Shawnee Manor
2535 Fort Amanda Road, Lima, OH 45804 · For profit - Corporation · 137 certified beds · (419) 999-2055 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- lower-than-typical staff turnover (35% vs 45% nationally) — better care continuity
- a high number of inspection citations overall (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 4 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 3.3% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 8.7% | 6.2% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.2% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.2% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 1.3% | 30.1% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 5.1% | 3.2% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 4.3% | 6.1% | 16.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 29.8% | 25.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 97.6% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.3% | 3.4% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 27.3% | 21.4% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 12.1% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 84.0% | 75.6% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 21.4% | 24.9% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 10.1% | 12.9% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.63 | 1.73 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.36 | 1.80 | 1.80 | better |
‡ 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.
44.3% 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 72 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 58.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 36 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 7% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 44.3%CMS range 33.3–56.5 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.9%CMS range 8.8–14.9 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 58.3% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 66.7% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 52.8% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 90.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 5.3% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.3%CMS range 3.6–9.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.02 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 137 beds and averages 126.4 residents a day — about 92% occupied, or roughly 11 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 3.31 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.02 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 2.85 hrs/resident/day on weekends vs 3.49 on weekdays — 18% thinner on weekends. RN hours go from 0.65 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 35% is below 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.
20 citations, most serious first. The 10 most serious are shown; the remaining 10 are one tap away and print in full.
- Potential for harm · Dcited before2026-02-26 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, family interview, and staff interview, the facility failed to ensure a resident's Bilevel Positive Airway Pressure (BiPAP)/Continuous Positive Airway Pressure (CPAP) Continuous Positive Airway Pressure (CPAP) machine was being implemented per physician recommendations and care plan. This affected one (Resident #1 )of three residents reviewed for the use of CPAP machines. The facility census was 129.Findings include:Review of the medical record for Resident #1 revealed the resident was admitted to the facility on [DATE] and discharged to another facility on 10/14/25. Diagnoses included congestive heart failure, obstructive sleep apnea, bronchiectasis, and chronic respiratory failure. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 had intact cognition and was receiving non-invasive oxygen therapy.The care plan dated 05/18/22 revealed Resident #1 was at risk for altered respiratory status. Interventions include assist Resident #1 ensuring the BiPAP)/CPAP…
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.
- Potential for harm · E2025-02-13 · tag F0761 — failed to label and store drugs safely — patternEnsure 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
Based on observation, staff interview, and policy review, the facility failed to ensure food products were not stored in medication carts near biologicals, ensure medication was stored in the original packaging and labeled with resident identification, failed to ensure all prepackaged medication remained in their resident labeled box, and failed to ensure insulin and medications were dated upon opening. This affected three of six medication carts and two of two medication rooms. This had the potential to affect 23 residents who received medications from the D-hall medication cart, 24 residents who received medications from the A-hall cart, one resident receiving ear drops from the F-Hall cart, and five resident receiving insulin from insulin pens from the A-hall cart. The facility census was 119. Findings include: 1. Observation and interview on 02/12/25 at 9:03 A.M of the F-hall medication cart revealed one opened bottle of a generic ear drops, for wax build-up, with no open date in the third drawer. Interview with Licensed Practical Nurse (LPN) #533 verified the ear drops 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.
- Potential for harm · D2025-02-13 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, and record review, the facility failed to ensure call lights were within reach for the residents. This affected three residents (#31, #104, and #235). The facility census was 119. Findings include: 1. Record review revealed Resident #31 was admitted on [DATE]. Diagnoses included spastic hemiplegia affecting left nondominant side, abnormal posture, contracture on left elbow, and convulsions. Review of the care plan dated 11/29/24 revealed Resident #31 was at risk to make basic needs known on a daily basis with goal to monitor effectiveness of communication strategies and assistive devices. Review of the five-day Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #31 was cognitively impaired. Observation on 02/10/25 at 7:21 P.M. revealed Resident #31 was laying on her left side in bed. Call light was on the right side of the bed wrapped around the handrail and stuck tightly between the mattress and handrail. Resident #31 was not able to see or reach the call…
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.
- Potential for harm · Dcited before2025-02-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, and staff interview, the facility failed to ensure a resident who was dependent on staff for bathing received the necessary services to maintain good hygiene. This affected one (Resident #97) of one resident reviewed for activities of daily living (ADL). The facility census was 119. Findings include: Review of the medical record for Resident #97 revealed an admission date of 01/13/25. Diagnoses included infection of the skin, diabetes mellitus (DM), pressure ulcer of left and right buttocks, and spinal stenosis. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #97 was cognitively intact. Resident #97 was impaired bilateral lower extremity and required assistance from staff with bathing and had three pressure ulcers. Review of the plan of care revealed Resident #97 was at risk for decline of ADL related to cellulitis, injury to right knee, morbid obesity, noncompliance, spinal stenosis, gait and or balance problems, incontinence, unaware…
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.
