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Valley View Health Campus

1247 North River Rd, Fremont, OH 43420 · For profit - Limited Liability company · 60 certified beds · (419) 332-0357 Medicare & Medicaid certified

Call the home — (419) 332-0357 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
2 actual-harm citations CMS recorded as corrected before the inspection ended (past non-compliance)$16,801 in federal fines
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • inspectors recorded 2 serious findings as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $16,801 in federal fines (most recent 2024-03-21)
  • its facility-reported quality-measure score sits well above its independent inspection score

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★★ 4/5 CMS
Urgent care / clinic
2000 Countryside Dr · (419) 334-6377 · Call to confirm hours
Pharmacy
600 E State St · (419) 332-1505 · Call to confirm hours
Grocery
Aldi1.4 mi
2096 Enterprise St · (855) 955-2534 · Call to confirm hours
Park
1970 Countryside Pl · (419) 334-4495 · Typically dawn to dusk
Place of worship

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 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 3 to 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.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased5.3%5.3%15.4%typical for the state — see note marked double-dagger below the table
Long-stay residents who lose too much weight3.7%6.2%5.4%better
Long-stay residents with a catheter left in their bladder0.7%0.2%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms6.1%30.1%6.5%typical
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury3.2%3.2%3.3%typical
Long-stay residents whose ability to walk worsened1.4%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication19.4%25.5%18.9%typical
Long-stay residents given the seasonal flu vaccine100.0%94.5%95.3%typical
Long-stay residents with pressure ulcers1.5%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control23.8%21.4%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table4.1%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.3%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine90.7%75.6%79.4%better
Short-stay residents rehospitalized after admission32.3%24.9%22.6%worse
Short-stay residents with an outpatient ER visit14.5%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.921.731.67worse
Long-stay outpatient ER visits per 1,000 resident days3.271.801.80worse

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.

64.3% 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 153 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

64.3%U.S. median 51.5%
Got home and stayed home
10.7%U.S. median 10.7%
Went back to hospital
66.7%U.S. median 56.6%
Met the expected recovery
0.47U.S. median 0.31
Therapy hours / resident / day
0.24hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 66.7% 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 87 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 0.47 therapist hours per resident per day in 2026Q1 — more than 78% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF64.3%CMS range 55.8–70.251.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.7%CMS range 7.5–14.810.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge66.7%56.6%Oct 2024–Sep 2025CMS 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 discharge58.6%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge57.5%50.0%Oct 2024–Sep 2025CMS 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 identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened3.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.9%CMS range 4.1–12.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.021.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

1.05
RN hours/ resident / day
0.87
LPN hours/ resident / day
1.89
Aide hours/ resident / day
3.81
Total nurse hours/ resident / day
0.82
RN hoursweekends
47.5%
Total nursing turnover
28.6%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 58.2 residents a day — about 97% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. 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 3.81 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.05 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.89 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 3.46 hrs/resident/day on weekends vs 3.95 on weekdays — 12% thinner on weekends. RN hours go from 1.14 to 0.82 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.

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

Inspection trend

5
deficiencies at the latest standard inspection (2025-04-17)
7
at the previous standard inspection (2023-03-09)

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.

ABCDEFGHIJKL

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

19 citations, most serious first. The 12 most serious are shown; the remaining 7 are one tap away and print in full.

  • Actual harm · Gcited before2024-03-21 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on medical record review, staff interview, review of witness statements, review of hospital documents, review of the facility policy for falls, and review of facility corrective action, the facility failed to ensure residents who required a stand-up lift for transfers were properly and safely transferred per physician order and the plan of care. This resulted in actual harm when Resident #11 was transferred by two state tested nurse aides without the use of a stand-up lift and subsequently fell resulting in bilateral femur fractures. Resident #11 required hospitalization, surgical intervention, and numerous sutures and staples to repair the fractures. This deficient practice affected one (#11) of three residents reviewed for falls. The facility census was 60. Findings include: Review of Resident #11's medical record revealed an admission date of 10/18/19. Diagnoses included…

