Village At St Edward Nrsg Care
3131 Smith Rd, Fairlawn, OH 44333 · Non profit - Corporation · 81 certified beds · (330) 666-1183 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- 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
- a high payroll-based staffing rating (4/5)
- lower-than-typical staff turnover (28% vs 45% nationally) — better care continuity
- it has a citation for mishandling residents’ money or property (F0569)
- a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
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) | 4 of 5 |
| Quality measuresSelf-reported by the facility | 3 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 | 3 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 1 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 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 1.7% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 4.2% | 6.2% | 5.4% | better |
| 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 | 0.8% | 0.4% | 2.0% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 8.2% | 30.1% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.8% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 4.0% | 6.1% | 16.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 20.2% | 25.5% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.3% | 3.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 28.8% | 21.4% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 11.7% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.8% | 1.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 72.0% | 75.6% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 33.6% | 24.9% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 15.0% | 12.9% | 12.0% | worse |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
43.6% 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 103 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 48.2% 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 56 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 0.27 therapist hours per resident per day in 2026Q1 — more than 39% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 6% 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 | 43.6%CMS range 35.9–53.8 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.5%CMS range 8.2–15.4 | 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 | 48.2% | 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 | 33.9% | 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 | 28.6% | 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 | 98.8% | 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 | 96.4% | 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 | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 2.5% | 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 | 2.5% | 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 | 7.4%CMS range 4.5–11.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.77 | 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 81 beds and averages 76.9 residents a day — about 95% occupied, or roughly 4 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 4.03 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.68 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.81 hrs/resident/day on weekends vs 4.12 on weekdays — 8% thinner on weekends. RN hours go from 0.74 to 0.56 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 28% 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 more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.
- Potential for harm · D2026-03-02 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and resident record reviews, the facility failed to ensure call lights were in reach. This affected two residents (#8 and #67) of three residents reviewed for call lights. The facility census was 79.Findings include: 1. Review of the medical record for Resident #8 revealed she was admitted to the facility on [DATE] with diagnoses that included respiratory syncytial virus, fall, dementia, and anxiety.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #8 had severe cognitive impairment. Resident #8 had a history of inattention, disorganized thinking, was dependent on staff for activities of daily living (ADLs) that included, but not limited to, maximal assistance for upper body dressing and rolling left and right.Review of the care plan dated 01/14/26 revealed Resident #8 was at risk for falls and had an ADL self-care performance deficit related to dementia, impaired balance, impaired cognition and mobility with interventions that included assistance…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-02 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident record review, resident interview, and staff interviews, the facility failed to accurately assess and document a resident's hearing status on the minimum data set (MDS) assessment. This affected one resident (#1) of four residents reviewed for assessments. The facility census was 79.Findings include:Review of the medical record for Resident #1 revealed she was admitted to the facility on [DATE] with diagnoses that included pulmonary fibrosis, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, and type two diabetes.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 had no cognitive impairment. Resident #1 required supervision or touching assistance with eating, and some assistance with activities of daily living (ADLs). Resident #1's ability to hear was adequate and she did not utilize hearing devices.Review of the care plan dated 01/12/26 revealed Resident #1 had an ADL self-care performance deficit 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 · D2026-03-02 · tag F0656 — failed to write and follow a full care plan — isolatedDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident record review, resident interview, and staff interviews, the facility failed to develop and implement a comprehensive care plan to reflect a resident's hearing impairment. This affected one resident (#1) of one resident reviewed for care planning. The facility census was 79.Findings include:Review of the medical record for Resident #1 revealed she was admitted to the facility on [DATE] with diagnoses that included pulmonary fibrosis, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, and type two diabetes.