- Potential for harm · D2025-02-13 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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 medical record review, observation, and staff interview, the facility failed to ensure a resident's treatment for a skin tear was completed as physician ordered. This affected one (#12) of three residents reviewed for non-pressure related skin concerns. The facility census was 119. Findings include: Review of Resident #12's medical record revealed an admission date of 05/18/22. Diagnoses included carpal tunnel syndrome, type two diabetes mellitus, cognitive heart failure, and major depressive disorder. Review of a quarterly Minimum Data Set (MDS) assessment revealed Resident #12 was cognitively intact. Review of a skin issue assessment dated [DATE] revealed Resident #12 was noted with skin tear measuring 2.5 centimeters (cm) in length by 1.5 cm wide to the left forearm. Review of the physician orders dated 01/24/25 revealed an order to cleanse skin tear on left forearm with normal saline (NS), apply triple-antibiotic ointment (TAO), and covered with bordered gauze every day shift. Review of the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-02-13 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, staff interview, and policy review, the facility failed to ensure hand and foot splints were applied per physician order. This affected one (Resident #1) of two residents reviewed for splints. The facility census was 119. Findings include: Review of the medical record for Resident #1 revealed an admission date of 09/10/13. Diagnoses included dementia, schizoaffective disorder, type two diabetes mellitus, extrapyramidal and movement disorder, osteoarthritis, intellectual disabilities, contracture of right shoulder and right elbow, and contracture of muscle right hand. Review of the care plan dated 01/09/25 revealed Resident #1 used a left wrist hand finger orthosis (WHFO), right c-splint elbow brace, PRAFO boots (a custom-fitted ankle foot orthosis that helps support the foot and ankle), palm protectors due to muscle weakness, contractures, and pain. Interventions included braces as ordered with no signs and symptoms of skin irritation and pain and no further decline through…
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.
- Potential for harm · Dcited before2025-02-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and review of facility policy, the facility failed to ensure a fall intervention was in place when a resident fell. This affected one (Resident #335) of four residents reviewed of accidents. The facility census was 119. Findings include: Review of Resident #335's closed medical record revealed an admission date of 10/24/24. Diagnoses included depression, chronic kidney disease, malnutrition, atrial fibrillation, and seizures. Resident #335 was discharged from the facility on 01/20/25. Review of a five-day [NAME] Data Set (MDS) assessment dated [DATE] revealed Resident #335 was severely cognitively impaired and has had repeated falls. Review of a care plan dated 10/24/24 revealed Resident #335 was at risk for falls related to deconditioning, gait/balance problems, incontinence, cerebrovascular accident (CVA), and history of repeated falls. Interventions included to encourage the resident to rest after lunch as tolerated was added on 01/14/25 and wheel resident uses…
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.
- Potential for harm · Dcited before2025-02-13 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observation, and staff interview, the facility failed to ensure a resident's respiratory equipment was changed as physician ordered. This affected one (#12) of three residents reviewed for respiratory care. The facility census was 119. Findings include: Review of Resident #12's medical record revealed an admission date of 05/18/22. Diagnoses included cognitive heart failure and major depressive disorder. Review of the quarterly Minimum Data Set (MDS) assessment revealed Resident #12 was cognitively intact. Review of the physician orders dated 04/07/24 revealed an order for oxygen maintenance, change oxygen (O2) tubing and supply bag weekly. Wipe down the concentrator and clean filter weekly. Change water jug weekly. Observation of Resident #12's oxygen concentrator humidification bottle on 02/11/25 at 8:48 A.M. revealed it was dated 12/29/24. Interview with Licensed Practical Nurse (LPN) #605 on 02/11/25 at 8:53 A.M. confirmed the dressing on Resident #12's O2 humidification bottle was dated 12/29/24. Review of the facility's policy titled Respiratory…
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.