    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 · Past Non-Compliance
  • Actual harm · Gcited before2024-02-27 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, medical record review, hospital documentation review, staff interview, review of a personnel file, review of disciplinary action documentation, review of an investigation, policy review, and review of facility initiated corrective action, the facility failed to ensure appropriate care and assistance was provided to prevent a resident fall. This resulted in actual harm when Resident #64 was transferred by a mechanical (Hoyer) lift using only one staff member to assist, and subsequently fell, causing a closed right forearm fracture and a facial contusion. This affected one (#64) of three residents reviewed for falls. The facility census was 64. Findings include: Review of Resident #64's medical record revealed the resident was admitted to the facility on [DATE] and expired on [DATE]. Resident #64 was admitted to Hospice services on [DATE]. Diagnoses included but not…

    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 · Past Non-Compliance
  • Potential for harm · D2025-08-22 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and facility policy review, the facility failed to timely notify the physician and responsible part regarding a new wound. This affected one resident (#1) of three residents reviewed for notification of change. The facility census was 58.Findings include:Review of Resident #1's medical record revealed an admission date of 06/02/25. Medical diagnoses included aphasia, anemia, weakness, constipation, a pressure ulcer of the sacral region that was unstageable, and a vitamin D deficiency.Review of Resident #1's admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 had a memory problem with severe impairment. Resident #1 was always incontinent of bowel and bladder, was dependent for toileting, and needed substantial assistance for showers and personal hygiene. Review of Resident #1's admission skin assessment completed on 06/03/25 revealed no identified skin impairments to the buttocks or coccyx upon admission. Review of Resident #1's care plan 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-22 · 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 observation, staff interview, record review and facility policy review, the facility failed to accurately and timely identify and provide treatment for pressure ulcers. This affected two residents (#1 and #60) of three residents reviewed for wound care. The facility identified three residents with pressure ulcers. The facility census was 58. Findings include: 1.Review of Resident #1’s medical record revealed an admission date of 06/02/25. Medical diagnoses included aphasia, anemia, weakness, constipation, a pressure ulcer of the sacral region that was unstageable, and a vitamin D deficiency. Review of Resident #1’s admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 had a memory problem with severe impairment. Resident #1 was always incontinent of bowel and bladder, was dependent for toileting, and needed substantial assistance for showers and personal hygiene. The resident was identified with no pressure ulcers and was at risk for skin breakdown. Review of Resident #1’s…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-22 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, staff interview, and facility policy review, the facility failed to ensure proper infection control standards during incontinence care and a wound dressing change. This affected one resident (#1) of three residents reviewed for incontinence care and wound care. The facility census was 58. Findings include:Review of Resident #1's medical record revealed an admission date of 06/02/25. Medical diagnoses included aphasia, anemia, weakness, constipation, a pressure ulcer of the sacral region that was unstageable, and a vitamin D deficiency.Review of Resident #1's admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 had a memory problem with severe impairment. Resident #1 was always incontinent of bowel and bladder, was dependent for toileting, and needed substantial assistance for showers and personal hygiene. Review of Resident #1's admission skin assessment completed on 06/03/25 revealed no identified skin impairments to the buttocks or coccyx upon…

    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 · Fcited before2025-04-17 · tag F0761 — failed to label and store drugs safely — widespread
    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 observation, staff interview, review of pharmacy medication expiration dates and review of facility policy, the facility failed to ensure multi-use medications vials were properly dated. This had the potential to affect 56 residents residing in the facility. The facility census was 56. Findings include: Observation on 04/15/25 at 6:36 A.M. of the 300-hall medication storage room, with the Director of Nursing (DON), revealed one, open and undated, multi-use vial of Tuberculin, Purified Protein Derivative diluted/Aplisol, one ml (milliliter) (used for tuberculin testing), approximately three-quarters full. Further observation revealed the vial was dispensed from the pharmacy on 03/25/25 and had an imprinted expiration date of 01/17/26. Concurrent interview with the DON verified the multi-use Tuberculin vial was open and undated and should have been dated with the date it was opened. Review of a pharmacy document titled, Expiration Dates, dated January 2021, revealed the discard date for Tuberculin, Purified Protein Derivative diluted/Aplisol was 30 days after it was opened.…

