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Cedars Of Lebanon Care Center

102 East Silver Street, Lebanon, OH 45036 · For profit - Limited Liability company · 45 certified beds · (513) 932-0300 Medicare & Medicaid certified

Call the home — (513) 932-0300 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Aug 20241 actual-harm citation
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Aug 2024
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (22) — 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
  • its independent health-inspection rating is low (2/5)

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 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
Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
17 N Mechanic St · (513) 228-1666 · Call to confirm hours
Pharmacy
155 N Point Dr · (937) 444-0135 · Call to confirm hours
Grocery
2 S Broadway St · (283) 221-9115 · Call to confirm hours
Park
E Mulberry St · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 2 to 3 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 rating3★
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 increased1.4%5.3%15.4%better than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight4.8%6.2%5.4%typical
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 infection0.0%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms99.4%30.1%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.0%3.2%3.3%worse
Long-stay residents whose ability to walk worsened0.9%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication33.7%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine97.8%94.5%95.3%typical
Long-stay residents with pressure ulcers2.9%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control13.7%21.4%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table40.7%8.8%17.1%worse
Long-stay hospitalizations per 1,000 resident days2.171.731.67worse
Long-stay outpatient ER visits per 1,000 resident days1.591.801.80better

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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

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

0.07U.S. median 0.31
Therapy hours / resident / day
0.04hours / resident / day
Physical therapy
0.01hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.07 therapist hours per resident per day in 2026Q1 — more than 4% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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

Staffing

0.66
RN hours/ resident / day
0.81
LPN hours/ resident / day
2.24
Aide hours/ resident / day
3.71
Total nurse hours/ resident / day
0.50
RN hoursweekends
48.8%
Total nursing turnover
57.1%
RN turnover

How full it usually is: this home is certified for 45 beds and averages 42.9 residents a day — about 95% occupied, or roughly 2 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.71 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.66 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.24 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 3.42 hrs/resident/day on weekends vs 3.83 on weekdays — 11% thinner on weekends. RN hours go from 0.72 to 0.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 49% 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

9
deficiencies at the latest standard inspection (2024-10-17)
4
at the previous standard inspection (2021-08-10)

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.

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.

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

  • Actual harm · G2024-08-29 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, resident interview, review of Emergency Medical Services (EMS) report, review of hospital records, review of witness statements, review of a facility Self-Reported Incident (SRI), and review of a facility policy, the facility failed to ensure a resident was free from staff-to-resident physical abuse. This resulted in Actual Harm when Resident #10 was physically abused by Stated Tested Nursing Assistant (STNA) #101 who restrained the resident's arms against his chest causing numerous skin tears and contusions to the resident's arms and hands. Subsequently, Resident #10 was transferred to a local hospital where he was assessed and treated for injuries including, multiple skin tears, and contusions of the elbow and forearm. This affected one (#10) out of three Residents (#10, #12, and #25) reviewed for abuse. The facility census was 42. Findings include: Review of the medical record for Resident #10 revealed the resident was admitted to the facility on [DATE].…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-19 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident interview, observation, medical record review, staff interview, and review of the facility policy, the facility failed to ensure medications were not left at the bedside. This affected one (#18) of three residents reviewed for medication storage. The facility census was 45.Findings include:Review of the medical revealed Resident #18 was admitted to the facility on [DATE]. Diagnoses included diabetes, chronic non pressure ulcer of the right heel, lymphedema, congestive heart failure, atherosclerotic heart disease, benign prostatic hyperplasia, chronic kidney disease, atrial fibrillation, chronic pain syndrome, neuroleptic induced Parkinsonism, chronic obstructive pulmonary disease (COPD), insomnia, cellulitis of the right lower limb, mood disorder, personality disorder, cardiomyopathy, obstructive sleep apnea, major depressive disorder, anxiety disorder, and hypothyroidism.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #18 had intact cognition, had no…

    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 · F2024-10-17 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, temperature log review, and policy review, the facility failed to store, prepare and serve food under sanitary conditions. This affected all 44 residents receiving food from the facility. The facility total census was 44. Finding include: 1. Observations on 10/15/24 at 8:50 A.M., revealed the following: • In the reach in refrigerator there were packages of grated cheese and sliced cheese with no date. • The stove had an a black substance built up of the appearance of grease on the stove surface ad in the heating elements. There as a built up of wet substance with the appearance of grease on the hood louvers above the stove cooking surface. • There was one large food storage bin label sugar with the food scoop stored on top of the sugar. Two large food storage bins containing foods were not labeled. • There three opened hamburger bun packages without open dates. • The ice machine had a pink substance constant with mold on the inside were ice was stored. • In the reach in freezer, there were three open packages of food with no open dates 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2024-10-17 · tag F0949 — failed to train staff on dementia and abuse — widespread
    Provide behavior health training consistent with the requirements and as determined by a facility assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on employee file review, interview, and review of the facility assessment, the facility failed to ensure all staff received education on mental and behavioral health. This affected three State Tested Nursing Assistants (STNAs)(#505, #504 and #503) of five STNAs reviewed for mental and behavioral health training. This had the potential to affect all 44 residents residing in the facility. The faciliy census was 44. Findings include: Review of the facility Assessment updated 07/29/24 revealed the facility is a 45-bed secured facility specializing in behaviors and mental health. The facility has a majority of long-term residents with the entire facility specializing in mental and behavioral health. There is no specific unit or area designated for the behavioral or mental health residents. The facility provides staff training/education and competencies that are necessary to provide care and support needed for our resident population. The facility provides the following training topics and competencies that include but is not limited to care/management for persons with dementia 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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-17 · tag F0559 — pattern
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    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, census review, resident interview, staff interview, and policy review, the facility failed to ensure residents or resident's representatives were notified of room changes. This affected four residents, (#4, #11, #19 and #146) of four residents reviewed for room change notification. The facility total census was 44. Findings include: Review of the faciliy census dated 10/03/24 revealed Resident #4, #11 and #146 resided in the same room. 1. Review of Resident #4's medical record revealed an admission date of 06/03/19. Diagnoses for Resident #4 included: Schizophrenia, bipolar disease, diabetes, and Parkinsonism. Review of the Minimum Data Set, (MDS) comprehensive assessment, dated 07/9/24, revealed the resident had moderately impaired cognition and required supervision with ambulation. The resident received antipsychotic medication due to delusion and aggression due to schizophrenia. Review of notes dated 10/03/24 at 6:23 P.M., revealed Resident #4 and Resident #146 had a physical…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-17 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, medical record reviews, menu spread sheet review, policy review and staff interviews, the facility failed to prepare foods as planned by the Registered Dietitian. This affected four (#6, #15, #16 and #39) of four residents reviewed for pureed diets. The facility total census was 44. Finding include: Review of Residents #6, #15, #16 and #39's physician orders verified the residents were to receive a puree consistency diet. Review of the menu spreadsheet of the lunch meal revealed the puree residents were to receive four ounces of puree green beans and puree honey mustard chicken tenders. According to the recipe, the chicken tenders were to be prepared with the honey mustard sauce. Observation on 10/16/24 at 12:18 P.M., of the lunch meal revealed [NAME] #810 served Residents #6, #15, #16 and #39, pureed coleslaw instead of puree green beans as listed on the spreadsheet. The [NAME] #810 pureed the chicken with a gravy mix and water. Interview on 10/16/24 at 12:20 P.M., with [NAME] #810 verified Residents #6, #15, #16 and #39 should have received puree green beans.…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-17 · 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 record review, observation, resident interview, staff interview, and policy reviews, the facility failed to ensure residents were treated with dignity and respect. This affected three (#08, #38, and #29) of four residents reviewed for dignity and respect. The facility census was 44. Findings include, 1. Review of Resident #38's medical record an admission date of 03/12/24, with diagnoses including: chronic kidney disease, diabetes mellitus (DM), chronic obstructive sleep apnea (COPD), history of tuberculosis, insomnia, anemia, and heart failure, and major depressive order. Review of the Minimum Data Set (MDS) assessment dated , 09/12/24, revealed Resident #38 was cognitively impaired. Further review of the MDS assessment revealed Resident #38 was dependent on staff for medication administration, eating, oral hygiene, toileting, bathing, and dressing. Observation and interview on 10/15/24 at 10:52 A.M., revealed State Tested Nurse Aide (STNA) #900 verified Resident #38 was seated in his chair. STNA #900…

