CCN 365811 · Cuyahoga County, Ohio
Northwestern Healthcare Center
570 North Rocky River Drive, Berea, OH 44017
Northwestern Healthcare Center is a 100-bed for-profit nursing home in Berea, Ohio, first certified for Medicare or Medicaid in 1990. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 48.3 residents a day, about 48% of its certified beds. It has an active FHA-insured Section 232 loan: $6.2 million originally, at 4.28%, with $5.5 million outstanding as of September 30, 2026 and maturity in January 2054.
Facility facts
- Certified beds
- 100
- Average residents per day
- 48.3 (48.3% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Rocky River Leasing Co., LLC
- Certified since
- Oct 25, 1990
- Chain or affiliated group
- Communicare Health (110 facilities, chain average 3.2 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 | 3 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 | 2 of 5 | ||
| Total nurse hours per resident per day | 3.45 | 3.57 | 3.68 |
| RN hours per resident per day | 0.64 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 3.19 | ||
| Nursing staff turnover | 60.0% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 48.3% | 87.2% | 85.7% |
| Fines reported by CMS | 3 totaling $152,195 | ||
| Health deficiencies, latest standard survey | 13 (Aug 27, 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). Northwestern Healthcare Center meets that part today: 3 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 |
|---|---|---|---|
| Second Option Op Co LLCOrganization | Direct Ownership Interest | 100% | 04/01/2008 |
| Option Holdings II LLCOrganization | Indirect Ownership Interest | n/a | 04/01/2008 |
| Rocky River Management Co LLCOrganization | Operational / Managerial Control | n/a | 04/01/2008 |
| Afzal, EndiaIndividual | Operational / Managerial Control | n/a | 08/24/2023 |
| Damtew, BelaiIndividual | Operational / Managerial Control | n/a | 11/10/2018 |
| Groves, DonnaIndividual | Operational / Managerial Control | n/a | 04/14/2023 |
| Romeo, DominicIndividual | Operational / Managerial Control | n/a | 04/01/2023 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
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 |
|---|---|---|---|---|
| Dec 6, 2018 | 223(f) refinance or purchaseHUD project name: CommuniCare - Northwestern Healthcare Center, 100 beds. Lender at endorsement: Capital Funding LLC | $6,240,000 | Active: 4.28%, $5,541,208 balanceMatures Jan 1, 2054. Servicer: Capital Funding LLC | 04222290 |
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.