Gem City Healthcare And Rehabilitation Center

Location & what’s nearby

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

Quality measures — how residents actually fare

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

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.43 therapist hours per resident per day in 2026Q1 — more than 73% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 87 beds and averages 28.9 residents a day — about 33% occupied, or roughly 58 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 4.99 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.11 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.58 is at or above 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 4.52 hrs/resident/day on weekends vs 5.18 on weekdays — 13% thinner on weekends. RN hours go from 1.15 to 1.03 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

Inspection trend

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

Inspection deficiencies

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

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

24 citations, most serious first. The 10 most serious are shown; the remaining 14 are one tap away and print in full.

• Potential for harm · Fcited before2026-05-21 · tag F0880 — failed to prevent and control infections — widespread
  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 record review, observation, interview, and facility policy review the facility failed to wear proper Personal Protective Equipment (PPE) while providing personal care. This affected one Resident #02 out of 23 residents requiring PPE for Enhanced Barrier Precautions (EBP). the faciity also failed to ensure clean linens were stored appropriately. This had the potential to affect all residents. The facility census was 33.Findings include: 1. A chart review revealed Resident #02 was admitted on [DATE] with diagnosis including hemiplegia/hemiparesis, dysphagia, diabetes, and depression. Review of the Quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #02 received nutrition through enteral method and was dependent on staff for completion of activities of daily living. Review of physician order dated 05/28/25 revealed Resident #02 was ordered to have Enhanced Barrier Precautions due to gastronomy tube. An observation on 05/20/26 at 10:18 A.M. with Licensed Practical Nurse (LPN) #15…

  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 plan of correction
• Potential for harm · Ecited before2026-05-21 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and facility policy review the facility failed to ensure food was stored and prepared under sanitary conditions. The facility failed to ensure portion sizes were accurate according to the approved recipe, and the facility failed to ensure a substitution log was maintained. This had the potential to affect 29 residents who consumed meals prepared in the facility kitchen. The facility census was 33.Findings include:1.Observations on 05/18/26 at 9:45 A.M. of the kitchen revealed no hair nets available for staff to use upon entry into the kitchen. Additional observation of the kitchen and dry storage revealed the floors in the kitchen food preparation and storage areas were dirty with crumbs, pieces of food, sugar packets, single serving maple syrup packets, and empty boxes located on the floors throughout the kitchen and dry storage area. Observation of dry food storage revealed three bags of Tostitos chips with a use by date of 03/24/26 on a storage shelf for active use.…

  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 plan of correction
• Potential for harm · E2026-05-21 · tag F0814 — failed to dispose of garbage properly — pattern
  Dispose of garbage and refuse properly.
  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 facility policy review, the facility failed to ensure that garbage cans in the kitchen were properly covered when not in active use. This had the potential to affect all 29 residents who consumed meals prepared in the facility kitchen. The facility census was 33.Findings include:Observation on 05/18/26 at 9:45 A.M. revealed two garbage cans located in the kitchen food prep area and one garbage can located in the dish room of the kitchen, all without lids on them and all three cans not in active use.Interview on 05/18/26 at 10:23 A.M. with Acting Kitchen Manager #91 confirmed there are two garbage cans in the kitchen food preparation area and one in the dish room area all without lids. AKM #91 revealed he is unable to locate lids for any of these three garbage cans and is unable to cover them when not in active use.Review of a document titled Hearthstone Hospitality Management Dining [NAME] Policy and Procedure Manual with an effective date of 01/01/25 revealed, All trash will…

  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 plan of correction
• Potential for harm · Dcited before2026-05-21 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and facility policy review, the facility failed to provide a functional and sanitary environment for one, (Resident #32) of four reviewed for the environment. The facility census was 33.Findings include:Review of the medical record revealed Resident #32 was admitted to the facility on [DATE]. Diagnoses included morbid obesity with alveolar hypoventilation, major depressive disorder, and generalized anxiety disorder. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #32 cognitively intact. Observation and interview on 05/20/2026 at 9:56 A.M. with a confidential employee in Resident #32's room revealed the sink filled completely up with brown water and the pipe to floor under the sink is discolored and dripping. The floor under the sink had a puddle of water, stain, and strong foul smell was noted out to the hallway. The confidential employee stated the sink had been clogged on and off for months. Interview on 05/20/26 at 10:01 A.M. with…

  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 plan of correction
• Potential for harm · Dcited before2026-05-21 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review and facility policy review, the facility failed to ensure three residents, (#22, #4 and #13) of 19 reviewed, had comprehensive care plans that reflected the resident's care needs. The total facility census was 33.Findings include: 1. Review of the medical record revealed Resident #22 was admitted to the facility on [DATE]. Diagnoses included chronic respiratory failure, dependence on respirator, neuralgia and neuritis. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #22 was cognitively intact, required set up for eating, was dependent for toileting, bathing and personal hygiene. Resident #22 had adequate vision and utilized corrective lenses. Review of the provider orders dated 05/13/25 for Resident #22 revealed resident may receive vision consults as needed per personal plan of care. Review of the care plan dated 08/17/22 revealed Resident #22 did not have vision needs or interventions in the care plan. Interview on 05/18/2026 at…