    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 · D2024-10-17 · tag F0609 — failed to report abuse allegations — isolated
    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 medical record review, Self-Reported Incident report review, resident interviews, staff interviews, and policy review, the facility failed to report allegations of resident to resident physical abuse and allegation of sexual abuse by unknown person, to the state agency. This affected two (#06 and #19) of four residents reviewed for potential abuse. The facility census was 44. Findings include: 1. Review for Resident #06's medical record revealed an admission date of 09/21/09. Her diagnoses included, cerebral palsy, major depressive disorder, schizoaffective disorder, personality disorder, essential hypertension, hyperlipidemia, hypothyroidism, hallucinations, hypothyroidism, diabetes mellitus (DM), schizophrenia, anxiety disorder, anemia, and insomnia. Review of Resident #06's most recent Minimum Data Set (MDS) assessment, dated 10/04/24, revealed she had impaired cognition. Further review of the MDS assessment revealed Resident #06 was dependent on staff for medication administration, lower body dressing, and bathing. Resident #06 required maximum assistance from staff…

    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 · D2024-10-17 · 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 medical record review, Self-Reported Incident report review, resident interviews, staff interviews, and policy review, the facility failed to thoroughly investigate allegations of resident to resident physical abuse and allegation of sexual abuse by unknown person. This affected two (#06 and #19) of four residents reviewed for potential abuse. The facility census was 44. Findings include: 1. Review for Resident #06's medical record revealed an admission date of 09/21/09. Her diagnoses included, cerebral palsy, major depressive disorder, schizoaffective disorder, personality disorder, essential hypertension, hyperlipidemia, hypothyroidism, hallucinations, hypothyroidism, diabetes mellitus (DM), schizophrenia, anxiety disorder, anemia, and insomnia. Review of Resident #06's most recent Minimum Data Set (MDS) assessment, dated 10/04/24, revealed she had impaired cognition. Further review of the MDS assessment revealed Resident #06 was dependent on staff for medication administration, lower body dressing, and bathing. Resident #06 required maximum assistance from staff with…

    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 · D2024-10-17 · 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, form instruction review, staff interview, and policy review, the facility failed to ensure a Pre-admission Screening and Resident Review (PASARR) was completed as required. This affected two (#15 and #01) of four residents reviewed for PASARR's. The facility census was 44. Findings include: 1. Review of the medical record revealed Resident #15 was admitted on [DATE], with current diagnoses of schizophrenia, malignant neoplasm base of tongue and dementia. Review of the Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #15 had moderate cognitive impairment and was frequently incontinent of bowel and bladder. The resident required supervision with eating, moderate assistance with oral hygiene, bed mobility and transfers and maximal assistance with toileting, bathing, dressing and personal hygiene. Review of Resident #15's Level of Care Determination completed by the Council on Aging of Southwestern Ohio, dated 07/12/12, revealed Resident #15 had no indications 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 · Dcited before2024-10-17 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview, and record review, the facility failed to maintain a clean and safe environment. This affected three (#06, #19, #35) of four residents reviewed for environment The facility census was 44. Findings include: 1, Record review for Resident #19 revealed she as admitted to the facility on [DATE]. Her diagnoses included, chronic obstructive pulmonary disease, diabetes mellitus (DM), hypothyroidism, schizoaffective disorder, bipolar disorder, insomnia, and congestive heart failure (CHF). Review of the Minimum Data Set (MDS) assessment for Resident#19 revealed she was cognitively impaired. Further review of the MDS assessment revealed she required supervision from staff with eating, oral hygiene, toilet use, dressing and personal hygiene. Interview and observation on 10/15/24 at 9:41 A.M., with State Tested Nurse Aide (STNA) #900 verified the wall behind Resident #19's bed was soiled with dirt and debris. STNA #900 verified various circles of white drywall repair…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · Fcited before2024-07-10 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and staff interviews, the facility failed to ensure a safe, functional, and homelike environment for the residents. This affected six resident rooms of 18 resident rooms and one shower room utilized by all residents. The census was 42. Findings include: Observation on 07/10/24, of the main shower room, utilized by all facility residents, revealed damaged drywall and peeling paint on the shower stall ceiling and grout between the ceramic tile that had a black residue. Observation on 07/10/24, revealed resident Rooms 104, 105, 111, 112, 114 and 115 to have ceiling tile with black or brown stains. Observation on 07/10/24 of room [ROOM NUMBER] revealed a hole in the wall behind the main door and room [ROOM NUMBER] revealed a hole in the wall behind the middle bed. Interview on 07/10/24 at 8:05 A.M., with Staff #200 confirmed the condition of the main shower room stall, the discolored ceiling tiles in rooms 104, 105, 111, 112, 114 and 115, and the holes in the wall in room [ROOM NUMBER] and 114.…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-11-20 · tag F0694 — pattern
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of the State of Ohio Board of Pharmacy Terminal Distributor Licensure of Prescriber Practices, and interviews, the facility failed to ensure medications administered Intravenously (IV) were obtained from a source with a Terminal Distributor of Dangerous Drugs (TDDD) license (which allows a business entity to purchase, possess, and/or distribute dangerous drugs at a specific location) specific to the State of Ohio. This deficiency affected four (Residents #3, #32, #40, and #42) of four residents reviewed for medications administered by a contracted ancillary provider. This affected 16 current residents (#3, #13, #15, #17, #19, #23, #28, #30, #32, #34, #35, #37, #39, #40, #42, and #43) and one discharged resident (#45) identified by the facility who received IV fluids from the unlicensed source. The facility census was 43. Findings include: 1. Record review for Resident #3 revealed the resident admitted to the facility on [DATE]. Diagnoses included vitamin deficiency, anemia, 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 · Ecited before2023-11-20 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of the State of Ohio Board of Pharmacy Terminal Distributor Licensure of Prescriber Practices, and interview, the facility failed to ensure medications were obtained from a source with a Terminal Distributor of Dangerous Drugs (TDDD) license (which allows a business entity to purchase, possess, and/or distribute dangerous drugs at a specific location) specific to the State of Ohio. This deficiency affected four (Residents #3, #32, #40, and #42) of four residents reviewed for medications administered by a contracted ancillary provider. This affected 16 current residents (#3, #13, #15, #17, #19, #23, #28, #30, #32, #34, #35, #37, #39, #40, #42, and #43) and one discharged resident (#45) identified by the facility who received IV fluids from the unlicensed source. The facility census was 43. Findings include: 1. Record review for Resident #3 revealed the resident admitted to the facility on [DATE]. Diagnoses included vitamin deficiency, anemia, and hypertension. Review of the Brief…

