Grace Brethren Village

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.

56.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 48 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.36 therapist hours per resident per day in 2026Q1 — more than 60% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 30% 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.

Staffing

How full it usually is: this home is certified for 45 beds and averages 36.4 residents a day — about 81% occupied, or roughly 9 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.09 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 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 3.49 hrs/resident/day on weekends vs 4.34 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.47 to 0.54 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 53% is about the same as the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

Inspection trend

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

Inspection deficiencies

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

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

30 citations, most serious first. The 11 most serious are shown; the remaining 19 are one tap away and print in full.

• Actual harm · Gcited before2025-03-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, interviews, and policy review, the facility failed to prevent a resident from falling out of bed. This resulted in Actual Harm when Resident #11 fell out of bed and was transferred to the hospital where she was found to have a thoracic (section of the spine between the neck and end of ribs) compression fracture. This affected one (Resident #11) out of three residents reviewed for falls. The facility census was 38. Findings include: Review of the medical record for Resident #11 revealed an admission date of 01/06/21. Diagnoses included type two diabetes mellitus without complications, generalized anxiety disorder, hypertensive heart disease without heart failure, depression, moderate protein-calorie malnutrition, age-related osteoporosis without current pathological fracture, acute respiratory failure with hypoxia, intervertebral disc disorders with radiculopathy lumbar region, muscle weakness, and unspecified dementia, unspecified severity, without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety. Review of the plan of care,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-27 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of observations, staff interviews and review of facility policy, the facility failed to ensure a treatment cart containing medications was locked/secured. This had the potential to affect two (#7 and #35) residents that were identified by the facility as being cognitively impaired, independently mobile and could access the unlocked/unsecured treatment cart. The census was 39. Findings include: Observation on 08/26/25 at 10:30 A.M. revealed a treatment cart located in a common area by the nursing station was unlocked and unsecured. The treatment cart's drawers were able to be opened. The treatment cart contained various medicated creams, powders, and solutions. On 08/26/25 at 10:35 A.M. the Director of Nursing (DON) confirmed the treatment cart was unlocked, unsecured and contained contained various medicated creams, powders, and solutions. The DON confirmed the treatment cart should be locked and only licensed staff should have access to the treatment cart. Observation of the treatment cart contents with the DON on 08/26/25 at 3:25 P.M. revealed it contained eight…

  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 date of correction
• Potential for harm · Dcited before2025-04-09 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, observations, staff interviews, and policy review, the facility failed to ensure resident's medications were administered as ordered resulting in three medication errors out of 29 opportunities or a 10.3 percent (%) medication error rate. This affected one (#37) out of the two residents observed for medication administration. The facility census was 37. Findings include: Review of the medical record for Resident #37 revealed an admission date of 01/02/25 with medical diagnoses of left femur fracture, arthritis, hyperlipidemia, cerebrovascular disease, and dysphagia. Review of the medical record for Resident #37 revealed an admission Minimum Data Set (MDS) assessment, dated 01/08/25, which indicated Resident #37 had moderate cognitive impairment and was dependent for toilet hygiene, bathing, bed mobility, and transfers. Review of the medical record for Resident #37 revealed physician orders dated 01/03/25 for tamsulosin (Flomax) 0.4 milligram (mg) one tablet by mouth daily, aspirin-dipyridamole (Aggrenox- an antiplatelet) 12 hour 25-100 mg one tablet…

  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 date of correction
• Potential for harm · Dcited before2025-04-09 · 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

  Based on medical record reviews, observations, staff interviews, review of medication information from Medscape, and policy review, the facility failed to ensure residents were free from significant medication errors. This affected one (#37) out of two residents reviewed for medication administration. The facility census was 37. Findings include: Review of the medical record for Resident #37 revealed an admission date of 01/02/25 with medical diagnoses of left femur fracture, arthritis, hyperlipidemia, cerebrovascular disease, and dysphagia. Review of the medical record for Resident #37 revealed an admission Minimum Data Set (MDS) assessment, dated 01/08/25, which indicated Resident #37 had moderate cognitive impairment and was dependent for toilet hygiene, bathing, bed mobility, and transfers. Review of the medical record for Resident #37 revealed a physician order dated 01/03/25 aspirin-dipyridamole (Aggrenox- an antiplatelet medication) 12 hour 25-100 milligram (mg) one tablet by mouth two times per day. Review of the physician orders revealed no documentation to support an order…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-01-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure residents had adequate supervision and use of appropriate assistive devices to prevent falls. This affected three (Residents #4, #11, and #21) of five residents reviewed for falls. The facility also failed to thoroughly investigate resident falls and implement interventions to prevent further falls. This affected one (Resident #34) of five residents reviewed for falls. The facility census was 39 residents. Findings include: 1.Review of the medical record for Resident #4 revealed an admission date of 10/04/24 with diagnoses including Parkinson's disease, vascular dementia, psychosis and anxiety. Review of the fall assessment for Resident #4 dated 01/19/25 revealed the resident at high risk for falls. Review of the care plan for Resident #4 dated 01/19/25 revealed the resident was at risk for falls and interventions included to not leave the resident alone in common areas. Review of the Minimum Date Set (MDS) assessment for Resident #4 dated 01/22/25 revealed…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-01-30 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor 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

  Based on medical record review, resident interview, staff interview, and review of the facility policy, the facility failed to ensure resident code status was updated and correct in the medical electronic medical record. This affected one (Resident #26) of 15 sampled residents. The facility census was 39 residents. Findings include: Review of the medical record for Resident #26 revealed an admission date of 07/23/23 with diagnoses including congestive heart failure, chronic obstructive pulmonary disease, chronic respiratory failure with hypoxia, and multiple myeloma. Review of physician's orders for Resident #26 revealed an order dated 08/28/23 for the resident's code status to be Do Not Resuscitate Comfort Care Arrest (DNRCCA). Review of the care plan for Resident #26 dated 07/17/24 revealed the resident wished her code status to be DNRCCA and wanted her advanced directives wishes to be known to staff. Review of the progress note for Resident #26 dated 12/18/24 and timed at 9:40 A.M. revealed the resident's oxygen levels were low and the physician had recommended the resident be…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-30 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, resident interview, and staff interview, the facility failed to communicate the last covered day of skilled services to residents. This affected one (Resident #190) of three residents reviewed for beneficiary notices. The facility census was 39 residents. Findings include: Review of the medical record for Resident #190 revealed an admission date of 01/16/25 with diagnoses of aftercare following joint replacement surgery, hypertension, and dementia. Review of the Minimum Data Set (MDS) assessment for Resident #190 dated 01/17/25 revealed the resident had moderate cognitive impairment. Review of the progress note for Resident #190 dated 01/21/25 timed at 8:47 A.M. revealed the resident was alert, oriented, able to make her own decisions, and was a very social person. Review of the Notice of Medicare Non-Coverage (NOMNC) for Resident #190 dated 01/24/25 revealed the resident's last covered day (LCD) was 01/26/25. admission Nurse (AN) #263 documented notification of the LCD to the resident's daughter by telephone on 01/24/25 at 4:30 P.M. Interview on…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-30 · tag F0625 — isolated
  Notify 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Review of the medical record for Resident #11 revealed an admission dated of 05/24/24 with diagnoses including cerebral vascular disease, anxiety, and dementia. Review of the progress note for Resident #11 dated 08/06/24 revealed the resident was transferred to the hospital after a fall. Review of the MDS for Resident #11 dated 01/22/24 revealed the resident was severely cognitively impaired. Review of the medical record for Resident #11 revealed it did not include a bed hold notice for the resident's hospital transfer on 08/06/24. Based on medical record review, staff interview, and review of the facility policy, the facility failed to provide bed hold notices to residents or their representatives when residents were transferred to the hospital. This affected three (Residents #2, #11 and #26) of three residents reviewed for hospitalizations. The facility census was 39 residents. Findings include: 1.Review of the medical record for Resident #2 revealed an admission date of 08/13/20 with diagnoses including…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-01-30 · tag F0661 — isolated
  Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
  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 complete a resident discharge summary including a recapitalization of the stay, a final summary of status and a post discharge plan. This affected one (Resident #39) of one residents reviewed for discharge. The facility census was 39 residents. Findings include: Review of the medical record for Resident #39 revealed an admission date of 11/25/24 with diagnoses including chronic kidney disease, sick sinus syndrome, hypertension, osteoarthritis, and traumatic subdural hemorrhage with a discharge date of 12/03/24. Review of the Minimum Data Set (MDS) assessment for Resident #39 dated 12/01/24 revealed the resident was severely cognitively impaired and required staff assistance with activities of daily living (ADLs). Review of the discharge MDS assessment for Resident #39 dated 12/03/24 revealed the resident discharged home. Review of the medical record for Resident #39 revealed it did not include a discharge summary. Interview on 01/30/25 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 date of correction
• Potential for harm · Fcited before2023-12-07 · 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

  Based on record review, observations, staff interviews, review of guidelines from Centers for Disease Control and Prevention (CDC) and policy review, the facility failed to implement infection control policies and guidelines to potentially prevent the spread of Coronavirus Disease 2019 (COVID-19). This had the potential to affect all 37 residents residing in the facility. Facility census was 37. Findings include: 1. Observation on 12/06/23 at 9:54 A.M. revealed State Tested Nursing Assistant (STNA) #10 was outside of Resident #34's room. Resident #34's door was noted to have a sign taped to it for droplet precautions and a three-drawer cart just outside the door. STNA #10 was observed wearing a surgical mask and no eye protection. STNA #10 was observed donning a gown and gloves prior to entering Resident #34's room. Interview on 12/06/23 at 9:56 A.M. with STNA #10 revealed she did not know where the eye protection was prior to entering Resident #34's room. STNA #10 checked the four carts on the hall and none contained eye protection. Interview on 12/06/23 at 10:12 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-01 · 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 medical record review, staff interviews, and review of facility policy, the facility failed to ensure staff assessed a resident's wound in a timely manner, delaying treatment. This affected one (Resident #35) of three residents reviewed for wound assessments. The facility census was 34. Findings included: Review of the discharged medical record for Resident #35 revealed an admission date of 05/19/23. Diagnoses included difficulty with walking and muscle weakness. The resident was discharged to home on [DATE]. Review of the Minimum Data Set (MDS) assessment date 05/26/23 revealed Resident #35 was cognitively impaired. Resident #35 required extensive two person assistance with bed mobility and transfers. The resident was at risk for pressure ulcers, however the assessment indicated the resident did not have an active pressure ulcer. Review of Resident #35's most recent care plan revealed the resident had actual skin impairment to his bilateral buttock related to a Deep Tissue Injury (DTI). Interventions…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 9 rows in the source record cover these 8 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.

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.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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