    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 before2025-04-17 · tag F0881 — failed to use antibiotics responsibly — pattern
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of the facility Infection Tracking - ATB (antibiotic) Log, staff interview and review of facility policy, the facility failed to ensure residents met criteria prior to the initiation of antibiotics. This affected 13 (#5, #7, #14, #17, #26, #34, #38, #48, #50, #942, #943, #944, and #952) of 17 residents reviewed for antibiotic stewardship. The facility census was 56. Findings include: Review of the facility Infection Tracking- ATB Surveillance Log from 01/01/25 to 04/16/25 revealed the facility utilized McGeer's (set of clinical and laboratory findings used to help identify true infections requiring antibiotic treatment) criteria to determine appropriate antibiotic usage. Further review revealed the following residents were ordered antibiotics without meeting McGeer's criteria for antibiotic use: • Resident #5, with an admission date of 07/29/24, was ordered Ertapenem for a urinary tract infection (UTI) on 03/27/25 and did not meet McGeer's criteria for antibiotic use. • Resident #7, with an admission date of 07/29/24, was ordered Bactrim DS for a UTI on 01/19/25 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-17 · tag F0645 — isolated
    PASARR screening for Mental disorders or Intellectual Disabilities
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, review of the Preadmission Screening and Resident Review (PASRR - assessment to evaluate residents for serious mental illness and/or intellectual disability to prevent unnecessary nursing home admissions and ensure needed services) and staff interview, the facility failed to ensure PASRRs were accurately completed. This affected one (#16) of one resident reviewed for PASRR. The facility census was 56. Findings include: Review of medical record for Resident #16 revealed an admission date of 11/07/24. Diagnoses included, but not limited to, unspecified dementia, generalized anxiety disorder, depression, and bipolar disorder. Review of current physician orders revealed Resident #16 had orders for sertraline 150 milligrams (mg) daily (anti-depressant) and trazodone 100 mg at bedtime (anti-depressant). Review of PASRR, completed on 03/27/25, revealed the assessment did not identify Resident #16 had diagnoses of dementia, generalized anxiety disorder, depression, or bipolar disorder. The assessment also did not identify Resident #16 was ordered psychotropic…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-17 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, resident interview, medical record review, staff interview and review of the facility policy, the facility failed to ensure physician treatment orders were transcribed into the electronic medical record (EMR). This affected one (#20) of three residents reviewed for non-pressure ulcer skin conditions. The facility census was 60. Findings include: Review of the medical record for Resident #20 revealed an admission date of 11/03/22. Diagnoses included major depressive disorder, chronic obstructive pulmonary disease (COPD), and anemia. Review of the quarterly Minimum Data Set (MDS) assessment, dated 02/12/25, revealed Resident #20 was cognitively intact. Review of a Nurse Practitioner (NP) progress note, dated 04/04/25, revealed NP #910 completed a monthly visit assessment. Further review revealed Resident #20 had an all over body rash/contact dermatitis with orders for triamcinolone acetonide 0.1 percent (%) cream and Benadryl as needed (PRN). Review of the current physician orders revealed no order was in place for the triamcinolone acetonide 0.1% cream.…

    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 · D2025-04-17 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, resident interview, staff interview, review of the medical record and review of facility policy, the facility failed to ensure urinary catheters were maintained in a manner to prevent the impediment of urinary flow. This affected one (#36) of one resident reviewed for catheter care. The facility identified six additional residents (#34, #39, #40, #49, #206, and #207) with indwelling urinary catheters. Additionally, the facility failed to ensure follow-up appointments were scheduled with urology for the prevention and treatment of urinary tract infections (UTIs). This affected one (#5) of two residents reviewed for UTIs. The facility census was 60. Findings include: 1. Review of the medical record for Resident #36 revealed an admission date of 11/28/22. Diagnoses included, but not limited to, hemiplegia and hemiparesis, cerebrovascular disease, neuromuscular dysfunction of bladder, other specified disorders of the male genital organs, benign prostatic hyperplasia (BPH), and urinary retention. Review of the quarterly Minimum Data Set (MDS) assessment, dated…