    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 · E2023-11-20 · tag F0837 — pattern
    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
    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, review of the State of Ohio Board of Pharmacy Terminal Distributor Licensure of Prescriber Practices,, and interview, the facility failed to ensure a contracted entity had appropriate State of Ohio required credentials for provision of services for residents. This deficiency affected four (Residents #3, #32, #40, and #42) of four residents reviewed for medications administered by a contracted ancillary provider. This affected 16 current residents (#3, #13, #15, #17, #19, #23, #28, #30, #32, #34, #35, #37, #39, #40, #42, and #43) and one discharged resident (#45) identified by the facility who received IV fluids from the unlicensed source. The facility census was 43. Findings include: 1. Record review for Resident #3 revealed the resident admitted to the facility on [DATE]. Diagnoses included vitamin deficiency, anemia, and hypertension. Review of the Brief Interview for Mental Status (BIMS) assessment dated [DATE] revealed Resident #3 had intact cognition. Review of the physician…

    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 · F2021-08-10 · 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 observations, interviews, and record review, the facility failed to follow appropriate infection control to prevent the spread of COVID-19. This had the potential to affect the 44 residents residing in the facility. The facility census was 44. Findings include: Record review for Resident #295 revealed this resident was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease, insomnia, and schizoaffective disorder. This resident was transferred to the hospital on [DATE] for an inpatient psychiatric stay and returned to the facility on [DATE]. Review of the quarterly Minimum Data Set (MDS) assessment, dated 05/06/21, revealed this resident had moderately impaired cognition and was assessed to require supervision for bed mobility, transfers and toileting. Review of the immunization history for Resident #295 revealed he had refused the COVID-19 vaccination. Review of the nurses progress note, dated 07/30/21, revealed this resident had been placed in…

