Clifton Healthcare Center
625 Probasco Street, Cincinnati, OH 45220 · For profit - Corporation · 142 certified beds · (513) 281-2464 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- no federal fines or payment denials on record
- lower-than-typical staff turnover (26% vs 45% nationally) — better care continuity
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (2/5)
- 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 | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
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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
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 3.5% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 2.8% | 6.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.2% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 4.2% | 30.1% | 6.5% | better 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 | 1.2% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 1.9% | 6.1% | 16.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 19.3% | 25.5% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.0% | 3.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 24.3% | 21.4% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 4.5% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 3.6% | 1.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 86.1% | 75.6% | 79.4% | typical |
‡ 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.
Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2026Q1 — more than 8% 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
| 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 142 beds and averages 136.3 residents a day — about 96% occupied, or roughly 6 beds typically open. It runs essentially full — expect a waiting list. 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 3.17 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.93 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 2.80 hrs/resident/day on weekends vs 3.33 on weekdays — 16% thinner on weekends. RN hours go from 0.54 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 26% is below the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
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 unchanged from the previous inspection. 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.
23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.
- Potential for harm · F2026-04-22 · 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, staff interview, record review, and review of the facility policy, the facility failed to store foods in a sanitary manner and failed to maintain a clean and sanitary kitchen This had the potential to affect 135 of 137 residents who received food from the kitchen. The facility census was 137 residents.Findings include: Observation on 04/19/26 at 8:40 A.M. with Dietary Aide (DA) #853 revealed there were no paper towels available at handwashing station. Observation on 04/01/26 at 8:42 A.M. of stand-up refrigerator revealed it contained the following items: a container of sandwiches with no date, a half-gallon of milk with an expiration of date of 04/09/26, an opened jar of grape jelly with no date, a container of whipped cheese spread with an open date of 03/19/26, a cottage cheese container with use by date of 04/09/26. Interview on 04/01/26 at 8:43 A.M. with DA #853 confirmed there were no paper towels available for staff to use with handwashing, and the stand-up refrigerator contained undated and expired items. Observation on 04/19/26 8:52 A.M of walk-in…
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 · E2026-04-22 · tag F0552 — patternEnsure 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 medical record review, staff interview, guardian interview, and review of the facility policy, the facility failed to obtain consent from resident guardians regarding treatment. This affected (Residents #28, #64, #121, and #138) of 27 residents reviewed for consent for treatment. The facility census was 137 residents.Findings include: 1.Review of the medical record for Resident #28 revealed an admission date of 01/27/26 with diagnoses including schizophrenia and type two diabetes. Review of the guardianship form for Resident #28 revealed Resident Guardian (RG) #999 was appointed by the court for the resident on 04/26/24. Review of a consent form for pharmacogenomics testing for Resident #28 dated 11/26/25 revealed RG #999 had not signed the form. Review of the Minimum Data Set (MDS) assessment for Resident #28 dated 01/22/26 revealed the resident had intact cognition. 2. Review of the medical record for Resident #64 revealed an admission date of 11/21/23 with diagnoses including chronic obstructive pulmonary disease, chronic respiratory failure with hypoxia, diabetes…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2026-04-22 · tag F0657 — failed to keep the care plan current — patternDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review and staff interview, the facility failed to document timely care conferences for residents. This affected four (Residents #79, #1, #15, and #135) of 27 residents sampled. The facility census was 137 residents: Findings include:1. Review of the medical record for Resident #135 revealed an admission date of 03/17/25 with diagnoses including vascular dementia with behavioral disturbance, anxiety, depression, and glaucoma. Review of the Minimum Data Set (MDS) assessment for Resident #135 dated 03/25/26 revealed the resident had severely impaired cognition. Review of the medical record for Resident #135 revealed the facility held care conferences for the resident on 03/18/25 and 04/17/26. Interview on 04/19/26 at 3:10 P.M. with Resident #135's representative confirmed the resident had not had any recent care conferences. Interview on 04/21/26 at 9:47 A.M. with Social Services Designee (SSD) #321 verified the facility held care conferences for Resident #135 on 03/18/25 and 04/18/26. SSD #321 stated care conferences should be held quarterly. 