Life Care Center Of Elyria
1212 South Abbe Road, Elyria, OH 44035 · For profit - Individual · 99 certified beds · (440) 365-5200 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- lower-than-typical staff turnover (35% vs 45% nationally) — better care continuity
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- about 19% of its spending goes to commonly-owned related companies
- its last standard health inspection was over 3 years ago — the star rating may not reflect current conditions
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 4 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 9.6% | 5.3% | 15.4% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 9.3% | 6.2% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.2% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 31.8% | 30.1% | 6.5% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.7% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 6.5% | 6.1% | 16.1% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 21.1% | 25.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 7.0% | 3.4% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 21.2% | 21.4% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 12.2% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.6% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 80.8% | 75.6% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 18.4% | 24.9% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 8.3% | 12.9% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.92 | 1.73 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.65 | 1.80 | 1.80 | typical |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
60.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 311 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 89.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 159 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.66 therapist hours per resident per day in 2026Q1 — more than 90% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 60.5%CMS range 55.5–66.9 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.2%CMS range 7.1–12.5 | 10.7% | Oct 2022–Sep 2024 | no 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 discharge | 89.9% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 82.4% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 85.5% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 98.1% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | 98.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.9% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 1.7% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 4.7%CMS range 2.8–6.7 | 7.1% | Oct 2023–Sep 2024 | better than U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.06 | 1.02 | Oct 2022–Sep 2024 | CMS 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
How full it usually is: this home is certified for 99 beds and averages 91.7 residents a day — about 93% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.84 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.17 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 3.35 hrs/resident/day on weekends vs 4.04 on weekdays — 17% thinner on weekends. RN hours go from 0.78 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 35% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
This trend is not current. The most recent of these two inspections was over 3 years ago; the arrow describes what inspectors found then, not what the home is like now.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · D2023-04-20 · tag F0644 — isolatedCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review and staff interview, the facility failed to coordinate a level II assessment for a resident with a diagnosis of intellectual disabilities as required. This affected one (#316) of two residents reviewed for pre-admission screening and resident review (PASARR) status. The census was 92. Findings include: Review of Resident #316's medical record revealed an admission date of 04/07/23 with diagnoses that included unspecified intellectual disabilities, impulse disorder, major depressive disorder, and anxiety disorder. Review of the PASARR form completed prior to admission revealed the form did not address any of Resident #316's mental illnesses or intellectual disability which would have required a referral for a level II evaluation to the state agency. Further review of the medical for Resident #316 revealed no evidence of a corrected PASARR assessment or referral to the state agency as required. Interview on 04/18/23 at 4:44 P.M., with Social Worker #638 verified the facility did not address the incorrect PASARR or coordinate referral to the state agency…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-04-20 · tag F0646 — isolatedNotify the appropriate authorities when residents with MD or ID services has a significant change in condition.
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 timely notify the appropriate state mental health authority when a resident with a level II mental illness had a significant change in condition. This affected one (#51) of four residents reviewed for Preadmission Screening and Resident Review (PASARR). The census was 92. Findings include: Review of Resident #51's medical record revealed an admission to the facility on [DATE] with diagnoses including major depressive disorder, anxiety disorder, impulse disorder, vascular dementia with agitation and mood disturbance, Moyamoya disease, and psychosis. Review of the Medicare Significant Change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #51 had moderate cognitive impairment. The assessment indicated Resident #51 had physical and verbal behaviors directed towards others and rejected care. Review of social services progress note dated 01/15/23 revealed Resident #51 was sent to the hospital for evaluation. Review of nursing progress note…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-04-20 · tag F0685 — isolatedAssist a resident in gaining access to vision and hearing 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 interview and medical record review, the facility failed to ensure residents had ophthalmologist recommendations followed up in a timely manner. This affected one (#54) of two reviewed for ancillary services. The census was 92. Findings include: Review of the medical record for Resident #54 revealed an admission date of 06/16/22 and diagnoses including chronic kidney disease, congestive heart failure, dementia, and polyneuropathy. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #54 had intact cognition and had adequate vision with corrective lenses. Review of progress note dated 01/17/23 revealed Resident #54 had a vision appointment. Review of an eye care provider note dated 01/17/23 revealed Resident #54 complained of blurry vision. The assessment indicated Resident #54 was provided a prescription for new glasses and would be ordered pending insurance or payer approval. Review of a progress note dated 02/27/23 revealed Resident #54's daughter requested information on the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-04-20 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide 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, staff interview, and review of a facility policy, the facility failed to provide timely nutritional supplements as ordered. This affected one (#305) of two resident reviewed for nutrition. The census was 92. Findings include: Review of the medical record for Resident #305 revealed an admission date of 04/04/23. Diagnoses included chronic kidney disease, moderate protein calorie malnutrition, psychosis, dementia, depression, bradycardia, anxiety disorder, and hypotension. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #305 was cognitively intact, required supervision for eating, and had an active diagnosis of malnutrition. Review of the comprehensive care plan dated 04/10/23 revealed Resident #305 had nutritional problems of moderate malnutrition and a revision to the care plan on 04/19/23 revealed Resident #305 had weight loss. Goals identified within the care plan revealed Resident #305 would maintain adequate nutritional status as…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2023-04-20 · tag F0699 — isolatedProvide care or services that was trauma informed and/or culturally competent.
