Brunswick Pointe Transitional Care
4355 Laurel Road, Brunswick, OH 44212 · For profit - Corporation · 91 certified beds · (330) 741-8000 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (16) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its payroll-based staffing rating is low (2/5)
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.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
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 | 4 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 3 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 improved from 4 to 5 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 | 1.4% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 5.2% | 6.2% | 5.4% | typical |
| 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 | 42.2% | 30.1% | 6.5% | worse than state‡ — see note marked double-dagger 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 | 1.9% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 2.1% | 6.1% | 16.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 25.2% | 25.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 81.1% | 94.5% | 95.3% | worse |
| Long-stay residents with pressure ulcers | 6.9% | 3.4% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 21.1% | 21.4% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 10.3% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.3% | 1.2% | 1.4% | typical |
| Short-stay residents given the seasonal flu vaccine | 82.9% | 75.6% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 32.5% | 24.9% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 8.9% | 12.9% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.14 | 1.73 | 1.67 | better |
| Long-stay outpatient ER visits per 1,000 resident days | 3.09 | 1.80 | 1.80 | worse |
‡ 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.
60.4% 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 255 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 60.0% 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 95 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 0.37 therapist hours per resident per day in 2026Q1 — more than 64% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 13% 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 | 60.4%CMS range 53.0–66.2 | 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 | 13.7%CMS range 10.4–16.0 | 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 | 60.0% | 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 | 59.0% | 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 | 44.2% | 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 | 87.7% | 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 | 100.0% | 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 | 0.0% | 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 | 5.2% | 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 | 8.2%CMS range 4.8–11.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.19 | 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 91 beds and averages 84.5 residents a day — about 93% 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 3.54 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.92 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.85 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 3.17 hrs/resident/day on weekends vs 3.69 on weekdays — 14% thinner on weekends. RN hours go from 1.04 to 0.61 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 48% is about the same as 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.
16 citations, most serious first. The 11 most serious are shown; the remaining 5 are one tap away and print in full.
- Actual harm · Gcited before2024-08-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, resident interview, staff interview, review of hospital records, review of the facility investigation and review of facility policy, the facility failed to ensure residents were safely secured during transportation in the facility van. This resulted in Actual Harm on 07/15/24 when Resident #56's wheelchair was not safely secured in the facility van and tipped during transportation. Resident #56's weight rested on the left seatbelt shoulder strap, resulting in a fracture to her left upper arm. This affected one resident (#56) of three residents reviewed for transportation safety. The facility census was 89. Findings include: Review of Resident #56's medical record revealed an admission date of 12/21/23. Diagnoses included diabetes, end stage renal disease and unspecified dementia. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed 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 · Fdisputed · IDR2026-05-05 · 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
Based on observation and interview, the facility failed to prepare and distribute food and ice under sanitary conditions. This had the potential to affect all residents who received meal trays and drinks from the kitchen. The facility census was 78.Finding Include:Observation on 04/27/26 from 8:20 A.M. to 8:45 A.M. revealed two small ice scoops and one large ice scoop laying on top of the ice machine. To the right of the ice machine was a container on the wall that was used for placing the large ice scoop when not in use. Additional observation of the kitchen revealed the can opener had a buildup of a black substance with dirt particles on and around the blade area. Observation on 04/29/26 from 11:55 A.M. to 12:45 P.M. revealed Employee #358 placing her thumb in a plate of food while preparing the plate for service. Furthermore, when the plates were being prepared for distribution to the residents Employee #340 placed their thumb in a plate of food. Interview on 04/27/26 at 8:44 A.M. with Employee #233 during the kitchen tour confirmed that three ice scoops were laying on the top 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.
