CCN 365702 · Cuyahoga County, Ohio
O'Neill Healthcare Middleburg Heights
7250 Old Oak Blvd, Middleburg Heights, OH 44130
O'Neill Healthcare Middleburg Heights is a 82-bed for-profit nursing home in Middleburg Heights, Ohio, first certified for Medicare or Medicaid in 1987. CMS rates it 5 out of 5 stars overall in its September 2026 data, and it averaged 68.9 residents a day, about 84% of its certified beds. It has an active FHA-insured Section 232 loan: $6.4 million originally, at 5.77%, with $6.3 million outstanding as of September 30, 2026 and maturity in December 2060.
Facility facts
- Certified beds
- 82
- Average residents per day
- 68.9 (84.0% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Middleburg Heights Nursing Home LLC
- Certified since
- Oct 20, 1987
- Chain or affiliated group
- O'Neill Healthcare (6 facilities, chain average 4.2 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 | 5 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.47 | 3.57 | 3.68 |
| RN hours per resident per day | 0.45 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 2.95 | ||
| Nursing staff turnover | 44.1% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 84.0% | 87.2% | 85.7% |
| Fines reported by CMS | 1 totaling $166,764 | ||
| Health deficiencies, latest standard survey | 1 (Dec 4, 2025) | ||
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). O'Neill Healthcare Middleburg Heights meets that part today: 5 stars overall, 4 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 |
|---|---|---|---|
| Carlow LLCOrganization | Direct Ownership Interest | 100% | 02/01/2021 |
| Oneill, DeborahIndividual | Indirect Ownership Interest | 13% | 02/01/2021 |
| Oneill, JohnIndividual | Indirect Ownership Interest | 40% | 02/01/2021 |
| Middleburg Heights Holdings LLCOrganization | Mortgage Interest | n/a | 02/01/2021 |
| O'Neill Management, LLCOrganization | Operational / Managerial Control | n/a | 02/01/2021 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Middleburg Heights Holdings LLC.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Feb 1, 2021 | Middleburg Heights Nursing Home LLC | Swa, Inc. |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Nov 25, 2025 | 223(f) refinance or purchaseHUD project name: O'Neill Healthcare Middleburg Heights, 82 beds. Lender at endorsement: Lument Real Estate Capital, LLC | $6,370,000 | Active: 5.77%, $6,326,753 balanceMatures Dec 1, 2060. Servicer: Lument Real Estate Capital | 04222471 |
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.