All states › Ohio › Akron › Highland Square Nursing and Rehabilitation
1211 W Market St Akron, OH 44313 · Summit County
All 12 nursing homes in Akron, OH (12 take Medicaid)
CMS certification number 365316 · See this home on Medicare Care Compare
Is Highland Square Nursing and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Highland Square Nursing and Rehabilitation as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Ohio average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.41 hours per resident per day at Highland Square Nursing and Rehabilitation, below the Ohio median of 3.58 (US median: 3.72). About 0.49 of those hours are from registered nurses. On weekends it falls to 3.20 hours, 6% below its all-week average. 69.7% of nursing staff left within a year (Ohio median 48.9%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Highland Square Nursing and Rehabilitation: Medicare and Medicaid
Highland Square Nursing and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Ohio's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 24, 2025 and found 2 deficiencies. In total, inspectors issued 51 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 51 citations at Highland Square Nursing and Rehabilitation across 16 inspection dates, 28 of them from complaint investigations. 5 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 18, 2025 (complaint inspection). The most common areas cited were quality of life and care (18) and resident assessment and care planning (8). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, September 18, 2025). 6 citations were under CMS's abuse, neglect and exploitation rules.
September 18, 2025 · 1 citation · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
August 20, 2025 · 4 citations · includes complaint inspection
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DAssist a resident in gaining access to vision and hearing services.
DProvide and implement an infection prevention and control program.
May 21, 2025 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
April 9, 2025 · 1 citation · includes complaint inspection
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
February 24, 2025 · 2 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
October 1, 2024 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide or get specialized rehabilitative services as required for a resident.
July 25, 2024 · 3 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FHave policies on smoking.
DProvide safe, appropriate pain management for a resident who requires such services.
June 27, 2024 · 1 citation · includes complaint inspection
DProvide safe, appropriate pain management for a resident who requires such services.
May 24, 2024 · 1 citation, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
February 27, 2024 · 3 citations · includes complaint inspection
EEnsure residents have reasonable access to and privacy in their use of communication methods.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
February 21, 2024 · 6 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DHonor the resident's right to choose his or her attending physician.
DHonor the resident's right to manage his or her financial affairs.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure services provided by the nursing facility meet professional standards of quality.
January 18, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
December 18, 2023 · 1 citation · includes complaint inspection
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
October 24, 2023 · 1 citation · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
May 20, 2022 · 8 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FProvide and implement an infection prevention and control program.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough food/fluids to maintain a resident's health.
June 6, 2019 · 13 citations
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FKeep all essential equipment working safely.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DKeep residents' personal and medical records private and confidential.
DHonor 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.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Highland Square Nursing and Rehabilitation
- Inspectors cited the home at the immediate-jeopardy level on September 18, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 18, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 69.7% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
5 penalties in the last three years, including $303,070 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 20, 2025 | Fine | $195,067 |
| Apr 9, 2025 | Fine | $16,396 |
| May 24, 2024 | Fine | $16,801 |
| Jan 18, 2024 | Fine | $11,023 |
| Jan 18, 2024 | Fine | $63,783 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 1/5 | 5/5 |
| August 2026 | 2/5 | 1/5 | 1/5 | 5/5 |
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Location
Hospitals near Highland Square Nursing and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.0 mi
Cleveland Clinic - Akron General AkronEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 46m for patients treated and sent home
- 2.1 mi
- 2.2 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Highland Square Nursing and Rehabilitation › All nursing homes in Akron ›
Compare Highland Square Nursing and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Ohio Living Rockynol · Akron · 5 stars · 0.1 mi
- Regency Care of Copley · Akron · 5 stars · 3.2 mi
- Concordia at Sumner · Copley · 5 stars · 5.2 mi
- The Pinnacle Rehabilitation and Nursing Center · Tallmadge · 5 stars · 5.4 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.