  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 plan of correction
• Potential for harm · D2026-05-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident interview, staff interview, record reviews, and policy review, the facility failed to provide showers to residents as scheduled. This affected one, (Resident #10) of 12 residents reviewed for provision of Activities of Daily Living (ADL) care. The facility census was 33.Findings include:Review of the medical record of Resident #10 revealed an admission date of 03/10/26. Diagnoses included neoplasm of unspecified behavior of brain, Type II Diabetes Mellitus, pulmonary embolism without acute cor pulmonale, torsade's de pointes, and presence of other vascular implants and grafts.Review of the most recent admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) assessment was not completed as the resident was rarely/never understood, did not reject care and did not wander. Resident #10 was dependent on assistance for oral hygiene, toileting hygiene, bathing, dressing, personal hygiene, bed mobility, and transfers.An interview on 05/18/26 at…

  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 plan of correction
• Potential for harm · D2026-05-21 · 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 and staff interview, the facility failed to ensure provision of wound care for a resident's pressure ulcer as ordered. This affected one resident (Resident #42) of two residents with identified pressure ulcers. The facility census was 33.Findings include:Review of the medical record of Resident #42 revealed an admission date of 05/07/26. Diagnoses included acute and chronic respiratory failure, sepsis due to Escherichia coli, acute kidney failure, Type II Diabetes Mellitus, dysphagia, pressure ulcer of sacral region stage IV, nonrheumatic mitral valve insufficiency, and nonrheumatic aortic valve insufficiency.Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the MDS assessment was still in process.Further record review for Resident #42 revealed upon admission to the facility the resident had a stage IV pressure ulcer (Full thickness tissue loss with exposed bone, tendon, or muscle. Slough or eschar maybe present on some parts of the wound bed. Often…

  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 plan of correction
• Potential for harm · Ddisputed · IDR2026-05-21 · tag F0693 — failed to provide proper feeding-tube care — isolated
  Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
  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, interviews, record review, and facility policy review the facility failed to ensure ongoing care of a gastrostomy (G) tube. This affected one, (Resident #10) of three residents reviewed for enteral tube feeding. The facility census was 33.Findings include: Review of the medical record of Resident #10 revealed an admission date of 03/10/26. Diagnoses included neoplasm of unspecified behavior of brain, Type II Diabetes Mellitus, pulmonary embolism without acute cor pulmonale, torsade's de pointes, and presence of other vascular implants and grafts.Review of the most recent admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) assessment was not completed as the resident was rarely/never understood, did not reject care and did not wander. Resident #10 was dependent on assistance for oral hygiene, toileting hygiene, bathing, dressing, personal hygiene, bed mobility, and transfers.Observation on 05/18/26 at 2:52 P.M. of Resident #10'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.

  Quality of Life and Care Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · Dcited before2026-05-21 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  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 interviews the facility failed to ensure that anticoagulant medications were administered as ordered. This affected one, (Resident #47) of six residents reviewed with prescribed anticoagulants. The facility census was 33.Findings include: Review of the medical record of Resident #47 revealed an admission date of 05/01/26. Diagnoses included acute kidney failure, disorder of parathyroid gland, hypoglycemia, coagulation defect, depression, major depressive disorder, and generalized anxiety disorder. Resident #47 did not reject care and did not wander.Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident was cognitively intact. Resident #47 was setup assistance for eating, oral hygiene, upper body dressing, lower body dressing, supervision assistance for toileting, bathing, personal hygiene, roll left and right, sit to lying, lying to sitting, sit to stand, transfers, moderate assistance to walk 10 feet, walk 50 feet, and used a walker for…

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

  Pharmacy Service Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · Fcited before2025-07-01 · tag F0584 — failed to keep a safe, clean, comfortable home — widespread
  Honor 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 observation, resident and staff interview, and record review, the facility failed to ensure comfortable and safe temperatures were maintained throughout the facility when temperatures exceeded 95 degrees Fahrenheit (F) in resident rooms. This affected all ten residents (#01, #02, #03, #04, #05, #06, #07, #108, #109 and #158) residing in the facility. The facility census was 10. Findings include: Interview with Resident #04 on 06/29/25 at 9:50 A.M. revealed it was hot in her room. Observation on 06/29/25, beginning at 10:00 A.M., with Director of Plant Operations (DPO) #306 revealed the following ambient room temperatures on the second floor of the facility, where all 10 of the facility's residents resided: the dining room was 89.2 degrees Fahrenheit (F), the 200 hallway was 88.5 degrees F, Resident #01 and Resident #03's room was 93.7 degrees F, Resident #02's room was 94.6 degrees F, Resident #04's room was 82.5 degrees F, Resident #05's room was 94.6 degrees F, Resident #06's room was 94.6 degrees F, Resident #07's room was 91.2 degrees F, Resident #108's room was 89…

  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

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

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to RECOVER-CARE HEALTHCARE — 27 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 89% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $470K paid to related parties — landlords or management companies under common ownership — equal to about 10% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

What families pay in OH