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Pickaway Manor Care Center

391 Clark Drive, Circleville, OH 43113 · For profit - Limited Liability company · 99 certified beds · (740) 474-6036 Medicare & Medicaid certified

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2 immediate-jeopardy citations$129,229 in federal fines
Insights

This home has serious findings on its record. Read them closely before you consider it.

Worth asking about
  • inspectors cited 2 immediate-jeopardy problems — the most serious level
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $129,229 in federal fines (most recent 2026-01-29)
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • 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.

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

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
600 N Pickaway St · (740) 420-8078 · Call to confirm hours
Pharmacy
212 Lancaster Pike · (740) 474-1971 · Call to confirm hours
Grocery
Kroger0.7 mi
175 Lancaster Pike · (740) 477-5700 · Call to confirm hours
Park
Ted Lewis Park · (740) 474-9502 · Typically dawn to dusk
Place of worship
390 Nicholas Dr · (740) 474-2894

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased4.7%5.3%15.4%better than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight9.7%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.4%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms75.2%30.1%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.8%3.2%3.3%better
Long-stay residents whose ability to walk worsened4.5%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication23.7%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine98.5%94.5%95.3%typical
Long-stay residents with pressure ulcers6.8%3.4%4.7%worse
Long-stay residents with worsening bladder/bowel control27.2%21.4%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table10.0%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication1.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine89.6%75.6%79.4%better
Short-stay residents rehospitalized after admission24.4%24.9%22.6%typical
Short-stay residents with an outpatient ER visit26.4%12.9%12.0%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.

56.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 87 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

56.8%U.S. median 51.5%
Got home and stayed home
9.9%U.S. median 10.7%
Went back to hospital
0.36U.S. median 0.31
Therapy hours / resident / day
0.18hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.36 therapist hours per resident per day in 2026Q1 — more than 62% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF56.8%CMS range 47.1–66.051.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.9%CMS range 6.9–15.110.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot 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 dischargenot 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 dischargenot 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 identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.3%CMS range 4.1–11.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.081.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.56
RN hours/ resident / day
0.96
LPN hours/ resident / day
2.23
Aide hours/ resident / day
3.75
Total nurse hours/ resident / day
0.44
RN hoursweekends
42.0%
Total nursing turnover
45.5%
RN turnover

How full it usually is: this home is certified for 99 beds and averages 80.2 residents a day — about 81% occupied, or roughly 19 beds typically open. It usually has some room. 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 3.75 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.56 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 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 3.34 hrs/resident/day on weekends vs 3.92 on weekdays — 15% thinner on weekends. RN hours go from 0.61 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

10
deficiencies at the latest standard inspection (2026-01-29)
3
at the previous standard inspection (2024-05-08)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.

