Gardens At Celina

Location & what’s nearby

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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

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.

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.

53.3% 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 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.75 therapist hours per resident per day in 2026Q1 — more than 93% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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.

Staffing

How full it usually is: this home is certified for 25 beds and averages 21.8 residents a day — about 87% occupied, or roughly 3 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 3.56 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 1.97 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 2.96 hrs/resident/day on weekends vs 3.81 on weekdays — 22% thinner on weekends — a notable drop. RN hours go from 1.03 to 0.63 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 58% is well above 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

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.

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · Dcited before2025-12-24 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, resident interview, and staff interview, the facility failed to ensure a resident received ordered medications timely after admission to the facility. This affected (#31) of five residents reviewed for medications. The census was 21. Findings include:Review of Resident #31's medical record revealed an admission date of 12/18/25. Diagnoses listed low back pain, chronic obstructive pulmonary disease, hypertension, anxiety disorder, hypertension, and lumbar disc degeneration.A Minimum Data Set (MDS) assessment had not yet been completed.Review of physician orders revealed an order dated 12/18/25 for the antidepressant medication Buproprion hydrochloride (HCL) oral tablet extended-release (ER) 24-hour 300 milligrams (mg). Give 700 mg by mouth in the morning for depression. The order was discontinued 12/22/25. An order dated 12/22/25 was for Buproprion HCL oral tablet ER 24-hour 300 mg. Give 700 mg by mouth in the morning for depression. The order was discontinued 12/23/25. Review of medication administration notes dated 12/19/25 at 8:02 A.M. revealed…

  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 · Dcited before2025-12-24 · tag F0880 — failed to prevent and control infections — isolated
  Provide 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 medical record review, observation, staff interview, and facility policy, the facility failed to implement Enhanced Barrier Precautions (EBP) for a resident with an open wound. This affected one (Resident #01) of three residents review for EBP. The facility census was 21.Findings include:Record review revealed Resident #01 was admitted on [DATE] with diagnoses including pleural effusion, chronic obstructive pulmonary disease (COPD), and diabetes mellitus type II.Review of the weekly wound assessment dated [DATE] revealed Resident #01 had a stage III pressure ulcer on the coccyx. Observation of Registered Nurse (RN) #148 on 12/24/25 at 9:48 AM revealed RN #148 provided wound care to Resident #01's open coccyx wound without the use of complete personal protective equipment (PPE). RN #148 applied gloves but did not don (apply) a gown for the wound care treatment. Interview with RN #148 at the time of observation confirmed she did not wear a gown during the wound care treatment for Resident #01 and she…

  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 · Ecited before2024-11-05 · 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, staff interview, and facility policy review, the facility failed to ensure medications were handled in a hygienic manner. This affected five residents (#01, #02, #13, #14, and #25) of five reviewed for medication administration. The facility census was 25. Findings include: Observation on 11/05/24 from 7:10 A.M. to 7:45 A.M. revealed Registered Nurse (RN) #100 administering medications to facility residents. RN #100 obtained the medications for Resident #01 to include Calcium (supplement) 600 milligrams (mg) with Vitamin D3 (vitamin) tablet, Acidophilus (probiotic) capsule, and Iron (supplement) 325 mg tablet. RN #100 opened the Acidophilus capsule with ungloved hands and poured the powder into a dish of applesauce and administered the medications to Resident #01. RN #100 returned to the medication cart did not perform hand hygiene and prepared medications for Resident #14 which consisted of Iron 325 mg, Metoprolol (used to lower blood pressure) 25 mg, and Keppra (anticonvulsant) 750 mg, touching the medications with ungloved hands. RN #100 the administered 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2022-11-23 · tag F0727 — failed to provide required RN coverage — widespread
  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on review of staffing tool and staff interview, the facility failed to have a Registered Nurse (RN) on duty for eight consecutive hours daily. This affected all 22 residents residing in the facility. Findings include: Review of the staffing tool from 11/06/22 to 11/12/22 revealed on 11/11/22 (Friday) the facility had an RN on duty for only one hour and on 11/12/22 (Saturday) the facility had an RN on duty for only six hours and 15 minutes. Interview on 11/23/22 at 11:55 A.M. with Administrator provided verification of the lack of RN coverage on the two days. Administrator additionally indicated the DON worked 16 hours on 11/10/22 (Thursday) and DON did not work any hours on 11/11/22.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2022-11-23 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on staff interview, record review, and review of the Certification and Survey Provider Enhanced Reporting system (CASPER), the facility failed to have an effective quality assurance program to address repeated concerns identified during three consecutive annual surveys. This affected all residents in the facility. The facility census was 22. Findings include: Review of the Certification and Survey Provider Enhanced Reporting system (CASPER) report dated 10/28/22 revealed the facility received a deficiency for failing to be free from unnecessary psychotropic medications during the annual surveys completed in October 2018 and November 2019. Review of the medical records during the annual survey conducted 11/21/22 through 11/23/22 for three residents (#14, #124, and #126) revealed the facility failed to have appropriate diagnoses in place for psychotropic medications. Interviews on 11/23/22 at 9:47 A.M. and 10:20 A.M. with Regional Nurse Consultant #240 confirmed the diagnoses for psychotropic medications for Resident #14, Resident #124, and Resident #126 were in appropriate.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2022-11-23 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure 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 observations, staff interviews, and review of the facility policies, the facility failed to store and prepare food in a sanitary manner, failed to completely cover hair during meal service, and failed to accurately monitor sanitizer levels in the sanitation buckets used to clean the kitchen. This had the potential to affect all residents in the facility except one (#5) who was identified as receiving no food by mouth. The facility census was 22. Findings include: 1. Observations during the initial tour of the kitchen on 11/21/22 at 8:07 A.M. revealed unsealed ham, unsealed hotdogs, an undated opened package of ham, and pizza sauce dated 11/02/22 in the walk-in refrigerator. Further observation revealed omelets open to the air in the freezer. Concurrent interview with the Dietary Manager #237 confirmed the observations. Further interview revealed food should be labeled with a date and sealed. Observation on 11/22/22 at 10:20 A.M. of the refrigerator designated for residents' food revealed a package of pepperoni with a fuzzy appearance on it consistent with mold, an…

