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Norwich Springs Health Campus

4680 Library Way, Hilliard, OH 43026 · For profit - Corporation · 54 certified beds · (614) 363-1833 Medicare & Medicaid certified

Call the home — (614) 363-1833 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 19 lower-level deficiencies on record (see below)
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (19) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • CMS ownership filings flag it as owned by a private-equity firm or REIT — a category that performs worse on staffing on average, though that average says nothing certain about this home, and CMS filings undercount these ties, so other homes here may have them unflagged (what the research actually shows →)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

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

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

Location & what’s nearby

Hospital
Urgent care / clinic
4531 Cemetery Rd · (614) 527-8787 · Call to confirm hours
Pharmacy
4001 Britton Pkwy · (614) 921-8260 · Call to confirm hours
Grocery
Aldi0.1 mi
4489 Cemetery Rd · (855) 955-2534 · Call to confirm hours
Park
Brown Commerce Park Ohio · Typically dawn to dusk
Place of worship
4400 Cemetery Rd · (614) 527-9661

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

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 stars. From monthly CMS archive snapshots.

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

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased9.8%5.3%15.4%worse than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight9.1%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.3%0.4%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms1.4%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 injury6.5%3.2%3.3%worse
Long-stay residents on antianxiety or hypnotic medication9.0%25.5%18.9%better
Long-stay residents given the seasonal flu vaccine100.0%94.5%95.3%typical
Long-stay residents with pressure ulcers4.4%3.4%4.7%typical
Long-stay residents with worsening bladder/bowel control29.4%21.4%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table0.0%8.8%17.1%check this — see note marked star below the table
Short-stay residents who newly got an antipsychotic medication0.7%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine96.2%75.6%79.4%better
Short-stay residents rehospitalized after admission19.1%24.9%22.6%better
Short-stay residents with an outpatient ER visit6.3%12.9%12.0%better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

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.

67.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 207 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

67.4%U.S. median 51.5%
Got home and stayed home
9.6%U.S. median 10.7%
Went back to hospital
70.3%U.S. median 56.6%
Met the expected recovery
0.58U.S. median 0.31
Therapy hours / resident / day
0.31hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.11hours / resident / day
Speech therapy

Met the expected recovery: 70.3% 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 138 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 0.58 therapist hours per resident per day in 2026Q1 — more than 87% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 27% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF67.4%CMS range 60.5–73.751.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.6%CMS range 7.2–13.110.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge70.3%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge60.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge58.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified76.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting92.5%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge99.1%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.5%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened1.1%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.8%CMS range 4.7–10.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.951.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

1.14
RN hours/ resident / day
0.91
LPN hours/ resident / day
2.11
Aide hours/ resident / day
4.16
Total nurse hours/ resident / day
1.21
RN hoursweekends
46.9%
Total nursing turnover
21.4%
RN turnover

How full it usually is: this home is certified for 54 beds and averages 50.9 residents a day — about 94% occupied, or roughly 3 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.16 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.14 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 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 3.59 hrs/resident/day on weekends vs 4.38 on weekdays — 18% thinner on weekends. RN hours go from 1.12 to 1.21 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% 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

6
deficiencies at the latest standard inspection (2026-03-30)
9
at the previous standard inspection (2024-05-30)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

