rated it 9 or 10 out of 10, and 80% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), better than the 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, 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: worse than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 9.3%, heart failure 7%, pneumonia 10.6%, COPD 7.3%, stroke 9.9%, heart bypass surgery 1.2%. 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 14.2%, heart failure 21.3%, pneumonia 17.7%, COPD 18.5%, heart bypass surgery 8.6%, hip or knee replacement 5.7%. 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, worse than the national rate; emergency visits after outpatient chemotherapy, better than the national rate; unplanned hospital visits after outpatient surgery, better than expected.
  • Emergency department patients spent a median of 189 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 3% left before being seen.
  • 66% 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 0.95 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 54 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 The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • No deficiency on record in the last three years.
  • 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.
  • CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
  • 4 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.

On record, newest first
DateWhatDetail
Medicare payment reduction (HAC Reduction Program)Fiscal year 2026: 1% of Medicare payments

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.
  • 90% 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?

  • 66 owners or officers are people: Marianne Crosley (corporate director, 0%); Katherine Hancock (corporate officer, 0%); Catherine M. Kilbane (corporate director, 0%); Dan Schulman (corporate director, 0%); Lisa Marie Yerian (corporate officer, 0%); Raed Abdul Dweik (managing employee (on the payroll)); Beth Mooney (corporate officer, 0%); Beth Mooney (corporate director, 0%); Melinda Rich (corporate director, 0%); 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%); Bartolome Burguera (managing employee (on the payroll)); Hiroyuki Fujita (corporate director, 0%); Bruce Broussard (corporate director, 0%); Larry Pollock (corporate officer, 0%); Larry Pollock (corporate director, 0%); Robert R Lorenz (corporate officer, 0%); Richard J. Kramer (corporate director, 0%); Tomislav Mihaljevic (corporate officer, 0%); Tomislav Mihaljevic (corporate director, 0%); Michael Petras (corporate officer, 0%); Michael Petras (corporate director, 0%); Stephanie Santin (managing employee (on the payroll)); Jessica Mcardle (managing employee (on the payroll)); Brian Paul Rubin (managing employee (on the payroll)); Conor P Delaney (corporate officer, 0%); Tommaso Falcone (corporate officer, 0%); Miguel Regueiro (managing employee (on the payroll)); John Waldron (corporate director, 0%); Georges Pascal Haber (corporate officer, 0%); Jorge Alberto Guzman (corporate officer, 0%); Lars G Svensson (managing employee (on the payroll)); Deborah Coco Gordon (corporate officer, 0%); Alex Adjei (managing employee (on the payroll)); Albert Salvatore (corporate director, 0%); Thomas Paumier (corporate director, 0%); Lorraine Vega (corporate director, 0%); Serpil C Erzurum (corporate officer, 0%); Rohit Chandra, Phd (corporate officer, 0%); Pamela Miller (corporate director, 0%); Alex Gorsky (corporate director, 0%); Heidi Sathre (managing employee (on the payroll)); Michael E. Maroone (corporate director, 0%); Patrick J Byrne (managing employee (on the payroll)); Susan Nobilio (corporate director, 0%); Beri M Ridgeway (corporate officer, 0%); Beri M Ridgeway (corporate director, 0%); Mark Lerner (corporate director, 0%); Rachel Byrnes (managing employee (on the payroll)); William Peacock (corporate officer); Frederick Nance (corporate director); Scott R Steele (managing employee (on the payroll)); Dragana Rodic (managing employee (on the payroll)); Vickie Roshella Johnson (corporate officer, 0%); Rita M Pappas (managing employee (on the payroll)); Omar Ishrak (corporate director, 0%); James F Gutierrez (managing employee (on the payroll)); Patricia A Warther (corporate director, 0%); Andre Guelman Gomes Machado (managing employee (on the payroll)); Robert Oblander (corporate officer, 0%); Umberto Fedeli (corporate director, 0%).
  • CMS’s Provider of Services file records 3 changes 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.

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 4 of 5.
Source:

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

12 compared
PlaceOverall star rating
Louis Stokes Cleveland VA Medical Center4
Parma Community General Hospital4
Metrohealth System3
Fairview Hospital5
Euclid Hospital4
Lutheran Hospital3
Uh St John Medical Center4
Uh Cleveland Medical Center3
Marymount Hospital5
South Pointe Hospital5
Southwest General Health Center4
Hillcrest Hospital5

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.

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