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Cuyahoga County, Ohio · Nursing home

The Gardens of Fairfax Health Care Center

3 of 5 overall from CMS

9014 Cedar Ave, Cleveland, OH 44106

Call (216) 795-1363Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

The Gardens of Fairfax Health Care Center is a 89-bed nursing home in Cleveland, Ohio (Cuyahoga County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.71 nurse staffing hours per resident per day, above the Ohio average of 3.69. CMS lists 17 fines totaling $103,886 in the past three years.

Certified beds
89
Residents per day (average)
58.5
Certified since
1996 (30 yrs)

For profit - Limited Liability company Participates in Medicare and MedicaidPart of Foundations Health Solutions (64 homes)

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 The Gardens of Fairfax Health Care Center

Chosen from this home's public data.

  1. CMS lists 17 fines totaling $103,886 in the past three years. What changed after the most recent one?Penalties in CMS data
  2. Nursing staff turnover is 68.8%, above the Ohio average of 48.7%. How often would the same aides care for my relative?Turnover in CMS data
  3. Reported nurse staffing is 3.10 hours per resident on weekends against 3.71 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data

More in what to ask on a nursing home tour.

CMS star ratings

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.

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.

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

MeasureThis homeOhioU.S.
★ Percentage of long-stay residents whose need for help with daily activities has increased 10.1% 5.3% 13.9%
Percentage of long-stay residents who lose too much weight 6.4% 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 32.6% 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 0.7% 3.2% 3.2%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.0% 92.7% 93.6%
★ Percentage of long-stay residents whose ability to walk independently worsened 11.4% 6.1% 14.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.8% 25.5% 19.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0% 94.5% 95.5%
★ Percentage of long-stay residents with pressure ulcers 2.6% 3.4% 4.6%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 7.1% 21.4% 19.0%
★ Percentage of long-stay residents who received an antipsychotic medication 4.2% 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

MeasureThis homeOhioU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 60.3% 78.5% 82.0%
★ Percentage of short-stay residents who newly received an antipsychotic medication 0.0% 1.2% 1.6%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Too few residents or stays to report 75.6% 79.8%
★ Percentage of short-stay residents who were rehospitalized after a nursing home admission Too few residents or stays to report 24.9% 23.8%
★ Percentage of short-stay residents who had an outpatient emergency department visit Too few residents or stays to report 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 47 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 9 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 29, 2024: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Deficiencies by inspection cycle
Standard inspectionHealthFire safety
Feb 12, 202686
May 16, 20231912
Oct 23, 20192021

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 (47)

  1. DPotential for more than minimal harm, isolated

    Provide safe and appropriate respiratory care for a resident when needed.

    Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 10, 2026)

  2. FPotential for more than minimal harm, widespread

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Nutrition and Dietary · Deficient, Provider has date of correction (Mar 10, 2026)

  3. 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 (Mar 10, 2026)

  4. DPotential for more than minimal harm, isolated

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care · Deficient, Provider has date of correction (Mar 10, 2026)

  5. DPotential for more than minimal harm, isolated

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Quality of Life and Care · Deficient, Provider has date of correction (Mar 10, 2026)

Show 25 more
  1. 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 (Mar 10, 2026)

  2. DPotential for more than minimal harm, isolated

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Nov 24, 2025)

  3. DPotential for more than minimal 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 · Past Non-Compliance (Sep 15, 2025)

  4. JImmediate jeopardy, 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 (Apr 23, 2024)

  5. DPotential for more than minimal harm, isolated

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 23, 2024)

  6. DPotential for more than minimal harm, isolated

    Respond appropriately to all alleged violations.

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 23, 2024)

  7. DPotential for more than minimal harm, isolated

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 23, 2024)

  8. 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

    Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 4, 2024)

  9. 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.

    Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 4, 2024)

  10. FPotential for more than minimal harm, widespread

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 14, 2023)

  11. FPotential for more than minimal harm, widespread

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Nursing and Physician Services · Deficient, Provider has date of correction (Sep 14, 2023)

  12. FPotential for more than minimal harm, widespread

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Nutrition and Dietary · Deficient, Provider has date of correction (Sep 14, 2023)

  13. FPotential for more than minimal harm, widespread

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (Sep 14, 2023)

  14. FPotential for more than minimal harm, widespread

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Sep 14, 2023)

  15. FPotential for more than minimal harm, widespread

    Implement a program that monitors antibiotic use.

    Infection Control · Deficient, Provider has date of correction (Sep 14, 2023)

  16. EPotential for more than minimal harm, pattern

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care · Deficient, Provider has date of correction (Sep 14, 2023)

  17. EPotential for more than minimal harm, pattern

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Pharmacy Service · Deficient, Provider has date of correction (Sep 14, 2023)

  18. EPotential for more than minimal harm, pattern

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Nutrition and Dietary · Deficient, Provider has date of correction (Sep 14, 2023)

  19. DPotential for more than minimal harm, isolated

    Reasonably accommodate the needs and preferences of each resident.

    Resident Rights · Deficient, Provider has date of correction (Sep 14, 2023)

  20. 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 (Sep 14, 2023)

  21. DPotential for more than minimal harm, isolated

    Respond appropriately to all alleged violations.

    Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 14, 2023)

  22. 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 (Sep 14, 2023)

  23. DPotential for more than minimal harm, isolated

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Quality of Life and Care · Deficient, Provider has date of correction (Sep 14, 2023)

  24. 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 (Sep 14, 2023)

  25. DPotential for more than minimal harm, isolated

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Quality of Life and Care · Deficient, Provider has date of correction (Sep 14, 2023)

Showing the 30 most recent of 47.

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

DateTypeAmount
Mar 29, 2024Fine$10,039
Feb 20, 2024Fine$4,938
Feb 12, 2024Fine$4,938
Jan 22, 2024Fine$14,814
Jan 8, 2024Fine$4,938
Jan 2, 2024Fine$4,587
Dec 11, 2023Fine$13,762
Nov 20, 2023Fine$4,587
Nov 13, 2023Fine$4,587
Nov 6, 2023Fine$4,587
Oct 30, 2023Fine$4,587
Oct 23, 2023Fine$4,587
Oct 17, 2023Fine$4,587
Oct 10, 2023Fine$4,587
Oct 2, 2023Fine$4,587
Sep 25, 2023Fine$4,587
Sep 18, 2023Fine$4,587

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 The Gardens of Fairfax Health Care Center?

The Gardens of Fairfax Health Care Center has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 2 and quality measures is 5.

How many beds does The Gardens of Fairfax Health Care Center have?

The Gardens of Fairfax Health Care Center has 89 certified beds. It averages 58.5 residents per day, about 65.7% of its certified beds.

How much nursing care do residents get at The Gardens of Fairfax Health Care Center?

The home reports 3.71 hours of nurse staffing per resident per day, including 0.38 hours from registered nurses. The Ohio average is 3.69 hours and 0.64 hours from registered nurses.

Has The Gardens of Fairfax Health Care Center been fined?

Yes. CMS lists 17 fines totaling $103,886 in the past three years.

Does The Gardens of Fairfax Health 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

Nearest nursing homes

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.

Ohio staffing, bed-hold and Medicaid rules · Residents' rights in every state

Call (216) 795-1363 Compare

Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 366106. 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.