Nursing homeActive
Northwestern Healthcare Center
570 North Rocky River Drive, Berea, OH 440174402432122100 certified beds · 48 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2021
Deficiencies
33
● 2● 27● 4
Penalties · 3 yrs
$152,195
3 fines
Last survey
2025-08-27
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 2
Staffing 2
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Ohio Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-27 | Standard | 2102 | CMS-2567 (Care Compare) | — |
| 2024-12-09 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2024-09-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-08-26 | Complaint | 041 | CMS-2567 (Care Compare) | — |
| 2024-05-07 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-12-21 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2023-09-05 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2021-09-14 | Standard | 070 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Ohio Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-09-20Record 365811-20250827-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-09-20Record 365811-20250827-F689
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-20Record 365811-20250827-F568
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-20Record 365811-20250827-F569
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-20Record 365811-20250827-F657
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-20Record 365811-20250827-F685
F687Provide appropriate foot care.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-20Record 365811-20250827-F687
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-20Record 365811-20250827-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-20Record 365811-20250827-F812
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-20Record 365811-20250827-F865
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-20Record 365811-20250827-F868
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-20Record 365811-20250827-F880
F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2025-09-20Record 365811-20250827-F835
F843Have 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.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2025-09-20Record 365811-20250827-F843
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-26Record 365811-20241209-F558
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-26Record 365811-20241209-F684
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-26Record 365811-20241209-F760
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-26Record 365811-20241209-F880
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-01Record 365811-20240924-F759
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-09-13Record 365811-20240826-F686
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 365811-20240826-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 365811-20240826-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 365811-20240826-F689
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-13Record 365811-20240826-F880
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity KHarm
Food & nutrition
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-05-22Record 365811-20240507-F805
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 365811-20230905-F684
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-10-06Record 365811-20210914-F550
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-10-06Record 365811-20210914-F584
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-10-06Record 365811-20210914-F657
F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-10-06Record 365811-20210914-F661
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-10-06Record 365811-20210914-F685
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-10-06Record 365811-20210914-F759
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2021-10-06Record 365811-20210914-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-08-27 | Civil money penalty | $68,250 | CMS · Penalties |
| 2024-08-26 | Civil money penalty | $26,813 | CMS · Penalties |
| 2024-05-07 | Civil money penalty | $57,132 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.64
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day3.45
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours3.19
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover60%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover64%
Facility
Ohio
National
Ohio 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Ohio | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.9% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.3% | 8.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.1% | 0.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 5.4% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.6% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 31.9% | 25.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Second Option Op Co LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Option Holdings II LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Afzal, Endia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Damtew, Belai Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Groves, Donna Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rocky River Management Co LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Romeo, Dominic Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Afzal, Endia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| C R Stoltz II LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| C.R. Stoltz Irrevocable Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Damtew, Belai Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hc Real Estate Holdings, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| I. Rosedale Irrevocable Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Omg Re Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Option Holdings II LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| R.S. Wilheim Irrevocable Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rocky River Management Co LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Romeo, Dominic Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ronald S Wilheim 2012 Spousal Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rosedale Family Investment Company, Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rrw, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| S.L. Rosedale Irrevocable Trust Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stoltz, Charles Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Wilheim Family Investment Company, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wilheim, Ronald Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Communicare Health — 110 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Ohio.
No county cost figures on file for Cuyahoga.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Berea Center Berea | 0.6 mi | 2025-08-07 | 020 |
| Aristocrat Berea Healthcare And Rehabilitation Berea | 0.7 mi | 2025-08-30 | 0201 |
| Hopkins Rehabilitation and Care Center Middleburg Heights | 1.1 mi | 2024-12-04 | 0154 |
| Parkside Villa Middleburg Heights | 1.4 mi | 2025-04-30 | 0180 |
| O'neill Healthcare Middleburg Heights Middleburg Heights | 1.5 mi | 2025-12-04 | 011 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |