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Ohio Veterans Home - Georgetown

2003 Veterans Blvd, Georgetown, OH 45121 · Government - State · 168 certified beds · (937) 378-2900 Medicare & Medicaid certified

Call the home — (937) 378-2900 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (5/5) — 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 (5/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • 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.

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

Location & what’s nearby

Urgent care / clinic
4881 State Route 125 · (937) 378-2526 · Call to confirm hours
Pharmacy
521 E State St · (937) 378-2218 · Call to confirm hours
Grocery
4905 State Route 125 · (937) 378-1600 · Call to confirm hours
Park
4884 E State St · 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 4 of 5
Long-stay residentspeople who live here 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 held steady at 5 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating5★
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 increased13.7%5.3%15.4%worse than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight4.0%6.2%5.4%better
Long-stay residents with a catheter left in their bladder0.3%0.2%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.2%0.4%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms4.4%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.0%3.2%3.3%worse
Long-stay residents whose ability to walk worsened10.3%6.1%16.1%worse than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication10.9%25.5%18.9%better
Long-stay residents given the seasonal flu vaccine95.2%94.5%95.3%typical
Long-stay residents with pressure ulcers3.5%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control21.0%21.4%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table15.0%8.8%17.1%better
Long-stay hospitalizations per 1,000 resident days2.431.731.67worse
Long-stay outpatient ER visits per 1,000 resident days1.161.801.80better

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.

0.18U.S. median 0.31
Therapy hours / resident / day
0.11hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.18 therapist hours per resident per day in 2026Q1 — more than 18% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

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 SNFnot reported — The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 dischargenot reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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

0.68
RN hours/ resident / day
1.75
LPN hours/ resident / day
3.18
Aide hours/ resident / day
5.61
Total nurse hours/ resident / day
0.41
RN hoursweekends
40.5%
Total nursing turnover
33.3%
RN turnover

How full it usually is: this home is certified for 168 beds and averages 97.5 residents a day — about 58% occupied, or roughly 70 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 5.61 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.18 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.91 hrs/resident/day on weekends vs 5.89 on weekdays — 17% thinner on weekends. RN hours go from 0.79 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% 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

0
deficiencies at the latest standard inspection (2026-04-02)
3
at the previous standard inspection (2023-05-04)

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.

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 · E2025-06-13 · tag F0712 — pattern
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    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 reviews and staff interview, the facility failed to ensure regulatory physician visits were conducted by the physician or authorized designee at least every 60 days. This affected four (#75, #84, #88, and #94) of four residents reviewed for physcian services. The facility census was 102. Findings include: 1. Record review for Resident #88 revealed the resident was admitted to the facility on [DATE] and had diagnoses which included Alzheimer's disease, Diabetes Mellitus, and emphysema. Review of the significant change Minimum Data Set (MDS) assessment, dated 05/28/25, revealed the resident was assessed to have intact cognition. Review of the facility assessments for Resident #88 revealed the most recent regulatory visit and exam had been completed by the physician on 03/24/25. 2. Record review for Resident #75 revealed the resident was admitted to the facility on [DATE] and had diagnoses which included Alzheimer's disease, dementia, and major depressive disorder. Review of the quarterly MDS…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-05-04 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — the official record, unedited, 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 a residents' advanced directives matched in the electronic record and the paper record. This affected one (Resident #14) of two residents reviewed for advanced directives. The facility census was 77. Findings include: Record review for Resident #14 revealed an admission date of 10/03/13. Diagnoses included dementia and Alzheimer's disease. Review of the significant change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #14 had mildly impaired cognition. Review of Resident #14's electronic medical record on 05/02/23 revealed the electronic record had the resident as a Do Not Resuscitate Comfort Care (DNRCC). Review of Resident #14 paper medical record on 05/03/23 revealed the paper chart had the resident as a Do Not Resuscitate Comfort Care- Arrest (DNRCC-A). Interview with Registered Nurse (RN) #569 on 05/03/23 at 10:35 A.M. verified Resident #14's code status in the paper chart and the electronic record does not match.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-05-04 · tag F0622 — isolated
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    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 staff interview and record review, the facility failed to have the necessary paperwork for a resident when they discharged to the hospital. This affected one (Resident #12) of three residents reviewed for hospitalization. The facility census was 77. Findings include: Record review for Resident #12 revealed an admission date of 11/23/15. Diagnoses included myocardial infarction, type II diabetes mellitus, dementia, anxiety, and peripheral vascular disease. Review of the Medicare five-day Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #12 was moderately cognitively impaired. Review of a progress note dated 02/28/23 at 7:00 P.M. revealed a state tested nurse aide (STNA) came to the nurse and asked the nurse to check on Resident #12 because he claimed he felt weak and had shortness of breath. Resident #12 did require more assistance to transfer to bed due to generalized weakness, vital signs were taken and the nurse was made aware. The progress note dated 03/01/23 at 10:01 A.M. 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 · D2023-05-04 · tag F0644 — isolated
    Coordinate 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 record reviews and staff interview, the facility failed to ensure pre-admission screening and resident review (PASARR) was completed timely after a significant change. This affected one (Resident #63) of four residents reviewed for PASARR during the annual survey. The facility census was 77. Findings include: Record review for Resident #63 revealed the resident was admitted to the facility on [DATE]. Diagnoses included Alzheimer's disease, dementia, post-traumatic stress disorder, and chronic kidney disease. Review of the quarterly Minimum Data Set (MDS) assessment, dated 03/08/23, revealed Resident #63 had minimal cognitive impairments. Review of current medical diagnoses revealed diagnoses of mood disorder and bipolar disorder were added to the resident record on 11/04/21. Review of the PASARR completed on 09/25/20 revealed bipolar disorder and mood disorder were not captured on this review. No other PASARR has been completed after 09/05/20 to reflect the addition of mood disorder or bipolar Disorder.…

