Northwestern Healthcare Center
A nursing home in Berea, Ohio 44017
570 North Rocky River Drive, Berea, Ohio 44017. (440) 243-2122.
- Cited for abuse (CMS flag)
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.
- 2of 5 CMS’s overall rating
- 14 health citations at the latest inspection cycle Ohio average: 10.5
- 3.48 nurse hours per resident per day Ohio average: 3.71
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- 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.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- 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?
14 health citations at the latest inspection cycle
The Ohio average is 10.5.
Last standard inspection Aug 27, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard and complaint inspection on Aug 27, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
25 citations in 5 months of the last 36. Last cited Aug 2025. Most serious: immediate jeopardy to health or safety (K). 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 25 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. 14 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 27, 2025: standard inspection11 citations
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Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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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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Assist a resident in gaining access to vision and hearing services.
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Provide appropriate foot care.
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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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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Have a plan that describes the process for conducting QAPI and QAA activities.
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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Provide and implement an infection prevention and control program.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Aug 27, 2025: standard and complaint inspection3 citations
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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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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Properly hold, secure, and manage each resident’s personal money which is deposited with the nursing home.
Dec 9, 2024: complaint inspection4 citations
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Reasonably accommodate the needs and preferences of each resident.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Ensure that residents are free from significant medication errors.
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Provide and implement an infection prevention and control program.
Sep 24, 2024: complaint inspection1 citation
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Ensure medication error rates are not 5 percent or greater.
Aug 26, 2024: complaint inspection5 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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 and implement an infection prevention and control program.
May 7, 2024: complaint inspection1 citation
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Oct 25, 1990.
- Not on CMS’s special focus list.
- CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 100 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $152,195 in all.
- No Medicare payment denials in the last three years.
- 14 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Aug 27, 2025 | Fine | $68,250 |
| Aug 26, 2024 | Fine | $26,813 |
| May 7, 2024 | Fine | $57,132 |
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 | 0.79 | 0.64 |
| At weekends | 3.27 | 3.29 |
| Nursing staff turnover | 60.7% | 49% |
| Registered nurse turnover | 52.9% | 44.4% |
| Administrators who left | 2 | Not given |
Who owns it?
- Second Option Op Co LLC owns 100% directly since Apr 1, 2008.
- Rocky River Management Co LLC runs it.
- 9 owners or officers are people: Belai Damtew (runs it (operational or managerial control)); Belai Damtew (additional disclosable party (controls, leases property to, or provides services to the home)); Ronald Wilheim (corporate officer); Dominic A Romeo (corporate officer); Dominic A Romeo (runs it (operational or managerial control)); Donna Groves (runs it (operational or managerial control)); Endia Afzal (runs it (operational or managerial control)); Endia Afzal (additional disclosable party (controls, leases property to, or provides services to the home)); Charles Stoltz (corporate officer).
- Part of Communicare Health (109 homes in CMS’s data).
- 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 |
|---|---|---|---|
| Second Option Op Co LLC | Owns 5% or more directly | 100% | Apr 1, 2008 |
| Omg RE Holdings LLC | Owns 5% or more through other companies | 100% | Apr 1, 2008 |
| Rrw, LLC | Owns 5% or more through other companies | 93.48% | Apr 1, 2008 |
| Hc Real Estate Holdings, LLC | Owns 5% or more through other companies | 93.48% | Apr 1, 2008 |
| I. Rosedale Irrevocable Trust | Owns 5% or more through other companies | 31.16% | Apr 1, 2008 |
| Wilheim Family Investment Company, Inc. | Owns 5% or more through other companies | 31.16% | Apr 1, 2008 |
| Rosedale Family Investment Company, Inc. | Owns 5% or more through other companies | 31.16% | Apr 1, 2008 |
| S.l. Rosedale Irrevocable Trust | Owns 5% or more through other companies | 31.16% | Apr 1, 2008 |
| R.s. Wilheim Irrevocable Trust | Owns 5% or more through other companies | 15.89% | Apr 1, 2008 |
| Ronald S Wilheim 2012 Spousal Trust | Owns 5% or more through other companies | 15.27% | Apr 1, 2008 |
| C.r. Stoltz Irrevocable Trust | Owns 5% or more through other companies | 6.52% | Apr 1, 2008 |
| C R Stoltz II LLC | Owns 5% or more through other companies | 6.52% | Apr 1, 2008 |
| Ronald S Wilheim 2012 Spousal Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| Rocky River Management Co LLC | Runs it (operational or managerial control) | Apr 1, 2008 | |
| Rocky River Management Co LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 15, 2025 | |
| I. Rosedale Irrevocable Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| Option Holdings II LLC | Owns 5% or more through other companies | Apr 1, 2008 | |
| Option Holdings II LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| C.r. Stoltz Irrevocable Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| Wilheim Family Investment Company, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| Rrw, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| Hc Real Estate Holdings, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 3, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| Rosedale Family Investment Company, Inc. | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| C R Stoltz II LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| S.l. Rosedale Irrevocable Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| R.s. Wilheim Irrevocable Trust | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 | |
| Omg RE Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 1, 2008 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Ohio average 4.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 3.3 miles, this one had the 3rd most health citations at the latest inspection cycle (14; the middle value was 7).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Northwestern Healthcare Center This nursing home | 14 | |
| Berea Center | 0.6 | 3 |
| Aristocrat Berea Healthcare and Rehabilitation | 0.7 | 9 |
| Hopkins Rehabilitation and Care Center | 1.1 | 15 |
| Parkside Villa | 1.4 | 9 |
| O’neill Healthcare Middleburg Heights | 1.5 | 1 |
| Village of the Falls | 2.6 | 0 |
| Riverview Pointe Care Center | 2.7 | 3 |
| O’neill Healthcare North Olmsted | 2.9 | 9 |
| Health Center at the Renaissance | 3.1 | 5 |
| North Park Care Center | 3.2 | 0 |
| East Park Care Center | 3.3 | 25 |
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
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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.