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 had no cognitive impairment. Resident #1 required supervision or touching assistance with eating, and some assistance with activities of daily living (ADLs). Resident #1's ability to hear was adequate and she did not utilize hearing devices.Review of the care plan dated 01/12/26 revealed Resident #1 had an ADL self-care performance deficit with interventions that…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-02 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident record reviews, interviews, review of a Self-Reported Incident (SRI) and facility policy review, the facility failed to provide adequate assistance with activities of daily living (ADL) for dependent residents. This affected two residents (#1 and #86) of four residents reviewed for ADL care. The facility census was 79.Findings include:1. Review of the medical record for Resident #1 revealed she was admitted to the facility on [DATE] with diagnoses that included pulmonary fibrosis, hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, and type two diabetes.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 had no cognitive impairment. Resident #1 required supervision or touching assistance with eating, and some assistance with activities of daily living (ADLs). Resident #1's ability to hear was adequate and she did not utilize hearing devices.Review of the care plan dated 01/12/26 revealed Resident #1 had an ADL…
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 before2026-03-02 · 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 observation, interview and record review, the facility failed to provide care planned interventions to prevent resident falls. This affected one (Resident #67) of two residents reviewed for accident hazards. The total census was 79.Findings include:Review of the medical record for Resident #67 revealed she was admitted [DATE] and had diagnoses including unspecified dementia, diabetes, amnesia, edema, and degenerative disease of nervous system. Her last fall assessment dated [DATE] revealed she was at high risk for falls. Her care plan noted she was at risk for falls related to impaired cognition, poor safety awareness, and impaired mobility. One care planned intervention dated 07/19/22 revealed Resident #67 was to have Dycem (a rubber-like material designed to have high friction and prevent slipping) above and below the pressure cushion in her wheelchair.Observation on 02/25/26 at 2:03 P.M. revealed Resident #67 lying down on the floor in front of her wheelchair in the second-floor hallway by the dining…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-03-02 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to appropriately track and account for dispensed narcotics. This affected one (Resident #18) of three residents reviewed for narcotic tracking. The facility census was 79.Findings include:Review of the medical record for Resident #18 revealed she was admitted [DATE] and had diagnoses including major depressive disorder, pain in lower leg, and deep vein thrombosis. Her only past or current order of oxycodone tablets began 08/24/25 and was discontinued 08/27/25. Review of her October medication administration record revealed no active orders or documented administrations of oxycodone in that timeframe.Observation of the 200-hall medication cart on 03/02/26 at 9:40 A.M. revealed Resident #18 had one card of 54 oxycodone tablets which matched the medication count sheet. The most recent non-wasted removals of oxycodone tablets were dated 10/01/25, 10/12/25 and 10/31/25.Interview with the Administrator on 03/02/26 at 9:53 A.M. confirmed the above…
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 · D2025-04-10 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the medical record, review of facility policy, and interview with staff, the facility failed to provide privacy during wound care to Resident #1. This affected one resident (Resident #1) of one observed for wound care. Findings included: Review of the medical record revealed Resident #1 was admitted to the facility on [DATE]. Diagnoses included respiratory failure, diabetes, pulmonary hypertension, atrial fibrillation, coronary atherosclerosis, flaccid neuropathic bladder, insomnia, dementia, depression, and congestive heart failure. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 had moderately impaired cognition. Review of Resident #1's physician orders revealed the resident had treatment orders for a right heel wound dated 03/13/25 to cleanse the wound with normal saline, apply Santyl ointment to the wound, and cover it with a foam dressing daily and as needed. Observation of wound care on 04/09/25 at 10:00 A.M. revealed Licensed…
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 · D2025-04-10 · 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 observations, review of the medical record, interview with staff, and review of policy and procedure, the facility failed to maintain infection control during wound care for Resident #1's pressure ulcer. This affected one resident (Resident #1) of three reviewed for pressure ulcers. Findings included: Review of the medical record revealed Resident #1 was admitted to the facility on [DATE]. Diagnoses included respiratory failure, diabetes, pulmonary hypertension, atrial fibrillation, coronary atherosclerosis, flaccid neuropathic bladder, insomnia, dementia, depression, and congestive heart failure. Review of the physician's order revealed Resident #1 had an order to cleanse the right heel with normal saline, apply Santyl ointment to the wound, cover with a foam dressing daily and as needed dated 03/13/25. Review of the quarterly Minimum Data Set assessment dated [DATE] revealed Resident #1 had moderately impaired cognition and had a one unstageable pressure ulcer not present on admission. Observation of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-11-04 · 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
