Nursing HomeInspections

Joshua Tree Care Center

Nursing home in North Olmsted, OH

Medicare & Medicaid certified4★ overall (CMS)

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Public-record details

Address
27500 Mill Rd, North Olmsted, OH 44070
Phone
(440) 777-8444
Listed under
For-profit, 4–5 star overall rating, No fines or payment denials in 3 years
Medicare CCN
365533
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
36
Average residents per day
34
Ownership
For-profit, individual
Legal business name
Olmsted Manor LTD
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 14, 1980
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 365533. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jan 15, 2025. CMS lists 11 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 23, 2020 to Jan 15, 2025): 0 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Jan 15, 2025Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights		C
Potential for minimal harm, widespread
Jan 15, 2025Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights…
Administration		C
Potential for minimal harm, widespread
Jan 15, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jan 15, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jan 15, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Mar 9, 2023Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		B
Potential for minimal harm, pattern
Mar 9, 2023Have 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		F
Potential for more than minimal harm, widespread
Mar 9, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Mar 9, 2023Have a plan that describes the process for conducting QAPI and QAA activities.
Administration		F
Potential for more than minimal harm, widespread
Mar 9, 2023Provide and implement an infection prevention and control program.
Infection Control		F
Potential for more than minimal harm, widespread
Jan 23, 2020Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread

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 no fines or payment denials for this facility in the last three years.

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
3.25 hours
Registered nurse (RN) time per resident per day
0.52 hours
Nurse aide time per resident per day
1.75 hours
Total nurse staffing on weekends
2.88 hours
Nursing staff turnover (yearly)
29%
RN turnover (yearly)
20%
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 North Olmsted

O'Neill Healthcare North Olmsted4800 Clague Road · North Olmsted, OH 44070 · (440) 734-9933 · For-profit20 health citations in 3 inspection cycles · last standard inspection Apr 9, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)
Gardens of North Olmsted23225 Lorain Rd · North Olmsted, OH 44070 · (440) 779-6900 · For-profit64 health citations in 3 inspection cycles · last standard inspection May 18, 2026 · $21,182 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 3 in North Olmsted →

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