CCN 366106 · Cuyahoga County, Ohio
The Gardens of Fairfax Health Care Center
9014 Cedar Ave, Cleveland, OH 44106
The Gardens of Fairfax Health Care Center is a 89-bed for-profit nursing home in Cleveland, Ohio, first certified for Medicare or Medicaid in 1996. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 58.5 residents a day, about 66% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $5.2 million in February 2012 (223(a)(7) refinance of a 223(f) loan), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 89
- Average residents per day
- 58.5 (65.7% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Fhs Cedar Inc
- Certified since
- Dec 10, 1996
- Chain or affiliated group
- Foundations Health Solutions (64 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 | 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 | 3.71 | 3.57 | 3.68 |
| RN hours per resident per day | 0.38 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 3.10 | ||
| Nursing staff turnover | 68.8% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 65.7% | 87.2% | 85.7% |
| Fines reported by CMS | 17 totaling $103,886 | ||
| Health deficiencies, latest standard survey | 8 (Feb 12, 2026) | ||
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). The Gardens of Fairfax Health Care 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 |
|---|---|---|---|
| Foundations Health Solutions, LLCOrganization | Operational / Managerial Control | n/a | 09/01/2024 |
| Colleran, BrianIndividual | Operational / Managerial Control | n/a | 09/01/2024 |
| Edeh, NkechiIndividual | Operational / Managerial Control | n/a | 09/01/2024 |
| Krystowski, JohnIndividual | Operational / Managerial Control | n/a | 09/01/2024 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Sep 1, 2024 | Fhs Cedar Inc | Inner City Nursing Home 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 |
|---|---|---|---|---|
| Feb 16, 2012 | 223(a)(7) refinance of a 223(f) loanHUD project name: Fairfax Health Care Center, 100 beds. Lender at endorsement: Oppenheimer Mf Hsg & Hcare | $5,192,400 | Ended Jul 27, 2023Assignment | 04222145 |
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.