Highland Pointe Health & Rehab Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

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

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

53.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 57 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 38.5% 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 26 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 0.22 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 96 beds and averages 77.7 residents a day — about 81% occupied, or roughly 18 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.70 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.62 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.06 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 3.16 hrs/resident/day on weekends vs 3.92 on weekdays — 19% thinner on weekends. RN hours go from 0.79 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 61% is well above the national median of 45%.

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

Inspection trend

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

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

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

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

26 citations, most serious first. The 13 most serious are shown; the remaining 13 are one tap away and print in full.

• Immediate jeopardy · Jcited before2026-05-06 · 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 closed record review, review of an Emergency Medical Service (EMS) report, review of the facility policy, review of National Institute of Health information, review of the Ohio Board of Nursing Standards of Practice and interview the facility failed to ensure Resident #91, who had advance directives for a Full Code status (life saving measures to be provided if necessary) was comprehensively assessed and provided timely monitoring after experiencing an acute change of condition to ensure prompt and necessary medical intervention was provided to the resident. Immediate Jeopardy with Actual Harm and subsequent death began on [DATE] at 10:05 A.M. when Resident #91 was noted to be pale, disoriented and confused; with changes to his eyes/vision and lung congestion. Resident #91 was assessed to be tachycardic with a pulse of 102 beats per minute. The facility lacked documented evidence to support Resident #91 was comprehensively re-assessed or monitored for additional changes/decline in condition until [DATE]…

  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
• Immediate jeopardy · J2024-06-14 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary 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 closed medical record review, hospital record review, review of a police and Emergency Medical Service (EMS) report, social media review, review of the Food and Drug Administration online medication information, policy review and interviews, the facility failed to timely respond and take appropriate action (e.g., suspending administration of an anticoagulant) in regard to an elevated International Normalized Ratio (INR) for Resident #11, who was receiving Warfarin (Coumadin) for atrial fibrillation. This resulted in Immediate Jeopardy and the potential for serious harm on 05/20/24 when the resident's INR, per laboratory testing, was abnormally high at 4.9 and staff failed to notify the physician or stop the administration of the medication, Coumadin. Staff continued to administer Coumadin 7.5 milligrams on 05/20/24 and 05/21/24 despite the high laboratory value, indicating the resident's blood was too thin and requiring a greater length of time to form a blood clot. On 05/22/24, Resident #11 reported he…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-05-06 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, hospital record review and interview, the facility failed to ensure adequate monitoring and treatment of urinary complications related to an indwelling catheter. Actual harm occurred on 04/27/26 to Resident #35 after an indwelling catheter was removed due to reported pain and burning, the resident's urine output was not thoroughly monitored, and when the catheter was re inserted the resident continued to have significant pain with no output, resulting in hospitalization where an acute kidney injury and approximately 1000 milliliters (mL) of urinary retention was identified. This affected one resident (#35) of two residents reviewed for urinary catheters. The facility census was 89.Findings include:Review of Resident #35's medical record revealed an admission date of 03/28/26 with diagnoses including obstructive uropathy, stroke and diabetes.Review of care plan dated 03/31/26 revealed Resident #35 had an indwelling Foley catheter related to diagnoses of obstructive uropathy.…

  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 · D2026-05-06 · 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 interview, record review, and review of the facility policy the facility failed to ensure facility staff notified Resident #90's responsible party of a change of condition. This affected one resident (Residents #90) out of three reviewed for notification. The facility census was 89.Findings include:Review of Resident #90's medical record revealed an admission date of [DATE] and diagnoses included acute and chronic respiratory failure, congestive heart failure, type two diabetes mellitus without complications, and end stage renal disease.Review of Resident #90's care plan dated [DATE] included Resident #90 had self-care and mobility deficits related to decline in functional abilities related to impaired gas exchange, shortness of breath upon exertion, debilitation and overall functional decline. Resident #90's needs would be met with staff assistance as needed. Interventions included Resident #90 required setup help for eating as tolerated; Resident #90 used a mechanical lift and required the assistance…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-20 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, review of communication documentation, and facility policy review, the facility failed to ensure private information had not been shared with individuals that had not been authorized. This affected one resident (#78) of two reviewed for privacy. The facility census was 76.Findings include: Review of Resident #78's closed medical records revealed an admission date of 07/11/25 and a discharge date of 08/04/25. Diagnoses included post surgical care, difficulty walking and need for personal care assistance.Review of Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #78 had intact cognition.Review of Resident #78's demographics sheet revealed Resident #78 was listed as his own person and his emergency contact listed was a sister. No other contacts had been listed on Resident #78's demographics sheet.Review of a progress note dated 07/11/25 timed 6:57 P.M. authored by Registered Nurse (RN) #302 revealed Resident #78's daughter had called to discuss Resident #78's pain…