    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 · F2023-03-09 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and review of the facility policy, the facility failed to ensure foods in the walk-in freezer were properly sealed, labeled, and dated. This had the potential to affect all 54 residents identified by the facility as receiving food from the kitchen. The facility census was 54. Findings include: Interview and observations of the walk in freezer with Area Director of Food Service (ADFS) #306 on 03/06/23 at 7:17 A.M. in the walk in freezer revealed an open, unsealed, unlabeled bag of chicken breast; an open unsealed, unlabeled, and undated bag of chicken tenders; an open, unsealed, unlabeled, and undated bag of hot dogs covered in frost; an open, unsealed, unlabeled, and undated bag of hamburger patties; an open, unsealed, unlabeled, and undated pizza cookies; and an open, undated package of vegetable blend. ADFS #306 at the time of the observations verified the findings of multiple food items stored in the freezer which were unsealed, unlabeled, and/or undated. Review of the facility policy titled Food Labeling and Dating Policy, dated 01/2023,…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-03-09 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, staff interview, and policy review, the facility failed to ensure a shared glucometer was cleaned and disinfected after each use. This affected Resident #32 and had the potential to affect three other residents (#6, #310, and #311) on the 100 hall who utilized the same glucometer as Resident #32. The facility census was 54. Findings include Medical record review revealed Resident #32 had an admission date of 01/13/23. Diagnoses included diabetes mellitus type two with diabetic nephropathy. Review of the five-day Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #32 had mild cognitive impairment. Review of the physician orders dated 02/15/23 revealed Resident #32 received blood sugar monitoring before meals. Observation on 03/08/23 at 8:12 A.M. revealed Registered Nurse (RN) #396 carried the glucometer to Resident #32's room and placed it directly on the resident's bedside table without a barrier under the glucometer. RN #396 obtained Resident #32's blood sugar…

    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
Show the remaining 7 citations
  • Potential for harm · D2023-03-09 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her 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 observations, staff interview, medical record review, and review of facility policy, the facility failed to promote dignity regarding the concealment of an indwelling urinary catheter drainage system. This affected one (Resident #48) of four residents identified with indwelling urinary catheters. The facility census was 54. Findings include: Review of Resident #48's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included acute cystitis with hematuria, chronic kidney disease, malignant neoplasm of bladder, and obstructive and reflux uropathy. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #48 had mild cognitive impairment, required extensive assistance of one staff with dressing, and hygiene. Resident #48 had an indwelling urinary catheter. Review of the physician orders dated 02/08/23 revealed Resident #48 was to have an indwelling urinary (Foley) catheter size 16 french (fr) with 10 cubic centimeter (cc) balloon. Review of 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-03-09 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, medical record review, and resident and staff interview, the facility failed to ensure physician orders and interventions were implemented to address a resident's lower extremity edema. This affected one (Resident #43) of one resident identified with bilateral lower extremity edema. The facility census was 54. Findings include: Review of Resident #43's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included cirrhosis, type II diabetes mellitus, edema, thrombophilia, and history of venous thrombosis and embolism. Review of the Minimum Data Set (MDS) assessment dated [DATE] assessed Resident #43 had moderately impaired cognition and required the extensive assistance of one staff for the completion of dressing. Resident #43 had a history of edema. Review of the care plan last revised on 11/27/22 revealed Resident #43 was receiving a diuretic medication. Interventions included to observe cardiovascular system and fluid status to determine effectiveness…

    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 before2023-03-09 · 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 observations, medical record review, resident and staff interview, and review of manufacturer instructions for use, the facility failed to ensure pressure relieving intervention were implemented and operated as designed. This affected one (Resident #48) of three residents reviewed for skin breakdown prevention. The facility identified eight residents who received preventative skin care. The facility census was 54. Findings include: Review of Resident #48's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included chronic kidney disease, acute embolism and thrombosis left femoral vein, coronary artery disease, left leg above the knee amputation, and peripheral vascular disease. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #48 had mild cognitive impairment, required extensive assistance of one staff with activities of daily living including bed mobility, transfer, dressing, and hygiene. Resident #48 was at risk for pressure ulcer…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-03-09 · 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 medical record review, observation, staff interview and policy review, the facility failed to ensure topical medications were stored in their original container until used. This affected two of two residents (#6 and #7) reviewed for medication storage. The facility census was 54. Findings include: Medical record review for Resident #6 revealed an admission date of 12/06/22. Resident #6 had a physician order dated 12/22/22 for biofreeze gel four percent topical to right shoulder for pain three times a day. Medical record review for Resident #7 revealed an admission date of 08/10/18. Resident #7 had a physician order dated 05/14/22 to apply medihoney gel 80% thin layer topical to opened area on left shin, cover with durafiber and wrap with kerlix daily Observation on 03/08/23 at 8:18 A.M. revealed there were two medications cups containing an unidentified gel like substances in the top drawer of the medication cart. Interview on 03/08/23 at 8:18 A.M. with Registered Nurse (RN) #396 revealed one medication cup contained biofreeze for Resident #6 and the other medication…

