Hearth Record

Aristos Nursing and Rehabilitation

A nursing home in Cleveland, Ohio 44135

4650 Rocky River Dr, Cleveland, Ohio 44135. (216) 267-5445.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 25 citations in 3 months of the last 36. Last cited May 2026. Most serious: no actual harm, potential for more than minimal harm (F). Every month

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?

22 health citations at the latest inspection cycle

The Ohio average is 10.5.

Last standard inspection Sep 29, 2025.

Most serious in three years: D: no actual harm, potential for more than minimal harm.

Source:

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

When those citations happened

25 citations in 3 months of the last 36. Last cited May 2026. Most serious: no actual harm, potential for more than minimal harm (F). The last 3 years, to Nov 5, 2026.

25 citations 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.

All 25 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 15 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

May 13, 2026: complaint inspection13 citations
  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Rule F0676. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

  • Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Rule F0691. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

  • Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Rule F0698. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

  • Ensure the resident’s doctor reviews the resident’s care, writes, signs and dates progress notes and orders, at each required visit.

    Rule F0711. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

  • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Rule F0773. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 18, 2026.

  • Implement a program that monitors antibiotic use.

    Rule F0881. F: no actual harm, potential for more than minimal harm. From a complaint. The provider has asked for a review. Correction date, as CMS recorded it: Jun 18, 2026.

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. F: no actual harm, potential for more than minimal harm. From a complaint. The provider has asked for a review. Correction date, as CMS recorded it: Jun 18, 2026.

Sep 29, 2025: standard inspection10 citations
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Rule F0645. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 5, 2025.

  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 5, 2025.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 5, 2025.

  • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Rule F0756. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 5, 2025.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 5, 2025.

  • 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.

    Rule F0803. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 5, 2025.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 5, 2025.

  • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Rule F0849. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 5, 2025.

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 5, 2025.

  • Have policies on smoking.

    Rule F0926. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 5, 2025.

Sep 29, 2025: standard and complaint inspection1 citation
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 5, 2025.

Aug 16, 2024: complaint inspection1 citation
  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident’s well being.

    Rule F0726. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 3, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Sep 1, 1996.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 57 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • No fines in the last three years.
  • No Medicare payment denials in the last three years.
  • 15 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Who does the caring?

3.32 nurse hours per resident per day

The Ohio average is 3.71.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeOhio average
Nurse hours per resident per day3.323.71
Of which registered nurses0.550.64
At weekends3.103.29
Nursing staff turnover56.9%49%
Registered nurse turnover58.3%44.4%
Administrators who left2Not given

Who owns it?

  • Aaa Eminent LLC owns 100% directly since Dec 31, 2024; Aaa Opco LLC owns 100% directly since Dec 31, 2024.
  • Eminent CARE Group LLC runs it.
  • 16 owners or officers are people: Yaakov Geldzahler (owns 5% or more through other companies, 50%); Yaakov Geldzahler (general partner, 50%); Chaim Ausch (owns 5% or more through other companies, 50%); Chaim Ausch (limited partner, 50%); Lynn Young (additional disclosable party (controls, leases property to, or provides services to the home)); Yaakov Geldzahler (runs it (operational or managerial control)); Yaakov Geldzahler (on the governing body (managing control)); Chaim Ausch (runs it (operational or managerial control)); Chaim Ausch (on the governing body (managing control)); Jayantilal Bhimani (additional disclosable party (controls, leases property to, or provides services to the home)); Yechezkel Zserebrowski (runs it (operational or managerial control)); Yechezkel Zserebrowski (on the governing body (managing control)); Ashley Mercadante (runs it (operational or managerial control)); Ashley Mercadante (additional disclosable party (controls, leases property to, or provides services to the home)); Kimberly Royer (runs it (operational or managerial control)); Kimberly Royer (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.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Aaa Eminent LLCOwns a share directly100%Dec 31, 2024
Aaa Eminent LLCOwns a share through other companies100%Dec 31, 2024
S & T BankHolds 5% or more of the mortgage100%Dec 12, 2017
Aaa Opco LLCOwns a share directly100%Dec 31, 2024
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 22, 2026
Carerite Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 31, 2024
Carerite Services LLCOwns a share through other companiesDec 31, 2024
Med-Net Compliance LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 31, 2024
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Apr 22, 2026
Armstead Pharmacy Provider Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 31, 2024
Eminent CARE Group LLCRuns it (operational or managerial control)Dec 31, 2024
Eminent CARE Group LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 31, 2024
Howard, Wershbale & CoAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 31, 2024

How do residents fare?

  • CMS rates its quality measures 4 of 5 (Ohio average 4.5).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections2 of 5
Staffing1 of 5
Quality measures4 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 3.7 miles, this one had the 3rd most health citations at the latest inspection cycle (22; the middle value was 8.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Aristos Nursing and Rehabilitation This nursing home22
Larchwood Care1.08
Rocky River Gardens Rehab and Nursing Ctr1.022
Westpark Healthcare Campus1.47
O’neill Healthcare Fairview Park1.80
North Park Care Center2.60
Gardens of North Olmsted2.735
O’neill Healthcare North Olmsted2.79
Welsh Home the2.91
East Park Care Center3.125
Berea Center3.13
Northwestern Healthcare Center3.714

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

  • 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).

  • 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).

  • 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).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • 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.

Source:

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.

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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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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