Based on medical record review, staff interview, and review of the facility policy, the facility failed to timely notify resident representatives of significant changes in health status. This affected one (Resident #79) of three residents reviewed for falls. The facility census was 77 residents. Findings include: Review of the medical record for Resident #79 revealed an admission date of 08/29/24 with diagnoses of vascular dementia with other behavioral disturbances, diabetes, expressive language disorder, adjustment disorder, rheumatoid arthritis and fracture of the first lumbar vertebrae with a discharge date of 10/22/24. Review of the Minimum Data Set (MDS) assessment for Resident #79 dated 09/05/24 revealed the resident was severely cognitively impaired required staff assistance with activities of daily living (ADLs.). Review of the nurse progress note for Resident #79 dated 09/08/24 timed at 10:45 P.M. revealed the resident had a fall without injury and the resident's representative was notified. Review of the nurse progress note for Resident #79 dated 09/09/24 timed 1:35 P.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 · Dcited before2024-11-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, staff interview, resident representative interview, and review of the facility policy, the facility failed to implement interventions to prevent falls. This affected one (Resident #79) of three residents reviewed for falls. The facility census was 77 residents. Findings include: 1. Review of the medical record for Resident #79 revealed an admission date of 08/29/24 with diagnoses of vascular dementia with other behavioral disturbances, diabetes, expressive language disorder, adjustment disorder, rheumatoid arthritis and fracture of the first lumbar vertebrae with a discharge date of 10/22/24. Review of the Minimum Data Set (MDS) assessment for Resident #79 dated 09/05/24 revealed the resident was severely cognitively impaired, required staff assistance with bed mobility and transfers and used a walker and a wheelchair for mobility. Review of the nurse progress note for Resident #79 dated 09/08/24 timed at 10:45 P.M. revealed the resident had unwitnessed fall from her wheelchair by the nurses' station Review of the physician's orders for Resident #79…
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 8 citations
- Potential for harm · E2022-09-15 · tag F0569 — patternNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview the facility failed to ensure residents and/or their representatives were notified in writing when their personal fund account (PNA) reached $200.00 less than the Medicaid resource limit (of $2000.00). This affected four residents (#9, #49, #53 and #67) of six resident records reviewed for PNA accounts. Findings include: Review of the Trust Fund Balance Report dated 09/30/22 revealed the following: Resident #9, who received Medicaid benefit had a PNA balance of $3,551.33. Resident #49, who received Medicaid benefit had a PNA balance of $2,412.49. Resident #53, who received Medicaid benefit had a PNA balance of $3,415.85. Resident #67, who received Medicaid benefit had a PNA balance of $3,206.76. Record review revealed no evidence a spend down notice had been provided to any of the residents and/or the residents' representative when the resident reached $200.00 of the Medicaid resource limit of $2000.00. On 09/14/22 at 9:26 A.M. interview with Bookkeeper #893 confirmed Resident #9, #49, #53 and #67 and/or their representative had not been notified…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-09-15 · tag F0623 — patternProvide 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 and interview the facility failed to provide written notifications to residents and residents' representatives before transfer to a hospital. This affected four residents (#20, #63, #65 and #274) of five residents reviewed for hospitalization. Findings include: 1. Review of Resident #20's medical record revealed diagnoses including dementia, hypertension, depression, anxiety disorder, seizures, chronic pain, and epilepsy. A nursing note, dated 08/13/22 at 10:15 A.M. revealed Resident #20 was unresponsive and her head and extremities were flaccid. The note indicated Resident #20's color was gray and her skin was diaphoretic (sweating profusely). Resident #20 was drooling and a blood pressure was unable to be obtained. After being assisted to bed, Resident #20 opened her eyes and was able to respond verbally. The physician was notified and Resident #20 was sent to the hospital. The note indicated Resident #20's daughter was updated. A nursing note, dated 08/13/22 at 5:25 P.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 · E2022-09-15 · tag F0625 — patternNotify 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 Based on medical record review and interview the facility failed to provide timely written notifications to residents or residents' representatives related to the bed hold policy when residents were transferred to a hospital. This affected four residents (#20, #63, #65 and #274) of five residents reviewed for hospitalization. Findings include: 1. Review of Resident #20's medical record revealed diagnoses included dementia, hypertension, depression, anxiety disorder, seizures, chronic pain, and epilepsy. A nursing note dated 08/13/22 at 10:15 A.M. revealed Resident #20 was unresponsive and her head and extremities were flaccid. The note indicated Resident #20's color was gray and her skin was diaphoretic (sweating profusely). Resident #20 was drooling and a blood pressure was unable to be obtained. After being assisted to bed, Resident #20 opened her eyes and was able to respond verbally. The physician was notified and Resident #20 was sent to the hospital. The note indicated Resident #20's daughter was updated.…
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 · D2022-09-15 · tag F0582 — isolatedGive 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to ensure Resident #36 received the appropriate beneficiary notice when skilled services were discontinued. This affected one resident (#36) of three residents reviewed for beneficiary notices. Findings include: Review of Resident #36's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including schizoaffective disorder, major depressive disorder and Alzheimer's disease. Review of Resident #36's Skilled Nursing Facility (SNF) Beneficiary Protection Notification Review form revealed the resident's Medicare Part A skilled services started on 06/16/22 and her last covered day was 07/07/22. Review of Resident #36's Notice of Medicare Non-Coverage (NOMNC) form indicated skilled services would end 07/07/22. The form was verbally signed 07/05/22. The resident remained in the facility after the services ended. On 09/14/22 at 10:46 A.M. interview with Licensed Social Worker (LSW) #808 confirmed Resident #36 and/or her family…