    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 · D2023-03-09 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    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, resident and staff interview, and policy review, the facility failed to ensure a resident's room was free of odors. This affected one (Resident #28) of one resident reviewed for environment. The facility census was 54. Findings include Medical record review revealed Resident #28 had an admission date of 07/16/20. Diagnoses included dementia, urethral stricture, obstructive and reflux uropathy, and history of malignant neoplasm of prostate. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #28 had mild cognitive impairment and had an indwelling catheter. Observation and interview of Resident #28's room on 03/06/23 at 10:28 A.M. revealed there was a strong urine odor in the resident's room. Resident #28 stated a few weeks ago, a staff member had not closed his urinary catheter bag correctly and it leaked all over. Subsequent observations on 03/07/23 at 10:18 A.M. and 2:47 P.M. and on 03/08/23 at 8:56 A.M. revealed the urine odor…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-01-04 · 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 Based on record review, review of facility policy and staff interview, the facility failed to notify the resident's and/or resident representatives of the facilities bed hold policy when the resident discharged to the hospital. This affected two (#11 and #24) of two residents reviewed for hospitalization. The facility census was 58. Findings include: 1. Review of Resident #24's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included chorionic atrial fibrillation, heart failure and unspecified dementia. Review of the Minimum Data Set (MDS) 3.0 assessment, dated 08/01/19 revealed the resident had impaired cognition. The resident was noted to discharge to the hospital on [DATE] and returned from the hospital on [DATE]. There was no evidence in the resident's medical record the resident and/or resident's representative was provided the facility's bed hold policy at the time her discharge to the hospital on [DATE]. Interview on 01/03/20 at 12:27 P.M. with the Business Office…

    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 · Dcited before2020-01-04 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, laboratory testing results and staff interview, the facility failed to ensure antibiotics were not being utilized for a resident with a negative test result. This affected one (#23) of five residents reviewed for antibiotics. The facility census was 58. Findings include: Review of Resident #23's medical record revealed an admission to the facility occurred on 10/19/19. Diagnoses included fractured femur, chronic kidney disease and chronic pain. The record identified on 12/26/19 a urine specimen was submitted to the laboratory for testing to determine if an infection was present. The record identified an antibiotic (Cipro 250 milligrams) was ordered at that time for five days. Review of the completed laboratory culture results, dated 12/29/19, identified Resident #23 was negative for an infection. The record lacked any evidence the physician was notified of the negative testing results and subsequently Resident #23 continued on the unnecessary Cipro. Interview with the facility's Infection Control Registered Nurse (RN) #500 on 01/03/19 at 1:00 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

$16,801 in federal fines across 1 penalty.