  • Potential for harm · Dcited before2026-06-11 · 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 medical record review and staff interview, the facility failed to ensure timely coordination of outside medial appointments. This affected one (#77) of three residents reviewed for medical appointment follow-up. The facility census was 50. Findings include:Review of the closed medical record revealed Resident #77 was admitted to the facility on [DATE]. Diagnoses included Type II diabetes mellitus, chronic kidney disease, morbid obesity, and spinal stenosis. The resident discharged to the hospital on [DATE].Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #77 had mild cognitive impairment. Review of the hospital After Visit Summary (AVS), dated 05/01/26, revealed Resident #77 had spinal surgery and needed an orthopedic follow-up appointment within two weeks. Review of a nursing progress note dated 05/25/26 revealed Resident #77 should have a follow-up appointment with the (orthopedic) surgeon, please call to make appointment and arrange transportation. Review of 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2026-03-30 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview, and policy review the facility failed to ensure infection control procedures were followed for laundry which had the potential to affect all 52 residents residing in the facility. Additionally, the facility failed to ensure infection control was followed for wound care for one (Resident #12) out of three residents reviewed for pressure ulcers. Lastly, the facility failed to follow infection control procedure for indwelling urinary catheter care for one (Resident #02) out of one resident reviewed for catheter care. The facility census was 52.1.Interview on 03/25/26 from 8:10 A.M. to 8:20 A.M. with Director of Housekeeping #655, revealed the facility's normal laundry process included aides placing laundry in dirty linen rooms and housekeeping staff collecting the items using personal protective equipment (PPE), then separating, washing, drying, and delivering the clean laundry items. Director of Housekeeping #655 stated PPE was worn during collection and…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-30 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of resident record, observations and staff interviews, the facility failed to ensure dignity for a resident. This affected one resident (Resident #58) of three residents reviewed for dignity. The facility census was 52 residents. Findings include: Resident #58 was admitted to the facility on [DATE] and had diagnoses that included cirrhosis and ascites, mood disorder, and alcohol induced major neurocognitive disorder. Review of Resident #58's Brief Interview for Mental Status (BIMS) score on 03/23/26 revealed that he had a score of eight indicative of moderately impaired cognitive status.An observation on 03/23/26 at 2:46 P.M. revealed that Resident #58 was able to be viewed from his open room door from the hallway. Resident #58 was dressed in a gown, sitting on a shower chair, with his buttocks exposed. An interview with Certified Resident Care Associate #413 and Registered Nurse #38 on 03/23/26 at 2:46 P.M. confirmed Resident #58's exposed buttocks were visible from the hallway. Certified…

    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 before2026-03-30 · 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 review of medical records, staff interview, and facility policy review, the facility failed to follow care instructions for nephrostomy care for Resident #02. This affected one resident (Resident #02) of three residents investigated for urinary catheters. The facility census was 52.Findings include:Resident #02 was admitted on [DATE] diagnoses include mechanical complication of indwelling urethral catheter, neuromuscular dysfunction of bladder, and calculus (stone) of kidney.Review of the Resident #02's Minimum Data Set (MDS) 3.0 assessment dated [DATE] indicated the resident used indwelling urinary catheters and had moderate cognitive impairment. Resident #02 was discharged from hospital on [DATE] after insertion of a right nephrostomy tube. Review of Resident #02's care instructions included nephrostomy tube care at the time of the hospital discharge. The care instructions stated to clean around the (nephrostomy) tube and change the dressing daily or as instructed by your care team and also to change…

    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 · D2026-03-30 · 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