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, resident and staff interview, and policy review the facility failed to ensure residents who were survivors of trauma were assessed and care planned appropriately to address such trauma to maintain the residents highest practical well being. This affected one (#4) of one resident reviewed for trauma informed care. The census was 92. Findings include: Review of Resident #4's medical record revealed and admission dare of 08/06/17 with diagnoses that included multiple sclerosis, bipolar disorder, and posttraumatic stress disorder (PTSD). Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #4 was cognitively intact and required extensive assistance of two staff persons for completing her activities of daily living. Review of the psychiatric progress note dated 02/08/23 revealed Resident #4 was abused sexually by her cousin, babysitter, and her step father's father. The progress note also revealed Resident #4 was hospitalized in a psychiatric setting three…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2019-09-19 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation, staff interview, and review of facility policy, the facility failed to ensure food was stored properly when staff failed to cover foods stored in the freezer. This had the potential to affect all 95 residents that resided in the facility who consumed food from the kitchen. Findings include: Observation on 09/16/19 at 10:36 A.M. revealed a metal cart sitting in the walk-in freezer. On the shelf of the cart there were five baking sheet trays with breaded fish and one baking sheet tray with hushpuppies. None of the baking sheet trays were covered to protect the food. Interview on 09/16/19 at 10:37 A.M., with the Executive Chef (EC) #172 revealed all foods stored in the walk-in freezer were to be covered to protect the food. EC #172 confirmed there were five trays of breaded fish and one tray of hushpuppies stored on a metal cart, in the walk-in freezer, uncovered. Review of a facility policy titled, Food Safety, most recent revision date 11/28/17, revealed staff were to store food in a clean, safe and sanitary manner.
- Potential for harm · Dcited before2019-09-19 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and review of a facility policy, the facility failed to ensure residents were given an opportunity to formulate advanced directives on admission. The facility further failed to ensure resident's advanced directive wishes were consistent throughout the medical record. This affected two residents (#249 and #55) of 21 residents reviewed for advanced directives. The facility census was 95. Findings include: 1. Medical record review revealed Resident #249 admitted to the facility on [DATE]. Diagnoses included congestive heart failure and urine retention. Review of the resident's electronic health record (EHR) revealed the resident's advanced directive wish was to be a Do Not Resuscitate Comfort Care (DNR-CC), which meant no resuscitative actions to maintain life would be attempted. The EHR further revealed staff were directed to see the resident's living will for instructions. Further review of the resident's EHR revealed no documented evidence the resident requested…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-19 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately 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 review of a facility policy, the facility failed to notify a resident's physician, responsible party and Hospice provider of a change in a wound status and to timely notify a resident's family of a fall. This affected two residents (#13 and #94) of 21 residents reviewed for notification. The facility census was 95. Findings include: 1. Medical record review revealed Resident #13 admitted to the facility on [DATE]. Diagnoses included Alzheimer's disease, dementia and hypertension. Review of the resident's comprehensive Minimum Data Set (MDS) assessment dated [DATE], revealed the resident's cognition was severely impaired. Review of a nursing progress note dated 09/07/19 at 3:04 P.M., revealed the resident's dressing on her right leg was completed. A large amount of greenish, brown drainage was noted on the old dressing with a foul odor. There was no evidence in the medical record the physician, responsible party or the Hospice provider were notified. Interview…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-19 · tag F0625 — isolatedNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review and staff interviews, the facility failed to ensure written notification of the facilities bed hold policy was provided to the resident and representative, at the time of transfer. This affected two residents (#75 and #94) of two reviewed for hospitalizations. The facility census was 95. Findings include: 1. Review of Resident #75's medical record identified admission to the facility occurred on 04/19/19 and he was paying privately for services at the facility. The record identified on 07/21/19 and 08/05/19 Resident #75 required hospitalizations. Further review of the medical record identified a lack of written notification of the bed hold policy to Resident #75 and his representative, at the time of transfer/discharge. Interview with Business office Manager (BOM) #128 on 09/18/19 at 10:50 A.M. confirmed she had no written notification of the bed hold policy being provided to Resident #75 or his representative. 