    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 · F2020-03-05 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on review of infection control surveillance documents, staff interview review of facility policy the facility failed to maintain an infection prevention and control program that monitored monthly infection control trends. This had the potential to affect all 151 facility residents. Findings include: Review of the infection control surveillance documents revealed there was no evidence of monthly tracking of infection control trends. Interview with Registered Nurse (RN) #131 on 03/05/20 at 11:20 A.M. revealed she was in charge of the infection control program and she verified the facility did not have monthly surveillance of infection control trends including lists of organisms and infections and the location of the residents with the infections. Review of the facility policy titled Infection Prevention Program dated 10/01/19 revealed the surveillance process consists of documenting data on the infection surveillance form and the data is aggregated monthly quarterly and annually and compared monthly quarterly and annually.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2020-03-05 · tag F0625 — pattern
    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 medical record review and interview, the facility failed to ensure residents received written bed hold notifications upon discharge to the hospital. This affected four (#13, #56, #60 and #98) residents of four reviewed for discharge notification. The facility census was 151. Findings include: 1. Review of the medical record revealed Resident #60 was admitted to the facility on [DATE]. Diagnoses included vascular dementia, hypothyroidism, anemia and cerebrovascular disease. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severe cognitive impairment and required extensive assistance with transfers and bed mobility. Resident #60 also required total dependence with dressing, eating, toileting and personal hygiene on the 12/15/19 MDS. Further review of the medical record revealed the resident was discharged to the hospital on [DATE] with a hip fracture. There was no evidence Resident #60 or his representative received a written bed hold notice upon discharge to 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 · E2020-03-05 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide 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 medical record review, controlled substance sheet review, observation, staff interview, and review of facility policy, the facility failed to ensure proper procedures were in place regarding the storage and administration of controlled substances. This had the potential to affect a total of 20 Residents (#32, #55, #60, #101, #103, #116 on the A1 Blue Cart, Residents #4, #23, #50, #69, #92, #119 on the A2 Blue Cart, Resident #137 on the C1 Blue Cart, Residents #9, #14, #47, #53, #110, #115, #128 on the C2 Blue Cart who had controlled substances stored. The census was 151. Findings include: 1. Review of the medical record for Resident #50 revealed an admission date of [DATE] with a diagnosis of Parkinson's disease. Review of the physician orders for [DATE] revealed an order for Norco at 9:00 A.M., 1:00 P.M., and 9:00 P.M. for chronic pain. Review of the controlled substance sheet for Resident #50's Norco revealed the 9:00 A.M. routine dose of Norco, tablet #25 for resident had not been signed out as…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2020-03-05 · tag F0756 — failed to review each resident's drug regimen — pattern
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and review of the facility policy the facility failed to ensure the consultant pharmacist completed a thorough monthly review of each resident's medication regimen which included documentation of the presence or absence of irregularities. This affected four Residents (355, #59, #60, and #110) of five reviewed for unnecessary medications. The census was 151. Findings include: 1. Review of the medical record revealed Resident #59 was admitted on [DATE] with a diagnosis of Alzheimer's disease. Review of the monthly physician order sheets for January 2020, February 2020, and March 2020 revealed the consultant pharmacist signed indicating resident medications had been reviewed but did not indicate the presence or absence of irregularities noted to the resident's medication regimen. 2. Review of the medical record revealed Resident #55 was admitted to the facility on [DATE]. Diagnoses included dementia, vitamin B12 insufficiency, stenosis of lumbar spine, pericardial…