    Based on record review, resident interview, and staff interview the facility failed to ensure a specialist appointment was scheduled for one (Resident #12) out two residents reviewed for activities of daily living. The facility census was 52.Review of the medical record for Resident #12 revealed an admission date of 12/22/2023. Diagnoses included but not limited to polyneuropathy, contracture of right knee, contracture of left knee, and contracture of muscle of left upper arm.Review of the annual Minimum Data Set (MDS) 3.0 assessment for Resident #12, dated 01/11/2026, revealed a Brief Interview for Mental Status score of 12, indicating the resident was cognitively intact. The assessment indicated the resident required extensive to total assistance with activities of daily living including dressing, hygiene, and mobility, placing the resident at risk for complications related to immobility and contractures.Review of physician orders for Resident #12 revealed orders dated 02/01/2025, 10/10/2025, and 12/19/2025 for a consult with a community provider for Physical Medicine 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 · D2026-03-30 · 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 observation, record review, and staff interview, the facility failed to provide oxygen therapy services per physician's order for Resident #52 and Resident #33, the facility also failed to ensure the nasal cannula was kept in sanitary condition for Resident #33. This affected two Residents (#52 and #33) of four reviewed for respiratory services. It had the potential to affect 10 residents the facility identified as using oxygen therapy in their plan of care. The facility census was 52.Findings include: 1.Resident #52 was admitted on [DATE] with diagnoses that included sepsis due to Methicillin resistant Staphylococcus aureus (MRSA) and pulmonary hypertension. Review of the Resident #52's Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident used continuous oxygen therapy and was cognitively intact. Review of Resident #52's physician orders revealed an order written on 3/11/26 for oxygen to be administered at three liters (L)(per minute) per nasal cannula continuous. Observation on…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-30 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure antibiotic stewardship was followed for two (Residents #11 and #12) out of four residents reviewed for antibiotic stewardship. The facility census was 52. 1.Review of the medical record for Resident #11 revealed an admission date of 02/04/26. Diagnoses included dementia, pulmonary fibrosis, anxiety, and pleural effusion.Review of the five-day Minimum Data Set (MDS) 3.0 assessment for Resident #11, dated 02/10/26, revealed a Brief Interview for Mental Status score of 10, indicating the resident had moderate cognitive impairment.Review of physician orders for Resident #11 revealed an order dated 03/09/26 for Levofloxacin (antibiotic) 500 milligrams by mouth once daily for a urinary tract infection through 03/11/26. Review of physician orders further revealed an order dated 02/04/26 indicating urine may be dipped for signs and symptoms of urinary tract infection and sent for culture and sensitivity if leukocytes were present.Review of…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-10-14 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff interview, review of protective cream labels, and review of facility policy, the facility failed to ensure a Stage 3 pressure ulcer present upon admission received treatment and failed to ensure proper linens were used with a pressure reducing mattress to promote healing of the pressure ulcer for one (Resident #3) of three residents reviewed for pressure ulcers. The facility census was 52. Findings include:Review of the medical record revealed Resident #3 was admitted on [DATE]. Diagnosis included hypertensive chronic kidney disease and peripheral vascular disease. Review of the Wound Management note dated 09/23/25 revealed Resident #3 had a Stage 3 pressure ulcer to the coccyx measuring 3 centimeters (cm) by 2 cm by 0.2 cm deep. The wound had serosanguineous drainage and the surrounding skin was a dark purple or rusty discoloration.Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident had intact cognition and was assessed to…

    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 · Fcited before2024-05-30 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, interview and policy review, the facility failed to maintain a water management plan that included monitoring measures and acceptable ranges and failed to identify the presence of abnormal test results and take appropriate action. This had potential to affect all facility residents. The facility census was 39. Findings include: Review of microbiological analyses dated 01/25/24 of the water system revealed lab results should be maintained between 0.1 and 0.9. Of 14 areas tested in the nursing facility, two had abnormal reading and should have had site flushing and consider disinfection and five areas had abnormal readings and should have had site flushing and immediate site disinfection. Several areas of the connected assisted living were also tested with five of six testing in the abnormal range requiring flushing and disinfection. Review of the Legionella Water Management Plan dated 03/05/24 revealed monthly testing would be completed of the cold and hot water for hardness, total alkalinity and ph testing, water temperatures shall be done weekly and visual…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-30 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 6. Record review for Resident #3 revealed an admission date of 03/23/23. Diagnoses included chronic respiratory failure, major depression, altered mental status, dysphagia, cognitive communication deficit. Review of the MDS assessment dated [DATE] revealed Resident #3 was cognitively impaired. Resident #3 had a physician order dated 03/19/24 to take out hearing aides every evening and an order dated 05/09/24 to place hearing aides in ear every morning. Resident had one for both ears and informed staff to listen for a whistle and if a whistle was not heard to change the battery. Review of the care plan revealed the resident had hearing loss. Hearing aides were not included on the care plan and no interventions on monitoring hearing loss and hearing aides was available. During an interview on 05/30/24 at 10:38 A.M., Resident #3's representative stated the resident wore hearing aides. She stated she had a care meeting with the facility and asked for them to ensure staff to put in hearing aides and ensure they have…