- Potential for harm · Fcited beforedisputed · IDR2026-05-05 · tag F0880 — failed to prevent and control infections — widespreadProvide 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, staff interviews and record review, the facility failed to ensure infection control practices were followed for isolation precautions and proper glove use. This affected two residents (Resident #16 and Resident #69) and had the potential to affect all 78 residents who resided in the facility.Findings include:1.Review of the medical record revealed Resident #16 was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy, clostridium difficile, chronic obstructive pulmonary disease, malnutrition, anxiety, depression. Review of the comprehensive Minimum Data Set (MDS) assessment, dated 04/08/26 revealed the resident had impaired cognition. The resident was dependent with transfers. Review of the physician orders dated 04/08/26 revealed an order for contact isolation due to diagnosis of Clostridioides difficile (C-diff). Review of Resident of the care plan dated 04/08/26 revealed the resident was in contact isolation requiring staff and visitors to donn a gown 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 · Ddisputed · IDR2026-05-05 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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 interview and record review the facility failed to ensure Resident #3's representative was notified the resident was transferred to the hospital. This affected one resident (Resident #3) of one resident reviewed for notification.Findings include: Record review revealed Resident #3 was admitted to the facility on [DATE] with diagnoses including acute and chronic respiratory failure, amyotrophic lateral sclerosis (ALS), edema, chronic obstructive pulmonary disease,, tracheostomy status, and pneumonia.Review of the compressive Minimum Data Set (MDS) assessment, dated 02/127/26 revealed the resident had was really understood and memory problems. The resident was dependent on activities of daily living.Review of the profile page revealed Resident #3 was her self-representative. Emergency Contact #1 had a phone number and email address. Emergency Contact #2 had a phone number.Review of the progress notes dated 04/23/26 revealed Resident #3 was sent via 911 to the emergency room (ER). The note indicated 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 · D2026-05-05 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview with facility failed to ensure Resident #3 and Resident #21's care plan was revised and implemented. This affected two residents (Resident #3 and Resident #21) of 24 residents reviewed for care plans. Findings include:1.Record review revealed Resident #21 was admitted to the facility on [DATE] with diagnoses including chronic respiratory failure, heart failure, depression, irritable bowel syndrome, neuromuscular dysfunction of bladder, acute kidney disease, and anxiety.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was cognition was intact. The resident was dependent on activities of daily living. The resident did not receive antibiotic however had an intravenous (IV) access.Review of the April 2026 Medication Administration Record (MAR) revealed order for to flush peripherally inserted central catheter (PICC) line with 10 milliliter (ml) of normal saline, after medication administration and to flush PICC line worth 10 ml 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.
- Potential for harm · Dcited beforedisputed · IDR2026-05-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview the facility failed to ensure residents were comprehensively assessed to determine the level of (staff) assistance required for mechanical lift transfers and failed to ensure resident care plans were in place to ensure an appropriate level of assistance was provided to prevent an accident/injury. This affected three residents (#20, #61, and #79) of three residents reviewed for accidents. The facility identified 34 additional residents (#2,#3, #4, #5, #6, #9, #10, #12, #13, #16, #21, #24, #28, #34, #37, #38, #42, #43, #48, #49, #50, #51, #59, #62, #63, #66, #69, #73, #76, #80, #82, #84, #95 and #96) who required a mechanical lift for transfers. The census was 78.Findings include: 1.Review of the medical record for Resident #20 revealed an admission date of 01/14/26 with diagnoses including nondisplaced comminuted fracture of left patella, osteoarthritis, chronic obstructive pulmonary disease and restless legs syndrome. Resident #20 was cognitively intact.Review of the April 2026 orders for Resident #20 revealed an order for mechanical lift for all…
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 · D2026-05-05 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to ensure proper infection control measures were implemented for care and treatment of Resident #6's urinary catheter and failed to ensure Resident #5 urinary tract infection was addressed timely. This affected two residents (Resident #5 and #6) of three reviewed for urinary catheters. The census was 78.Findings include:1.Record review revealed Resident #5 was admitted to the facility on [DATE] with diagnoses including constipation, stress incontinence, type 2 diabetes, heart failure, dementia, anxiety, chronic respiratory failure, and schizophrenia. Review of the progress note dated 04/10/26 at 10:20 A.M. revealed an order received to perform straight catheterization for urine collection due to incontinence. The procedure was performed using sterile technique and the urine specimen was sent to the lab. Review of the lab results final report revealed the specimen was collected at 4/10/26 at 12:00 A.M. and was received in the lab on 04/11/26…
