Green Village Skilled Nursing & Rehabilitation LTD
708 Moore Road, Akron, OH 44319 · For profit - Limited Liability company · 69 certified beds · (330) 409-0345 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its payroll-based staffing rating is low (2/5)
- nursing-staff turnover (61%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 2.7% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 2.7% | 6.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.2% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 0.0% | 30.1% | 6.5% | check this* — see note marked star below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 4.2% | 3.2% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 4.2% | 6.1% | 16.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 12.5% | 25.5% | 18.9% | better |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.9% | 3.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 6.8% | 21.4% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 4.9% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.2% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 95.7% | 75.6% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 37.0% | 24.9% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 2.4% | 12.9% | 12.0% | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
66.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 143 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 48.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 56 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.53 therapist hours per resident per day in 2026Q1 — more than 83% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 33% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 66.8%CMS range 59.9–72.8 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.6%CMS range 8.2–15.1 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 48.2% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 35.7% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 44.6% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 97.7% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 1.3% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.4%CMS range 4.6–12.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.72 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 69 beds and averages 62.5 residents a day — about 91% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.60 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.94 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.40 hrs/resident/day on weekends vs 3.68 on weekdays — 8% thinner on weekends. RN hours go from 0.83 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 61% is well above the national median of 45%. 1 administrator has left in the past year.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.
- Potential for harm · F2025-04-28 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and policy review, the facility failed to have test strips at the three-sink manual dishwash area to test for proper sanitation levels. This had the potential to affect all 59 of 59 residents receiving dietary services. Findings include: On [DATE] at 8:30 A.M. an initial tour of the kitchen revealed Hydrion test strips to test for proper sanitation levels at the three-sink manual dishwash station expired 10/2024. An interview at the time of the observation with Dietary Manager (DM) #448 verified the expired test strips. DM #448 also stated they were unaware of an expiration date for test strips existed. A review of the policy titled; General Sanitation of Kitchen dated 2010 revealed the staff shall maintain the sanitation of the kitchen through compliance with a written, comprehensive cleaning schedule. A review of the policy titled; Cleaning Dishes-Manual Dishwashing dated 2010 revealed dishes and cookware will be washed after each meal to assure that all dishes are clean and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-04-28 · tag F0880 — failed to prevent and control infections — patternProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure insulin pens were only used for one resident and failed to follow infection control precautions for Resident #32 and #73. This affected Resident #5, Resident #32, and Resident #73 with the potential to affect five residents (#42, #70, #71, #72, and #73) who resided on the 100 hall. The facility census was 59. Findings include: 1. Observation of an insulin administration for Resident #5 on 04/21/25 at 4:28 P.M. revealed Registered Nurse (RN) #434 programmed a dose of 21 units of Humalog insulin from a Humalog Kwikpen device (a multi-use insulin injection syringe). Observation of the syringe revealed it was a previously-opened device labeled as belonging to Resident #46. The surveyor intervened before the resident was injected. Interview with RN #434 on 04/21/25 at 4:45 P.M. confirmed the above findings. Following surveyor intervention, she retrieved a new Humalog insulin vial from storage and used that to medicate the resident.