  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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-11-23 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately 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 observations, staff interviews, record reviews, and review of the facility policy, the facility failed to notify the physician or the non-physician practitioner (NPP) and failed to notify the residents representative when a change of conditions occurred. This affected two residents (Resident #14 and #6) of two residents reviewed for a change in condition. The facility census was 22. Findings include: 1. Review of the medical record for Resident #14 revealed an admission date of 10/19/22 and a readmission date of 11/21/22 with medical diagnoses of a fracture of her left ankle, type two diabetes mellitus, congestive heart failure (CHF), acute and subacute hepatic failure, hyperkalemia, acute kidney failure, and anxiety disorder. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #14 had impaired cognition, required extensive assistance of two people for bed mobility, transfers, dressing, and toileting, extensive assistance of one person for hygiene, 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-11-23 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  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 staff interview, the facility failed to investigate an injury of unknown origin. This affected one resident (#6) of twelve records reviewed. The facility census was 22. Findings include: Review of the medical record for Resident #6 revealed an admission date of 11/16/18 with medical diagnoses of hemiplegia affecting left nondominant side, nontraumatic intracerebral hemorrhage, and contracture of the left hand. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #6 had impaired cognition and required extensive assistance of two people for bed mobility, dressing, and toileting, extensive assistance of one person for eating, and total dependence of two people for transfers. Review of a progress note dated 11/09/22 revealed Resident #6 had a bruise and abrasion to right lower leg. Review of the active physician orders for Resident #6 revealed no treatment orders for resident's left lower leg. Review of the facility's self-reported incidents (SRIs)…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2022-11-23 · tag F0655 — isolated
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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 staff interview, record review, and review of the facility policy, the facility failed to accurately complete baseline care plans. This affected two residents (#14, and #175) of the four residents review for baseline care plans. Facility also failed to complete baseline care plans for residents. This affected one resident (#126) of four records reviewed for baseline care plans. The facility census was 22. Findings include: 1. Review of the medical record for Resident #14 revealed an admission date of 10/19/22 and a readmission date of 11/21/22 with medical diagnoses of a fracture of her left ankle, type two diabetes mellitus, congestive heart failure (CHF), acute and subacute hepatic failure, hyperkalemia, acute kidney failure, and anxiety disorder. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #14 had impaired cognition and required extensive assistance of two people for bed mobility, transfers, dressing, and toileting, extensive assistance of one person…

  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
• Potential for harm · D2022-11-23 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  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

  Based on observation, staff interview, medical record review, and review of a facility policy, the facility failed to ensure finger nail care was provided to a resident that was dependent on staff for personal hygiene. This affected one resident (#5) of two residents reviewed for activities of daily living (ADLs). The census was 22. Findings include: Review of Resident #5's medical record revealed an admission date of 08/10/20. Diagnoses included other specified intracranial injury, duodenal ulcer, gastrostomy status, adjustment disorder with depressed mood, post traumatic seizures, and hyperlipidemia. Review of the most recently completed Minimum Data Set (MDS) assessment completed 10/02/22, revealed Resident #5 had severely impaired cognitive skills for daily decision making and required total dependence with two-plus persons physical assistance with personal hygiene, and was assessed with no rejection of care. Review of an ADLs deficit care plan dated 10/27/20, revealed Resident #5 needed hands on assistance with most ADLs tasks due to having uncoordinated muscle movements.…

  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

“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.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LIONSTONE CARE — 24 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 →

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

CMS files one row per role, so the 18 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

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 $67K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OH