Veranda Gardens Nursing & Rehabilitation Center
11784 Hamilton Avenue, Cincinnati, OH 45231 · For profit - Corporation · 99 certified beds · (513) 825-2700 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has citations for mishandling residents’ money or property (F0565, F0567)
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $44,730 in federal fines (most recent 2025-11-18)
- 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 (1/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 1 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
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
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 2 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 | 1.5% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 7.7% | 6.2% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.3% | 0.2% | 0.9% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.3% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 89.1% | 30.1% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.8% | 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 | 37.2% | 25.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 96.5% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 2.1% | 3.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 10.0% | 21.4% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 7.1% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 69.0% | 75.6% | 79.4% | worse |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 22% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 27% 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 99 beds and averages 86.4 residents a day — about 87% occupied, or roughly 13 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 3.70 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.14 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.24 hrs/resident/day on weekends vs 3.89 on weekdays — 17% thinner on weekends. RN hours go from 0.40 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 55% is about the same as 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 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.
22 citations, most serious first. The 12 most serious are shown; the remaining 10 are one tap away and print in full.
- Immediate jeopardy · K2024-10-12 · tag F0725 — failed to have enough nursing staff — patternProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interviews with staff, residents, and a family member, facility document review, and review of the Facility Assessment, the facility failed to ensure designated and consistent staffing was provided on one (500-Hall) of five total halls in the facility to ensure sufficient staff to provide needed care and services to the 13 residents that resided on the 500-Hall. This resulted in Immediate Jeopardy and the potential for serious injury, harm, impairment and/or death, when observations during the survey on 10/07/24 and 10/08/24 revealed times where the residents were left unattended on the 500-Hall with no staff members in the area. Staff reported there was no process in place to coordinate supervision, monitoring, or assistance for the residents on the 500-Hall. In addition, the call system on the 500-Hall only illuminated on the annunciator panel located on that hall; therefore, in the event of an emergent need, when no staff were present on the 500-Hall, the residents were…
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.
- Actual harm · Gcited before2025-11-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on medical record review, review of the hospital record, review of the facility investigation, staff interviews, and review of the facility policy, the facility failed to provide adequate assistance while providing a resident incontinence care resulting in an avoidable fall. This resulted in Actual Harm to Resident #13 on 07/26/25 when staff rolled the resident away from them during care, the resident began to shake the side rail, the side rail gave way during care and the resident fell from the bed onto the floor. Resident #13 was subsequently transferred to the hospital for treatment for a head laceration requiring sutures. This affected one (#13) of three residents reviewed for falls. The facility census was 89.Findings Included:Review of the medical record revealed Resident #13 was admitted to the facility on [DATE]. Diagnoses included dementia, schizoaffective disorder,…
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 · F2026-01-20 · tag F0572 — widespreadGive residents a notice of rights, rules, services and charges.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and staff interviews, the facility failed to review Resident Rights with the residents on an ongoing basis both in writing and orally. This had the potential to affect all residents in the facility. The facility census was 82. Review of Resident Council Minutes for the past twelve months (December 2024 through December 2025) revealed a discussion of resident rights was not on the agenda nor discussed at monthly meetings.Interview on 01/21/26 at 2:08 P.M., Resident #47 stated he had recently received a copy of the Resident Rights document from the local Ombudsman who had come to their January resident council meeting. After reading the document, he began sharing it with other residents including the Resident Council President (Resident #16). Resident #47 stated he had not seen the Resident Rights information before. Interview on 01/21/26 at 2:17 P.M., Resident #16 stated she had not read the Resident Rights document until Resident #47 had brought it to her recently. Interviews on 01/26/26 at 2:00 P.M. to 3:45 P.M., Resident #20, #26 #41, and #70 stated they…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2026-01-20 · 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 interviews and review of the facility policy, the facility failed to ensure food was stored and prepared in a manner to prevent foodborne illness. This had the potential to affect 80 out of 82 residents as the facility identified two Residents (#87 and #09) with a diet order of nothing by mouth. The facility census was 82. Observation of the kitchen's dry storage room on 01/12/26 at 8:50 A.M. with Dietary Supervisor (DS) #235, revealed a bag of baking cocoa with an open date of 07/12/25 and no discard date. Further observation revealed an open bag of egg noodles and penne noodles without a date. Interview with DS #235 at the same time, verified that the baking cocoa should have had a discard date for six months after opening and that both