    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 before2021-08-10 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interviews, the facility failed to ensure a resident's oxygen, skin ointment, and medications were accurately coded on the Minimum Data Set (MDS) assessment. This affected two (Residents #26, and #42) of 12 residents reviewed for MDS accuracy. The facility census was 44. Findings include: 1. Review of Resident #26's quarterly MDS assessment dated [DATE] revealed Resident #26 did not use oxygen. Review of Resident #26's physicians orders dated 10/01/16 revealed Resident #26 was ordered oxygen at two liters per minute by nasal cannula as needed for shortness of breath. Observation on 08/02/21 at 12:45 P.M. revealed Resident #26 was sitting in a wheelchair using oxygen by nasal cannula with a portable oxygen tank that was attached to the back of the wheelchair. Interview with the Administrator on 08/03/21 at 4:50 P.M. verified Resident #26's oxygen use was not accurately coded on the MDS. 2. Review of the MDS dated [DATE] for Resident #42 revealed the resident had…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-08-10 · 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, interview and record review, the facility failed to prevent the development of an avoidable stage II pressure ulcer. This affected one (Resident #23) of two residents identified with pressure ulcers. Thee facility census was 44. Findings include: Record review revealed Resident #23 was admitted to the facility on [DATE] with diagnoses included vascular dementia with behavioral disturbance, hypothyroidism, pseudobulbar affect, schizoaffective disorder, chronic pain syndrome, hemiplegia affecting right dominant side, muscle wasting and atrophy, stiffness of unspecified joint, cognitive communication deficit, psychotic disorders with delusions, restlessness and agitation, alcohol abuse, seizures, morbid obesity, impulse disorder, and unspecified abnormal involuntary movements. Review of the comprehensive Minimum Data Set (MDS) assessment, dated 01/02/21, revealed this resident triggered for the care area pressure ulcer and the need for a new, revised, or continued care plan to address 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 · D2021-08-10 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interviews, medical record review, and facility policy review, the facility failed to timely monitor and address a resident's weight loss and ensure the residents received nutritional interventions recommended by the Dietary Technician and/or Physician. This affected two (Resident #09 and #11) of five residents reviewed for nutrition. The facility census was 44. Findings include: 1. Record review for Resident #09 revealed the resident was admitted to the facility on [DATE]. Diagnoses included schizoaffective disorder, bipolar disorder, essential hypertension, dementia with behavioral disturbance, hypertension, chronic obstructive pulmonary disease, and fusion of spine. Review of the physician order dated 06/14/21 revealed Resident #09 was ordered daily weights and was on Lasix (diuretic) 20 milligrams (mg) from 06/14/21 to 07/20/21. Review of Resident #09's admission Minimum Data Set (MDS) assessment, dated 06/21/21, revealed the resident was moderately cognitively impaired 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 · Ecited before2019-02-21 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, review of narcotic lock emergency box check sheet, and facility Controlled Substances Policy the facility failed to ensure narcotic medications were reconciled every shift. This had the potential to affect 10 Residents (#2, #5, #23, #27, #31, #34, #37, #38, #42, and #294) who were prescribed Ativan, a narcotic medication. The facility census was 43. Findings include: Review of the narcotic lock emergency box check sheet revealed the box was checked to ensure it was secure by the off going and oncoming nurse at 7:00 A.M. on 02/16/19, 02/17/19, 02/18/19, and 02/19/19. No signatures were recorded to indicate the box was checked for these days at the 7:00 P.M. shift change. Observation on 02/21/19 at 11:01 A.M. of the one facility medication room revealed a locked refrigerator with an emergency stock box, with a numbered breakaway lock. The stock box contained three 30 milliliter (ml) bottles of Ativan Intensol and one vial of injectable Ativan. Interview at the time of the observation with Registered Nurse (RN) #42 verified the emergency box check…

    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 · D2019-02-21 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation and staff interview the facility failed to ensure significant change assessments were timely completed upon admission to hospice. This affected one (#42) of 14 residents reviewed during the investigative phase of the survey. The facility census was 43. Findings include: Medical record review revealed Resident #42 was admitted to the facility on [DATE] with diagnoses including bipolar disorder, schizophrenia, hepatic failure, malignant neoplasm of breast, and dementia. Review of the annual minimum data set (MDS) assessment dated [DATE] revealed the resident had severely impaired cognitive skills for daily decision making. The resident required extensive assistance with bed mobility, transfers, toileting, personal hygiene, and eating. A wheelchair was utilized for mobility. Resident #42 received hospice care. The previous MDS assessment was a quarterly assessment dated [DATE] which revealed no hospice care. Review of hospice communication sheet revealed Resident #42 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-02-21 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation and staff interview the facility failed to ensure medications were accurately coded on the minimum data set (MDS) assessment. This affected one (#4) of six Residents reviewed for unnecessary medications. The facility census was 43. Findings include: Medical record review revealed Resident #4 was admitted to the facility on [DATE] with diagnoses including dementia with behavioral disturbance, schizophrenia, and major depressive disorder. Review of the quarterly minimum data set (MDS) assessment dated [DATE] revealed the resident had severely impaired cognitive skills for daily decision making. The resident required extensive assistance with bed mobility, transfers, toileting, personal hygiene, and eating. A wheelchair was utilized for mobility. Resident #4 received seven days of antipsychotic medication and seven days of antidepressant medication during the look back period. Review of the January 2019 medication administration record (MAR) revealed Resident #4 received…