  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 before2026-01-20 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and facility policy review, the facility failed to ensure routine bathing care was provided to residents. This affected two residents (#23 and #31) of three residents reviewed for activities of daily living. The facility census was 76. Findings include:1. Review of Resident #23's medical records revealed an admission date of 03/19/25. Diagnoses included muscle weakness and need for personal care assistance. Review of the care plan dated 03/19/25 revealed Resident #23 had self care deficits. Interventions included assist with activities of daily living (ADL) care that included grooming, and dressingReview of the MDS assessment dated [DATE] revealed Resident #23 had intact cognition. Resident #23 was dependent for bathing, personal hygiene and toileting. Review of physician orders for January 2026 revealed Resident #23 was ordered a shower on Tuesdays and Fridays on day shift.Review of Resident #23's plan of care documentation for November 2025, December 2025, 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-01-20 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, review of relevant personnel records, and facility policy review, the facility failed to ensure timely incontinence care was provided to residents. This affected two residents (#23 and #24) of three residents observed and reviewed for incontinence care. The facility census was 76. Findings include: 1.Review of Resident #23's medical records revealed an admission date of 03/19/25. Diagnoses included muscle weakness and need for personal care assistance. Review of care plan dated 03/28/25 revealed Resident #23 was incontinent of bowel and bladder. Interventions included Resident #23 was to receive assistance with toileting.Review of Minimum Data Set (MDS) dated [DATE] revealed Resident #23 had intact cognition. Resident #23 was dependent on staff for toileting and was incontinent of bowel and bladder.Interview on 01/07/26 at 12:11 P.M. with Resident #23 revealed she had been soiled for several hours on occasions and staff had not assisted her with incontinence care which had lead…

  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 before2026-01-20 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, review of self reported incident (SRI) and corresponding investigation, and facility policy review, the facility failed to ensure pain was comprehensively assessed and pain medications was administered timely after resident complaint of severe pain. This affected one resident (#18) of three residents reviewed for pain management. The facility census was 76. Findings include:Review of Resident #18 ' s medical records revealed an admission date of 04/25/24. Diagnoses included muscle weakness, need for personal care assistance and left femur fracture (diagnoses updated 11/16/25).Review of physician orders for November 2025 revealed Resident #18 was ordered Tylenol (an over the counter mild pain reliever) 650 milligrams (mg) every six hours as needed for pain and Methocarbamol (anti-spasmodic) 500 mg twice a day as needed.Review of care plan dated 10/10/24 and updated 11/28/25 revealed Resident #18 was at risk for pain related to osteoarthritis. Interventions included administer…

  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 · D2026-01-20 · 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 observation, interview, record review, and facility policy review, the facility failed to ensure medications were not left unattended in residents' rooms. This affected one resident (#19) of four residents observed for unattended medications. The facility census was 76.Findings include: Review of Resident #19's medical record revealed an admission date of 05/25/25. Diagnoses included dementia, mild cognitive impairments and hallucinations.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #19 had impaired cognition. During an observation made on 01/14/26 at 12:38 P.M. upon entering Resident #19's room, a cup of medications were observed on a dresser underneath Resident #19's television that contained three white pills. Further observation revealed a second medication cup on Resident #19's night stand located next to her bed that contained a total of eight medications. Interview with Resident #19 at the time of observation revealed she was unaware of when the medications had…

