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A+
Excellent

LARCHWOOD CARE

4110 ROCKY RIVER DRIVE · CLEVELAND, OH 44135

2169416100 · For profit - Limited Liability company

74 beds67.2 residents155 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

LARCHWOOD CARE receives an overall staffing grade of A+ (Excellent). With 5.8418 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.95 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 14.97% compared to weekdays. The facility has low agency staff usage (0.91% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.91%) — mostly permanent, familiar staff
Total Nurse HPRD
5.8418hrs/resident/day▲ 1.95
CMS benchmark: 3.48
RN HPRD
1.0826hrs/resident/day▲ 0.40
Recommended: 0.75
Weekend Drop-off
14.97%
6.0999 weekday → 5.1867 weekend
Agency Staff
0.91%
4.9% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.6578hrs/resident/day
Direct care aides
LPN HPRD
1.1015hrs/resident/day
Licensed practical nurses
Consistency
0.5794std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Cuyahoga County Average+2.11 HPRD
3.74
05.84 HPRD
vs. Ohio State Average+2.11 HPRD
3.73
05.84 HPRD
vs. National Average+1.95 HPRD
3.90
05.84 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
LARCHWOOD CARE ★
CLEVELAND · This facility
—
A+
5.84181.0826★★★★★
ROCKY RIVER GARDENS REHAB AND NURSING CTR
CLEVELAND
0 mi
F
3.22670.2387★★☆☆☆
GARDENS OF NORTH OLMSTED
NORTH OLMSTED
3 mi
C
3.54810.4638★★☆☆☆
O'NEILL HEALTHCARE LAKEWOOD
LAKEWOOD
3.4 mi
C
3.55150.4515★★★☆☆
GREENBRIER HEALTH CENTER
PARMA HEIGHTS
4.7 mi
D
3.28430.3806★☆☆☆☆
LIFE CARE CENTER OF WESTLAKE
WESTLAKE
5 mi
B
3.62590.6105★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
17
Total Deficiencies
$0
Fines Assessed
Sep 8, 2025Health
6 deficiencies cited· Includes actual harm
▼
Mar 5, 2024Health
2 deficiencies cited
▼
Aug 21, 2023Health
2 deficiencies cited
▼
Sep 5, 2019Health
7 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.