Momentous Health at Richfield
A nursing home in Richfield, Ohio 44286
4360 Brecksville Rd, Richfield, Ohio 44286. (330) 659-6166.
- On CMS’s special focus list
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 28, 2026.
- Not rated CMS’s overall rating
- 8 health citations at the latest inspection cycle Ohio average: 10.5
- 3.48 nurse hours per resident per day Ohio average: 3.71
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- 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.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
8 health citations at the latest inspection cycle
The Ohio average is 10.5.
Last standard inspection May 18, 2026.
Most serious in three years: actual harm (G), at a standard and complaint inspection on Mar 31, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
80 citations in 8 months of the last 36. Last cited Aug 2026. Most serious: actual harm (G). 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.
All 80 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 48 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 20, 2026: complaint inspection1 citation
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Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
May 28, 2026: complaint inspection1 citation
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
May 18, 2026: standard inspection5 citations
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Ensure each resident receives an accurate assessment.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide care or services that was trauma informed and/or culturally competent.
May 18, 2026: standard and complaint inspection1 citation
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jun 11, 2025: complaint inspection5 citations
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Provide enough food/fluids to maintain a resident’s health.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Mar 31, 2025: standard inspection27 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Honor the resident’s right to manage his or her financial affairs.
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Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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Ensure residents have reasonable access to and privacy in their use of communication methods.
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Honor the resident’s right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Ensure each resident receives an accurate assessment.
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Observe each nurse aide’s job performance and give regular training.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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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.
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Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.
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Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Mar 31, 2025: standard and complaint inspection14 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure that residents are free from significant medication errors.
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Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
Aug 30, 2024: complaint inspection1 citation
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jul 8, 2024: complaint inspection7 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
-
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
Provide enough food/fluids to maintain a resident’s health.
-
Ensure that residents are free from significant medication errors.
-
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
May 28, 2024: complaint inspection2 citations
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Dispose of garbage and refuse properly.
Feb 27, 2024: complaint inspection16 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
-
Ensure residents have reasonable access to and privacy in their use of communication methods.
-
Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
-
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
-
Respond appropriately to all alleged violations.
-
Provide care and assistance to perform activities of daily living for any resident who is unable.
-
Provide activities to meet all resident’s needs.
-
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
Provide enough food/fluids to maintain a resident’s health.
-
Ensure that residents are free from significant medication errors.
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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.
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Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 12, 1978.
- On CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, individual.
- 72 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $167,218 in all.
- 1 Medicare payment denial in the last three years.
- 48 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Mar 31, 2025 | Medicare payment denial | Not given |
| Mar 31, 2025 | Fine | $167,218 |
Who does the caring?
3.48 nurse hours per resident per day
The Ohio average is 3.71.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Ohio average |
|---|---|---|
| Nurse hours per resident per day | 3.48 | 3.71 |
| Of which registered nurses | 0.36 | 0.64 |
| At weekends | 3.20 | 3.29 |
| Nursing staff turnover | 69.6% | 49% |
| Registered nurse turnover | 83.3% | 44.4% |
| Administrators who left | 0 | Not given |
Who owns it?
- Richfield Rehab LLC owns 100% directly since Jun 30, 2023.
- 9 owners or officers are people: Michael J Tenenbaum (owns 5% or more through other companies, 50%); Mark Stein (owns 5% or more through other companies, 50%); Benson Sylvance Bonyo (additional disclosable party (controls, leases property to, or provides services to the home)); Michael J Tenenbaum (corporate officer); Michael J Tenenbaum (additional disclosable party (controls, leases property to, or provides services to the home)); Lucinda O’hara (runs it (operational or managerial control)); Lucinda O’hara (additional disclosable party (controls, leases property to, or provides services to the home)); Mark Stein (corporate officer); Mark Stein (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Richfield Rehab LLC | Owns 5% or more directly | 100% | Jun 30, 2023 |
How do residents fare?
- CMS hasn’t rated this home’s quality measures.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | Not rated |
| Health inspections | Not rated |
| Staffing | Not rated |
| Quality measures | Not rated |
How does it compare nearby?
- Among the 12 nearest homes, within 8.1 miles, this one had the 6th most health citations at the latest inspection cycle (8; the middle value was 8).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Momentous Health at Richfield This nursing home | 8 | |
| Regina Health Center | 2.6 | 5 |
| The Heights Rehabilitation and Healthcare Center | 4.3 | 23 |
| Avenue at Broadview Heights | 4.6 | 22 |
| Oaks of Brecksville | 4.8 | 3 |
| Brentwood Health Care Center | 5.3 | 2 |
| Heritage of Hudson | 7.4 | 5 |
| Wayside Farm Inc. | 7.6 | 8 |
| Hudson Elms Nursing Center | 7.6 | 21 |
| Avenue at Macedonia | 7.7 | 10 |
| Northfield Village Retirement Community | 7.9 | 4 |
| Bath Manor Special Care Centre | 8.1 | 11 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 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 home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home 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 home”, and paying will never change a finding, a rating or the order of results.