bags off pasta did not have an open date or a discard date.Continued observation of the kitchen on 01/12/26 at 8:54 A.M. with DS #235 revealed a pumpkin pie without a date or name being stored in the refrigerator in the main dining room. Interview with DS #235 at the same time, stated the refrigerator is for food that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-01-20 · 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 interviews, the facility failed to include residents and families for care planning and care conferences. This affected three Residents (#54, #47, and #16) out of four residents reviewed for care planning and care conferences. Facility census was 82. Review of the medical record for Resident #54 revealed the resident was admitted to facility on 05/13/22. Diagnosis included cerebral infarction, chronic pain, stenosis of bilateral carotid arteries, depression, anxiety, aphasia following cerebral infarction, diabetes, hypertension, atrial fibrillation, and hyperlipidemia.Review of the Minimum Data Set (MDS) assessment for Resident #54 dated 12/15/25 revealed the resident had moderately impaired cognition with moderate depression. Interview with Resident #54 on 01/13/26 at 9:31 A.M. revealed he could not remember ever having a care conference with the interdisciplinary team (IDT) to discuss care concerns or his care plan.Interview on 01/13/26 at 4:10 P.M., Resident #54's Guardian…
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 · D2026-01-20 · tag F0814 — failed to dispose of garbage properly — isolatedDispose of garbage and refuse properly.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and staff interviews the facility failed to ensure trash cans in the kitchen were properly covered. This had the potential to affect 80 out of 82 residents as the facility identified two Residents (#87 and #09) with a diet order of nothing by mouth. The facility census was 82. Observation of the kitchen on 01/12/2026 at 8:39 A.M. Dietary Supervisor (DS) #235 revealed a trash can in the food prep area and in the dish washing area that did not have a lid. Interview with DS #235 at the same time, verified the trash cans were not covered. DS #235 attempted to cover both trash cans but was only able to locate one lid. Interview on 01/14/2026 at 11:27 A.M., Dietician #351 verified all trash cans should be covered when they are not in active use.
- Potential for harm · E2024-10-12 · tag F0565 — failed to support the resident council — patternHonor the resident's right to organize and participate in resident/family groups in the facility.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of Resident Council Minutes, resident interviews, staff interviews and policy review, the facility failed to provide responses to resident's expressed concerns. This had the potential to affect seven of seven that regularly attend Resident Council meetings. The census was 89. Findings included: Review of the Resident Council Meeting minutes dated March 2024, revealed the section titled Follow-up from last meeting / Action Taken / Current status: was blank. The minutes revealed the section titled New Questions / Comments: indicated the residents had concerns with nursing, dietary, housekeeping, laundry, and activities. Review of the Resident Council Meeting minutes dated April 2024, revealed the section titled Follow-up from last meeting / Action Taken / Current status: included Follow up from March reviewed [with] no further follow up needed. The minutes revealed the section titled New Questions / Comments: indicated the residents had concerns with nursing, dietary, housekeeping, laundry, and activities. Review of the Resident Council Meeting minutes dated May 2024,…
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 · E2024-10-12 · tag F0567 — failed to protect residents' money held by the home — patternHonor the resident's right to manage his or her financial affairs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, facility document review, and facility policy review, the facility failed to ensure residents had access to their personal funds after hours and on weekends. This affected two (#3 and #31) of three residents reviewed for personal funds with the potential to affect 70 residents who had a personal funds account. The facility census was 89. Findings included: Review of Resident #3's medical record revealed an admission date of 07/16/14. Review of the quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 07/09/24, revealed Resident #3 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident had intact cognition. Interview on 10/09/24 at 8:52 A.M.,with Resident #3 stated the resident was only able to access their personal funds on Mondays, Tuesdays, Thursdays, and Fridays, until 3 P.M Resident #3 stated the resident had been informed if the Business Office Manager (BOM) was not working, they were unable to get any funds from the facility. Resident #3 stated the resident had asked the Social Worker,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-10-12 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, facility document review, staff interviews, and review of the Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, the facility failed to ensure diuretic medication was accurately coded on Minimum Data Set (MDS) assessments. This affected one (#32) of five residents reviewed for unnecessary medication. The facility census was 89. Findings included: Review of Resident #32's medical record revealed an admission date of 08/07/12 and most recently admitted the resident on 08/20/21. Diagnoses for Resident #32 included: chronic obstructive pulmonary disease (COPD), unspecified combined systolic (congestive) and diastolic (congestive) heart failure, presence of cardiac pacemaker, and hypertension. Review of Resident #32's care plan included a focus area, initiated 08/16/12, indicated the resident was at nutritional risk due to factors that included routine diuretic therapy. Review of Resident #32's Medication Administration Record (MAR), for June 2024, revealed the transcription of an order,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-10-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, resident interview, staff interview, medical record review, and policy review, the facility failed to ensure medications were maintained in a safe and secure manner. This affected one (#61) of two sampled residents reviewed for accidents. This faciliy census was 89. Findings included: Review of Resident #61's medical record revealed an admission date of 02/16/23. Diagnoses for Resident #61 included: chronic obstructive pulmonary disease (COPD), bronchopneumonia, anxiety, polyneuropathy, insomnia, malignant neoplasm of the lung, type 2 diabetes mellitus (DM), hyperlipidemia, essential hypertension (HTN), heart failure, peripheral vascular disease (PVD), and interstitial pulmonary disease. Review of the quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 08/20/24, revealed Resident #61 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident had intact cognition. The MDS indicated Resident #61 received antianxiety, hypnotic, and hypoglycemic medications during the assessment period. Review of Resident #61's…
