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Northwestern Healthcare Center, Berea, OH: 2 star rating, fined $152,195 across 3 fines

Northwestern Healthcare Center in Berea, OH is owned by Second Option OP Co LLC, is rated 2 of 5 stars by Medicare, and was fined $152,195 across 3 fines in the three years to October 1, 2026. CMS lists 25 health citations from inspections in that time, the latest survey on August 27, 2025, and 4 of them found actual harm or immediate jeopardy.

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Address
570 North Rocky River Drive, Berea, OH 44017
Overall rating
2 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5
Certified beds
100
Residents per day
45 on average
Ownership type
For profit, corporation
Legal business name
Rocky River Leasing Co., LLC
Chain
Communicare Health, 109 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$152,195 across 3 fines, three years to October 1, 2026
Payment denials
0
Health citations
25, of which 4 with actual harm or immediate jeopardy
Latest survey
August 27, 2025
CMS Certification Number
365811
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
August 27, 2025Fine$68,250Not listeddata.cms.gov
August 26, 2024Fine$26,813Not listeddata.cms.gov
May 7, 2024Fine$57,132Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 27, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyF: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F843Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.C: widespread, minimal harm potentialCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.C: widespread, minimal harm potentialCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F687Provide appropriate foot care.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2025data.cms.gov
August 27, 2025F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 20, 2025data.cms.gov
December 9, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 26, 2024data.cms.gov
December 9, 2024F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 26, 2024data.cms.gov
December 9, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 26, 2024data.cms.gov
December 9, 2024F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 26, 2024data.cms.gov
September 24, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 1, 2024data.cms.gov
August 26, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedSeptember 13, 2024data.cms.gov
August 26, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2024data.cms.gov
August 26, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2024data.cms.gov
August 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2024data.cms.gov
August 26, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2024data.cms.gov
May 7, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.K: pattern, immediate jeopardyCorrectedMay 22, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 13 individual or personal trusts (4 managers, 3 officers, directors or trustees, 6 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Second Option OP Co LLCDirect owner100%April 1, 2008data.cms.gov
Option Holdings II LLCIndirect ownerNot listedApril 1, 2008data.cms.gov
Rocky River Management Co LLCOperational or managerial controlNot listedApril 1, 2008data.cms.gov
C R Stoltz II LLCAdditional disclosable partyNot listedApril 1, 2008data.cms.gov
HC Real Estate Holdings, LLCAdditional disclosable partyNot listedApril 1, 2008data.cms.gov
Omg Re Holdings LLCAdditional disclosable partyNot listedApril 1, 2008data.cms.gov
Option Holdings II LLCAdditional disclosable partyNot listedApril 1, 2008data.cms.gov
Rocky River Management Co LLCAdditional disclosable partyNot listedApril 15, 2025data.cms.gov
Ronald S Wilheim 2012 Spousal TrustAdditional disclosable partyNot listedApril 1, 2008data.cms.gov
Rosedale Family Investment Company, IncAdditional disclosable partyNot listedApril 1, 2008data.cms.gov
RRW, LLCAdditional disclosable partyNot listedApril 1, 2008data.cms.gov
Wilheim Family Investment Company, Inc.Additional disclosable partyNot listedApril 1, 2008data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.