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-28 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, interview, and review of facility policy, the facility failed to ensure Resident #2 and Resident #18's comprehensive care plans included all goals and interventions needed to meet the residents' total care needs. This affected two residents (Resident #2 and Resident #18) of 27 residents reviewed for comprehensive care plans. Findings include: Review of the medical record for Resident #2 revealed an admission date of 02/19/22 with diagnoses including chronic obstructive pulmonary disease (COPD), diverticulitis, type two diabetes mellitus with metabolic diabetic polyneuropathy, chronic pain syndrome, atrial fibrillation, gout, major depressive disorder, unspecified psychosis, mild cognitive impairment, and need for assistance with personal care. Review of the annual minimum data set (MDS) 3.0 assessment completed on 01/17/25 revealed Resident #2 had moderate cognitive impairment with no behavior, wandering, or rejection of care during the seven-day look-back period. Review of the care plan dated 02/19/22 through 05/05/25 revealed Resident #2 had refusal…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-28 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of the medical record, interview, and review of facility policy, the facility failed to ensure the care plan for Resident #4 was updated with new fall interventions after a fall with injury. This affected one resident (Resident #4) of two residents reviewed for accidents. The facility census was 59. Findings include: Review of the medical record for Resident #4 revealed an admission date of 10/14/24 with diagnoses including syncope and collapse, lower back pain, unspecified head injury, dizziness and giddiness, muscle weakness, unsteadiness on the feet, difficulty walking, and unspecified disorders of bone density and structure. Additional diagnoses listed with an onset date of 03/03/25 included nondisplaced fracture of the medial wall of the left acetabulum and unspecified fracture of the left pubis with routine healing. Review of the quarterly minimum data set (MDS) 3.0 assessment revealed Resident #4 had intact cognition and required moderate assistance with all transfers. Further review of the MDS revealed Resident #4 had one fall with major injury since…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-28 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of the medical record, interview, and review of facility policy, the facility failed to ensure Resident #2 received assistance with baths and showers per preferences or the care plan. This affected one resident (Resident #2) of six residents reviewed for activities of daily living (ADL). The facility census was 59. Findings include: Review of the medical record for Resident #2 revealed an admission date of 02/19/22 with diagnoses including chronic obstructive pulmonary disease (COPD), diverticulitis, type two diabetes mellitus with metabolic diabetic polyneuropathy, chronic pain syndrome, atrial fibrillation, gout, major depressive disorder, unspecified psychosis, mild cognitive impairment, and need for assistance with personal care. Review of the annual minimum data set (MDS) 3.0 assessment completed on 01/17/25 revealed Resident #2 had moderate cognitive impairment with no behaviors or rejection of care. Further review of the MDS revealed Resident #2 required substantial assistance for toileting hygiene and bathing and that it was very important to this resident to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-28 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, interview, and review of facility policy, the facility failed to ensure Resident #66's nicotine patch was administered as ordered. This affected one residents (Resident #66) of five residents reviewed for quality of care. Findings include:Review of the closed medical record for Resident #66 revealed an admission dated of 02/05/25. Diagnoses included spinal stenosis, lumbar region with neurogenic claudication, depression, and anxiety disorder. Review of the discharge return not anticipated Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #66 had intact cognition. Review of the physician orders for February 2025 revealed an order for nicotine transdermal patch 24 hour 21 milligrams (mg)/24 hour (hr.). Apply one patch transdermally one time a day related to tobacco use with a start date of 02/06/25. Review of the medication administration record (MARS) for February 2025 revealed on 02/07/25, 02/208/25, and 02/09/25 a number 9 indicating to see progress note for the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-28 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, interview, and review of facility policy, the facility failed to ensure Resident #65's care needs were addressed related to a urine sample and the results of the urine analysis were properly followed up on. This affected one resident (Resident #65) of two residents reviewed for bowel and bladder continence. Findings include: Review of the closed medical record for Resident #65 revealed an admission date of 02/03/25 and a discharge date of 02/19/25. Diagnoses included COVID-19, sepsis, acute respiratory failure, history of cerebral infarction without residual deficits, polyneuropathy, hypertension, and urge incontinence. Review of the admission Minimum Data Set (MDS) 3.0 assessment completed on 02/10/25 revealed Resident #65 was cognitively intact. Further review of the MDS revealed Resident #65 was occasionally incontinent of bowel and bladder. Review