★★★★☆CMS 4/536 bedsFor-profitMedicaid
- Nurse hours
- 3.32 /day
- Staff turnover
- 38%
- Serious cites
- 0
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.
★★★★☆CMS 4/567 bedsFor-profitMedicaid
- Nurse hours
- 3.65 /day
- Staff turnover
- 54%
- Serious cites
- 0
O'neill Healthcare North Olmsted runs 3.65 nurse hours per resident day, about 5% under the national average, and weekend coverage drops roughly 19% below its own weekday staffing. That thin weekend margin matters more when you consider 53.7% of staff turned over last year, well above the 45.8% national figure. The 20 deficiencies on file include one at the harm level, though none are abuse-related, and the most recent inspection was in April 2025. The quality measures look strong, and that's real, but it's worth asking how much of it rests on a workforce that keeps changing.
★★☆☆☆CMS 2/599 bedsFor-profitMedicaid
- Nurse hours
- 3.27 /day
- Staff turnover
- 59%
- Serious cites
- 0
Gardens Of North Olmsted runs on thinner nursing coverage than most homes, 3.27 hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale.
The inspection record is the bigger concern. The current file holds 56 deficiencies, including six tied to abuse, and the last full inspection was in December 2022, more than two years ago. A for-profit partnership operating 99 beds, this home also sees 58.5% of its nursing staff leave annually, well above the 45.8% national rate. Its quality measure scores look strong, but that data comes from the home's own reporting.