Cuyahoga County, Ohio · Nursing home
Hopkins Rehabilitation and Care Center
2 of 5 overall from CMS
19530 Bagley Road, Middleburg Heights, OH 44130
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.85 hours Above the state average of 3.69
- Nursing staff who left in a year 80.3% Above the state average of 48.7%
- Health citations, last 3 inspection cycles 28 4 at the harm level or above
- Fines in 3 years $76,040 2 fines
- Certified beds in use 71.9% of 90 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Hopkins Rehabilitation and Care Center is a 90-bed nursing home in Middleburg Heights, Ohio (Cuyahoga County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.85 nurse staffing hours per resident per day, above the Ohio average of 3.69. CMS lists 2 fines totaling $76,040 in the past three years.
- Certified beds
- 90
- Residents per day (average)
- 64.7
- Certified since
- 1996 (30 yrs)
For profit - Limited Liability company Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Hopkins Rehabilitation and Care Center
Chosen from this home's public data.
- CMS lists 2 fines totaling $76,040 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 15 health deficiencies in the latest inspection cycle (the standard inspection on Dec 4, 2024 plus complaint and infection-control inspections); the Ohio average is 10.5. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 80.3%, above the Ohio average of 48.7%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Ohio average 3.2
- Health inspections 2 of 5 Ohio average 2.8
- Staffing 2 of 5 Ohio average 2.4
- Quality measures 4 of 5 Ohio average 4.4
The vertical line marks the Ohio average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.85 h Ohio average 3.69
- Nurse aides 2.11 h Ohio average 2.09
- Licensed practical nurses 1.10 h Ohio average 0.95
- Registered nurses 0.64 h Ohio average 0.64
- All staff, weekends 3.98 h Ohio average 3.28
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Ohio average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover80.3%
- Ohio average48.7%
- Registered nurse turnover81.3%
- Ohio average43.9%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Ohio and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 8.1% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 9.0% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.2% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 0.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 61.0% | 30.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.3% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.7% | 92.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 14.1% | 6.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 23.8% | 25.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.9% | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.9% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.6% | 21.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 3.6% | 8.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.73 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 1.80 | 1.78 |
Short-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.6% | 78.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.0% | 75.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 33.2% | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 8.9% | 12.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 28 health deficiencies in the three most recent inspection cycles. Of these, 4 involved actual harm; the rest were graded as no actual harm. 6 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Dec 4, 2024: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Dec 4, 2024 | 15 | 13 |
| May 25, 2022 | 6 | 5 |
| Apr 12, 2019 | 7 | 11 |
Ohio homes averaged 10.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (28)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 27, 2024)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 27, 2024)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Dec 27, 2024)
-
FPotential for more than minimal harm, widespread
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · Deficient, Provider has date of correction (Dec 27, 2024)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Dec 27, 2024)
Show 23 more
-
EPotential for more than minimal harm, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 27, 2024)
-
DPotential for more than minimal harm, isolated
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Complaint investigation · Administration · Deficient, Provider has date of correction (Dec 27, 2024)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 29, 2024)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Feb 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 29, 2024)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 20, 2023)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 13, 2022)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 13, 2022)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 13, 2022)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 13, 2022)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 13, 2022)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Jun 13, 2022)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (May 28, 2019)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 28, 2019)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 28, 2019)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Dec 4, 2024 | Fine | $43,865 |
| Feb 1, 2024 | Fine | $32,175 |
Ohio homes averaged 0.6 fines and $26,381 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Ohio
Common questions
What is the CMS star rating for Hopkins Rehabilitation and Care Center?
Hopkins Rehabilitation and Care Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 2 and quality measures is 4.
How many beds does Hopkins Rehabilitation and Care Center have?
Hopkins Rehabilitation and Care Center has 90 certified beds. It averages 64.7 residents per day, about 71.9% of its certified beds.
How much nursing care do residents get at Hopkins Rehabilitation and Care Center?
The home reports 3.85 hours of nurse staffing per resident per day, including 0.64 hours from registered nurses. The Ohio average is 3.69 hours and 0.64 hours from registered nurses.
Has Hopkins Rehabilitation and Care Center been fined?
Yes. CMS lists 2 fines totaling $76,040 in the past three years.
Does Hopkins Rehabilitation and Care Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 O'Neill Healthcare Middleburg Heights 82beds 84.0%in use 3.47nurse hours a day
- 4 of 5 Parkside Villa 178beds 87.7%in use 3.89nurse hours a day
- 2 of 5 Aristocrat Berea Healthcare and Rehabilitation 165beds 82.6%in use 3.02nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Cuyahoga County
Who to call in Ohio
These offices serve residents of every nursing home in Ohio.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-282-1206 An advocate for residents and their families.
- File a complaint about a nursing home Complaint Unit 1-800-342-0553 The state agency that inspects nursing homes.
Ohio staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 366057. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.