Nursing homeActive
The Gardens Of Fairfax Health Care Center
9014 Cedar Ave, Cleveland, OH 44106216795136389 certified beds · 59 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2019
Deficiencies
47
● 3● 43● 1
Penalties · 3 yrs
$113,060
19 fines
Last survey
2026-03-09
Complaint
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 |
|---|---|---|---|---|
| 2026-03-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2026-02-12 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-09-24 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-03-29 | Complaint | 031 | CMS-2567 (Care Compare) | — |
| 2023-12-06 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-05-16 | Standard | 2170 | CMS-2567 (Care Compare) | — |
| 2019-10-23 | Standard | 1130 | 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.
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 366106-20260309-F695
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 366106-20260212-F609
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 2026-03-10Record 366106-20260212-F677
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 366106-20260212-F698
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 366106-20260212-F756
F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-03-10Record 366106-20260212-F800
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-24Record 366106-20250924-F609
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 2025-09-15Record 366106-20250924-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-04-23Record 366106-20240329-F689
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-23Record 366106-20240329-F607
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-23Record 366106-20240329-F610
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 2024-04-23Record 366106-20240329-F677
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-04Record 366106-20231206-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-04Record 366106-20231206-F656
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F558
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity FStandard
Abuse & neglect
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F610
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F655
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F677
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F688
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F690
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F698
F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F727
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F756
F758Implement 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F758
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F804
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-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 2023-09-14Record 366106-20230516-F812
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-09-14Record 366106-20230516-F881
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2023-09-14Record 366106-20230516-F851
F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2023-06-26Record 366106-20230516-F944
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-02-12Record 366106-20191023-F561
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-12Record 366106-20191023-F623
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-12Record 366106-20191023-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-07Record 366106-20191023-F655
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-07Record 366106-20191023-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-03-07Record 366106-20191023-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2020-02-12Record 366106-20191023-F684
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-12Record 366106-20191023-F693
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2020-02-12Record 366106-20191023-F725
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-12Record 366106-20191023-F758
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 2020-02-12Record 366106-20191023-F868
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2020-03-07Record 366106-20191023-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-02-12Record 366106-20191023-F921
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2020-03-06Record 366106-20191023-F732
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-03-29 | Civil money penalty | $10,039 | CMS · Penalties |
| 2024-02-20 | Civil money penalty | $4,938 | CMS · Penalties |
| 2024-02-12 | Civil money penalty | $4,938 | CMS · Penalties |
| 2024-01-22 | Civil money penalty | $14,814 | CMS · Penalties |
| 2024-01-08 | Civil money penalty | $4,938 | CMS · Penalties |
| 2024-01-02 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-12-11 | Civil money penalty | $13,762 | CMS · Penalties |
| 2023-11-20 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-11-13 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-11-06 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-10-30 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-10-23 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-10-17 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-10-10 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-10-02 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-09-25 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-09-18 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-09-11 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-09-05 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-08-28 | Civil money penalty | $4,587 | CMS · Penalties |
| 2023-08-21 | Civil money penalty | $4,587 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.38
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day3.71
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours3.10
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover69%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover57%
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 | 2.6% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.7% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 4.2% | 8.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 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 | 10.1% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.4% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.8% | 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 |
|---|---|---|---|---|
| Colleran, Brian Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Edeh, Nkechi Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Foundations Health Solutions, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Krystowski, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bhaiji, Alok Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Colleran, Brian Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Colleran, Brian Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Edeh, Nkechi Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Foundations Health Solutions, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Krystowski, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Krystowski, John Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Foundations Health Solutions — 64 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 |
|---|---|---|---|
| Crawford Manor Healthcare Center Cleveland | 0.6 mi | 2026-04-23 | 0173 |
| Singleton Health Care Center Cleveland | 0.7 mi | 2026-02-27 | 070 |
| Judson Park Cleveland | 0.9 mi | 2024-10-01 | 032 |
| University Manor Health & Reha Cleveland | 0.9 mi | 2025-02-03 | 1282 |
| Cityview Healthcare And Rehabilitation Cleveland | 1.1 mi | 2026-04-07 | 1385 |
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 |