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 · D2022-09-15 · 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview the facility failed to refer a resident with newly evident or possible serious mental disorder for a pre-admission screening and resident review (PASARR) Level II review. This affected one resident (#65) of two residents reviewed for PASARR. Findings include: Review of Resident #65's medical record revealed an original admission date of 04/20/22 with no psychiatric/mood diagnoses identified. A Hospital Exemption from Preadmission Screening Notification, dated 04/20/22 indicated prior to hospital admission Resident #65 resided at a residential care facility. There had been no adverse preadmission screen and record review (PASARR) determination within the past 60 days. Resident #65 had a diagnosis of depression. Resident #65 had no physical or mental disability, or related condition, that was not solely caused by mental illness and was manifested prior to the age of 22. The certification for hospital exemption indicated as the individual's attending physician, he…
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 before2022-09-15 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure Resident #59 was assisted with her breakfast meal in a timely manner. This affected one resident (#59) and had the potential to affect seven additional residents (#16, #26, #27, #29, #31, #47 and #53) who resided on the third floor and required staff assistance with meals. Findings include: Review of Resident #59's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including unspecified dementia with behavioral disturbance, muscle weakness and expressive language disorder. Review of Resident #59's activities of daily living (ADL) care plan revealed an intervention dated 07/11/22 which reflected the resident was able to feed herself after set-up and needed maximum verbal cues at times to initiate and/or complete meals. Review of Resident #59's Minimum Data Set (MDS) 3.0 assessment, dated 08/11/22 revealed the resident exhibited a memory problem, required limited one person assist for meals 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 · Dcited before2022-09-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, medical record review and interview the facility failed to ensure fall interventions were implemented as plan to decrease the risk of falls/injury for Resident #20 and Resident #274. This affected two residents (#20 and #274) of three residents reviewed for accidents. Findings include: 1. Review of Resident #20's medical record revealed diagnoses including dementia, chronic pain, epilepsy and chronic pain. The resident's current plan of care revealed Resident #20 was at risk for falls related to gait and balance problems, impaired mobility, potential chronic pain, impaired cognition, poor to no safety awareness, impulsiveness, believing she could walk by herself at times, self-transfer attempts, removing non-skid footwear/shoes at times and history of falls. An intervention noted was to place a Dycem (non-skid surface) above and below the pressure reducing cushion in the resident's wheelchair. A fall risk assessment, dated 08/18/22 revealed Resident #20 was at high risk for falls with risk factors including history of falls, co-morbidities, impaired gait 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.
- No harm found · Bcited before2024-12-12 · tag F0623 — patternProvide 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 record review and staff interview, the facility failed to ensure the State Ombudsman was notified of resident discharges. This affected one resident (Resident #4) of two residents reviewed for discharge and had the potential to affect all 76 residents in the facility. Findings revealed: Resident #4's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included hereditary spastic paraplegia (inherited leg weakness), osteoporosis, joint derangements, major depressive disorder, mild cognitive impairment, dysphagia, abnormal involuntary movements, secondary scoliosis, malnutrition, cerebral infarction, chronic osteomyelitis, and multiple sclerosis. Review of progress notes revealed Resident #4's cognition was impaired. Further review found the Resident had been discharged to the hospital on [DATE] for sepsis and urinary tract infection (UTI), 06/17/24 for UTI, 07/08/24 for UTI, and 10/22/24 for aspiration pneumonia. Review of discharge notifications to the Ombudsman…
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.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| HARRIS, AMY | Individual | W-2 MANAGING EMPLOYEE | since 07/26/2015 |
| MAUR, DANIELLE | Individual | W-2 MANAGING EMPLOYEE; CORPORATE OFFICER | since 06/24/2014 |
| RENKAS, BRIAN | Individual | W-2 MANAGING EMPLOYEE; CORPORATE OFFICER | since 05/18/2015 |
| CICCOTELLI, AMY | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | since 01/01/2018 |
| COLE, KIM | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | since 01/01/2016 |
| DUNN, JAMES | Individual | CORPORATE DIRECTOR | since 01/01/2011 |
| FRYAN, LAURA | Individual | CORPORATE DIRECTOR | since 01/01/2022 |
| KILWAY, JOHN | Individual | CORPORATE DIRECTOR | since 01/01/2012 |
| MACURA, PAMELA | Individual | CORPORATE DIRECTOR | since 01/01/2017 |
| MANNA, KAREN | Individual | CORPORATE DIRECTOR | since 01/01/2016 |
| MARSHALL, CRAIG | Individual | CORPORATE DIRECTOR | since 01/01/2022 |
| MASER, JOAN | Individual | CORPORATE DIRECTOR | since 01/01/2022 |
| MCMAHON, PATRICK | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | since 01/01/2018 |
| MOTTICE, CRAIG | Individual | CORPORATE DIRECTOR | since 01/01/2020 |
| VANDEVERE, MIKE | Individual | CORPORATE DIRECTOR | since 01/01/2016 |
| WIESEMANN-MILLS, MARY ANN | Individual | CORPORATE DIRECTOR | since 01/01/2012 |
| STONER, JOHN | Individual | CORPORATE OFFICER | since 12/03/2012 |
CMS files one row per role, so the 22 rows in the source record cover these 17 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.
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 365836. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-02, 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.