Nursing homeActive
Larchwood Care
4110 Rocky River Drive, Cleveland, OH 44135216941610074 certified beds · 66 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
6
since 2019
Deficiencies
19
● 0● 18● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-05-12
Complaint
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 3
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 |
|---|---|---|---|---|
| 2026-05-12 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-09-08 | Standard | 051 | CMS-2567 (Care Compare) | — |
| 2024-03-05 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-08-21 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2022-11-17 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2019-09-05 | 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.
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 2026-06-05Record 366359-20260512-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-05Record 366359-20260512-F686
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 2025-09-25Record 366359-20250908-F689
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 2025-09-25Record 366359-20250908-F558
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 366359-20250908-F604
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 2025-09-25Record 366359-20250908-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 2025-09-25Record 366359-20250908-F688
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-25Record 366359-20250908-F755
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-15Record 366359-20240305-F553
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 2024-03-15Record 366359-20240305-F880
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-05Record 366359-20230821-F842
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 2023-09-05Record 366359-20230821-F880
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 2019-09-30Record 366359-20190905-F550
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 2019-09-30Record 366359-20190905-F607
F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-09-30Record 366359-20190905-F800
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-09-30Record 366359-20190905-F806
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 2019-09-30Record 366359-20190905-F812
F908Keep all essential equipment working safely.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-09-30Record 366359-20190905-F908
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-09-30Record 366359-20190905-F921
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.11
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day5.88
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours5.23
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover42%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover24%
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 | 10.1% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 0.0% | 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 | 4.4% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.7% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 29.0% | 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 |
|---|---|---|---|---|
| Kothari, Zahid Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | — | — |
| Larchwood Investors LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 90% | — | — |
| Union Commerce Capital LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | — | — |
| Cobb, Michael Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | — | — |
| Krutowsky, Joshua Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | — | — |
| Thompson, Lowell Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 45% | — | — |
| Ww Healthcare Consultants, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shank, Kelsey Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
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 |
|---|---|---|---|
| Rocky River Gardens Rehab And Nursing Ctr Cleveland | 0.0 mi | 2026-05-20 | 0203 |
| Aristos Nursing and Rehabilitation Cleveland | 1.0 mi | 2026-05-13 | 0260 |
| Westpark Healthcare Campus Cleveland | 1.1 mi | 2026-04-27 | 190 |
| O'neill Healthcare Fairview Park Fairview Park | 1.6 mi | 2025-06-26 | 040 |
| Welsh Home The Rocky River | 2.6 mi | 2024-01-04 | 010 |
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 |