  • Immediate jeopardy · J2026-01-29 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, resident and staff interviews, wound physician interview, review of wound notes, review of hospital records, review of information from the National Pressure Injury Advisory Panel (NPIAP), review of specifications for air mattresses, and policy review, the facility failed to ensure the physician ordered treatments were completed as directed and failed to ensure interventions were implemented to prevent the development of, worsening of and promote the healing of an avoidable facility acquired pressure ulcer for Resident #5. Resident #5 was at risk for pressure ulcer development and dependent on staff for activities of daily living (ADLs) including transfers, and toileting and required max assist with bed mobility, turning and repositioning, and had a known sacrum stage IV pressure ulcer (Full thickness tissue loss with exposed bone, tendon or muscle. Slough, a yellowish, stringy dead tissue or eschar, a layer of dead, dry tissue that forms a dark leathery scab over the ulcer…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Immediate jeopardy · Jcited before2025-07-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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 medical record review, hospital record review, review of the University of Pittsburgh Medical Center information, review of facility policy and procedures, and staff interviews, the facility failed to provide timely, necessary and adequate care and services following an acute change in condition on 05/21/25 involving Resident #22, when the resident was assessed to have a decline in health including lethargy, a poor appetite, confusion, increased hallucinations, and low oxygen saturation, without evidence of timely or adequate interventions and medical treatment. This resulted in Immediate Jeopardy and serious life-threatening harm, and/or injuries when Resident #22 developed new deep tissue injuries (DTIs) and suffered a continued decline in health status. Resident #22 continued to display a deterioration in condition between 05/22/25 and 05/29/25 that was not comprehensively addressed and individualized medical interventions provided. Consequently, on 05/29/25 at 9:30 P.M., Resident #22 was transferred…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-01-29 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
    Have a plan that describes the process for conducting QAPI and QAA activities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, staff interview, and facility policy review, the facility failed to implement and maintain a comprehensive Quality Assurance Improvement Program (QAPI) program and plan to address care issues and/or concerns in the facility. This had the potential to affect all 84 residents who reside in the facility. The facility census was 84.Review of the Quality Assurance (QA) committee attendance records for the previous 12 months revealed QA meetings were held at the end of each month starting with January 2025. Specifically for the September 26, 2025, meeting, review of prevention/interventions for residents with pressure ulcers were discussed, but Resident #41 and Resident #5 were not discussed separately and identified as ongoing issues with their care.The findings for the annual survey, dated 01/05/26 revealed noncompliance in the area of pressure ulcer care, which included prevention and treatments, resulting in substandard quality of care with an Immediate Jeopardy beginning on 08/14/25 for Resident #5, and an Actual Harm, beginning on 08/26/25 to Resident #41.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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-01-29 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and review of facility provided food storage policies, the facility failed to ensure food was protected from potential spoilage and/or contamination in the areas of food storage and food preparation. This had the potential to affect all 83 residents who received food from the kitchen. The facility census was 84. Findings include:Observation on 01/05/26 at 8:40 A.M. revealed an opened bag of small frozen pizzas was stored with the bag open, exposing the food to air and potential contaminants in the reach-in freezer. Further observation at this time revealed a bag of frozen chicken fingers was also stored with the bag open, so that the food was exposed to air and there was no date marking on the opened bag of chicken fingers. Interview on 01/05/26 at 8:41 A.M. with Dining Services Manager #1011 revealed food items such as the frozen pizzas and frozen chicken fingers should be date-marked once they have been opened. Further interview at this time verified foods should be stored in closed containers or otherwise wrapped to protect from potential…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-01-29 · tag F0836 — pattern
    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and 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 medical record reviews, interviews, and facility policies, the facility failed to ensure Licensed Practical Nurses (LPN's) acted within their professional standards and their scope of training related to pressure ulcer wound assessments and staging's. This affected four Residents (#5, #41, #99, and #82) out of six reviewed for pressure ulcer assessments and staging's by facility staff. The facility census was 84. 1. Review of the medical record for Resident #5, revealed an admission date of 12/3/24. Diagnoses included but were not limited to type 2 diabetes, central cord syndrome at cervical 5 level of cervical spinal cord, specified disorder of muscle, generalized anxiety disorder and major depressive disorder. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of 12 out of 15 which suggested moderate cognitive intactness. The resident was assessed to require substantial/maximal assistance with shower/bathe self, bed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-01-29 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record reviews, observations, interviews, and facility policies, the facility failed to perform hand hygiene before and after wearing contact precautions when passing a lunch tray to Resident #21. This had the potential to affect 5 other residents at the facility in contact precautions who received lunch trays for meals. The facility also failed to ensure enhanced barrier precautions were ordered timely for eight Residents (#5, #41, #99, #46, #64, #52, and #82) out of eight who required enhanced barrier precautions. This had the potential to affect 5 other residents in enhanced barrier precautions. The facility census was 84.1. Review of the medical record for Resident #21 revealed the resident was admitted on [DATE] with diagnoses that included severe chronic kidney disease, acidosis, and anemia amongst other diagnoses. Further review of the resident record revealed the resident had an active order for contact precautions during the time of the survey due to an active diagnosis of a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview the facility failed to maintain a resident's call light within reach. This affected one resident (#25) of one sampled for call light placement. The facility census was 84.Findings include:Review of Resident #25's medical record revealed an admission date of 09/14/18, a re-entry date of 11/03/22 and diagnoses including hypertensive heart disease with heart failure, vascular dementia, major depressive disorder, history of falling, hypothyroidism, orthostatic hypotension, and other abnormalities of gait and mobility.Review of Resident #25's quarterly minimum data set (MDS) dated [DATE] revealed a brief interview for mental status score (BIMS) of three out of 15 indicating the resident had severe cognitive impairment. Further review of the MDS revealed the resident required set up help for eating, partial/moderate assistance with moving about in the bed and was dependent on staff for toileting hygiene tasks and transferring between her chair and bed. Resident #25 was always…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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 observation, interview and record review the facility failed to implement fall interventions as ordered. This affected two residents (#38 and #84) of two sampled for falls. The facility census was 84. Findings Include: 1. Review of Resident #38's medical record revealed an admission date of 07/30/20, a re-entry date of 11/25/23, and diagnoses including chronic obstructive pulmonary disease, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, major depressive disorder, vascular dementia, anxiety disorder, and congestive heart failure. Review of Resident #38's quarterly minimum data set (MDS) dated [DATE] revealed a brief interview for mental status score (BIMS) of 13 indicating the resident was cognitively intact. Further review of the MDS revealed the resident required supervision or touching assistance with toileting hygiene, bed mobility, and transfers, had no pain in the five days prior to the assessment, had not fallen since the previous MDS assessment and had no…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to properly maintain an indwelling catheter for one resident (#21) of one sampled for catheter use. The facility census was 84. Findings include: Review of Resident #21's medical record revealed an admission date of 11/04/25, re-entry date of 01/01/26 and diagnoses including chronic kidney disease stage five hydronephrosis, carrier or suspected carrier of methicillin susceptible staphylococcus aureus, urinary tract infection, bacteremia, benign prostatic hyperplasia, obstruction and reflux uropathy, retention of urine and hypotension. Review of Resident #21's admission minimum data set (MDS) dated [DATE] revealed a brief interview for mental status score (BIMS) of 15 indicating the resident had intact cognition. Further review of the MDS revealed Resident #21 had no behaviors during the assessment look back period, required supervision or touching assistance with showering/bathing and was independent with all other activities for daily living, had an…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, and staff interview, this facility failed to ensure meal intakes were being monitored to ensure residents highest nutritional status. This affected one (Resident #84) of the one resident reviewed for nutrition. The facility census was 84. Findings include:Review of the medical record for Resident #84 revealed an admission date of 05/09/2023. Diagnoses included dementia, end stage renal failure, and osteoporosis. Review of the plan of care dated 11/02/2023 revealed Resident #84 was at risk for malnutrition related to end stage renal disease. Resident continues to refuse nutritional supplements. Interventions include to provide and serve diet as ordered, monitor and record intakes for every meal, and alert dietician if consumption is poor for more than 48 hours. Review of the plan of care dated 12/22/2025 revealed Resident #84 has renal insufficiency related to end stage renal disease. Interventions include to consult with dietary to regulate protein, sodium, and potassium intake.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-29 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    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, staff interview, and dialysis communication documents, this facility failed to ensure orders and recommendations for residents receiving dialysis services were followed. This affected one (Resident #84) of the one resident reviewed for dialysis. The facility census was 84. Findings include: Review of the medical record for Resident #84 revealed an admission date of 05/09/2023. Diagnoses included end stage renal disease, dependence on renal dialysis, and hypertension. Review of the plan of care dated 05/10/23 revealed Resident #84 was at risk for bleeding internally or externally related to medication. Interventions included to administer medication as ordered, contact primary care physician immediately if coffee ground emesis is observed, monitor for signs and/or symptoms of bleeding, monitor vital signs, and labs. Review of the plan of care dated 05/10/25 revealed Resident #84 required dialysis treatments related to end stage renal disease. Interventions include to administer…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-11 · tag F0561 — failed to honor residents' choices — isolated