    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
Show the remaining 9 citations
  • Potential for harm · E2024-05-30 · tag F0700 — pattern
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    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 policy review the facility failed to assess and/or obtain consents or orders for the use of bed rails. This affected six (Residents #27, #34, #36, #190, #194, and #196) of six reviewed for bed rails. The facility identified 29 residents who use side rails. The facility census was 39. Findings include: 1. Review of medical record for Resident #27 revealed admission date of 05/03/23. Review of the Minimum Data Set (MDS) assessment revealed the resident was cognitively intact. Resident #27 required extensive assistance to dependent on staff for activities of daily living (ADL) . Review of observations revealed bed rail assessment and bed rail informed consent were completed on 06/28/23. No further documentation or assessments completed after first assessment. Review of current physician orders revealed no order for bed rails. 2. Review of medical record for Resident #34 revealed admission date of 04/08/24. Review of the MDS assessment dated [DATE] revealed the resident was…

    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 · E2024-05-30 · tag F0761 — failed to label and store drugs safely — pattern
    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, and policy review the facility failed to ensure medications were not left at the bedside. This affected one (Resident #30). The facility identified four mobile cognitively impaired residents (#3, #26, #28, and #248) in the facility. The facility census was 39. Findings included: Review of medical record for Resident #30 revealed admission date of 09/20/23 with diagnoses including multiple sclerosis, anemia, shock, gastrointestinal hemorrhage, sepsis, hypertensive heart disease with heart failure, congestive heart failure, non-ST elevations (NSTEMI) myocardial infarction, pleural effusion, and cardiomyopathy. Review of minimum data set (MDS) dated [DATE] revealed a which indicated Resident #30 was cognitively intact. Review of current physician orders revealed that from 7:00 P.M.-11:00 P.M. the following medications were to be administered: Atorvastatin 80 milligrams (mg) (cholesterol), carvedilol 3.125 mg (heart), entresto 24-26 mg (heart), hydroxyzine 25 mg (itching), 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-05-30 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, interview and policy review the facility failed to ensure signed consents were completed and vaccinations were administered timely for pneumonia and flu vaccines. This affected three (Residents #14, #25, and #28) of five residents revealed for vaccinations. Facility census was 39. Findings include 1. Review of the medical record for Resident #28 revealed an admission date of 07/24/23. Review of the vaccination consents dated 07/25/23 revealed Resident #28 consented to have the flu vaccine administered. Review progress notes dated 08/14/24 revealed a phone call to the resident's responsible party who agreed to Resident #28 receiving the pneumonia vaccine. The vaccine was given Pneumonia was given on 08/19/23. Review of the vaccination consents dated 10/20/23 revealed Resident #28 consented to have the flu vaccine administered. The flu vaccine was administered on 10/30/23. 2. Review of the medical record for Resident #14 revealed an admission date of 04/01/23. Review progress notes dated 06/28/23 revealed the resident's responsible party was contacted regarding…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-30 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, interview, and policy review the facility failed to address bed rails on the baseline care plan. This affected one (Resident #196) of three residents reviewed for baseline care plans. The facility census was 39. Findings include: Review of medical record for Resident #196 revealed admission date of 05/19/24 with diagnoses including wedge compression fracture of T 11-T 12 vertebra, displaced intertrochanteric fracture of left femur, cardiac arrhythmia's, dementia, depression, hypertension, pain, and unspecified fall. Review of the Minimum Data Set (MDS) assessment, dated 05/23/24, revealed the resident had severe cognitive impairment. Resident #196 required extensive assistance for activities of daily living. Review of baseline care plan dated 05/19/24 revealed no mention of the use of bed rails/mobility bars to the bed. Review of care plan revealed on 05/29/24 in Resident #196 profile care guide was added for walking/mobility devices: may use mobility bars as enabler for safe transfers or increased mobility. No care plan was added to address the actual use of…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure a resident was assessed prior to removal of a Wanderguard bracelet. This affected one (Resident 321) of two residents reviewed for wandering and elopement. The facility census was 39. Findings include: Review of the medical record for Resident #21 revealed an admission date of 01/25/22. Diagnoses included dementia, heart disease, edema, cognitive communication deficit and muscle weakness. Review of care plan dated 06/30/22 revealed resident was at risk of elopement and wandering with intervention for a Wanderguard bracelet to the right wrist for exit seeking behaviors entered on 08/24/22. Review of Physician order dated 01/12/24 stated to check function of wander alert bracelet daily. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #21 was severely cognitively impaired. Review of the assessment dated [DATE] documented Resident #21 remained at risk for elopement and the current intervention, 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-05-30 · 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, observations and interview the facility failed to ensure a the correct catheter bag was used to prevent urine reflux into Resident #28 bladder. This affected one (Resident #28) of three residents reviewed for urinary catheters. The facility census was 39. Findings include: Review of the medical record for Resident #28 revealed an admission date of 05/25/24 with a primary diagnosis of urinary tract infection as secondary diagnoses of infection and inflammatory reaction due to indwelling urethral catheter, chronic kidney disease, benign prostatic hyperplasia with lower urinary tract symptoms and retention of urine. Review of admission assessment completed on 05/25/25 revealed Resident #28 has a urinary catheter. Direct care staff were required to monitor for signs of infection or worsening infection, and he required assistance or supervision for transfer and ambulation. Review of Resident #28's care plan with a start date of 05/28/24 revealed this resident uses a foley catheter for…

