Four Winds Nursing Facility

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.

47.0% 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 86 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 61.0% 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 41 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 0.33 therapist hours per resident per day in 2026Q1 — more than 54% of the 13,892 homes that report any therapy hours at all.

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

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

Staffing

How full it usually is: this home is certified for 86 beds and averages 73.8 residents a day — about 86% occupied, or roughly 12 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 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.51 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.88 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 2.89 hrs/resident/day on weekends vs 3.30 on weekdays — 12% thinner on weekends. RN hours go from 0.52 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

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

Inspection deficiencies

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

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

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · E2026-05-18 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, resident and staff interviews, review of facilities investigation report and facilities policy and procedure, the facility failed to report an allegations of staff to resident abuse to the State Agency. This affected four ( #54, #62, #136 and #146) of four residents reviewed for abuse. The facility census was 72. Findings include: 1. Review of records for Resident #54 revealed an admission date of 03/19/26 with diagnoses that included but are not limited to acute embolism and thrombosis of deep veins of left lower extremity, muscular dystrophy, and intra-abdominal and pelvic swelling.Review of the Significant Change Minimum Data Set (MDS) 3.0 assessment completed on 05/01/26 for Resident #54 revealed a Brief Interview for Mental Status (BIMS) score of 13 out of 15 suggesting cognitive intactness.2. Review of records for Resident #62 revealed an admission date of 02/02/26 with diagnoses that included but are not limited to heart failure, cerebral vascular disease, and major depressive disorder Review of the Quarterly MDS completed on 05/01/26 for Resident #62…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-05-18 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record reviews, resident and staff interviews, review of facilities investigation report and facilities policy and procedure, the facility failed to have documented evidence that an allegation of abuse was thoroughly investigated for residents. This affected four ( #54, #62, #136 and #146) of four residents reviewed for abuse. The facility census was 72. Findings include:1. Review of records for Resident #54 revealed an admission date of 03/19/26 with diagnoses that included but are not limited to acute embolism and thrombosis of deep veins of left lower extremity, muscular dystrophy, and intra-abdominal and pelvic swelling.Review of the Significant Change Minimum Data Set (MDS) 3.0 assessment completed on 05/01/26 for Resident #54 revealed a Brief Interview for Mental Status (BIMS) score of 13 out of 15 suggesting cognitive intactness.2. Review of records for Resident #62 revealed an admission date of 02/02/26 with diagnoses that included but are not limited to heart failure, cerebral vascular disease, and major depressive disorder Review of the Quarterly MDS completed 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-23 · tag F0773 — isolated
  Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of physician notes, policy review, and interview, the facility failed to ensure laboratory services were completed as ordered. This affected one (#22) resident of three residents reviewed for change in condition. The facility census was 70. Findings include:Record review revealed Resident #22 was admitted to the facility on [DATE] with diagnoses including type II diabetes, hypertension, and hyperlipidemia. Review of a minimum data set (MDS) completed on 04/16/25 revealed Resident #22 had mildly impaired cognition and no behaviors. Review of a physician note dated 06/23/25 at 1:00 A.M. by Physician #125 revealed Resident #22 was seen due to reports of nausea with some meals and diarrhea. The treatment plan would include drawing labs including a complete blood count (CBC), comprehensive metabolic panel (CMP), thyroid stimulating hormone (TSH), A1C, and a hepatic panel. Review of a nursing note dated 06/23/25 at 2:16 P.M. by Licensed Practical Nurse (LPN) #101 revealed Resident #22…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-20 · tag F0881 — failed to use antibiotics responsibly — pattern
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, policy review, and staff interview, the facility failed to implement their antibiotic stewardship program that included antibiotic use protocols to ensure residents did not receive antibiotics when they were not warranted. This affected four (Residents #27, #45, #65, and #126) of six residents reviewed for antibiotic use. The facility census was 75. Findings include: 1. Review of the medical record for Resident #126 revealed an admission date of 06/04/24. The plan of care stated the resident was receiving hospice services for end stage congestive heart failure. Review of nurses notes revealed on 01/13/25 at 6:57 P.M. a new order was received for an antibiotic (Macrobid) due to a urinary tract infection (UTI). There were no symptoms of a UTI documented in the record. A physician's order stated to start Macrobid 100 milligrams twice daily for seven days on 01/14/25 for a UTI. Review of the medication administration record revealed the resident received the Macrobid from 01/14/25 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-20 · tag F0569 — isolated
  Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of resident personal fund records and staff interview, the facility failed to ensure that a resident/responsible party was notified when the amount in their account reached $200 less than the resource limit for one person and that, if the amount in the account reaches the resource limit ($2000) the resident may lose eligibility for Medicaid. This affected one (Resident #23) of 45 residents whose funds were handled by the facility. The facility census was 75. Findings include: Resident #23's personal funds were handled by the facility. Review of a transaction history for Resident #23 revealed on 06/18/24 the balance went to $1904.15. ($200 less than the resource limit). The amount in the account remained above $1800.00 through 03/20/25. The current balance was $2076.79. The resident was on Medicaid. Interview with Corporate Administrator #100 on 3/20/25 at 2:20 P.M. confirmed Resident #23's balance had been above $1800.00 since 06/18/24. She confirmed the resident/representative had not been notified of the balance being $200 less that the resource limit until…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-20 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of a facility investigation report, policy review, and staff interview, the facility failed to have evidence that an allegation of emotional/verbal abuse was thoroughly investigated. This affected one ( Resident #32) of 75 residents residing in the facility. Findings include: Review of a facility Self Reported Incident Form revealed on 01/14/25 Resident #32 reported to a nurse that she was afraid of Nursing Assistant #138 giving her a shower the next day due to a previous incident when that nursing assistant helped her in the shower and an incident in her room. Resident #32 stated that Nursing Assistant #138 wanted her to reach for something in the shower and Resident #32 stated she was too weak. Resident #32 stated that Nursing Assistant #138 told her she was not that weak and that she couldn't stand her. Resident #32 also said Nursing Assistant #138 called her a name but she can't remember what it was. Resident #32 stated Nursing Assistant #138 was also rude to her one time in her room when she reported to her nurse that her room mate needed help. The facility…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-20 · tag F0625 — isolated
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  What the surveyor found here — an excerpt from the official record, may be distressing