  • $16,801 — penalty dated 2024-03-21

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to TRILOGY HEALTH SERVICES — 123 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 54.2-0.2 vs chain
Health inspection 3 of 53.5-0.5 vs chain
Staffing 4 of 53.3+0.7 vs chain
Quality measures 5 of 54.8+0.2 vs chain
The other 122 homes this chain runs (chain average 4.2★, per CMS)
1 of 5Heritage TheFindlay, OH 1 of 5The Oaks Rehabilitation and Healthcare CenterZanesville, OH 2 of 5Homewood Health CampusLebanon, IN 2 of 5Violet Springs Health CampusPickerington, OH 2 of 5Woodmont Health CampusBoonville, IN 3 of 5Cobblestone Crossings Health CampusTerre Haute, IN 3 of 5Creasy Springs Health CampusLafayette, IN 3 of 5Cumberland Pointe Health CampusWest Lafayette, IN 3 of 5Forest Park Health CampusRichmond, IN 3 of 5Franciscan Health Care CenterLouisville, KY 3 of 5Greenleaf Health CampusElkhart, IN 3 of 5River Terrace Health CampusMadison, IN 3 of 5Scenic Hills At The MonasteryFerdinand, IN 3 of 5Smiths Mill Health CampusNew Albany, OH 3 of 5Springhurst Health CampusGreenfield, IN 3 of 5Springs Of Richmond, TheRichmond, IN 3 of 5St Mary Healthcare CenterLafayette, IN 3 of 5Stonegate Health CampusLapeer, MI 3 of 5Sun Prairie Senior LivingSun Prairie, WI 3 of 5Taylor Springs Health CampusGahanna, OH 3 of 5The Willows at Fritz FarmLexington, KY 3 of 5The Willows at HamburgLexington, KY 3 of 5The Willows at HarrodsburgHarrodsburg, KY 3 of 5The Willows at SpringhurstLouisville, KY 3 of 5Villages At Oak Ridge, TheWashington, IN 3 of 5Waunakee Valley Senior LivingWaunakee, WI 3 of 5Wellbrooke Of CarmelCarmel, IN 4 of 5Arlington Place Health CampusIndianapolis, IN 4 of 5Ashford Place Health CampusShelbyville, IN 4 of 5Aspen Place Health CampusGreensburg, IN 4 of 5Avalon Springs Health CampusValparaiso, IN 4 of 5Bethany Pointe Health CampusAnderson, IN 4 of 5Blair Ridge Health CampusPeru, IN 4 of 5Bridgepointe Health CampusVincennes, IN 4 of 5Cedar Creek Health CampusLowell, IN 4 of 5Clearvista Lake Health CampusIndianapolis, IN 4 of 5Forest Springs Health CampusLouisville, KY 4 of 5Glen Oaks Health CampusNew Castle, IN 4 of 5Glen Ridge Health CampusLouisville, KY 4 of 5Meadows Of Delphos TheDelphos, OH

Showing 40 of 122; 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 / managerTypeRoleShareSince
CONTINENTAL MERGER SUB LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/01/2021
NORTHSTAR HEALTHCARE INCOME INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/01/2021
NORTHSTAR HEALTHCARE INCOME OPERATING PARTNERSHIP LPOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/01/2021
TRILOGY HOLDINGS NT-HCI, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 10/01/2021
REGIONS BANKOrganization5% OR GREATER MORTGAGE INTERESTsince 07/20/2018
CORBIN, KATHYIndividualW-2 MANAGING EMPLOYEEsince 11/21/2011
FIGHTMASTER, LISAIndividualW-2 MANAGING EMPLOYEEsince 12/01/2015
BARNEY, LEIGHIndividualCORPORATE OFFICERsince 11/01/2019
BRYANT, WILLIAMIndividualCORPORATE OFFICERsince 01/05/2016
BUFFORD, RANDALLIndividualCORPORATE OFFICERsince 11/01/2019
CONNER, GREGORYIndividualCORPORATE OFFICERsince 06/03/2021
DAVIS, DAVIDIndividualCORPORATE OFFICERsince 08/21/2017
MEHAFFEY, TODDIndividualCORPORATE OFFICERsince 01/31/2022
PIETROWSKI, CRISTINAIndividualCORPORATE OFFICERsince 01/31/2022
PROSKY, DANNYIndividualCORPORATE OFFICERsince 12/01/2015
STREIFF, MATHIEUIndividualCORPORATE OFFICERsince 12/01/2015
TRILOGY MANAGEMENT SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 10/01/2021
PATYNKO, JODYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 03/03/2012

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

Follow the money — this home’s finances

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

$9.0M
Net patient revenuemost recent cost report
+7.1%
Operating marginrevenue minus expenses
$1.2M
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 38%Medicare 12%Other / private 50%

This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 14% 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

$288per resident / day
operating cost
$8,749per month
≈ monthly operating cost
$310per day
avg. revenue, all payers

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

What families pay in OH

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 365841. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-17, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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