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    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, review of a video recording from an in-room camera, family interview, staff interview, and policy review, the facility failed to honor a resident's known preference on not having a male caregiver assist her with personal care. This affected one (#73) of three residents reviewed for choices/personal preference. The facility census was 71. Findings include: Review of Resident #73's medical record revealed the resident was admitted to the facility on [DATE]. She remained in the facility until 08/27/24, when she was transferred to another nursing facility at the request of the resident and her family. Her diagnoses included schizophrenia, depression, obesity, congestive heart failure, muscle weakness, unsteadiness on feet, abnormalities of gait and mobility, and repeated falls. Review of Resident #73's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had clear speech and adequate hearing. She was usually able to make herself understood and was usually able to…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 9 citations
  • Potential for harm · D2024-05-08 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and facility policy review, the facility failed to notify the physician when a resident experienced a significant weight change. This affected one (Resident #76) out of three residents reviewed for nutrition. The census was 75. Findings include: Review of the medical record for Resident #76 revealed Resident #76 was admitted to the facility on [DATE]. Resident #76's diagnoses included but were not limited to unspecified severe protein-calorie malnutrition, chronic kidney disease, pulmonary hypertension, cardiomegaly, congestive heart failure, atrial fibrillation, edema, cardiomyopathy, and hypertension. Review of Resident #76's Minimum Data Set (MDS) assessment, dated 02/03/24, revealed she was cognitively intact. Review of Resident #76's weights revealed she had the following weights recorded: 135 pounds on 01/29/24 , 147.2 pounds on 02/05/24, and 157 pounds on 02/12/24. Review of Resident #76's nutritional notes and documentation, dated 01/29/24 to 02/16/24,…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-08 · tag F0645 — isolated
    PASARR 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 medical record review and staff interview, the facility failed to ensure Pre-admission Screening and Resident Review (PASRR) documents were accurate. This affected one (Resident #56) out of one resident reviewed for PASRR documents. The census was 75. Findings include: Review of the medical record for Resident #56 revealed Resident #56 was admitted to the facility on [DATE]. Resident #56's diagnoses included but were not limited to chronic obstructive pulmonary disease, acute and chronic respiratory failure, cerebral infarction, hemiplegia and hemiparesis, epilepsy, bipolar disorder, major depressive disorder, anxiety disorder, and schizoaffective disorder. Review of Resident #56's Minimum Data Set assessment, dated 04/05/24, revealed she had a severe cognitive impairment. Review of Resident #56's PASRR document, dated 11/14/22, revealed it was completed by another nursing facility. Review of the PASRR document, under Section E, revealed the only diagnoses listed for Resident #56 was panic or other…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-08 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, observations, and staff interview, the facility failed to ensure catheter tubing was stored properly/appropriately to prevent the spread of infection. This affected one (Resident #283) out of one resident reviewed for urinary catheters. The facility census was 75. Findings include: Review of the medical record for Resident #283 revealed an initial admission date of 06/14/22 and a readmission date of 04/19/24. Resident #283's medical diagnoses included sepsis, obstructive and reflux uropathy, delirium, disorientation, and altered mental status. Review of the care plan, dated 04/19/24, revealed Resident #283 had an indwelling catheter. Interventions included to complete catheter care per facility protocol. Review of the Catheter Evaluation, dated 04/22/24, revealed Resident #283 had an indwelling catheter. Review of the admission Minimum Data Set (MDS) 3.0 assessment, dated 04/25/24, revealed Resident #283 had severely impaired cognition and scored a two out of 15 on the Brief Interview for Mental Status (BIMS) assessment. Resident #283 was dependent 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2021-11-08 · tag F0801 — widespread
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on staff interviews and record review, the facility failed to have a qualified dietary service manager. This had the potential to affect all 76 residents receiving food from the kitchen. The facility census was 76. Findings include: Review of the facility's staff roster revealed the facility did not employee a full-time registered dietician. Review of the personnel file for Dining Services Manager (DSM) #238 revealed an absence of required degrees or certifications necessary for employment in the held position. Interview with Human Resource Assistant (HRA) #333 on 11/04/21 at 1:55 P.M. verified DSM #238 had not submitted any proof of certifications or degrees required to be employed as the facilities dietary service manager. Interview with the Administrator on 11/04/21 at 2:05 P.M. verified the facility had not been provided copies of certification or a degree by DSM #238.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2021-11-08 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on resident interviews, staff interviews, and review of the food committee meeting minutes, the facility failed to ensure food was served to the residents at the proper temperatures and resident preferences and failed to address expressed concerns by the residents in the food committee meetings. This had the potential to affect all 76 residents who receive food from the kitchen. The facility census was 76. Findings include: Review of the food committee meeting minutes revealed the following: On 06/23/21, the food committee meeting minutes reflected resident food preferences were not honored and the facility staff did not listen to the residents when they voiced food dislikes. On 07/21/21, the food committee meeting minutes reflected the residents again complained their food preferences were not honored. On 08/31/21, the food committee meeting minutes reflected the residents' food was served cold, mostly at breakfast. On 09/30/21, the food committee meeting minutes reflected the residents complained of cold food due to the use of paper plates and due to short dietary staffing.…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2021-11-08 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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

