Nursing HomeInspections

Momentous Health at Richfield

Nursing home in Richfield, OH

Medicare & Medicaid certifiedSpecial Focus Facility (CMS)

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Public-record details

Address
4360 Brecksville Rd, Richfield, OH 44286
Phone
(330) 659-6166
Listed under
For-profit
Medicare CCN
365370
Overall star rating
Not rated by CMS
Certified beds
72
Average residents per day
57
Ownership
For-profit, individual
Legal business name
Blue Stream Rehab and Nursing LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 12, 1978
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 365370. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: May 18, 2026. CMS lists 97 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 22, 2022 to Aug 20, 2026): 48 from complaint inspections, 2 at the “actual harm” level or higher. CMS has placed this facility in its Special Focus Facility program for nursing homes with a persistent record of serious inspection problems; it gets more frequent inspections.

InspectionCitationSeverity
Aug 20, 2026Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
May 28, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
May 18, 2026Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
May 18, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 18, 2026Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 18, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
May 18, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
May 18, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 11, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 11, 2025Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Jun 11, 2025Honor 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 · complaint inspection		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 97. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $167,218 and 1 denial of Medicare payment for new admissions in the last three years.

Mar 31, 2025Fine: $167,218
Mar 31, 2025Payment denial for 58 days from Apr 23, 2025

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.48 hours
Registered nurse (RN) time per resident per day
0.36 hours
Nurse aide time per resident per day
2.24 hours
Total nurse staffing on weekends
3.20 hours
Nursing staff turnover (yearly)
70%
RN turnover (yearly)
83%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Richfield

Regina Health Center5232 Broadview Rd · Richfield, OH 44286 · (330) 659-4161 · Nonprofit13 health citations in 3 inspection cycles · last standard inspection May 22, 2024 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)

All 2 in Richfield →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error