CCN 365608 · Cuyahoga County, Ohio
Aristocrat Berea Healthcare and Rehabilitation
255 Front Street, Berea, OH 44017
Aristocrat Berea Healthcare and Rehabilitation is a 165-bed for-profit nursing home in Berea, Ohio, first certified for Medicare or Medicaid in 1983. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 136.3 residents a day, about 83% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 165
- Average residents per day
- 136.3 (82.6% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Aj Aristocrat Berea Opco LLC
- Certified since
- Dec 8, 1983
- Chain or affiliated group
- Certus Healthcare (14 facilities, chain average 1.6 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Ohio median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.02 | 3.57 | 3.68 |
| RN hours per resident per day | 0.43 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 2.69 | ||
| Nursing staff turnover | 39.8% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 82.6% | 87.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 4 (Jan 11, 2024) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Aristocrat Berea Healthcare and Rehabilitation meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Aj R&r Holding Company LLCOrganization | Direct Ownership Interest | 100% | 04/01/2018 |
| Extended Ohio LLCOrganization | Indirect Ownership Interest | 33% | 08/01/2019 |
| Aristocrat Berea Propco LLCOrganization | Operational / Managerial Control | n/a | 06/03/2021 |
| Certus Healthcare Management LLCOrganization | Operational / Managerial Control | n/a | 08/01/2019 |
| Appleby, JamesIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Elbadawy, EmadIndividual | Operational / Managerial Control | n/a | 01/01/2025 |
| Fishman, ShmuelIndividual | Operational / Managerial Control | n/a | 04/01/2018 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Apr 1, 2018 | Aj Aristocrat Berea Opco LLC | Front Leasing Co LLC |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.