    Based on observation, staff interview, review of the facility's policy and record review, the facility failed to timely assess and monitor Resident #51's bruises on her bilateral hands. This affected one (Resident #51) of one resident reviewed for non-pressure related skin wounds. The facility identified 15 residents with non-pressure related skin wounds. The facility census was 76. Findings include: Review of the medical record for Resident #51 revealed an admission date of 09/02/21. Diagnoses included non-displaced fracture of the left hip, unspecified fracture of left pubis and sacrum, dementia with behavioral disturbance, and chronic pain. Review of the five-day Medicare Minimum Data Set (MDS) assessment, dated 09/28/21, revealed Resident #51 was cognitively impaired, required two person physical assistance with bed mobility, transfers and mobility. The resident was totally dependent on staff for bathing. There were no pressure or non pressure related skin impairments noted. Review of the plan of care, dated 10/06/21, revealed Resident #51 was at risk for impaired skin integrity…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-08 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, resident interview, and staff interview, the facility failed to ensure a resident received treatment and assistive devices to maintain hearing abilities. This affected one (Resident #32) of three residents reviewed for vision/hearing. The facility identified five residents with impaired hearing. The facility census was 76. Findings include: Review of the medical record for Resident #32 revealed an admission date of 02/06/13. Review of the quarterly Minimum Data Set (MDS) assessment, dated 10/15/21, revealed Resident #32 had moderate cognitive impairment, had minimal difficulty hearing, and did not wear hearing aides. Review of the physician's order, dated 02/11/21, revealed Resident #32 had an order for hearing aide care including insert in the morning and take out in evening. Review of the social service progress notes revealed on 08/27/21, it was documented Resident #32 had lost hearing aides and an appointment was being made to get a new set. On 10/20/21 at 9:27 A.M., it was documented Resident #32 had hearing aides but had lost them and 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-08 · tag F0806 — failed to honor food preferences — isolated
    Ensure 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, resident and staff interview, record review, and policy review, the facility failed to honor a resident's food preferences. This affected one (Resident #16) of one resident reviewed for choices. The facility census was 76. Findings include: Review of Resident #16's medical record revealed she was admitted on [DATE]. Diagnoses included chronic obstructive pulmonary diseases, visual loss, glaucoma, macular degeneration, emphysema, major depressive disorder, and gastro-esophageal reflux disease. Review of Resident #16's annual Minimum Data Set (MDS) assessment, dated 05/11/21 revealed Resident #16's vision was severely impaired, and her cognition was intact. Resident #16 required supervision of staff with set up help to eat. Review of Resident #16's plan of care, dated 05/21/21, revealed she had vision loss and staff were to orient her to her dining plate after it was set up. Review of Resident #16's documented food preferences revealed she requested two slices of bacon, a banana,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-11-08 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard 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, staff interview, and policy review, the facility failed to ensure a resident's medical record was complete and accurately documented. This affected one (Resident #58) of 24 resident's record reviewed. The facility census was 76. Findings include: Review of the medical record for Resident #58 revealed an admission date of 12/01/17. Diagnoses included schizophrenia, bipolar disorder, epilepsy, and morbid obesity. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #58 had moderately impaired cognition and required supervision for walking. Review of the progress notes revealed Resident #58's fall on 10/29/21 was not documented in the medical record. Review of a fall investigation report revealed on 10/29/21 at 7:00 P.M., Resident #58 was found sitting on the floor. Resident #58 was putting on her pajamas and went to sit on the seated walker. The walker slid out from under Resident #58 as she forgot to lock the brakes. State Tested Nursing Aide (STNA) #234 responded…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