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 · Ddisputed · IDR2026-05-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 interview, record review, and policy review the facility failed to ensure oxygen was administered per physician order for Resident #93. This affected one Resident (#93) of three reviewed for respiratory care. The census was 78. Findings include:Resident #93 was admitted to the facility on [DATE] and was discharged on 03/14/26 with diagnoses that included heart failure, chronic respiratory failure, chronic obstructive pulmonary disease (COPD, a type of lung disease), atrial fibrillation (an abnormal heart rhythm), and diabetes.Review of the care plan revealed the following: Resident #93 had respiratory deficiencies with a goal to have a reduced risk of respiratory complications dated 12/25/25 with interventions that included administer oxygen as ordered, and monitor for signs and symptoms of impaired respiratory function; Resident #93 required oxygen with a goal for oxygen levels to be kept at desired levels as set by the physician dated 12/24/25, with interventions that included oxygen as ordered,…
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 beforedisputed · IDR2026-05-05 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to maintain a medication error rate of less than five percent (%). The medication error rate was calculated to be 7.14% and included two medication errors of 28 medication administration opportunities. This affected one resident (Resident #5) of four residents observed for medication administration.Findings include: Record review revealed Resident #5 was admitted to the facility on [DATE] with diagnoses including constipation, stress incontinence, type 2 diabetes, heart failure, Dementia, anxiety. Chronic respiratory failure, and schizophrenia.Review of the comprehensive Minimum Data Set (MDS) assessment, dated 04/13/26 revealed the resident was cognition was intact. The resident was dependent on activities of daily living and received insulin.Review of the physician orders for April 2026 revealed an order including but not limited to Humalog Kwik Pen to inject per sliding scale 201-250 give 4 units; subcutaneously before meals and at bedtime,…
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 · F2025-04-04 · tag F0725 — failed to have enough nursing staff — widespreadProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review and interview, the facility failed to ensure adequate weekend staffing. This finding had the potential to affect all 89 residents residing in the building. The facility census was 89. Findings include: Review of the Staffing Data Report information for the fourth quarter (07/01/24 to 09/30/24) revealed the facility triggered for excessively low weekend staffing. Interview on 04/04/25 at 9:33 A.M. with the Administrator confirmed the facility triggered for excessively low weekend staffing for the fourth quarter on the Staffing Data Report form. The Administrator indicated this staffing issue was fixed when the facility hired new staff for the building. Interview on 04/04/25 at 10:09 A.M. with Regional Human Resources (HR) Director #950 indicated the facility had reported the accurate hours for the Staffing Data Report form for the fourth quarter but the facility had hired additional staff to correct the issue and added 24-hour nursing…
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 · D2024-11-02 · tag F0624 — isolatedPrepare residents for a safe transfer or discharge from the nursing home.
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, and policy review the facility failed to ensure a safe and orderly discharge for Resident #3. The affected one resident (#3) of three residents reviewed for discharge planning. Findings include: Review of the medical record for Resident #3 revealed an admission date of 08/10/24 and discharge date of 10/04/24. Diagnoses included type two diabetes, other chronic osteomyelitis, right ankle, and chronic kidney disease. Review of the comprehensive Minimum Data Set (MDS) assessment, dated 08/17/24, revealed Resident #3 had intact cognition. Review of the discharge care plan dated 10/04/24 revealed Resident #3's plan was to discharge home. Review of the physician order dated 08/22/24 revealed an order for tirzepatide (Mounjaro) 7.5 milligrams (mg) weekly for diabetes. Review of the Discharge summary dated [DATE] revealed Resident #3 was discharged with instructions provided and services set up. All medications were sent with the resident except Mounjaro 7.5 mg. Review of the Discharge…
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 · E2020-02-13 · tag F0761 — failed to label and store drugs safely — patternEnsure 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, interview and policy review, revealed the facility failed to ensure resident safety by leaving the medication cart unlocked, unattended and out of visual range of nursing staff. This had the potential to affect 12 residents (Residents #36, #78, #46, #16, #2, #342, #1, #13, #59, #51, #340 and #67) who were independently ambulatory or independently mobile in a wheelchair of 17 residents that resided on the 200 hall. Findings include: Observation on 02/12/20 at 8:00 A.M. of medication administration revealed Registered Nurse (RN) #439 prepared medications from the medication cart located in the hallway for Resident #389. RN #439 then took the medications into Resident #389's room and approached Resident #389. RN #439 did not lock the medication cart to secure the medications inside prior to leaving the medication cart unattended. Interview on 02/12/20 at 8:02 AM with RN #439, after being directed back to the med cart, confirmed he had left the medication cart unlocked and unattended. Observation on 02/12/20 at 8:13 A.M. of medication administration revealed RN…
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 · D2020-02-13 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