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 · D2024-10-12 · tag F0691 — failed to provide colostomy / ostomy care — isolatedProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, and medical record review, the facility failed to ensure urostomy (an abdominal wall opening to allow urine to drain from the body) tubing was secured. This affected one (#53) of three residents reviewed for catheter care. The faciliy census was 89. Findings included: Review of Resident #53's medical record revealed an admission date of 02/14/19 and most recently admitted the resident on 08/23/23. Diagnoses for Resident #53 included: neuromuscular dysfunction of the bladder, urinary retention, and stage 4 pressure ulcer of the sacral region. Review of the quarterly Minimum Data Set (MDS), with an assessment reference date (ARD) of 07/09/2024, revealed Resident #53 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident had intact cognition. According to the MDS, the resident had an ostomy, and their urinary continence was not rated, because the resident had a catheter, urinary ostomy, or no urinary output during the seven-day look-back period. Review of Resident #53's care plan included a focus area initiated 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 · D2024-10-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and facility policy review, the facility failed to clean oxygen concentrators in accordance with physician's orders and the facility's policy for two (Resident #31 and Resident #61) of three residents reviewed for respiratory care. The facility census was 89. Findings included: 1. An admission Record revealed the facility admitted Resident #31 on 07/23/12. According to the admission Record, the resident had a medical history that included a diagnosis of Chronic Obstructive Pulmonary Disease (COPD). A quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 07/10/24, revealed Resident #31 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident had intact cognition. The MDS indicated Resident #31 experienced shortness of breath when lying flat and had not used oxygen therapy during the assessment look-back period. Resident #31's care plan, included a focus area initiated 10/07/23, that indicated the resident had respiratory deficiencies or abnormalities of pulmonary function related to…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 10 citations
- Potential for harm · D2024-10-12 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and facility policy review, the facility failed to ensure medication carts were locked when unattended by staff. This affected one (100-Hall) of six medication carts observed. The facility census was 89. Findings included: During an observation on 10/10/24 at 8:14 AM, Licensed Practical Nurse (LPN) #2 left the 100-Hall medication cart unlocked and unattended when she entered a resident's room to administer medications. While LPN #2 was administering medications, the medication cart was not within her line of sight. During an observation on 10/10/24 at 10:31 AM, LPN #2 left the 100-Hall medication cart unlocked and unattended while she went to the kitchen to retrieve some water. During an interview on 10/10/24 at 2:11 PM, LPN #2 confirmed she left the medication cart unlocked and unattended and stated the cart should have been locked. During an interview on 10/11/24 at 8:54 AM, the Assistant Director of Nursing (ADON) said that when staff walk away from a medication cart, they should lock the cart. During an interview on 10/11/24 at 9:46 AM, the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-10-12 · 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
Based on interview, record review, and facility policy review, the facility failed to ensure nursing staff accurately documented the administration of medications on the medication administration record for one (Resident #31) of five residents reviewed for unnecessary medication. The facility census was 89. Findings included: An admission Record indicated the facility originally admitted Resident #31 on 07/23/12 and most recently admitted the resident on 10/01/20. According to the admission Record, the resident had a medical history that included diagnoses of contracture, chronic pain, anxiety disorder, and quadriplegia. A quarterly Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 07/10/24, revealed Resident #31 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident had intact cognition. Resident #31's Order Summary Report, listing active orders as of 09/01/24, revealed the following medication orders: • buspirone hydrochloride (HCl) 10 milligram (mg) oral tablet, one tablet by mouth three times a day related to anxiety (started…
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 · D2024-10-12 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, facility policy review, and the Centers for Medicare & Medicaid Services (CMS) memorandum, the facility failed to ensure staff implemented Enhanced Barrier Precautions (EBP) for one (Resident #91) of five sampled residents reviewed for infection control. The facility further failed to ensure a urinary catheter bag did not rest on the floor for one (Resident #20) of five sampled residents reviewed for urinary catheters. The facility census was 89. Findings included: 1. An admission Record revealed the facility admitted Resident #91 on 08/28/24. According to the admission Record, the resident had a medical history that included a diagnosis of pyogenic arthritis. An admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 09/06/24, revealed Resident #91 had a Brief Interview for Mental Status (BIMS) score of 15, which indicated the resident had intact cognition. The MDS indicated Resident #91 required substantial/maximal assistance with toileting hygiene, bathing, upper and lower body dressing, personal 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.
