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Nursing homeFAID #9590

Joshua Tree Care Center

27500 MILL RD, NORTH OLMSTED, OH, 44070
(440) 777-8444
36 licensed beds
★★★★★4/5CMS Five-Star overall4/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
36
CMS facility ID
365533
Care type
Nursing home
County
Cuyahoga
Facility name
Joshua Tree Care Center
Street address
27500 MILL RD
City / state / ZIP
North Olmsted, OH 44070
Phone
(440) 777-8444

Joshua Tree Care Center is a Medicare/Medicaid-certified skilled nursing facility in North Olmsted, Ohio. It is licensed for 36 beds — well below the median for skilled nursing facilities in Ohio (86 beds).

It is one of 10 senior care facilities in North Olmsted and 922 skilled nursing facilities across Ohio. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Joshua Tree Care Center 26 times across 6 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Ownership type
For profit - Individual

Registered owners & officers

Coury, Kimberly
Direct owner · Operational control — 100% stake — since 1990

Regulatory standing

Licensed / certified since
1980-03-14
CMS overall rating
4 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-01-15
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$329 per day (≈ $10,000/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
56% Medicaid · 1% Medicare · 43% private/other
Occupancy
85% (fiscal year 2023)
Vs. state median
10% below the OH median of $364/day — full state cost breakdown

Services & coverage

Licensed beds
36
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2025-01-15Health inspection5 citations
F-0625
C · No harm found
Notify 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.
Corrected 2025-02-14
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-14
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-14
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-14
F-0838
C · No harm found
Conduct 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 and weekends) and emergencies.
Corrected 2025-02-14
2023-03-09Health inspection5 citations
F-0582
B · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-04-17
F-0727
F · No harm found
Have 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.
Corrected 2023-04-17
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-17
F-0865
F · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2023-04-17
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-04-17
4 earlier / fire-safety inspections (16 citations)
2020-01-23Health inspection1 citation
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-02-07
2025-01-15Fire-safety inspection4 citations
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-02-14
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-02-14
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-14
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-02-14
2023-03-09Fire-safety inspection4 citations
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2023-04-17
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-04-17
K-0781
F · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2023-04-17
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-04-17
2020-01-23Fire-safety inspection7 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2020-02-07
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2020-02-07
K-0511
C · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2020-02-07
K-0700
F · No harm found
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2020-02-07
K-0711
F · No harm found
Provide a written emergency evacuation plan.
Corrected 2020-02-07
K-0741
F · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-02-07
K-0920
F · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2020-02-07
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 365533.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 26 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered