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Amherst Manor Nursing Home

175 N Lake Street, Amherst, OH 44001 · For profit - Corporation · 114 certified beds · (440) 988-4415 Medicare & Medicaid certified

Call the home — (440) 988-4415 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 19 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (1/5)

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
917 N Lake St Ste 230 · (440) 988-6060 · Call to confirm hours
Pharmacy
8000 Oak Point Rd · (440) 985-7101 · Call to confirm hours
Grocery
1190 Milan Ave · (440) 984-2272 · Call to confirm hours
Park
913 N Lake St · (440) 458-5121 · Typically dawn to dusk
Place of worship
440 N Lake St · (440) 988-8255

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 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 2 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 4 to 3 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.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased2.7%5.3%15.4%better than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight6.9%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms8.0%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.8%3.2%3.3%better
Long-stay residents whose ability to walk worsened5.4%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication35.3%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.5%95.3%typical
Long-stay residents with pressure ulcers3.9%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control27.6%21.4%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table3.3%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication1.1%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine92.3%75.6%79.4%better
Short-stay residents rehospitalized after admission19.6%24.9%22.6%better
Short-stay residents with an outpatient ER visit15.0%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.251.731.67better
Long-stay outpatient ER visits per 1,000 resident days1.781.801.80typical

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.

53.9% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 162 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

53.9%U.S. median 51.5%
Got home and stayed home
8.6%U.S. median 10.7%
Went back to hospital
49.2%U.S. median 56.6%
Met the expected recovery
0.41U.S. median 0.31
Therapy hours / resident / day
0.22hours / resident / day
Physical therapy
0.17hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 49.2% 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 67 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 0.41 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 19% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF53.9%CMS range 46.3–62.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF8.6%CMS range 6.1–12.010.7%Oct 2022–Sep 2024no 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 discharge49.2%56.6%Oct 2024–Sep 2025CMS 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 discharge46.3%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge50.8%50.0%Oct 2024–Sep 2025CMS 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 identified100.0%98.7%Oct 2024–Sep 2025CMS 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 setting100.0%100.0%Oct 2024–Sep 2025CMS 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 discharge100.0%98.7%Oct 2024–Sep 2025CMS 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened4.1%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization12.0%CMS range 7.6–16.17.1%Oct 2023–Sep 2024worse than U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.031.02Oct 2022–Sep 2024CMS 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

0.40
RN hours/ resident / day
0.90
LPN hours/ resident / day
2.04
Aide hours/ resident / day
3.33
Total nurse hours/ resident / day
0.29
RN hoursweekends
55.8%
Total nursing turnover
64.7%
RN turnover

How full it usually is: this home is certified for 114 beds and averages 97.1 residents a day — about 85% occupied, or roughly 17 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 3.33 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.40 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 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 3.07 hrs/resident/day on weekends vs 3.44 on weekdays — 11% thinner on weekends. RN hours go from 0.44 to 0.29 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% is about the same as the national median of 45%.

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

5
deficiencies at the latest standard inspection (2025-03-06)
9
at the previous standard inspection (2022-12-05)

Deficiencies are fewer than at the previous inspection — improving. 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.

ABCDEFGHIJKL

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.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

  • Potential for harm · F2025-03-06 · tag F0814 — failed to dispose of garbage properly — widespread
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and staff interview the facility failed to ensure its dumpster area was maintained in a clean and sanitary condition. This had the potential to affect all residents. The facility census was 105. Findings include: Observation of the dumpster area with Dietary Manager (DM) #700 on 03/03/25 between 8:30 A.M. and 8:45 A.M. revealed an industrial sized dumpster and a small approximately one yard deep dumpster next to it. The industrial sized dumpster was approximately 60 percent full with its top lid and side door open. The small dumpster was noted to overflowing with multiple bags of trash piled approximately four feet high. Multiple bags of trash were also noted around the small dumpster on the ground. Interview on 03/03/25 at 8:45 A.M. with DM #700 verified the above findings at the time of observation.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-03-06 · tag F0926 — failed to keep the home smoke-free / fire-safe — widespread
    Have policies on smoking.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and staff interview, the facility failed to develop and implement a smoking policy in accordance with federal, state and local laws and regulations in regards to smoking, smoking areas, and smoking safety for both smoking and non-smoking residents and staff. This had the potential to affect all residents. The facility census was 105. Findings include: 1. On 03/05/25 at 10:10 A.M., tour of the facility with Director of Maintenance (DM) #479 noted improperly discarded smoking materials on and around the second-floor patio near the nurse's station. Five cigarette butts were observed on the cement patio around a metal chair and table sitting in the corner near the door. Additionally, numerous cigarette butts were noted in gutter intermixed with leaves and within proximity to the asphalt roof shingles. Interview with the DM #479 verified the above findings at the time of observation. 2. Observation of the front of the building on 03/05/25 at 11:30 A.M. revealed a resident from the facility's attached residential care facility (RCF) was seated in her…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-03-06 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, policy review, and review of Centers for Disease Control (CDC) recommendations, the facility failed to ensure appropriate hand hygiene was performed during meal tray distribution. This affected nine residents (#2, #13, #16, #38, #71, #73, #74, #90 and #101) out of nine residents observed for dining on the second floor. The facility census was 105. Findings include: Observation on 03/03/25 at 11:27 A.M. revealed Certified Nursing Assistant (CNA) #657 began to distribute meal trays on the second floor. CNA #657 was not observed cleansing her hands before pushing the food cart from the nurse's station area to the first resident's room. CNA #657 went into Resident #2's room and grabbed a used, facility-provided coffee cup, took it out of the room and put it on top of the food cart before she returned to the meal tray cart without having cleansed her hands. CNA #657 then took a meal tray from the food cart and carried it into Resident #2 and put it on Resident #2's bedside table. CNA #657 proceeded to take a meal tray and a cup of coffee into 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-06 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide 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, staff interview, and policy review, the facility failed to ensure accurate weights were obtained for Resident #34. This affected one resident (#34) of one resident reviewed for nutrition. The facility census 105. Findings include: Review of the medical record revealed Resident #34 was admitted to the facility on [DATE] with diagnoses including adenovirus, atrial fibrillation and muscle weakness. Review of Resident #34's most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #34 was severely cognitively impaired and required extensive assistance of one staff person for completing her activities of daily living. Review of the weight record for Resident #34 revealed a documented weight of 126 pounds on 02/13/25 and a weight of 116 pounds on 02/14/25 indicating a weight loss of 7.94 percent (%). Review of both the electronic and hard chart reveled no documented evidence to suggest such a weight change over a 24-hour period noted in Resident #34 chart was present. No…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-03-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when needed.
    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, staff interview, review of Centers for Disease Control (CDC) recommendation and review of manufacturers instructions the facility failed to ensure necessary respiratory equipment was utilized in a manner to provide maximum efficiency and benefit to the resident. The affected one (Resident #77) of two residents identified by the facility as requiring a bilevel positive airway pressure (bipap) machine while sleeping to address sleep apnea and other similar and related conditions. The facility census was 105. Findings include: Review of the medical record for Resident #77 revealed Resident #77 was admitted to the facility on [DATE] with diagnoses including end stage renal disease, obstructive sleep apnea, and type two diabetes. Review of the Minnimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #77 was cognitively intact and required extensive assistance of one staff person for completing his activities of daily living Review of the current physicians orders for the month of…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-27 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and policy review, the facility failed to ensure residents had access to call lights. This affected three (Residents #24, #104, and #20) of five residents reviewed for call lights. The facility census was 108. Findings include: 1. Review of the medical record for Resident #24 revealed an admission date of 05/26/21. Medical diagnoses included dementia with behavioral disturbance, restlessness and agitation, emphysema, and anxiety. Review of the Minimum Data Set (MDS) 3.0 quarterly assessment, dated 10/10/23, revealed Resident #24 to have moderately impaired cognition. Resident #24 was not coded to have any behaviors. Resident #24 was coded to have clear speech, was able to make self understood and understand others. Observation on 11/27/23 at 8:32 A.M. revealed Resident #24 repeatedly called out for help. Resident #24 was in the bed and had her bed control remote in her hand pushing various buttons. Her call light was draped over a fixture on the wall approximately three feet away from Resident #24. An interview on 11/27/23 at 8:41 A.M. with…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2022-12-05 · tag F0761 — failed to label and store drugs safely — widespread
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, review of the temperature logs, and review of the facility policy review, the facility failed to ensure medications were stored with proper temperature controls. This affected two of four medication storage rooms reviewed for medication storage. This had the potential to affect all 80 residents residing in the facility. Findings include: 1. Observation and interview of the medication storage room on the Sandstone Hall on 11/30/22 at 1:33 P.M., with Licensed Practical Nurse (LPN) #855 revealed the temperature log was missing daily temperature recordings. There was no documentation at all for the months of 07/2022 and 08/2022. There were two days (09/02/22 and 09/13/22) with recorded temperatures for the month 09/2022. There was no recorded temperatures at all for the months of 10/2022 and 11/2022. LPN #855 verified there were no temperature recording form the months of 07/2022, 08/2022, 10/2022, and 11/2022 and only two temperatures recorded in 09/2022. Observation and interview of the medication refrigerator on the Sandstone Hall on 11/30/22 at…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-12-05 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
    Provide 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 4. Review of Resident #292's medical record revealed the resident was admitted to the facility on [DATE]. Resident #292 died in the facility on 07/28/22. Diagnoses included chronic pancreatitis, chronic obstructive pulmonary disease (COPD), muscle weakness (generalized), unsteadiness on feet, history of falling, and presence of right artificial hip joint. Review of the significant change MDS assessment dated [DATE] revealed Resident #292 had moderate cognition impairment. Resident #292 required extensive assistance of one staff for bathing. Review of the hospice documentation revealed hospice provided baths to Resident #292 on 07/19/22, 07/21/22, and 07/26/22. Review of the bathing task sheet from 05/13/22 to 07/27/22 revealed Resident #292 did not get a bath or shower on 05/17/22, 05/20/22, 05/24/22, 05/27/22, 06/24/22, 06/28/22, 07/08/22, and 07/12/22. There were 22 scheduled opportunities for Resident #292 to receive a bath or shower and Resident #292 did not receive eight of the 22 scheduled baths or…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-12-05 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    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, medical record review, review of the facility's policy, and staff interview, the facility failed to ensure the call lights were within reach and accessible for the residents. This affected two (Residents #37 and #242) of 26 residents observed for call lights within reach. The facility census was 80. Findings include: 1. Record review for Resident #242 revealed the resident was admitted to the facility on [DATE]. Diagnoses included dementia, type II diabetes mellitus, and hypertensive heart disease. Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #242 was severely cognitively impaired and required extensive assistance of two for activities of daily living. Review of the care plan dated 11/22/22 revealed Resident #242 was at risk for falls with an intervention to have a call light within reach. Observation on 11/28/22 at 8:44 A.M. revealed Resident #242 was in her room, sitting in tilt-in-space wheelchair and appeared teary-eyed. The call light was noted 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-05 · tag F0636 — isolated
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, review of the facility's policy, and staff interview, the facility failed to ensure cognition and mood were assessed on the comprehensive Minimum Data Set (MDS) assessments for three (#23, #41, and #70) of 20 residents reviewed for cognition and mood. The facility census was 80. Findings include: 1. Review of Resident #41's medical record revealed an admission date of 10/19/22. Diagnoses included respiratory failure and chronic kidney disease. Review of the admission Minimum Data Set (MDS) assessment, dated 10/26/22, revealed Resident #41's cognition and mood were not assessed. The resident was marked as resident is rarely/never understood. The resident's preferred language was Spanish and the resident was noted to need or want an interpreter to communicate with a doctor or health care staff. Interview on 11/29/22 at 2:30 P.M. with Registered Nurse (RN) #846 verified Resident #41's cognition and mood were not assessed on the comprehensive assessment. RN #846 reported Resident #41 was marked as being rarely or never understood due to the language…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · D2022-12-05 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    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, medical record review, review of the facility policy, and staff interviews, the facility failed to provide a resident with an effective restorative ambulation program. This affected one (Resident #23) of four residents reviewed for restorative programs. The facility census was 80. Findings include: Review of Resident #23's medical record revealed an admission to the facility occurred on 08/17/22. Diagnoses included Alzheimer's disease, COVID-19 (11/26/22), dementia, stroke, falls, and generalized weakness. Review of Resident #23's quarterly Minimum data set (MDS) assessment dated [DATE] revealed Resident #23 was severely impaired cognition. Resident #23 was able to ambulate with one person assistance, with the use of a walker. Review of the occupational therapy (OT) notes revealed Resident #23 received services from 08/23/22 through 09/19/22. The OT therapy notes revealed discharge instructions included Resident #23's prognosis to maintain current level of functioning (CLOF) was good with…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-05 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, medical record review, and staff interviews, the facility failed to ensure the resident's wound dressing changes were completed as physician ordered and were accurately documented in the resident's medical record. This affected for one (Resident #18) of two residents reviewed for pressure ulcers. The facility identified 11 residents with pressure ulcers. The facility census was 80. Findings include: Review of Resident #18's medical record revealed an admission to the facility occurred on 12/07/18. Diagnoses included stroke, dementia/Alzheimer's disease, fractured right femur, and protein calorie malnutrition. Resident #18 was admitted to hospice services for end of life care starting on 10/17/22. Review of the physician progress note dated 11/07/22 revealed Resident #18 had unstageable pressure ulcers (slough and/or eschar: known but not stageable due to coverage of wound bed by slough and/or eschar) to her right heel and buttock. Review of the facilities wound assessments dated 11/22/22 revealed Resident #18 had a pressure ulcer to the right heel. The wound…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-05 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide 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 observation, staff interview, medical record review, and review of the facility policy, the facility failed to ensure an indwelling urinary catheter was stabilized and maintained in a manner to prevent urinary tract infection (UTI). This affected one (Resident #83) of two residents reviewed for an indwelling urinary catheter. The facility identified eight residents with an indwelling or external catheter. The facility census was 80. Findings include: Review of the medical record for Resident #83 revealed an admission date of 10/21/22. Diagnoses included type II diabetes mellitus, lack of coordination, muscle weakness, and retention of urine. Review of Resident #83's admission Minimum Data Set (MDS) 3.0 assessment, dated 10/28/22, revealed Resident #83 was cognitively intact. Resident #17 required the extensive assistance of two staff members for bed mobility, transfers, and toileting. Resident #17 had an indwelling catheter for urine and was always incontinent of bowel. Review of the plan of care, dated 10/28/22, revealed Resident #83 had an indwelling urinary catheter due…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2019-08-12 · tag F0839 — widespread
    Employ staff that are licensed, certified, or registered in accordance with state laws.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to thoroughly check the Nurse Aide Registry prior to hiring a nurse aide. This affected one (STNA #100) of five personnel files reviewed. This had the potential to affect all 102 residents who resided at the facility. Findings include: Review of the personnel file for STNA #100, revealed date of hire 05/15/19; last day worked 08/02/19; and termination on 08/06/19 for no call no show. During interview on 08/12/19 at 10:13 A.M., Scheduling Resources (SR) #550 reported when searching the Ohio Nurse Aide Registry, the employee's first and last name along with the last four digits of the social security number are used. SR #550 stated she missed entering the last four digits of STNA #100 into the Nursing Aide Registry for verification. Observation on 08/12/19 at 11:05 A.M. of the Nurse's Aide Registry search with (SR) #550 revealed STNA #100's first and last name only yielded a registry number and good standing; however when STNA #100's name AND last four digits of the social security number was searched in the Ohio Nurse Aide…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-08-12 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    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 a resident was treated with dignity at all times. This affected one (Resident #39) of 23 sampled residents. The census was 104. Findings include: Review of Resident #39's medical record revealed she was admitted to the facility on [DATE]. Diagnoses included dementia, high blood pressure, delusional disorder and a fractured femur. During observation of Resident #39 on 08/06/19 at 8:00 A.M., Licensed Practical Nurse (LPN) #21 came from behind Resident #39's high back Broda chair, grabbed the chair and pulled the resident backwards down the hall to her room. Resident #39 was startled and slightly raised her arms. LPN #21 did not inform Resident #39 prior to moving her and or pulling her backwards in her chair. During interview on 08/06/19 at 8:06 A.M, LPN #21 confirmed she did not tell Resident #39 that she was getting ready to move her and pulled her backwards from the dining room to her resident room. LPN #21 stated she should have…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-08-12 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    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 call lights were within reach and accessible. This affected three (Residents #45, #79 and #98) of 104 residents reviewed for call light placement. Findings include: 1. Record review revealed Resident #45 was readmitted to the facility on [DATE] with diagnoses that included Parkinson's disease, dementia with behavioral disturbance, and atherosclerotic heart disease. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #45 was cognitively intact and required extensive assistance of activities of daily living. Review of Resident #45's care plan dated 05/05/18 revealed interventions state that call light should be within reach and resident is encourage to ask and use call light for assistance. During observation of Resident #45 on 08/05/19 at 10:01 A.M., she was sitting in her wheelchair located near the end of the bed and her call light was located at the head of the bed. Resident #45 stated that…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-08-12 · tag F0770 — failed to provide lab services — isolated
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and interview, the facility failed to ensure resident's laboratory orders were completed as ordered. This affected one of one resident (#60) reviewed for laboratory services. The facility census was 104 residents. Findings include: Review of Resident #60's medical record revealed diagnoses including diabetes. The resident had a physician order dated 02/11/19 for a Glycohemoglobin-HGBA1C laboratory test (a blood test that checks the amount of glucose bound to the hemoglobin in the red blood cells) to be performed every three months for diabetes monitoring. Review of the medical record revealed the HGB A1C was completed on 02/11/19. There was no evidence the test was performed in May 2019 as ordered. Interview with 08/08/19 08:36 A.M. LPN #21 verified the only HGB A1C was drawn on 02/11/19.