    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 · E2020-03-05 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, review of dining spreadsheets, review of list of residents receiving pureed meals and review of facility policy the facility failed to ensure the portion sizes reflected in the menu spreadsheet were followed to ensure residents received adequate nutrition. This affected seven residents (#36, #60, #98, #99, #101, #133 and #143) of a total census of 151. Findings include: Review of the dining spreadsheet for lunch for 03/03/20 revealed residents pureed diets were to receive 4 ounces (oz) of pureed chicken Alfredo, 4 oz of pureed fettuccine, 5 oz of pureed broccoli, 4 oz of pureed peaches and 2 oz of pureed garlic bread. Observation of the tray line in the A1 unit kitchenette on 03/03/20 at 11:54 A.M. revealed Food Service Worker #134 prepared a tray for Resident #101. Resident #101 received a regular pureed diet. Food Service Worker #134 was observed to give Resident #101 4 oz of pureed chicken Alfredo, 3 oz of pureed fettuccine, 5 oz of pureed broccoli, 4 oz of pureed peaches and 2 oz of pureed garlic bread. Interview with Food Service Worker #134 at…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2020-03-05 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, interview, review of residents diets and review of facility policy, the facility failed to ensure food items on the C2 unit were kept at a safe temperature during food service. The facility also failed to ensure staff utilized sanitary practices when handling a resident's food items. This had the potential to affect 40 Residents (#9, #10, #13, #14, #17, #20, #29, #35, #39, #40, #42, #45, #47, #49, #53, #61, #64, #67, #70, #76, #80, #85, #87, #94, #96, #100, #109, #110, #112, #115, #117, #124, #128, #130, #134, #135, #138, #139, #148 and #254) out of 151 residents residing in the facility. The facility census was 151. Findings include: 1. Review of the medical record revealed Resident #138 was admitted to the facility on [DATE]. Diagnoses included dementia with behavioral disturbance, vascular dementia, depressive disorder, disorder of skin, muscle weakness, glaucoma, knee pain, vitamin D deficiency, history of appendectomy, history of knee surgery, seizure disorder,…

    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
Show the remaining 8 citations
  • Potential for harm · Dcited before2020-03-05 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and review of facility policy the facility failed to ensure residents had valid code status forms in their medical records. The forms were not signed by a physician. This affected one (Resident #404) of 30 residents sampled. The census was 151. Findings include: Review of the medical record for Resident #404 revealed an admission date of 02/12/20 with a diagnosis of bipolar disorder Review of the Minimum Data Set (MDS) dated [DATE] revealed the resident was cognitively intact and was independent with activities of daily living. Further review of the medical record revealed a sticker in the front of the hard chart indicated the resident's code status was do not resuscitate comfort care (DNRCC). Review of the DNRCC form, undated, revealed it was signed by the resident and indicated the resident was a DNRCC. There was no physician signature on the form. Review of social service progress note for Resident #404 dated 02/21/20 revealed the resident desired to be a DNRCC…

    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 · D2020-03-05 · tag F0641 — isolated
    Ensure 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 medical record review and staff interview, the facility failed to ensure the accuracy of resident assessments related to antipsychotic use. This affected one (Resident #59) of five residents reviewed for unnecessary medications. The census was 151. Findings include: Review of the medical record revealed Resident #59 was admitted [DATE]. Diagnoses included Alzheimer's disease and depression. Review of physician orders dated 11/26/19 revealed routine administration of the antipsychotic medication, Seroquel, for treatment of depression with delusions. Review of the Minimum Data Set (MDS) dated [DATE] section N0410 A revealed the resident received antipsychotic medications for seven out of the last seven days. Further review of the MDS section N0450 question A revealed the resident did not receive antipsychotics on a routine basis. Review of section N0450 also revealed the following subsequent questions were not answered due to the negative response to questions N0450 A regarding antipsychotic use: has a…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-03-05 · tag F0685 — isolated
    Assist a resident in gaining access to vision and hearing services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, resident interview, and staff interview, the facility failed to arrange for audiological services for residents. This affected one (Resident #59) of one resident reviewed for communication. The census was 151. Findings include: Review of the medical record revealed Resident #59 was admitted on [DATE]. Diagnoses included Alzheimer's disease and depression. Review of the comprehensive admission Minimum Data Set (MDS) dated [DATE] revealed the resident was cognitively impaired, was totally dependent on staff assistance with activities of daily living, had moderate difficulty with hearing, and did not use hearing aids. Review of the Care Area Assessment (CAA) worksheet dated 06/24/19 revealed the resident had hearing deficit and had hearing aids but did not wish to use them. Further review of the worksheet revealed the facility would arrange for hearing evaluations and also observe the resident's ears for wax buildup. Review of the care plan for Resident #59 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 · D2020-03-05 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    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 review of facility policy, the facility failed to ensure splints to maintain range of motion were in place. This affected one (Resident #144) of two residents reviewed for positioning and mobility. The census was 151. Findings include: Review of the medical record revealed Resident #144 was admitted on [DATE] with a diagnosis of anoxic brain injury. Review of the Minimum Data Set (MDS) for dated 02/05/20 revealed the resident had severe cognitive impairment, was totally dependent on staff for activities of daily living and had functional impairment to his bilateral upper and lower extremities. Review of care plan dated 01/30/19 revealed Resident #144 had contractures and was at risk for changes in range of motion and pain due to current contractures. Interventions included the following apply dyna splint as ordered to right lower extremity to maintain skin integrity for contracture management related to right lower extremity, soft hand roll in left palm…