$129,229 in federal fines across 2 penalties.

  • $91,074 — penalty dated 2026-01-29
  • $38,155 — penalty dated 2025-07-22

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 OPTALIS HEALTH & REHABILITATION — 36 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 1 of 52.4-1.4 vs chain
Health inspection 1 of 51.9-0.9 vs chain
Staffing 2 of 52.4-0.4 vs chain
Quality measures 4 of 54.3-0.3 vs chain
The other 35 homes this chain runs (chain average 2.4★, per CMS)
1 of 5Greenfield Rehab and Nursing CenterRoyal Oak, MI 1 of 5Optalis Health & Rehabilitation at Kent-CrossingGrand Rapids, MI 1 of 5Optalis Health & Rehabilitation of Bloomfield HillBloomfield Hills, MI 1 of 5Optalis Health & Rehabilitation of WhitehallWhitehall, MI 1 of 5Optalis Health & Rehabilitation of WyomingWyoming, MI 1 of 5Optalis Health and Rehabilitation of Grand RapidsGrand Rapids, MI 1 of 5Optalis Health and Rehabilitation of KingsfordKingsford, MI 1 of 5Optalis Health and Rehabilitation of Three RiversThree Rivers, MI 1 of 5The Lakeland CenterSouthfield, MI 1 of 5West Park Care Center LLCColumbus, OH 2 of 5Monterey Care CenterGrove City, OH 2 of 5Optalis Health & Rehabilitation of MuskegonMuskegon, MI 2 of 5Optalis Health and Rehabilitation at St. FrancisSaginaw, MI 2 of 5Optalis Health and Rehabilitation of CantonCanton, MI 2 of 5Optalis Health and Rehabilitation of Dearborn HeigDearborn Heights, MI 2 of 5Optalis Health and Rehabilitation of TroyTroy, MI 2 of 5Woodward Hills Health and Rehabilitation CenterBloomfield Hills, MI 3 of 5Belle Fountain Nursing & Rehabilitation CenterRiverview, MI 3 of 5Canal Winchester Care CenterCanal Winchester, OH 3 of 5Evergreen Health and Rehabilitation CenterSouthfield, MI 3 of 5Four Seasons Nursing Center of WestlandWestland, MI 3 of 5Grand TheDublin, OH 3 of 5Mill Run Care CenterHilliard, OH 3 of 5New Albany Care CenterColumbus, OH 3 of 5Optalis Health & Rehabilitation at LeonardGrand Rapids, MI 3 of 5Optalis Health & Rehabilitation of IoniaIonia, MI 3 of 5Optalis Health and Rehabilitation of Allen ParkAllen Park, MI 3 of 5Optalis Health and Rehabilitation of Ann ArborAnn Arbor, MI 3 of 5Optalis Health and Rehabilitation of Sterling HeigSterling Heights, MI 3 of 5RiverviewColumbus, OH 3 of 5ShorePointe Nursing CenterSt. Clair Shores, MI 4 of 5Fountain Bleu Health and Rehabilitation CenterLivonia, MI 4 of 5Shelby Health and Rehabilitation CenterShelby Township, MI 5 of 5Abbyshire Place Health And Rehabilitation Center LBidwell, OH 5 of 5Optalis Health and Rehabilitation of Grosse PointeGrosse Pointe Woods, MI

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
OM HOLDCO 3 LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 06/01/2022
SNW LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST33%since 06/01/2022
SIENA LENDING GROUP LLCOrganization5% OR GREATER SECURITY INTERESTsince 06/01/2022
PATEL, RAJANIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 06/01/2022
SHARON, ROBERTIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/13/2004
OPTUM MANAGEMENT SOLUTIONS. INCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2022
KING, CHRISTAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/24/2025
MILLER, KAYLEEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 06/01/2022
SELLERS, KEVINIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/24/2025
DUNN, CHARLESIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/24/2025
SHAH, HEMANTIndividualINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFsince 04/02/2025
CIRCLEVILLE PICKAWAY CORPORATIONOrganizationADP OF THE SNFsince 10/28/1988
CLIFTONLARSONALLEN LLPOrganizationADP OF THE SNFsince 01/01/2025
SCHLAUPITZ MADHAVANOrganizationADP OF THE SNFsince 01/01/2025

CMS files one row per role, so the 20 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.

7 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.

$9.2M
Net patient revenuemost recent cost report
+2.0%
Operating marginrevenue minus expenses
$460K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 18%Medicare 5%Other / private 76%

This home reported $460K 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

$306per resident / day
operating cost
$9,315per month
≈ monthly operating cost
$313per day
avg. revenue, all payers

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

What families pay in OH

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.

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

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 365556. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-29, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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