- Potential for harm · D2024-04-22 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observation, and staff interview, the facility failed to maintain resident rooms in good repair and under clean and sanitary conditions. This affected two (Residents #23 and #24) of three residents reviewed for physical environment. The facility census was 91. Findings include: 1.Review of the medical record for Resident #24 revealed an admission date of 12/14/23 with diagnoses including brain cancer, bladder cancer, bone cancer, prostate cancer, dysphagia, and anemia. Review of the Minimum Data Set (MDS) assessment for Resident #24 dated 12/21/23 revealed the resident was cognitively intact and required supervision to moderate assistance with activities of daily living (ADLs.) Observation on 04/18/24 at 6:35 A.M. revealed there was a soiled incontinence brief hanging out of a trash bag and touching the top surface of Resident #24's bedside table. Interview on 04/18/24 at 6:38 A.M. with Licensed Practical Nurse (LPN #64) confirmed the brief touching Resident #24's bedside table was soiled with urine and should have been discarded in soiled utility…
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 · F2024-02-27 · tag F0802 — failed to prepare enough nourishing food — widespreadProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and staff interview, the facility failed to ensure dietary staff had the appropriate competencies and skill set to carry out the functions of the dietary department in a manner to ensure safe food handling. This had the potential to affect 87 all residents residing in the facility. The census was 87. Findings include: Observation of the tray line for the lunch meal on 02/27/24 from 11:39 A.M. to 1:00 P.M. revealed Dietary Staff #98 wore long acrylic nails without gloves and was observed placing fruit into small bowls. Dietary Staff #98 touched her cellular phone and placed it on the workstation without washing her hands. Continued observation revealed Dietary Staff #98 also drank from a bottle of water at her workstation, Dietary Staff #98 was also observed carrying bowls to be used for food service against the front of her shirt. In addition, [NAME] #222 was observed placing a grilled cheese sandwich he just made into a piece of aluminum foil which he had been holding against the front of his shirt. Interview on 02/27/24 at 12:55 P.M. with Dietary Staff #98…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-02-27 · 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 medical record review and staff interview, the facility failed to ensure oral assessments were completed accurately. This affected one (#6) of three residents reviewed for assessments. The census was 87. Findings include: Review of the medical record for Resident #6 revealed the resident was admitted to the facility on [DATE]. Diagnoses included spastic hemiplegia affecting the right dominant side, insomnia, cellulitis of the left upper limb, dysphagia, unspecified severe protein-calorie malnutrition, and generalized anxiety. Review of the annual Minimum Data Set (MDS) 3.0 assessment, dated 02/21/24, revealed Resident #6 was assessed with intact cognition. The resident was assessed to require maximal assistance for toileting, bathing, dressing, and transfer as well as supervision for eating, oral hygiene, and personal hygiene. The assessment indicated Resident #6 had no broken or loosely fitting dentures. Review of the dietary progress note dated 10/10/23 revealed Resident #6 experienced unplanned…
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 · D2023-11-01 · tag F0609 — failed to report abuse allegations — isolatedTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, policy review, Ohio Department of Health Certification and Licensure Self-Reporting Incidents website review, theft report review, resident interview, family interview and staff interview, the facility failed to report an allegation of misappropriation to the state agency when a resident alleged, she did not receive her correct change or receipt when a facility staff member purchased items for her. This affected one (#63) of three residents reviewed for misappropriation. The facility census was 90. Findings include: Review of Resident #63's medical record revealed an admission date of 02/14/19, with pertinent diagnosis of: quadriplegia, pressure ulcer sacral region, seizures, neuromuscular dysfunction of the bladder, dysphagia, contracture, mood affective disorder, chronic pulmonary embolism, major depressive disorder, colostomy status, generalized anxiety disorder, alcohol use, osteoarthritis, glaucoma, hypertension, retention of urine, and stiffness of unspecified joint. Review of the 10/11/23 quarterly Minimum Dat Set (MDS) assessment revealed the resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2023-01-19 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 record review, observation and interview, the facility failed to store foods, discard expired foods and maintain food equipment in sanitary condition. This had the potential to affect 82 residents who received food from the kitchen. The facility census was 87. Findings include: Observation on 01/09/23 at 8:30 A.M. revealed the following in the main kitchen: 1. In the reach in refrigerator, there was a pitcher of brown liquid and a thickened juice container which were unlabeled and undated . The refrigerator bottom shelf was sticky with food residue. 