of the orders for Resident #65 revealed a laboratory order dated 02/17/25 at 11:54 A.M. for a urinalysis (UA) with culture and sensitivity (C&S). There was no indication/reason for the UA with C&S noted…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-28 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to timely and accurately address and monitor significant weight loss. This affected one resident (#40) of four residents (#40, #47, #48, and #55) reviewed for nutrition. The facility census was 59. Findings include: Review of the medical record for Resident #40 revealed an admission date of 10/05/23. Diagnoses included depression, muscle weakness, severe protein-calorie malnutrition, and type 2 diabetes mellitus with hyperglycemia. Review of the physician orders for April 2025 revealed active orders for weight upon admission, then weekly times four every day shift every Monday for four weeks with start date of 03/28/25 and end date of 04/28/25. Review of Resident #40's weight history revealed: • 02/27/25 187.2 pounds (lbs.) • 03/04/25 169.2 lbs. • 03/13/25 164.2 lbs. • 03/31/25 164.0 lbs. • 04/01/25 166.2 lbs. • 04/08/25 163.2 lbs. • 04/09/25 162.2 lbs. • 04/23/25 164.8 lbs. The weight on 03/04/25 had a line drawn through noted to be incorrect…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-28 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of the medical record, interview, and review of facility policy, the facility failed to ensure Resident #18 pain medications had proper indications for use, their pain was re-evaluated after administration of analgesics, and had interventions in place to ensure effective monitoring for adverse effects of opioid use. This affected one Resident (Resident #18) of five residents reviewed for unnecessary medications. The facility census was 59. Findings include: Review of the medical record for Resident #18 revealed an admission date of 05/05/22 with diagnoses including acute on chronic diastolic congestive heart failure (CHF), respiratory failure with hypoxia and hypercapnia, depression, chronic obstructive pulmonary disease (COPD), osteoarthritis, left lateral neoplasm of the left kidney, systemic inflammatory response syndrome of non-infectious origin (SIRS), muscle spasms, shortness of breath, contracture of the right fingers and right elbow, and constipation. Review of the quarterly minimum data set (MDS) 3.0 assessment completed on 03/25/25 revealed Resident #18 had…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-28 · tag F0759 — failed to keep medication error rate low — isolatedEnsure medication error rates are not 5 percent or greater.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review, and interview, the facility failed to administer medications with an error rate of under 5%. Two medication errors out of 29 opportunities for error, creating a total medication error rate of 6.9%. This affected two (Resident #5 and #11) of five residents observed for medication administration. Findings include: 1. Record review of Resident #5 revealed he had an active order for 12 units of Humalog insulin to be given with meals dated 02/20/24, and an active order for sliding scale insulin dated 04/10/24. Observation of an insulin administration for Resident #5 on 04/21/25 at 4:28 P.M. revealed Registered Nurse (RN) #434 programmed a dose of 21 units of Humalog insulin from a Humalog Kwikpen device (a multi-use insulin injection syringe). Observation of the syringe revealed it was a previously-opened device labeled as belonging to Resident #46. Additionally, the nurse did not prime the needle with a two-unit push before programming the 21 units. The surveyor intervened before the resident was injected. Interview with RN #434 on 04/21/25 at 4:45…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 5 citations
- Potential for harm · D2024-07-23 · tag F0808 — failed to follow doctor-ordered diets — isolatedEnsure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to appropriately provide the physician ordered thickened liquid diet to Resident #2. This affected one resident (Resident #2) of three residents reviewed for food/nutrition. The facility identified three residents (#2, #4, and #58) who were prescribed thickened liquids. The facility census was 61. Findings include: Record review revealed Resident #2 was admitted on [DATE] to the facility with diagnoses including but not limited to cerebral infarction, chronic obstructive pulmonary disease, and diabetes mellitus. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #2 had intact cognition and required maximal assistance for activities of daily living. Further review of the MDS revealed that Resident #2 was on a mechanically altered therapeutic diet. Review of physician's order for July 2024 revealed Resident #2 was ordered a pureed diet with honey consistency liquids. Review of the care plan for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-06-13 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, observation, and review of the facility policy, the facility failed to ensure proper Personal Protective Equipment (PPE) was used for Enhanced Barrier Precautions (EBP). This affected one resident (Resident #49) out of three residents reviewed for infection control. The facility census was 58. Findings include: 1. Review of the medical record for Resident #49 revealed an admission date of 06/15/23 with diagnoses including but not limited to dementia, peripheral vascular disease, and neuromuscular dysfunction of the bladder. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #49 had intact cognition. Review of the physician orders revealed an order for catheter care every shift and as needed and staff to use Enhanced Barrier Precautions during high contact resident care activities due to chronic Foley every shift. Observation made on 06/13/24 at 1:09 P.M. of catheter care for Resident #49 by State Tested Nursing Assistant (STNA) #707 revealed the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-10-31 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure Resident #2's advance directives and physician orders accurately reflected the resident's code status. This affected one (Resident #2) of one resident reviewed for hospice. Findings include: Review of Resident #2's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including unspecified dementia without behavioral disturbance, malaise and difficulty in walking. Review of Resident #2's physician orders revealed an order dated 10/22/19 which indicated the resident's code status was Do Not Resuscitate Comfort Care Arrest (DNR CCA) which included life saving measures that would be implemented up to the point of cardiac arrest or respiratory arrest. Review of Resident #2's Ohio Do Not Resuscitate (DNR) Identification Form dated 07/09/19 indicated the resident's code status was DNR comfort care (DNR CC) which would not include chest compressions, resuscitative drugs, cardiac monitoring or anything other than…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-10-31 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure the comprehensive assessment for Resident #3 was accurate for dental and Resident #20 for life expectancy. This effected two of 20 residents whose comprehensive assessments were reviewed. The facility census was 46. Findings include: 1. Record review revealed Resident #3 was admitted on [DATE] with diagnoses which included gastroesophageal reflux disease, major depression, anxiety, cerebral palsy, constipation, and dysphagia. Interview with Resident #3 on 10/28/19 at 10:03 A.M. revealed she had dentures that had been relined but they rubbed in two spots and need to be tweaked. Observation of Resident #3 on 10/28/19 at 10:03 A.M., 10/29/10 at 3:20 P.M. and 10/30/19 at 8:28 A.M. revealed the resident was edentulous and was not wearing dentures. Review of the annual comprehensive assessment dated [DATE] revealed the question referring to the resident's oral/dental status indicated Broken or loosely fitting full or partial denture…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-10-31 · tag F0804 — failed to serve food at safe, palatable temperature — isolatedEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and interview, the facility failed to ensure pureed foods were prepared according to the facility recipe and best practice guidelines. This affected four (Residents #2, #8, #19 and #22) of four residents the facility identified as requiring pureed meals. Facility census was 46. Findings include: Review of the menu for 10/29/19 revealed the lunch meal consisted of herb lemon chicken, egg noodles, asparagus spears, dinner roll, margarine and yellow cake with chocolate frosting. Observation on 10/29/19 at 11:18 A.M. with Dietary Manager #56 and Dietitian #57 revealed [NAME] #96 preparing the pureed lunch entree which consisted of pureed herb lemon chicken. [NAME] #96 placed five scoops of chicken in the food processor then added chicken broth and pureed the mixture. After pureeing the mixture [NAME] #96 placed sliced bread in the chicken mixture one slice at a time for a total of seven slices and then pureed the mixture again. Review of the undated Pureed Lemon Herb Chicken recipe form indicated to debone the chicken and remove the skin, measure the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to VRC MANAGEMENT — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 4.8 | -0.8 vs chain |
| Health inspection | 3 of 5 | 4.0 | -1.0 vs chain |
| Staffing | 2 of 5 | 2.2 | -0.2 vs chain |
| Quality measures | 5 of 5 | 5.0 | ≈ chain avg |
The other 4 homes this chain runs (chain average 4.8★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| FANEGO, ANA | Individual | DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 07/22/2010 |
| FRANCUS, ANDREW | Individual | DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 09/01/2014 |
| FRANCUS, DAVID | Individual | DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 09/01/2014 |
| FRANCUS, MICHAEL | Individual | DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 09/01/2014 |
| FRANCUS, REBECCA | Individual | DIRECT OWNERSHIP INTEREST; ADP OF THE SNF | since 09/01/2014 |
| VRC MANAGEMENT, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2014 |
| MEISER, KELLY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 12/12/2022 |
CMS files one row per role, so the 15 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OH
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366425. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-28, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.