2. Review 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 · Ecited before2026-04-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure 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 observation, staff interview, document review, and review of the facility policy, the facility failed to safely store chemicals on the secured unit. This had the potential to affect seven facility-identified independently mobile and cognitively impaired (Residents #16, #30, #48, #75, #79, #115, #130) who resided on the secured unit. The facility census was 137 residents. Findings include: Observation on 04/19/26 at 12:39 P.M. of the first-floor dining room in the secured unit revealed there were two cans of shaving cream in an unlocked drawer. The label on the shaving cream indicated to avoid spraying in eyes and keep out of reach of children. There was also a bottle of body wash and shampoo with a label indicating to avoid contact with eyes and keep out of reach of children. There was a spray bottle of multi-surface disinfectant in an unlocked lower cabinet with a label with the following warning statements: keep out of reach of children, hazardous to humans and domestic animals, cause moderate eye irritation, avoid contact with eyes and clothing, do not drink. Interview…
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 before2026-04-22 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to provide nailcare for dependent residents. This affected two residents (#35 and #64) of three residents reviewed for activities of daily living (ADL) care. The facility census was 137 residents.Findings include: 1.Review of the medical record revealed for Resident #35 revealed an admission date of 07/17/24 with diagnoses including paranoid schizophrenia, vascular dementia, post-traumatic stress disorder and obsessive-compulsive disorder. Review of the care plan for Resident #35 dated 07/17/24 revealed the resident had a self-care deficit and required supervision/touching assistance for personal hygiene. Review of the Minimum Data Set (MDS) assessment for Resident #35 dated 01/26/26 revealed the resident and required staff assistance with personal hygiene. Observation on 04/20/26 at 10:21 A.M. revealed Resident #35's fingernails were long and had an unknown brown substance…
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 · D2026-04-22 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observation, staff interview, resident interview, and review of the facility policy, the facility failed to ensure residents received care and services for management of contractures and decreased range of motion. This affected three (Residents #65, # 41 and #2) of three residents reviewed for range of motion services. The facility census was 137 residents.Findings include: 1. Review of the medical record for Resident #64 revealed an admission date of 11/21/23 with diagnoses including cerebrovascular accident, chronic obstructive pulmonary disease, chronic respiratory failure with hypoxia, and diabetes mellitus type two. Review of the care plan for Resident #64 dated 11/22/23 revealed the resident had a self-care deficit and was dependent on staff for assistance with personal hygiene. On 04/21/26 an intervention was added for the resident to wear left resting hand splint for six to eight hours as tolerated (may use wash cloth if hand splint is not present). Review of occupational therapy (OT) evaluation for Resident #64 dated 04/12/24 to 05/11/24…
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 before2026-04-22 · 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 medical record review, observation, staff interview, and policy review, the facility failed to ensure staff donned appropriate personal protective equipment (PPE) for residents with orders for contact precautions. This affected two residents (Resident #77 and #131) of seven residents reviewed for infection control. The facility also failed to ensure staff practiced appropriate hand hygiene during incontinence care. This affected one resident (Resident #123) of seven residents reviewed for infection control. The facility census was 137 residents. Findings include: 1.Review of the medical record for Resident #77 revealed an admission date of 06/13/22 with diagnoses including hypertensive heart disease, chronic kidney disease, and type two diabetes mellitus. Review of the Minimum Data Set (MDS) assessment for Resident #77 dated 04/12/26 revealed the resident had intact cognition and required staff assistance with activities of daily living (ADLs.) Review of the physician's orders for Resident #77 revealed an order dated 04/13/26 for the resident to be on contact isolation…
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 · D2026-04-22 · tag F0914 — isolatedProvide bedrooms that don't allow residents to see each other when privacy is needed.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, staff interview, and policy review, the facility failed to ensure residents had visual privacy in their bedroom. This affected two residents (Resident #15 and #147) of three residents reviewed for the physical environment. The facility census was 137 residents. Findings include: Observation on 04/19/26 at 10:18 A.M. revealed there no privacy curtains were in place in the double occupancy room of Residents #15 and #147. Interview on 04/19/26 at 10:20 A.M. with Medication Technician (MT) #418 verified no privacy curtains were present in the double occupancy room of Residents #15. Review of facility policy titled Resident Rights revealed residents had the right to visual privacy. This deficiency represents noncompliance investigated under Complaint Number 2606421.
- Potential for harm · F2025-08-07 · tag F0607 — failed to have anti-abuse policies — widespreadDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
What the surveyor found here — an excerpt from the official record, may be distressing
THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on personnel record review, review of criminal background check records, staff interview and review of the facility policy, the facility failed to complete background checks upon hire for new employees. This had the potential to affect all of the residents residing in the facility. The facility census was 137 residents. Findings include:Review of the facility Bureau of Criminal Investigation (BCI) log dated 08/05/25 revealed BCI and Federal Bureau Investigation (FBI) checks had be completed for all new employees. Review of facility personnel records revealed the following staff had not had background checks completed upon hire: Housekeeper #50 hired 05/11/23, Housekeeper #52 hired 05/21/24, Certified Nursing Assistant (CNA) #22 hired 02/15/23, CNA #23 hired 09/26/23, CNA #40 hired 05/10/23, CNA #42 hired 10/23/24, CNA #46 hired 06/12/24, Med Tech (MT) #44 hired 02/21/23, Maintenance Director (MD) #28 hired 05/13/23, Dietary Aide (DA) #56 hired 08/24/23,…
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 · D2024-10-23 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, staff interviews, and policy review the facility failed to ensure physician orders were timely clarified to prevent a delay in medication administration. This affected one (#37) resident of the three residents reviewed for medication administration. The facility census was 140. Findings include: Review of Resident #37's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included multiple sclerosis (MS), tubular interstitial nephritis, diabetes mellitus, morbid obesity, paraplegia, major depressive disorder and retention of urine. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #37 was cognitively intact. Review of the physician order dated 09/06/24 for Resident #37 revealed the resident was ordered Bactrim double strength (DS) (Sulfamethoxazole-Trimethoprim) 800-160 milligrams (mg) (antibiotic) two times a day (8:00 A.M. and 5:00 P.M.) for infection until 09/14/24. Review of a nurse's progress note dated…
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 13 citations
- Potential for harm · F2023-11-30 · tag F0851 — widespreadElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
What the surveyor found here — the official record, unedited, may be distressing
Based on interview and record review, the facility failed to submit complete and accurate staffing information for the Payroll-Based Journal (PBJ) report to the Centers for Medicare and Medicaid Services (CMS). This had the potential to affect all 137 residents in the facility. Findings Included: Review of the [NAME] PBJ staffing data report revealed the facility triggered for excessively low weekend staffing and a one star staffing rating for fiscal year quarter two of 2023. Interview with [NAME] President Analytics (VPA) #201 on 11/20/23 at 4:12 P.M. revealed the facility submitted the PBJ in the second quarter of 2023 and CMS has the wrong information. VPA #201 indicated the corporate team was working on the PBJ report and would resubmit it to CMS for the second quarter.
- Potential for harm · Ecited before2023-11-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure 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 Based on record review, staff interviews, and review of facility policies, the facility failed to ensure a fall was thoroughly investigated, accurately documented, and fall interventions were implemented to prevent additional falls. This affected one (#04) of the nine residents reviewed for accident hazards. The facility also failed to ensure residents were supervised while smoking, failed to ensure residents smoked safely and failed to ensure residents were assessed for smoking. This affected four (#10, #95, #04, and #187) of the nine residents reviewed for accident hazards. The facility census was 137. Findings include: 1) Review of the medical record for Resident #04 revealed he was admitted to the facility on [DATE]. Diagnoses included Alzheimer's disease, chronic obstructive pulmonary disease, congestive heart failure, vascular dementia moderate with other behavioral disturbance, other intervertebral disc degeneration, peripheral vascular disease, unspecified protein-calorie malnutrition, personality…
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 · D2023-11-30 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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 observations, medical record review, and staff interview the facility failed to serve lunch in a family style manner. This affected one (#117) of the 37 residents observed during the lunch meal service. The facility census was 137. Findings include: Review of medical record for Resident #117, revealed the resident was admitted on [DATE]. Diagnosis including schizophrenia, anxiety, hallucinations, and depression. Review of Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #117 had no cognitive impairment and is independent with activities of daily living (ADLs). Observation of the lunch trays being served on 11/27/23 at 12:44 P.M., revealed Resident #117 was sitting at a table that was served first and everyone at the table was served except for Resident #117. The staff proceeded to serve the other three tables and then sat down to feed the residents that needed assistance and Resident #117 still had not received a tray. When surveyor questioned the staff about a tray for Resident #117,…
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 · D2023-11-30 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and policy review, the facility failed to ensure a resident's advanced directives were accurately reflected in the clinical record. This affected one (#127) of the 32 residents reviewed for advanced directives. The facility census was 137. Findings included: Review of the medical record for Resident #127 revealed the resident was admitted to the facility on [DATE]. Her diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, protein-calorie malnutrition, fracture of the upper end of the right humerus, tobacco use, seizures, functional urinary incontinence, cerebral infarction, occlusion and stenosis of the left carotid artery, dysphagia following cerebral infarction, hypertension, and facial weakness following cerebral infarction. Review of the paper chart for Resident #127 revealed the resident had a Do Not Resuscitate Comfort Care Arrest (DNR-CCA) dated [DATE]. Review of the electronic medical record (EMR) on [DATE]…
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 before2023-11-30 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
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 a Pre-admission Screening and Resident Review (PASARR) was completed correctly to include a mental health diagnosis. This affected one (#74) of five residents reviewed for PASARR. The facility census was 137. Findings include: Review of the medical record for Resident #74 revealed the resident was admitted to the facility on [DATE]. Diagnoses included paranoid schizophrenia, type two diabetes mellitus without complications, hypertensive heart and chronic kidney disease with heart failure, venous insufficiency, and anemia. Review of the history and physical dated 05/06/22 revealed Resident #74 had a diagnosis of schizophrenia. Review of the PASARR dated 05/09/22 indicated Resident #74 had no indications of serious mental illness, such as schizophrenia. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] for Resident #74 revealed the resident had intact cognition evidenced by a Brief Interview for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-11-30 · 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 staff interview the facility failed to ensure care conferences were completed. This affected two (#117 and #29) of the 27 residents reviewed for care planning. The facility census was 137. Findings include: 1) Review of the medical record for Resident #117 revealed the resident was admitted on [DATE]. Diagnoses included schizophrenia, anxiety, hallucinations, and depression. Review of the medical record from 08/26/22 through 11/30/23 for Resident #117 revealed no documented evidence of a care conference being completed. Review of the Minimum Data Set (MDS) assessment dated [DATE] for Resident #117. Revealed the resident had no cognitive impairments and was independent with activities of daily living (ADLs). Interview with Resident #117 on 11/27/23 at 3:18 P.M. revealed the resident had never been provided with a care conference. Interview Social Service Designee (SSD) #111 on 11/30/23 at 12:48 P.M. verified Resident #117 was admitted on [DATE] and the resident had never had a care…
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 before2023-11-30 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interview, medical record review and review of facility policy, the facility failed to ensure dependent residents were provided with effective grooming. This affected one (#86) of the four residents reviewed for the provision of activities of daily living (ADLs). The facility census was 137. Findings Included: Review of medical record for Resident #86 revealed an admission date 07/26/23. Diagnoses included chronic obstructive pulmonary disease (COPD), bipolar disorder, and malignant neoplasm of upper lobe left, secondary malignant neoplasm of brain. Review of the plan of care dated 07/28/23 revealed that Resident #86 had an ADLs self-care performance deficit related to signs and symptoms of involving musculoskeletal system, chronic pulmonary disease, migraines, fatigue, unsteadiness on feet, and poor motivation towards self-care. Interventions included staff to provide all assistance with showers/grooming. Review of the Minimum Data Set (MDS) assessment dated [DATE] for Resident #86…
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 · D2023-11-30 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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 pharmacy recommendations were addressed in a timely manner. This affected three (#95, #50 and #16) of five residents reviewed for unnecessary medications. The facility census was 137. Findings include: 1) Review of the medical record for Resident #95 revealed he was admitted to the facility on [DATE]. Diagnoses included hypertensive heart and chronic kidney disease with heart failure, chronic obstructive pulmonary disease, vascular dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, hypertension, cardiomyopathy, hyperlipidemia, and insomnia. Review of the plan of care initiated on 04/18/22 for Resident #95, revealed the resident had pain related to generalized body pains, osteoarthritis, and muscle weakness. Interventions included following physician orders for complaints of pain. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2019-09-19 · 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 record review, observation, staff interview and policy review, the facility failed to discard expired medications and failed to label multi dose medication with the expiration date. This affected one medication room and one medication cart. The census was 137. Findings include: 1. Observation on 09/17/19 at 10:08 A.M. with LPN #117 of the medication storage room on the first floor revealed nine single dose vials of influenza vaccine with an expiration date of 04/09/19. Interview with LPN #117 on 09/17/19 at 10:08 A.M. confirmed that the expired influenza vaccine should have been discarded. Interview on 09/17/19 at 12:53 P.M. with the DON confirmed that influenza vaccine should be discarded when expired. Review of the policy titled Resident Influenza Vaccine, undated, revealed that influenza season is October 1 through March 31 and that residents residing in the facility just prior to the onset of influenza season would be offered the influenza vaccine, unless medically contraindicated. 2. Observation on 09/17/19 at 10:08 A.M. with LPN #117 of the medication storage room on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-19 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interview, the facility failed to ensure a resident's fall and use of feeding tube were accurately coded on the Minimum Data Set (MDS) assessment. This affected two (Resident #84 and Resident #91) of 27 residents reviewed for accuracy of assessments. The facility census was 137. Findings include: 1. Record review revealed Resident #84 was admitted to the facility on [DATE] with diagnoses including paranoid schizophrenia, hypotension of hemodialysis, end stage renal disease, dependence on renal dialysis, essential hypertension, type two diabetes mellitus without complications, unspecified complication of kidney transplant, difficulty in walking, muscle weakness, other malaise, hyperlipidemia, iron deficiency anemia, mixed hyperlipidemia, dysphagia, gastro-esophageal reflux disease without esophagitis, other psychoactive substance dependence and bipolar disorder. Review of Resident #84's progress notes revealed the facility received a call from Resident #84's transport…