2. Review of Resident #94's medical record identified admission to the facility occurred on 07/28/19, with medical diagnosis including; Chronic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-19 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide 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 medical record review, observations, staff interview, resident interview, and facility policy review, the facility failed to ensure two residents (#13 and #75) of three reviewed for pressure ulcers had treatments and services to promote healing and prevent new ulcers from development. The facility identified nine residents with pressure ulcers. The facility census was 95. Findings include: 1. Review of Resident #75's medical record identified admission to the facility occurred on 04/19/19 with medical diagnosis including; B cell lymphoma, feeding tube, pressure ulcer stage 4 (Full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the ulcer) to sacrum with sepsis, anemia and multiple strokes. The readmission assessment dated [DATE] revealed Resident #75 was cognitively intact. Review of the wound clinic notes dated 09/13/19 revealed Resident #75 returned from the appointment with new physician orders to hold the wound vacuum for one…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 12 citations
- Potential for harm · D2019-09-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview, and review of a facility policy, the facility failed to ensure interventions to prevent injury from falls were in place. The facility further failed to ensure resident's call light system was in resident's reach while in their room. This affected one resident (#13) of three reviewed for falls. The facility census was 95. Findings include: Medical record review revealed Resident #13 admitted to the facility on [DATE] with diagnoses including Alzheimer's disease, dementia and hypertension. Review of a nursing progress note dated 09/06/19 at 8:05 P.M. revealed Resident #13 fell from her wheelchair and was found sitting on the floor. Interventions included to use a matt on the floor, next to the resident's bed, due to the resident's impulsiveness and confusion. Observations on 09/16/19 at 4:25 P.M. revealed Resident #13 was in her bed. The resident's fall matt was observed to be propped up against a cupboard on the opposite side of the room. Observations…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-19 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide 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 medical record review, observation, staff interview, and review of a facility policy, the facility failed to ensure an catheter securement device was used to prevent possible injury from the use of an indwelling urinary catheter. This affected one resident (#249) of two reviewed for urinary catheters. The facility census was 95. Findings include: Medical record review revealed Resident #249 admitted to the facility on [DATE] with diagnoses including congestive heart failure (CHF) and urine retention. Review of the resident's physician orders revealed an order dated 09/14/19 to insert an indwelling Foley urinary catheter. Observation of catheter care on 09/18/19 at 11:30 A.M. for Resident #249, with State Tested Nursing Assistant (STNA) #9, revealed there was no catheter securement device (a device designed to securely hold the catheter in place to prevent urine back-flow and urethral trauma caused due to catheter movement or dislodgement) in use for the resident's catheter. The STNA revealed staff were…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2019-09-19 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide 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, observation, and staff interviews, the facility failed to provide a resident with nutritional interventions as ordered for a significant weight loss. This affected one resident (#75) of two reviewed for nutrition. The facility identified three residents with significant weight loss in the census of 95. Findings include: Review of Resident #75's medical record identified admission to the facility occurred on 04/19/19 with medical diagnosis including; B cell lymphoma, feeding tube, pressure ulcer stage 4 (Full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the ulcer) to sacrum with sepsis, anemia and multiple strokes. The record identified Resident #75's admission weight was 161 pounds (lb) on 04/26/19. Resident #75 was hospitalized from [DATE] through 08/26/19 and was noted with a weight of 139 lb upon readmission. Resident #75's weight on 08/26/19 was 143 lb and on 09/04/19 was 142.5 lb, which evidenced 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.
- Potential for harm · D2019-09-19 · tag F0742 — isolatedProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, resident and staff interviews, the facility failed to ensure adequate treatment of one resident (#85) of one for psychosocial well being. The facility census was 95. Findings include: Review of Resident #85's medical record identified admission occurred on 08/14/19 following hospitalization for amputation of his right leg. The record revealed Resident #85 had the diagnosis of bipolar disorder (mental health condition). Review of an physician visit dated 08/15/19 identified Resident #85 was admitted to the facility following identification of gangrene of the right foot with maggot infestation resulting in below the knee amputation. The physician wrote an order to consult with the facility psychiatrist due to the diagnosis of bipolar disorder. Review of progress note dated 08/29/19 at 6:25 P.M. identified Resident #85 appeared agitated when asked to perform therapy. The notes identified Resident #85 was smoking more and refusing care. The notes identified the physician felt he needed to see his psychiatrist. The progress note further revealed a call…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-19 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, review of hospital discharge records, and staff interview, the facility failed to ensure a resident received ordered medications. This affected one resident (#94) of six reviewed for medications. The facility census was 95. Findings include: Review of Resident #94's medical record identified admission to the facility occurred on 07/28/19, with diagnoses including; Chronic Obstructive Pulmonary Disease (COPD), and oxygen dependence. Review of Resident #94's hospital discharge instructions dated 08/16/19 identified Resident #94 returned to the facility at 10:20 P.M. The instructions included a medication order for Duoneb inhalation solution for Nebulizer four times a day. Review of Resident #94's Medication Administration Record (MAR) dated 08/17/19 revealed the Duoneb treatment was not completed for the 12:00 A.M., 6:00 A.M. and 12:00 P.M. dose. Interview with Licensed Practical Nurse (LPN) #165 on 09/19/19 at 2:00 P.M. confirmed she worked the day shift on 08/17/19 and had to obtain Resident #94's medications from the facility Pyxis system when she…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-09-19 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observations, staff interview, and facility policy review, the facility failed to ensure infection control was maintained during a pressure ulcer dressing change for one resident (#75) of three residents reviewed for infection control. The facility census was 95. Findings include: Review of Resident #75's medical record identified admission to the facility occurred on 04/19/19 with medical diagnoses including; B cell lymphoma, feeding tube, and pressure ulcer stage 4 (Full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage or bone in the ulcer) to sacrum with sepsis. The resident was identified as being cognitively intact. Observation of Resident #75's wound dressing change on 09/17/19 at 11:21 A.M., with Registered Nurse (RN) #19 and State Tested Nursing Assistant (STNA) #116 revealed following following removal of the old dressing RN #19 changed gloves, however did not perform hand washing between the soiled gloves and placing on the new pair. Interview with RN #19 on 09/17/19 at 11:45 A.M.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2018-08-02 · tag F0559 — isolatedHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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, resident interview, staff interview, and policy review the facility failed to provide written notification prior to two room changes. This affected one (#48) of four residents reviewed for choices. The facility census was 97. Findings include: Medical record review for Resident #48 revealed an admission date of 06/22/18. Diagnoses included diabetes mellitus type two, chronic kidney disease, epilepsy and atrial fibrillation. Review of the Minimum Data Set (MDS) admission assessment dated [DATE] revealed Resident #48 was cognitively intact. Review of a nursing progress note dated 07/11/18 at 11:59 A.M., revealed Resident #48 agreed to move to another room later the same afternoon. Review of a nursing progress note dated 07/29/18 at 3:45 P.M., revealed Resident #48 would move temporarily to a private room for isolation. Resident #48 verbalized understanding. Interview on 07/30/18 at 12:03 P.M., with Resident #48 revealed she was not provided written notification prior to two room…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2018-08-02 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ensure residents advanced directives were placed in the resident's electronic health record. This affected two (#74 and #244) of two residents reviewed for advanced directives. The facility census was 97. Findings include: 1. Medical record review revealed Resident #74 admitted to the facility on [DATE]. Diagnoses included pelvic fracture, difficulty walking, and Parkinson's disease. Review of the resident's physician's orders, dated [DATE], revealed the advanced directives for Resident #74 was to be a do not resuscitate, comfort care (DNRCC), which meant he/she wished for comfort care measures only with no cardiopulmonary resuscitation (CPR) performed. Review of the resident's electronic health record revealed no advanced directive for Resident #74. 2. Medical record review revealed Resident #244 admitted to the facility on [DATE]. Diagnoses included deep vein thrombosis (blood clot), pneumonia, heart failure, and major depressive…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2018-08-02 · tag F0623 — isolatedProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and review of facility policy, the facility failed to provide written notification of transfer/discharge to the resident and state Ombudsman. The facility also failed to provide a reason for the resident's transfer to the hospital. This affected one (#91) of one resident reviewed for hospitalization. The facility census was 97. Findings include: Medical record review revealed Resident #91 was admitted to the facility on [DATE]. Diagnoses included non-traumatic intra-cerebral hemorrhage, deep vein thrombosis, cerebral stroke, and dysphasia. Review of the nursing progress note dated 06/06/18, revealed Resident #91 was transferred to the hospital. There was no documented reason as to why the resident was transferred to the hospital. There was no evidence the facility provided written notification to the resident, or to state Ombudsman of the transfer. Interview on 07/31/18 at 9:51 A.M., with Director of Nursing (DON) confirmed the facility did not provide written…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2018-08-02 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to follow physician orders when they failed to monitor resident's weight as ordered. This affected one (#87) of one resident reviewed for nutrition. The facility census was 97. Findings include: Medical record review revealed Resident #87 was admitted to the facility on [DATE]. Diagnoses included congestive heart failure (CHF), pleural effusion, diabetes, and end stage renal disease with dependence on hemodialysis. Review of the comprehensive Minimum Data Set (MDS) assessment, dated 07/10/18, revealed the resident was cognitively intact. Review of a physician order, dated 07/05/18, revealed the facility was to weigh Resident #87 daily. Review of Resident #87's weight documentation from 07/05/18 through 07/30/18 revealed no evidence the resident was weighed from 07/05/18 through 07/10/18, from 07/12/18 through 07/16/18, on 07/20/18, from 07/22/18 through 07/24/18, and from 07/26/18 through 07/30/18. Interview on 08/02/18, at 9:18 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.
- Potential for harm · D2018-08-02 · tag F0698 — failed to provide proper dialysis care — isolatedProvide 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, review of an outpatient dialysis agreement, and staff interview, the facility failed to ensure ongoing communications occurred between the facility and dialysis. This affected one (#87) of one resident reviewed for dialysis. The facility census was 97. Findings include: Medical record review revealed Resident #87 admitted to the facility on [DATE]. Diagnoses included congestive heart failure (CHF), pleural effusion, diabetes, and end stage renal disease, with dependence on hemodialysis. Review of the comprehensive Minimum Data Set (MDS) assessment, dated 07/10/18, revealed the resident was cognitively intact. Review of the dialysis communication form used by the facility revealed the facility was to document the resident's condition pre, and post dialysis, including vital signs, medication administered that day, and any other significant pertinent information related to the resident. The dialysis center was to document the resident's condition during dialysis including pre and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2018-08-02 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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 review of facility policy, the facility failed to have an adequate indication of use regarding the use of an anti-depressant medication. This affected one (#53) of five residents reviewed for unnecessary medications. The facility census was 97. Findings include: Review of Resident #53's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses includes type II diabetes, hypertension, peripheral vascular disease, and dementia, without behaviors disturbances. Review of Resident #53's physician orders dated 06/26/18 revealed, an order for Remeron 15 milligrams (mg), tablet, every night for dementia. Interview on 08/01/18 at 3:08 P.M., with Director of Nursing (DON), verified Resident #53 was receiving Remeron without an adequate indication of use. Review of facility policy titled Drug Utilization Program, dated 08/16/06, revealed an accurate determination of each resident's diagnosis, and problems upon admission is a critical starting…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to LIFE CARE CENTERS OF AMERICA — 194 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 3.4 | +1.6 vs chain |
| Health inspection | 4 of 5 | 2.8 | +1.2 vs chain |
| Staffing | 3 of 5 | 3.3 | -0.3 vs chain |
| Quality measures | 5 of 5 | 4.5 | +0.5 vs chain |
The other 193 homes this chain runs (chain average 3.4★, per CMS)
Showing 40 of 193; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| LORAIN MEDICAL INC | Organization | DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; GENERAL PARTNERSHIP INTEREST | since 08/31/2000 |
| PRESTON, FORREST | Individual | INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; LIMITED PARTNERSHIP INTEREST; ADP OF THE SNF | since 04/25/1996 |
| LEHMKUHL, STACI | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/05/2025 |
| LONG, ZOFIA | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 03/15/2004 |
| STRAUSS, GWYNETH | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL | since 08/02/2021 |
| CROSS, CINDY | Individual | CORPORATE OFFICER | since 03/04/1999 |
| FLETCHER, TODD | Individual | CORPORATE OFFICER | since 11/02/2020 |
| HENRY, TERRY | Individual | CORPORATE OFFICER | since 08/16/1999 |
| LAY, LISA | Individual | CORPORATE OFFICER | since 02/09/2018 |
| SWANKER, RICHARD | Individual | CORPORATE OFFICER | since 04/01/2011 |
| THURMOND, JOAN | Individual | CORPORATE OFFICER | since 09/22/2000 |
| ZIEGLER, JAMES | Individual | CORPORATE OFFICER | since 08/16/1999 |
| LIFE CARE CENTERS OF AMERICA, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/04/1999 |
| LORAIN MEDICAL INVESTORS LIMITED PARTNERSHIP | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/04/1999 |
| DHILLON, HARMOHINDER | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 03/05/2025 |
| PRESTON, AUBREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | since 11/27/2024 |
CMS files one row per role, so the 28 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.
3 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.
This home reported $2.2M paid to related parties — landlords or management companies under common ownership — equal to about 19% 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.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OH
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366176. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2023-04-20, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.