  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 · F2025-09-16 · tag F0814 — failed to dispose of garbage properly — widespread
  Dispose of garbage and refuse properly.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations, interviews and policy review, the facility failed to maintain a sanitary area surrounding the garbage dumpsters. This had the potential for affect all residents residing in the facility. The facility census was 77. Findings include:Observations on 09/15/25 at 5:40 A.M. of the dumpster area noted several large bags of garbage filled with soiled briefs, latex gloves, wipes, plasticware, and food were located on the ground surrounding the three dumpsters. The doors and lids of the dumpsters were left open allowing racoons to enter and pull out the garbage. Interview on 09/15/25 at 5:39 A.M., [NAME] #208 verified the opened garbage bags on the ground. Interview on 09/15/25 at 9:40 A.M., Licensed Practical Nurse (LPN) #200 verified the findings and stated the racoons come from the woods and tear open the bags all the time. Review of facility policies noted no policy provided created/implemented by the facility related to maintaining a sanitary dumpster area. This deficiency was an incidental finding identified during the complaint investigation.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-09-16 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  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

  Based on observations, interviews, and policy review, the facility failed to maintain a sanitary homelike environment for residents. This had the potential to affect all residents residing in the facility. The facility census was 77. Findings include: Observations on 09/15/25 from 5:00 A.M. to 5:40 A.M. noted miscellaneous items and debris on the floor in the halls throughout the facility. The debris included silverware and plastic utensils, latex gloves, paper straws, and linen on the floor. There were dinner trays full of food located on carts in resident halls and in the dining room. A medication cart located on the 300-hall had miscellaneous debris (powder like) substance along the entire bottom of the medication cart. Interview on 09/15/25 at 5:05 A.M., Licensed Practical Nurse (LPN) #201 verified the debris and items on the floor and went back to work. Interview on 09/15/25 at 5:10 A.M., LPN #203 verified the findings stating staff just cleaned out the drawers of the medication cart a few days ago. Review of facility policies noted no policy provided created/implemented by 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-06-14 · tag F0558 — failed to accommodate residents' needs and preferences — pattern
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure resident care needs were adequately and timely met to decrease/prevent residents from contacting the local fire and police department for care including routine care and assistance. This affected eleven residents (#4, #11, #12, #13, #19, #42, #51, #54, #75, #79, and #98) of 83 residents who resided in the facility. Findings include: 1. Telephone interview on 05/30/24 at 9:48 A.M. with Detective #994 revealed ongoing concerns with calls coming into their police department from facility residents (from 01/10/24 through 05/30/24). He stated there were a lot of non-emergent calls from residents who wanted assistance from staff and staff were not answering the call lights timely. He stated this caused the residents to call 911 and request assistance unnecessarily. This included, but was not limited to at least 13 calls (not including calls for emergency squad or emergency medical services (EMS) involvement for hospitalizations: a. Review of Resident…

  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 · E2024-06-14 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to ensure sufficient nursing staff with the appropriate competencies and skills sets were on duty and provided the necessary access to the resident's electronic health record to ensure medications were administered in a timely manner. This affected 15 residents (#5, #12, #29, #49, #53, #54, #55, #58, #59, #64, #67, #71, #72, #78 and #84's) assigned to Licensed Practical Nurse (LPN) #401 on 06/04/24. The facility census was 83. Findings include: Review of the staffing schedule for 06/04/24 for the 7:00 P.M. to 06/05/24 7:00 A.M. shift revealed four licensed nurses were scheduled for 83 total residents. LPN #897 was noted to report off for the shift on 06/04/24 at 6:30 P.M. The facility contacted a staffing agency, and LPN #401 reported to work (to replace LPN #897), arriving to the facility at 7:00 P.M. The LPN was assigned to provide care for twenty residents including Residents #3, #4, #5, #12, #29, #49, #53, #54, #55, #58, #59, #64, #66, #67, #68, #71, #72, #73, #78 and #84 on the 100/200 split. The 100/200 split 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$128,606 in federal fines across 2 penalties.

• $100,330 — penalty dated 2026-05-06
• $28,276 — penalty dated 2024-06-14

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 SABER HEALTHCARE GROUP — 126 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 →

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

CMS files one row per role, so the 27 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

This home reported $2.6M paid to related parties — landlords or management companies under common ownership — equal to about 25% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

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

What families pay in OH