Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cleveland Community Care Center during CMS and state inspections, most recent first.
Multiple residents experienced failures in the development and implementation of their care plans. A resident with psychiatric diagnoses did not receive required 1:1 behavioral supervision when the assigned staff member was found asleep. A cognitively intact resident with CVA, cancer, and Crohn’s disease did not receive scheduled showers or grooming, resulting in wearing the same clothes for days and uncombed hair. A Spanish-speaking resident with intact cognition had no care plan addressing his communication barrier despite relying on a phone translator. Another resident, PEG-fed and dependent for oral hygiene, had visibly dirty teeth and reported that staff did not brush them despite a care plan requiring daily oral care. A further resident with diabetes and severe hand contractures had very long fingernails and no ROM performed to the contracted hands, despite a care plan specifying nail care and ROM with AM and PM care.
Surveyors found that the facility failed to provide required ADL care to three dependent residents. One cognitively intact resident reported missing scheduled showers, wearing the same soiled clothing for several days, and not having her hair combed for an extended period, with observations confirming disheveled appearance and staff acknowledging she did not refuse care. A PEG-fed resident with dysphagia and moderate cognitive impairment was repeatedly observed with visible yellowish-tan buildup along the gum line and between teeth; the resident stated staff did not brush his teeth, and both an LPN and CNA confirmed that oral care expected every shift was not provided. Another resident with diabetes and a contracted hand was observed multiple times with fingernails about one inch long, some digging into the palm; staff confirmed the nails were excessively long, required trimming, and that nurses were responsible for this care.
Failure to Develop and Implement Comprehensive Care Plans for Behavior, ADLs, Communication, Oral Care, and ROM
Penalty
Summary
The deficiency involves the facility’s failure to develop and implement comprehensive, person-centered care plans with measurable objectives and timetables for multiple residents. One resident with paranoid schizophrenia and bipolar disorder had a behavior management care plan that included one-on-one precautions, but during an observation the staff member assigned to provide continuous supervision was found asleep in a chair and did not respond when his name was called three times. The resident, who was cognitively intact, stated that the person in the chair was supposed to be watching him, indicating that the one-on-one supervision intervention was not being carried out as planned. Another cognitively intact resident with a history of CVA with left-sided weakness/hemiplegia, right hand contracture, incontinence, liver and colon cancer, and Crohn’s disease had a care plan requiring assistance with ADLs, including showers every other day and as needed. The resident reported not receiving a scheduled shower, wearing the same clothes for four days, and not having her hair combed since two days before Thanksgiving. Observations confirmed that her hair was disheveled and unkempt and that her gown had dried liquid stains, demonstrating that the ADL care plan, including grooming and hair care associated with showering, was not implemented as written. The facility also failed to develop and implement appropriate care plans for communication, oral care, and ROM. A cognitively intact resident whose preferred language was Spanish and who did not speak English had no care plan addressing his language or communication barrier, despite using a phone translator to communicate with staff. Another resident, dependent on staff for oral hygiene and receiving nutrition via PEG tube due to dysphagia, was observed with a yellowish-tan substance along the gum line and between the teeth and reported that staff did not brush his teeth, contrary to his care plan specifying daily and PRN oral care. A further resident with type 2 diabetes and hand contractures had a care plan calling for nail care by a nurse and ROM to upper and lower extremities with AM and PM care, yet was observed with contracted hands, no positioning devices, and fingernails approximately one inch long; a CNA confirmed that no ROM was being performed on the hands and that nails had not been trimmed, indicating the ROM and nail care interventions were not implemented.
Failure to Provide ADL, Oral Hygiene, and Nail Care for Three Dependent Residents
Penalty
Summary
The deficiency involves the facility’s failure to provide adequate activities of daily living (ADL) care, including hygiene and grooming, to three residents in accordance with its own policies. For one resident with Crohn’s disease, hemiplegia/hemiparesis, and colon cancer who was cognitively intact, surveyors observed on consecutive days that she remained in bed with disheveled, uncombed hair and wearing the same soiled gown with dried liquid stains. The resident reported she was scheduled to receive showers on specific days of the week and stated she had missed a scheduled shower, had not been offered one, and had worn the same clothes for four days. She also stated her hair had not been combed since two days before Thanksgiving, and staff interviews confirmed she did not refuse care and was supposed to receive showers on the days she identified. A second resident, who was PEG-tube fed, had dysphagia, hemiplegia, hemiparesis, and moderate cognitive impairment, was observed lying in bed with a yellowish-tan substance along the lower gum line and between the teeth on two separate occasions. The resident stated he could not take anything by mouth and that staff did not brush his teeth or keep his mouth clean, adding that staff did not have time but needed to take time to provide this care. An LPN and the DON both confirmed the visible soiling of the resident’s teeth and acknowledged that mouth care was expected every shift. A CNA who had provided care the previous day confirmed that she did not brush the resident’s teeth, despite knowing that oral care was expected every shift, and described difficulty providing mouth care due to the resident’s PEG feeding and need to remain upright. The third resident, with type 2 diabetes, a right-hand contracture, and moderate cognitive impairment, was repeatedly observed with fingernails on both hands approximately one inch in length. On further observation, fingernails on the right hand were seen digging into the resident’s palm, and both a CNA and an LPN confirmed that the nails were very long, bent inward toward the palm, and needed trimming. Staff interviews indicated that nurses were responsible for trimming this resident’s fingernails due to his diabetes. The DON acknowledged observing the contracted hands and fingernails digging into the palm and stated that failure to provide nail care services could result in worsening skin breakdown and accidents. These observations and interviews demonstrated that the facility did not provide necessary ADL care, including bathing, grooming, oral hygiene, and nail care, as required by its policies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cleveland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bolivar Medical Center Ltc | 0.6 mi | — | 0 | 0 |
| Delta Rehabilitation And Healthcare Center | 0.8 mi | — | 0 | 0 |
| Walter B Crook Nursing Facility | 8.8 mi | — | 7 | 0 |
| Ruleville Community Care Center | 8.9 mi | — | 0 | 0 |
| Diversicare Of Shelby | 14.3 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.