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 observations, interview, record review and policy review, the facility failed to ensure all resident are assessed for self administration, prior to leaving medications with residents. This affected three of three residents (Resident #8, Resident #27 and Resident #59) observed with medication at bed side. The facility census was 87. Findings include: 1. Record review revealed Resident #27 had been admitted to the facility on [DATE] with diagnoses including flaccid hemiplegia affecting the right dominant side, unsteady on feet, history of falling, wrist drop, right wrist weakness and other lack of coordination. The Minimum Data System (MDS) dated [DATE] included Resident #27 had adequate hearing, her speech had been clear, vision had been adequate, she had been understood and understands. Resident #27 had a Brief Interview for Mental Status (BIMS) score of 14 indicating the resident was cognitively intact, required one person to physically assist for bed mobility, set up help only for dressing, toileting…
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 · D2020-02-13 · 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 record review and interview the facility failed to ensure the comprehensive assessment were accurate for Resident's #15, and #69. This affected two of 25 (Residents #9, #11, #15, #16, #17, #22, #26, #27, #29, #31, #40, #43, #46, #51, #54, #67, #69, #75, #76, #86, #88, #89, #90, #338 and #342) comprehensive assessments reviewed. Findings include: 1. Resident #15 was admitted to the facility on [DATE] with diagnoses including dementia, anxiety, depression and psychosis. The quarterly comprehensive Minimum Data Set (MDS) 3.0 assessment dated [DATE] indicated the resident had cognitive impairment. Observation of the resident 02/10/2020 at 10:00 A.M. revealed the resident was in her room in bed on her back. The head of the bed was at 30 degrees. The resident appeared thin, emaciated, with her skeletal frame visible. The resident had a carton of chocolate supplement in front of her on the over bed table. Interview with the resident during the time of the observation revealed the resident was getting tired 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.
- Potential for harm · Dcited before2020-02-13 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based of observation, interviews and record review, the facility failed to administer medication per physician's orders. This affected one (Resident #16) of six residents observed during medication administration pass and one (Resident #51) of one resident randomly observed. Findings include: 1. Record review revealed Resident #16 had an admission date of 12/09/18 with diagnoses including included muscle weakness, unsteady on feet, type II diabetes and gastro-esophageal reflux. Resident #16 also had a history of constipation. The Minimum Data Assessment (MDS) 3.0 assessment dated [DATE] revealed Resident #16 had a Brief Interview for Mental Status (BIMS) score of 12, indicating moderate cognitive impairment. The MDS revealed Resident #16 also required supervision/set-up help only with eating. Resident #16 had a care plan dated 02/12/20 which revealed Resident #16 had been at risk for constipation related to decreased mobility. An intervention to reduce the risk for constipation was to administer medication per…
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 before2020-02-13 · 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
Based on observation, interview and policy review, the facility failed to ensure infection control measures were followed to prevent cross contamination. This affected one (Resident #16) of two residents observed during medication injections. The facility census was 87. Findings include: Record review revealed Resident #16 had an admission date of 01/29/19 with diagnoses including muscle weakness and type II diabetes. The Minimum Data Set (MDS) 3.0 assessment completed 02/04/20 revealed Resident #16 had moderate cognitive impairment. Physician orders for Resident #16 included Humalog Kwikpen solution (insulin) inject eight units subcutaneously with meals for diabetes mellitus. Observation of medication administration on 02/12/20 at 8:15 A.M. revealed Registered Nurse (RN) #439 administered an insulin injection to Resident #16 without applying gloves. Interview on 02/12/20 at 8:20 A.M. with RN #439 confirmed gloves were not worn during an insulin injection given to Resident #16. RN #439 stated, I never wear gloves when I give insulin. Interview on 02/12/20 at 11:40 A.M. with 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.
“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.
- 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 FOUNDATIONS HEALTH SOLUTIONS — 64 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 | 5 of 5 | 4.1 | +0.9 vs chain |
| Health inspection | 5 of 5 | 3.9 | +1.1 vs chain |
| Staffing | 2 of 5 | 2.3 | -0.3 vs chain |
| Quality measures | 4 of 5 | 4.3 | -0.3 vs chain |
The other 63 homes this chain runs (chain average 4.1★, per CMS)
Showing 40 of 63; lowest-rated first.
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 |
|---|---|---|---|
| COLLERAN, BRIAN | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2019 |
| KRYSTOWSKI, JOHN | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 09/28/2018 |
| FOUNDATIONS HEALTH SOLUTIONS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2019 |
| ANDERSON, AMANDA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2019 |
| GOYAL, YATISH | Individual | ADP OF THE SNF | since 09/28/2018 |
CMS files one row per role, so the 12 rows in the source record cover these 5 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 $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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
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 366459. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-05, 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.