    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

“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 CCH HEALTHCARE — 33 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 2 of 52.5-0.5 vs chain
Health inspection 2 of 52.4-0.4 vs chain
Staffing 3 of 52.5+0.5 vs chain
Quality measures 4 of 53.9+0.1 vs chain
The other 32 homes this chain runs (chain average 2.5★, per CMS)
1 of 5Carver Living CenterDurham, NC 1 of 5Countryside Manor Nursing And Rehabilitation LLCFremont, OH 1 of 5Harrison Pavilion Care CenterCincinnati, OH 1 of 5Meadowbrook Care CenterCincinnati, OH 1 of 5Smoky Mountain Health And Rehabilitation CenterPigeon Forge, TN 1 of 5The Greens at GastoniaGastonia, NC 1 of 5Valley Nursing and Rehabilitation CenterTaylorsville, NC 1 of 5Weakley Rehabilitation And Nursing CenterDresden, TN 2 of 5Clovernook Health Care And Rehabilitation CenterCincinnati, OH 2 of 5Louisville Gardens Care CenterLouisville, OH 2 of 5Ridgewood Living & Rehabilitation CenterWashington, NC 2 of 5Solon Pointe At Emerald RidgeSolon, OH 2 of 5The Greens at HickoryHickory, NC 2 of 5The Greens at LincolntonLincolnton, NC 2 of 5The Greens at ViewmontHickory, NC 2 of 5Willow Ridge Of NCRutherfordton, NC 3 of 5Flint Ridge Nrsg & Rehab CtrNewark, OH 3 of 5Lincoln Crawford Care CenterCincinnati, OH 3 of 5Meadow Wind Health Care CenterMassillon, OH 3 of 5Northcrest Rehab And Nursing CenterNapoleon, OH 3 of 5Pineville Rehabilitation and Living CenterPineville, NC 3 of 5Scarlet Oaks Nursing And Rehabilitation CenterCincinnati, OH 3 of 5The Greens at HendersonvilleHendersonville, NC 3 of 5The Greens at Pinehurst Rehabilitation & Living CePinehurst, NC 3 of 5The Greens at Spruce PinesSpruce Pine, NC 4 of 5Cedarview Care CenterLebanon, OH 4 of 5Sunrise Nursing Healthcare LLCAmelia, OH 4 of 5The Greens at Maple LeafStatesville, NC 4 of 5The Greens at WeavervilleWeaverville, NC 4 of 5Twilight Gardens Nursing And RehabilitationNorwalk, OH 5 of 5Locust Ridge Healthcare LLCWilliamsburg, OH 5 of 5The Greens at CabarrusConcord, NC

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

Who owns this facility

Owner / managerTypeRoleShareSince
SUNLIGHT HOLDINGS TRUSTOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST60%since 12/31/2023
STERN, JACOBIndividualDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROLsince 12/31/2023
CAPITAL FINANCE LLCOrganization5% OR GREATER SECURITY INTERESTsince 01/01/2015
CCH HEALTHCARE OH LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2023
CASTELLANOS, ANDREWIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2025
SHARP, STEPHANIEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 12/31/2023
CEDARS NURSING HOME REALTY LLCOrganizationADP OF THE SNFsince 10/01/2014

CMS files one row per role, so the 11 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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.

$5.0M
Net patient revenuemost recent cost report
+12.0%
Operating marginrevenue minus expenses
$249K
Related-party expense6% of expenses
Who pays — share of resident-days
Medicaid 91%Medicare 2%Other / private 6%

About 91% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $249K 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

$283per resident / day
operating cost
$8,614per month
≈ monthly operating cost
$322per 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 366296. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2024-10-17, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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