Nursing home · Top rated by CMS
Larchwood Care
4110 Rocky River Drive, Cleveland, OH 44135 · Map
For profit - Limited Liability company · 74 certified beds
Larchwood Care is a Medicare-certified nursing home in Cleveland, Ohio. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 4/5 for health inspections). Nurse staffing is 5.83 hours per resident per day, above the Ohio average of 3.72. Its most recent inspection on Sep 8, 2025 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Larchwood Care compares
This facility vs. the Ohio and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Ohio avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.83 | 3.72 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.08 | 0.63 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.65 | 2.14 | 2.34 | above avg |
| Nursing staff turnover | 49.0% | 49.8% | 46.4% | below avg |
| Deficiencies cited, last inspection | 6.0 | 10.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Larchwood Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 8, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Sep 8, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Sep 8, 2025 · Full report (PDF) - Potential for harm
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 Deficiencies · Sep 8, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Sep 8, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 8, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 5, 2024 · Full report (PDF) - Potential for harm
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Mar 5, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 21, 2023 - Potential for harm
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 Deficiencies · Aug 21, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 5, 2019 - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 5, 2019
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4110 Rocky River Drive
Cleveland, OH 44135 - CMS certification #
- 366359
- Ownership
- For profit - Limited Liability company
- Certified beds
- 74
- Avg residents/day
- 67.2
- Provider type
- Medicare and Medicaid
- First certified
- 2008-01-23
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Larchwood Care using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Fairview Hospital, Cleveland. 0.6 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Rocky River Gardens Rehab and Nursing CTR, Cleveland. 0.0 miles away, straight line.
- Nearest home health agency office
- Alpha Home Health Agency LLC, Cleveland. 1.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 44135 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Center For Dialysis Care Westside Home Care LLC, Fairview Park, 1.7 miles away, straight line (CMS rating 1 of 5 stars)
Davita Villa Of Great Northern, Fairview Park, 1.7 miles away, straight line (CMS rating 3 of 5 stars)
Davita Hilliard Dialysis, Rocky River, 2.2 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 31 Medicare hospices tell CMS they serve ZIP code 44135.
Continuum Care Hospice, office in Parma, 3.7 miles away, straight line (CMS family survey rating 2 of 5 stars)
Cypress Hospice LLC, office in Berea, 5.5 miles away, straight line (CMS family survey rating 5 of 5 stars)
Pathways Hospice And Palliative Care, office in Berea, 5.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Cleveland Clinic, Cleveland. 0.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively low, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Larchwood Care a good nursing home?
CMS gives Larchwood Care an overall rating of 5 out of 5 stars, including 3/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Larchwood Care staffed?
Larchwood Care reports 5.83 total nurse hours per resident per day, compared with the Ohio average of 3.72.
Has Larchwood Care had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Larchwood Care have?
Larchwood Care is certified for 74 beds.