ENNISCOURT NURSING CARE Inspection Report, Violations & Safety Grade (LAKEWOOD, Ohio)

13315 DETROIT AVE, LAKEWOOD, Ohio 44107

Phone: 2162263858

CMS Overall:3/5

Overview & Bed Count

Certified Beds

Avg Residents/Day

41.1

Ownership

For profit - Individual

Provider Type

Medicare and Medicaid

County

Cuyahoga

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall3/5

Health2/5

Staffing5/5

Quality4/5

Nurse Staffing Check

Metric	This Facility	Ohio Avg	Difference
RN Hours per Resident per Day	1.26	0.64	+0.62
Total Nurse Hours per Resident per Day	4.84	3.71	+1.13
CMS Staffing Rating	5/5	2.4/5	-
Nursing Staff Turnover	49.0%	49%	-

Health Citation History

22 health citations on record

Date	Category	Description	Severity
2026-02-25	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	J – Immediate Jeopardy
2026-02-25	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2025-06-16	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from the wrongful use of the resident's belongings or money.	D – Moderate Harm Potential
2025-01-29	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D – Moderate Harm Potential
2024-04-23	Administration Deficiencies	Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.	C – Minimal Harm Potential
2023-09-07	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	F – Moderate Harm Potential
2023-09-07	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	E – Moderate Harm Potential
2023-09-07	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D – Moderate Harm Potential
2023-09-07	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D – Moderate Harm Potential
2023-09-07	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	C – Minimal Harm Potential
2023-09-07	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	C – Minimal Harm Potential
2023-09-07	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	B – Minimal Harm Potential
2021-06-21	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	F – Moderate Harm Potential
2021-06-21	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D – Moderate Harm Potential
2021-06-21	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.	D – Moderate Harm Potential
2021-06-21	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D – Moderate Harm Potential
2021-06-21	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2021-06-21	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2021-06-21	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2019-02-21	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D – Moderate Harm Potential
2019-02-21	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2019-02-21	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	B – Minimal Harm Potential

Fire Safety Citation History

14 fire safety citations on record

Date	Category	Description	Severity
2023-09-07	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2023-09-07	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2023-09-07	Egress Deficiencies	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	E – Moderate Harm Potential
2023-09-07	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	E – Moderate Harm Potential
2023-09-07	Miscellaneous Deficiencies	Have restrictions on the use of portable space heaters.	E – Moderate Harm Potential
2021-06-21	Construction Deficiencies	Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.	F – Moderate Harm Potential
2021-06-21	Smoke Deficiencies	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	F – Moderate Harm Potential
2021-06-21	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	F – Moderate Harm Potential
2021-06-21	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	F – Moderate Harm Potential
2019-02-21	Egress Deficiencies	Have corridors or aisles that are unobstructed and are at least 8 feet in width.	F – Moderate Harm Potential
2019-02-21	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2019-02-21	Gas, Vacuum, and Electrical Systems Deficiencies	Have power receptacles that are properly grounded.	F – Moderate Harm Potential
2019-02-21	Egress Deficiencies	Keep aisles, corridors, and exits free of obstruction in case of emergency.	E – Moderate Harm Potential
2019-02-21	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential

Total Penalties & Fines

$40,803

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2026-02-25	Fine	$40,803	-

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Need Help Finding Safe Care?

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(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.