  3. Review of the closed medical record for Resident #71 revealed an admission date of 01/08/25 and diagnoses including metabolic encephalopathy, diabetes, dementia, and cellulitis of the left leg. Review of nurses notes on 02/15/25 at 5:17 P.M. revealed the resident was noted to be gurgling and wheezing bilaterally. Vital signs were blood pressure 90/48, pulse 128, respirations 24, temperature 99.2 and oxygen saturation 94%. The resident's daughter was visiting and wanted the resident sent to the hospital. The physician was notified and the resident was sent to the hospital. The resident was admitted with pneumonia and Flu A. At the time of the transfer, there was no evidence the facility provided the resident or resident representative a written notice which specified the duration of the bed-hold policy. This was confirmed by Corporate Administrator #100 on 03/19/25 at 9:00 A.M. Based on staff interview, and record review the facility failed to provide bed-hold notifications when residents were transferred out of the facility. This affected three (Resident #24, #50, and #71) 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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-20 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to complete an updated Pre admission Screening and Resident Review (PASARR) for Resident #14 when a new antidepressant medication was added and failed to complete an updated PASARR for Resident #23 with a new diagnosis of anxiety. This affected two ( Resident #14 and #23) of four residents reviewed for PASARR. The facility census was 75. Findings include: 1. Review of the medical record of Resident #14 revealed an admission date of 12/27/22 with diagnoses including dementia (04/12/23), delusional disorder (02/27/24), unspecified psychosis (12/21/23), unspecified mood disorder (04/12/23) and depression (12/27/22). Review of the physician orders dated 03/24 revealed Resident #14 was ordered on 02/21/25 depakote sprinkles delayed release (anticonvulsant used for mood disorders) 125 milligrams (mg) by mouth one time daily for unspecified mood disorder, on 01/12/25 mirtazapine (antidepressant) 15 mg by mouth at bedtime for weight loss and on 01/24/25 zoloft…

  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 · D2025-03-20 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  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 facility policy, the facility failed to provide evidence of care conference meetings with Resident #14 and or the resident's representative. This affected one resident (Resident #14) of two reviewed for care planning. The facility census was 75. Findings include: Review of the medical record for Resident #14 revealed an admission date of 12/27/22 with diagnoses including dementia, atrial fibrillation, delusional disorder, unspecified psychosis, unspecified mood disorder and depression. Review of the annual Minimum Data Set (MDS) dated [DATE] revealed Resident #14 was cognitively intact with no behaviors. Resident #14 required assistance from staff to complete activities of daily living. Resident #14 was continent of bowel and bladder. Resident #14 had no pain, and had two or more falls with no injury since admission. Resident #14 had no skin impairment. Review of the progress notes from 07/01/24 through 03/18/25 revealed Resident #14 had documentation of medication changes,…

  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 · D2025-03-20 · 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 observation, interview, record review and facility policy the facility failed to ensure Resident #26 fluid restriction had breakdown of the amount of fluids for each department daily. This affected one resident (Resident #26) of one reviewed for hydration. The facility census was 75. Findings include: Review of the medical record of Resident #26 revealed an admission date of 07/16/24 with diagnoses including dementia, depression, hypothyroidism, anxiety, psychosis, chronic pain syndrome, and iron deficient anemia. Review of the physician orders dated 03/25 revealed Resident #26 was on a regular diet, regular texture with thin liquids. Resident #26 had an order for fluid restriction of 3500 milliliters (ml) per day and monitor intake and output due to excessive fluid intake. Review of the Medication Administration Record (MAR) and Treatment Administration Record (TAR) dated 01/25, 02/25 and 03/25 revealed no breakdown of the amount of fluids to be provided by each department. Review of the quarterly…

  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

“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

No federal fines in the current CMS record. 1 Medicare payment denial on record.

• Medicare payment denial — starting 2025-06-20 for 10 days

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 UNITED CHURCH HOMES — 9 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 48 rows in the source record cover these 42 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $639K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

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

What families pay in OH