    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 before2024-05-30 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, interview and manufacturer's instruction review, the facility failed to prime an insulin pen prior to administration, resulting in a signficant medication error. This affected one (Resident #23) of five residents observed during medication pass. The facility census was 39. Findings include: Review of medical record for Resident #23 revealed admission date of 10/11/23 with diagnoses including type two diabetes. During an observation on 05/29/24 at 11:27 A.M., Licensed Practical Nurse (LPN) #115 was preparing to give Resident #23 six units of lispro insulin. LPN #115 dialed up six units of insulin without priming the insulin pen. LPN #115 then administered the insulin to Resident #23. During an interview on 05/29/24 at 11:35 A.M., LPN #115 verified she did not prime the insulin pen prior to administering the insulin to Resident #23. LPN #115 stated she did not know that she was supposed to prime the pen. Review of insulin lispro KwikPen insert on accessdata.fda.gov/drugsatfda_docs/label revealed prime before each injection. Priming your pen means…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-12-06 · 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 record review, observations, resident and staff interviews, and policy review, the facility failed to provide residents with assistance with activities of daily living (ADL) including oral care and/or bathing services. This affected two (#30 and #35) out of six residents reviewed for ADL/personal hygiene. Facility census was 42. Findings include: 1. Review of Resident #30's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses include displaced fracture of base of neck of right femur, cerebral ischemia, celiac disease, anxiety disorder, aphasia, and unspecified nausea with vomiting. Review of the admission minimum data set (MDS) dated [DATE] revealed the resident was cognitively intact, had no behaviors, and required assistance from staff for ADL's. Interview with Resident #30 on 12/05/23 at 11:40 A.M. revealed the resident stated she was supposed to have a shower the day before but it did not happen and she could not remember why. Resident #30 stated she had not had any…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-06 · 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, observations and staff interviews, the facility failed to provide a resident with medication as ordered by the physician which resulted in a significant medication error when the resident was provided a medication he was not ordered and the medication was listed as a mediation the resident was allergic to. This affected one (#45) out of two residents observed for medication administration. Facility census was 42. Findings include: Review of Resident #45's medical record revealed the resident was admitted to the facility on [DATE]. Diagnosis include fractured femur, chronic respiratory failure, type two diabetes, cardiomyopathy, peripheral vascular disease, asthma and hypertension. Resident #45 had allergies listed as Atorvastatin (statin) with reaction of severe weakness stating statin's other than Rosuvastatin (statin) cause problems, Liraglutide (incretin mimetics) reaction nausea and vomiting, Nortriptyline (antidepressant) dizziness. Review of Resident #45's orders 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.

