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B

74/100

Above average

Joshua Tree Care Center

27500 Mill Rd, North Olmsted, OH 44070

CMS 4/5 stars #28 of 91 in Cuyahoga County (440) 777-8444
Certified beds
36
Occupancy
95%
Ownership
For-profit
Accepts
Medicare + Medicaid

Our read on Joshua Tree Care Center

Joshua Tree Care Center is a small for-profit home in North Olmsted, 36 beds, individually owned, and its record is a mixed bag you'll want to weigh carefully. Inspections look solid: a recent January 2025 survey, 11 deficiencies on file, none causing harm or involving abuse, and four-out-of-five stars on both health inspections and quality measures. Staffing is the weak spot. At 3.32 nurse hours per resident day, it runs about 14 percent under the national average, and weekends dip roughly 12 percent below its own weekday coverage, worth asking how that plays out on a Saturday. Turnover, at 37.5 percent, is actually better than the 45.8 percent national figure, so the team that's there tends to stay.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing10/30Stability12/15Outcomes12/15Enforcement10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

10/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →2.94 total nurse hours per resident per day (national median 3.77)
  • →0.62 RN hours per resident per day
  • →Weekend staffing drops 12% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →38% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day3.32 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.62 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.92 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover37.50%
National average 45.80%Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: January 15, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

What families say

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Common questions about Joshua Tree Care Center

What is the ElderGrade for Joshua Tree Care Center? +

Joshua Tree Care Center holds an ElderGrade of B (74 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Joshua Tree Care Center? +

Residents receive an average of 3.32 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Joshua Tree Care Center been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Joshua Tree Care Center accept Medicaid? +

Yes, Joshua Tree Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.