    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 · D2020-03-05 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care for a resident when 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 record review, observation, staff interview, and review of facility policy the facility failed to ensure respiratory equipment was clean and failed to change tubing appropriately. This affected one (Resident #19) of two residents reviewed for respiratory care. The census was 151. Findings include: Review of the medical record revealed Resident #19 was admitted on [DATE] with a diagnosis of unspecified dementia with behavioral disturbance. Review of the Minimum Data Set (MDS) dated [DATE] revealed the resident was cognitively impaired and was totally dependent on staff for activities of daily living. Review of physician orders revealed an order dated 05/14/19 for the resident to receive albuterol solution via handheld nebulizer (HHN) twice daily at 9:00 A.M. and 6:00 P.M. Observation on 03/02/20 at 3:03 P.M. of Resident #19 revealed the tubing to resident's HHN was dated 02/18/20 and the chamber of the nebulizer was partially filled with clear liquid. Interview on 03/02/20 at 3:05 P.M. with 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-03-05 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and review of online resources and Food and Drug Administration (FDA) black box warning the facility failed to ensure as needed (PRN) psychotropic medication orders were limited to 14 days or that a rationale and duration of the PRN psychotropic medication was indicated in the medical record. The facility also failed to ensure a resident's antipsychotic medication had appropriate indications for use. This affected three residents (#59, #60 and #133) of five reviewed for unnecessary medications. The facility census was 151. Findings include: 1. Review of the medical record revealed Resident #60 was admitted to the facility on [DATE]. Diagnoses included vascular dementia, hypothyroidism, anemia and cerebrovascular disease. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severe cognitive impairment and required extensive assistance with transfers and bed mobility. Resident #60 also required total dependence with dressing, eating, toileting…

    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 · D2020-03-05 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview, review of facility policy, and review of online resources the facility failed to ensure cardiac medication was administered in a safe manner as ordered by the physician. This affected one (Resident #135) of six residents observed for medication administration. The census was 151. Findings include: Review of the medical record revealed Resident #135 was admitted on [DATE] with a diagnosis of chronic ischemic heart disease. Review of the Minimum Data Set (MDS) dated [DATE] revealed the resident was cognitively intact and required extensive assistance of one staff with activities of daily living. Review of March 2020 physician orders revealed an order for Ranexa extended release (ER) twice daily by mouth for angina. Review of the monthly orders also revealed medications could be crushed and given in food unless contraindicated. Observation of medication administration on 03/04/20 at 9:25 A.M. for Resident #135 per Licensed Practical Nurse (LPN) #123…

    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 · D2020-03-05 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, staff interview, and review of facility policy and manufacturer recommendation the facility failed to properly store resident medications and failed to discard expired medications. This directly affected Residents #90 and #404 and had the potential to affect all residents. The census was 151. Findings include: 1. Review of the medical record revealed Resident #90 was admitted on [DATE] with a diagnosis of anemia. Observation of the medication storage room on the A2 unit on 03/04/20 at 9:19 A.M. with Licensed Practical Nurse (LPN) # 92 revealed two bottles of ferrous sulfate with Resident #90's name on them had an expiration date of 02/29/20. Interview with LPN #92 at the time of the observation confirmed the two bottles of ferrous sulfate for Resident #90 were expired and should have been discarded. Review of facility policy dated 10/02/14 titled Medication Storage reveled medications were not to be kept after the expiration date, and outdated medications should be…

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

    Pharmacy Service 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

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTINGOrganizationDIRECT OWNERSHIP INTEREST; ADP OF THE SNFsince 11/15/2003
AUGUSTIN, NERLEENIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/21/2023
WORKMAN, ANNETTEIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/17/2013
REBER, KAITLINIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/23/2026

CMS files one row per role, so the 10 rows in the source record cover these 4 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.

1 organizational owner 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.

Net patient revenuemost recent cost report
Operating marginrevenue minus expenses

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

$649per resident / day
operating cost
$19,725per month
≈ monthly operating cost
not reportedthis home filed no revenue line
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). 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 366351. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-02, 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.

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