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 before2019-09-19 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
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 interviews, the facility failed to accurately complete pre-admission screening and resident review (PASARR) for a newly admitted resident. This affected one (Resident #57) of four residents reviewed for PASARR. The facility census was 137. Findings include: Record review revealed Resident #57 was admitted to the facility on [DATE] from the hospital with the following diagnoses; localized edema, schizoaffective disorder, type two diabetes mellitus without complications, hyperlipidemia, essential hypertension, chronic pain, acquired absence of left and above knee, other schizophrenia, other fatigue, chronic kidney disease and cognitive communication deficit. Review of Resident #57's PASARR dated 04/19/19 revealed resident to have mood disorder. Resident #57's diagnosis of other schizophrenia was not marked and the indication of serious mental illness was not identified on the PASARR. Interview with the Director of Nursing (DON) and the Administrator on 09/18/19 at 11:37 A.M.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-19 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure a resident's code status was accurately documented in the electronic record and a resident's fall with nursing assessment was documented in the medical record. This affected two (Resident #51 and Resident #61) of 33 residents reviewed for complete and accurate medical records. The resident census was 137. Findings include: 1. Record review revealed Resident #61 was admitted to the facility on [DATE]. Review of Resident #61's code status in the electronic chart on 09/09/19 revealed resident to be listed as a Do Not Resuscitate Comfort Care (DNRCC). Review of Resident #61's code status in the paper chart revealed resident to have a code status form indicating resident was a Do Not Resuscitate Comfort Care Arrest (DNRCCA) that was signed by the physician on 05/17/18. Interview with the Director of Nursing (DON) and the Administrator on 09/18/19 at 11:37 A.M. verified Resident #61's DNRCC code status in the electronic chart did not match her DNRCCA…
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 before2019-09-19 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, staff interview, and review of facility policy, the facility failed to perform hand hygiene between resident medication administrations and failed to follow infection control principles while preparing medications. This had the potential to affect four (Resident #72, #80, #127, #131) of seven residents observed for medication administration. The facility also failed to implement proper infection control measures for a central intravenous (IV) line for one (Resident #75) of two residents reviewed for dialysis. The census was 137. Findings include: Observation of Licensed Practical Nurse (LPN) #99 on 09/18/19 at 8:45 A.M. administering medications to Resident #80 revealed nurse touched five medications with her bare hands after touching the keys to the cart and the computer. LPN #99 then dispensed a vitamin D tablet out of house stock medication bottle into cup containing Resident #80's medications. LPN #99 removed the vitamin D tablet from the cup with her bare hands, touching…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to COMMUNICARE HEALTH — 110 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 | 3 of 5 | 3.2 | -0.2 vs chain |
| Health inspection | 2 of 5 | 2.7 | -0.7 vs chain |
| Staffing | 2 of 5 | 2.6 | -0.6 vs chain |
| Quality measures | 5 of 5 | 4.5 | +0.5 vs chain |
The other 109 homes this chain runs (chain average 3.2★, per CMS)
Showing 40 of 109; 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 | Share | Since |
|---|---|---|---|---|
| C.R. STOLTZ IRREVOCABLE TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | since 01/14/2011 |
| DINA B. WILHELM TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | since 01/14/2011 |
| I. ROSEDALE IRREVOCABLE TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | since 01/14/2011 |
| S.L. ROSEDALE IRREVOCABLE TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 31% | since 01/14/2011 |
| ROMEO, DOMINIC | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL | — | since 04/01/2023 |
| STOLTZ, CHARLES | Individual | CORPORATE OFFICER | — | since 01/14/2011 |
| WILHEIM, RONALD | Individual | CORPORATE OFFICER | — | since 01/14/2011 |
| PROBASCO MANAGEMENT CO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/14/2011 |
| DOUBLIN, ANTIONETTE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/12/2023 |
| GROVES, DONNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 04/14/2023 |
| SEROTA, GRETCHEN | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 02/01/2021 |
| ODENTHAL, RICHARD | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/08/2025 |
CMS files one row per role, so the 16 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.
5 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.
About 89% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.4M paid to related parties (affiliated landlords or management companies) in its most recent cost report.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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 365304. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-22, 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.