    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.

Part of a chain

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

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

Showing 40 of 122; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Investor-owned

CMS ownership filings flag an owner of this facility as a real-estate investment trust (REIT). That’s a fact worth knowing: peer-reviewed research links private-equity and REIT ownership to lower staffing and more citations on average — though any individual home can run well or poorly regardless. Read the inspection and staffing record above on its own merits.

  • AMERICAN HEALTHCARE REIT INC — REIT · 100.00% share · 5% Or Greater Indirect Ownership Interest
  • TRILOGY REAL ESTATE INVESTMENT TRUST — REIT · 100.00% share · 5% Or Greater Indirect Ownership Interest

Source: CMS SNF ownership filings (PECOS). These flags are self-reported and undercount — federal auditors (GAO) and researchers find CMS captures only a fraction of true private-equity and REIT ties, so the absence of a flag on other homes is not proof they lack investor owners. How investor ownership affects care →

Owner / managerTypeRoleShareSince
CONTINENTAL MERGER SUB LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF29%since 07/01/2025
BARNEY, LEIGHIndividualMANAGING CONTROL - GOVERNING BODYsince 12/01/2015
CONNER, GREGORYIndividualMANAGING CONTROL - GOVERNING BODYsince 12/01/2021
DAVIS, DAVIDIndividualMANAGING CONTROL - GOVERNING BODYsince 08/21/2017
MCNAMARA, DONALDIndividualMANAGING CONTROL - GOVERNING BODYsince 08/01/2024
MEHAFFEY, TODDIndividualMANAGING CONTROL - GOVERNING BODYsince 01/31/2022
PIETROWSKI, CRISTINAIndividualMANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROLsince 01/31/2022
PROSKY, DANNYIndividualMANAGING CONTROL - GOVERNING BODYsince 12/01/2015
WILLHITE, GABRIELIndividualMANAGING CONTROL - GOVERNING BODYsince 08/15/2023
CORBIN, KATHYIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/10/2011
FIGHTMASTER, LISAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 03/23/2015
MOORE, NOAHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/09/2025
AMERICAN HEALTHCARE REIT HOLDINGS LPOrganizationADP OF THE SNFsince 10/01/2021
AMERICAN HEALTHCARE REIT INCOrganizationADP OF THE SNFsince 07/01/2025
GAHC3 TRILOGY JV LLCOrganizationADP OF THE SNFsince 07/01/2025
GAHC4 TRILOGY JV LLCOrganizationADP OF THE SNFsince 07/01/2025
TRILOGY INVESTORS LLCOrganizationADP OF THE SNFsince 07/01/2025
TRILOGY MANAGEMENT SERVICES LLCOrganizationADP OF THE SNFsince 07/09/2025
TRILOGY REAL ESTATE INVESTMENT TRUSTOrganizationADP OF THE SNFsince 07/01/2025
TRILOGY REIT HOLDINGS LLCOrganizationADP OF THE SNFsince 07/01/2025
MILLER, DANIELIndividualADP OF THE SNFsince 12/01/2021

CMS files one row per role, so the 24 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.

9 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.

$8.5M
Net patient revenuemost recent cost report
-25.2%
Operating marginrevenue minus expenses
$1.2M
Related-party expense12% of expenses
Who pays — share of resident-days
Medicaid 14%Medicare 17%Other / private 69%

This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 12% 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

$457per resident / day
operating cost
$13,892per month
≈ monthly operating cost
$365per day
avg. revenue, all payers

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

What families pay in OH

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366492. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-30, 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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