Momentous Health at Richfield

Special Focus Facility For profit - Individual

CMS certification number365370

CMS lists this nursing home as a Special Focus Facility – a facility with a persistent record of serious quality problems that is inspected more often.

Contact & location

4360 Brecksville RD
Richfield, OH 44286
Summit County

Phone: (330) 659-6166
ZIP code: 44286 – all care providers

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Facility details

Certified beds: 72
Residents per day: 62.2 (86% occupied)
Ownership: For profit - Individual
Legal name: Blue Stream Rehab and Nursing LLC
Medicare certified since: January 12, 1978
Participates in: Medicare and Medicaid
Council: Resident council

CMS star ratings

OverallNot rated

State avg 3.2

Health inspectionsNot rated

State avg 2.8

StaffingNot rated

State avg 2.4

Quality measuresNot rated

State avg 4.4

Long-stay qualityNot rated

Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: 3.23 (state 3.69 · U.S. 3.86)
Registered nurses (RN): 0.30 (state 0.64 · U.S. 0.69)
Licensed practical nurses: 0.91 (state 0.95 · U.S. 0.86)
Nurse aides: 2.02 (state 2.09 · U.S. 2.32)
Weekend total: 3.26 (state 3.28 · U.S. 3.42)
Nursing staff turnover: 64.0 (state 48.7 · U.S. 45.8)%
RN turnover: 40.0 (state 43.9 · U.S. 42.9)%
Administrators who left: 1 in the last year

Inspections

Last standard inspection: May 18, 2026
Health deficiencies (last cycle): 7.0 (state 10.7 · U.S. 9.3)
From complaints: 2
Infection control citations: 16
Citations on record (3 years): 53 health · 27 fire safety · includes actual harm

Date	Citation	Severity	Status
2026-05-28	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2026-06-09
2026-05-18	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-06-22
2026-05-18	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2026-06-22
2026-05-18	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2026-06-22
2026-05-18	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-06-22
2026-05-18	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Past Non-Compliance
2026-05-18	Provide care or services that was trauma informed and/or culturally competent. F0699 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2026-06-22
2025-06-11	Honor 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. F0584 · Resident Rights Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-06-20
2025-06-11	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-06-20
2025-06-11	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-06-20
2025-06-11	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-20
2025-06-11	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-20
2025-03-31	Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2025-06-11
2025-03-31	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies	G Actual harm	Corrected 2025-06-11
2025-03-31	Honor 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. F0584 · Resident Rights Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-06-20
2025-03-31	Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-06-20
2025-03-31	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-06-20
2025-03-31	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. F0838 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. F0841 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. F0887 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-06-20
2025-03-31	Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-06-20
2025-03-31	Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Honor the resident's right to manage his or her financial affairs. F0567 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. F0569 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Ensure residents have reasonable access to and privacy in their use of communication methods. F0576 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11
2025-03-31	Ensure each resident must receive and the facility must provide necessary behavioral health care and services. F0740 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-06-11

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $158,534 in fines.

Date	Type	Amount
2025-03-31	Payment Denial	58 days payment denial
2025-03-31	Fine	$158,534

Ownership & management

Name	Role	Since
Richfield Rehab LLC (organization)	5%+ Direct Ownership Interest · 100%
Stein, Mark (individual)	5%+ Indirect Ownership Interest · 50%
Tenenbaum, Michael (individual)	5%+ Indirect Ownership Interest · 50%
Bonyo, Benson (individual)	Administrator · NOT APPLICABLE
O'hara, Lucinda (individual)	Administrator · NOT APPLICABLE
Stein, Mark (individual)	Administrator · NOT APPLICABLE
Tenenbaum, Michael (individual)	Administrator · NOT APPLICABLE
Stein, Mark (individual)	Corporate Officer · NOT APPLICABLE
Tenenbaum, Michael (individual)	Corporate Officer · NOT APPLICABLE
O'hara, Lucinda (individual)	Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

How many beds does Momentous Health at Richfield have?

It has 72 certified beds and cares for about 62 residents per day.

Has Momentous Health at Richfield been fined?

Yes. CMS lists 2 penalties totaling $158,534 in the last three years.

What is the phone number of Momentous Health at Richfield?

(330) 659-6166. The facility is located at 4360 Brecksville RD, Richfield, OH 44286.

Other nursing homes in Richfield

Regina Health Center Nursing Home · Richfield, OH · 99 beds ★★★★

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.