2. In the walk-in refrigerator, a container of cottage cheese was dated opened on 12/07/22 and an open thickened liquid container with no open date. 3. In the dry storage room, there were crackers opened with no open date and a can of aerosol cheese with no open date. 4. There was a floor stand fan with ten half inch length strains of brown, dusty material blowing from the fan grill into the food preparation and food service area. Breakfast service was in progress. Observation on 01/09/23 at 9:05 A.M revealed following in 300…
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 · D2023-01-19 · tag F0803 — failed to meet residents' dietary needs — isolatedEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of 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 record review, observation and interview, the facility failed to provide food portions and menus as planned by a Registered Dietitian. This affected two (Residents #37 and #12) of five residents reviewed for meal tray portions and had the potential to affect all residents receiving a meal tray for menu accuracy. 82 residents received meals from the kitchen. The facility census was 87. Findings include: 1. Record review revealed Resident #37 was admitted to the facility on [DATE]. Diagnoses included quadriplegia. Review of the Minimum Data Set (MDS) comprehensive assessment, dated 10/28/22, revealed the resident had intact cognition and needed meal tray setup with supervision. The resident was to receive a regular diet with double portions at breakfast and beverages including eight ounces each of a supplement and whole milk at each meal and eight ounces of orange juice at breakfast. During observation on 01/10/23 at 9:48 AM, Resident #37 was served single meal portions and four ounces of juice. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-01-19 · tag F0806 — failed to honor food preferences — isolatedEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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 and interview, the facility failed to offer alternative foods based on the resident food preferences. This affected two (Residents #12 and #75) of five residents reviewed for alternative foods offered with meals. 82 residents received food from the kitchen. The census was 87. Findings include: 1. Record review revealed Resident #12 was admitted to the facility on [DATE]. Diagnoses included Alzheimer's disease, altered mental status and altered cognitive communication. Review of the Minimum Data Set (MDS) comprehensive assessment dated [DATE] revealed the resident had intact cognition and required supervision with set up only for eating. The resident was to receive a regular diet with large portions. Review of the breakfast spread sheet for 01/12/23 revealed the regular diet should have been served a cheese omelet and bacon. Observation on 01/12/23 at 7:40 A.M. of the menu board on Unit 500 where the resident resided revealed no alternative food listing. During observation on 01/12/23 at 7:45…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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
$44,730 in federal fines across 2 penalties.
- $14,015 — penalty dated 2025-11-18
- $30,715 — penalty dated 2024-10-12
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to FOUNDATIONS HEALTH SOLUTIONS — 64 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 2 of 5 | 4.1 | -2.1 vs chain |
| Health inspection | 2 of 5 | 3.9 | -1.9 vs chain |
| Staffing | 1 of 5 | 2.3 | -1.3 vs chain |
| Quality measures | 5 of 5 | 4.3 | +0.7 vs chain |
The other 63 homes this chain runs (chain average 4.1★, per CMS)
Showing 40 of 63; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| COLLERAN, BRIAN | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2019 |
| KRYSTOWSKI, JOHN | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 06/01/2018 |
| FOUNDATIONS HEALTH SOLUTIONS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2019 |
| LUKEN, BETH | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 07/07/2025 |
| WALLACE, WAYMON | Individual | ADP OF THE SNF | since 06/01/2018 |
CMS files one row per role, so the 12 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $668K 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 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OH
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366347. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-20, 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.