    Administration Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2022-12-05 · tag F0552 — widespread
    Ensure that residents are fully informed and understand their health status, care and treatments.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, review of the employee handbook, interview with residents at the resident council meeting, and staff interviews, the facility failed to ensure all staff were wearing name badges for residents to know whom was caring for them. This had the potential to affect all 80 residents residing in the facility. Findings include: Observation on 11/29/22 at 12:49 P.M. revealed the Director of Nursing (DON) entered the conference room without a name badge. Interview on 11/29/22 at 12:49 P.M. with the DON verified she did not have a name badge on, and it was located in her office. Observations of the second floor secured unit occurred on 12/01/22 at 7:49 A.M. The observation identified Licensed Practical Nurse (LPN) #853 and State Tested Nursing Assistant (STNA) #850 were working on the floor with the residents. The observations identified both staff persons did not have name tags on to identify themselves or their position. The staff persons both identified they would go and get their name tags and put them on. LPN #853 and STNA #850 confirmed they did not have their name…

    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.

    Resident Rights Deficiencies · Deficient, Provider has plan of correction
  • No harm found · C2022-12-05 · tag F0813 — widespread
    Have a policy regarding use and storage of foods brought to residents by family and other visitors.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to have a policy in place regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption. This had the potential to affect 80 residents residing in the facility who were able to receive food from outside sources. Findings include: Review of the facility's policy revealed there was no policy in place regarding the use and storage of foods brought to residents by family and other visitors. Interview with Dining Services Director (DSD) #805 on 11/28/22 at 10:45 A.M. verified there was no policy in place regarding the use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption. Interview with the Administrator on 11/30/22 at 10:11 A.M. revealed residents and/or visitors were able to bring in food from outside sources into the facility.

    Nutrition and Dietary Deficiencies · Deficient, Provider has plan of correction

“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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SPRENGER HEALTH CARE SYSTEMS — 12 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 →

RatingThis homeChain avg
Overall 2 of 53.3-1.3 vs chain
Health inspection 3 of 53.1-0.1 vs chain
Staffing 1 of 52.8-1.8 vs chain
Quality measures 4 of 54.5-0.5 vs chain
The other 11 homes this chain runs (chain average 3.3★, 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 / managerTypeRoleShareSince
SPRENGER ENTERPRISES, INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 05/31/1989
BLUESKY HEALTHCARE INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 01/22/2001
HUTSENPILLER, WENDIEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 07/01/2008
MALANOWSKI, KENNETHIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 07/01/2008
SPRENGER, NICOLEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 06/01/2002
SPRENGER, TRACEYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 07/01/2008
FOX, EMILYIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/31/2024
KUHN, SHANNONIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/31/2024
MALANOWKI, BRANDONIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/31/2024
CMS & CO. MANAGEMENT SERVICES, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/02/2009
BROOKS, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/23/2024
COURTOCK, MELISSAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/02/2002
EPPERLY, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/20/2022
EREN, ITRIIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/28/2006
GOLLINGER, KRISTENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/13/2000
JOHNSON, ASHLEYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/17/2025
MARINO-FREETAGE, JAIMEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/2011
MICALE, JACOBIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/20/2023
AMHERST MANOR COMPANY, LTD.OrganizationADP OF THE SNFsince 12/14/1995
BSH INVESTMENTS LLCOrganizationADP OF THE SNFsince 11/04/2003
CITRIN COOPERMAN AND COMPANY, LLPOrganizationADP OF THE SNFsince 02/01/2025
DELTA HEALTH CARE CONSULTANTS, INC.OrganizationADP OF THE SNFsince 01/01/2008
HUNTINGTONOrganizationADP OF THE SNFsince 07/02/2009
WELLSPRING STAFFING, INC.OrganizationADP OF THE SNFsince 10/15/2021
SAWULSKI, JENNIFERIndividualADP OF THE SNFsince 07/01/2008
SKIDMORE, JODIIndividualADP OF THE SNFsince 07/01/2008

CMS files one row per role, so the 45 rows in the source record cover these 26 parties — each is shown once here with every role it holds. Nothing is omitted.

9 organizational owners 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.

$11.2M
Net patient revenuemost recent cost report
+6.4%
Operating marginrevenue minus expenses
$1.4M
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 23%Medicare 8%Other / private 69%

This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 14% 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.

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

$304per resident / day
operating cost
$9,229per month
≈ monthly operating cost
$324per day
avg. revenue, all payers

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

Paying with Medicaid

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.

Typical monthly cost in Ohio
$9,186/mo
Nursing home (semi-private)
$10,389/mo
Nursing home (private)
$6,103/mo
Assisted living

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 365924. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-03-06, 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.

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