- Potential for harm · Dcited before2025-02-13 · tag F0880 — failed to prevent and control infections — isolatedProvide 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 medical review review, observations, resident interview, staff interviews, and review of facility's policy's, the facility failed to ensure staff implemented enhanced barrier precautions (EBP) during catheter and ostomy care. This affected one (Resident #79) of residents reviewed for catheter care. The facility census was 119. Findings include: Review of the medical record for Resident #79 revealed admission date of 01/08/25. The resident was admitted with diagnoses including urinary tract infection, multiple sclerosis, neuromuscular dysfunction of bladder, pressure ulcer to left hip, stage three, colostomy status, pressure ulcer to left buttock and dementia. Review of the physician's orders revealed an order dated 01/08/25 for changing ostomy appliance every three days and as needed (PRN). An oder dated 02/12/25 for indwelling Foley catheter 16 french with catheter care every shift. The Minimum Data set (MDS) assessment dated [DATE] revealed Resident #79 was cognitively intact and required extensive…
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.
- Potential for harm · Dcited before2024-12-19 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, staff interview, and review of the facility policy, the facility failed to provide two residents, #25 and #40, of five (#25, #40, #63, #67, and #80) reviewed for showers, with showers twice weekly. The facility census was 126. Findings include: 1. Review of the medical record of Resident #25 revealed an admission date of 01/06/21. Diagnoses include disorders of bladder, repeated falls, dementia, and diabetes mellitus type II. Review of the quarterly minimum data set assessment dated [DATE] revealed Residents #25 was cognitively impaired and was dependent for personal hygiene. Review of the Certified Nursing Assistant (CNA) documentation revealed Resident #25 received a shower on 11/29/24, 12/02/24, and 12/13/24 for the past 30 days with one refusal on 12/16/24. 2. Review of the medical record of Resident #40 revealed an admission date of 11/01/17. Diagnoses include dementia. Review of the quarterly minimum data set assessment dated [DATE] revealed Residents #40 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.
Show the remaining 10 citations
- Potential for harm · Dcited before2024-12-19 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, staff interview, and policy review, the facility failed to ensure clean and sanitary incontinence care was provided to two residents, #25 and #63, observed for incontinence care. The facility census was 126. Findings include: 1. Review of the medical record of Resident #25 revealed an admission date of 01/06/21. Diagnoses include disorders of bladder, repeated falls, dementia, diabetes mellitus type II, Review of the quarterly minimum data set assessment dated [DATE] revealed Residents #25 was cognitively impaired and was dependent for transfers and toileting. The assessment revealed Resident #25 was always incontinent of bladder. Observation on 12/19/24 at 7:05 A.M. revealed Certified Nursing Assistant (CNA) #221 completing incontinence care for Resident #25. CNA #221 did not remove the soiled gloves or perform hand hygiene prior to adjusting bed linens and numerous personal items on the overbed table. Resident #25's perineal area was free of any redness or open…
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.
- Potential for harm · D2023-09-07 · tag F0685 — isolatedAssist a resident in gaining access to vision and hearing services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and review of facility policy, the facility failed to ensure a follow-up vision appointment was scheduled for a resident. This affected one (#54) of three reviewed for ancillary medical appointments. The census was 122. Findings include: Review of Resident #54's medical record revealed an admission date of 03/23/22. Diagnoses listed included protein calorie malnutrition, dementia, cognitive communications deficit, anxiety disorder, and hydrocephalus. Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #54 had severed cognitive impairment and required limited assistance, required limited assistance with personal hygiene, and had corrective lenses for vision. Review of a optometry office appointment noted date 06/04/22 revealed Resident #54 should return to the office within six months for a dilated eye exam to monitor the health of the back of her eyes. Further review of Resident #54's medical record revealed no documentation of a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2022-08-18 · tag F0868 — widespreadHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
What the surveyor found here — the official record, unedited, may be distressing
Based on review of Quality Assessment and Assurance (QAA) sign-in documents and staff interview, the facility failed to ensure all required members attended a QAA meeting quarterly. This had the potential to affected all 82 residents. The facility census was 82. Findings include: Review of the QAA sign-in documents for July 2022 revealed the medical director did not attending the QAA meeting on 07/28/22. The last meeting the medical director attended was on 04/29/22. Interview on 08/18/22 at 2:50 P.M. with the Administrator verified the medical director did not attend QAA meeting on 07/28/22.
- Potential for harm · Dcited before2022-08-18 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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
Based on observation, staff interview, and review of facility policy, the facility failed to ensure residents were treated with dignity. This affected three (Residents #7, #17, and #27) of three observed for dignity. The facility census was 82. Findings include: Observations on 08/16/22 at 11:55 A.M. revealed Resident #17 was wearing slippers with the resident's first and last name typed in black letters across the top, visible to the public. Continued observation revealed Resident #7 was wearing non-skid socks with a white label with the resident's first and last name typed in black letters, visible to the public. Resident #27 was wearing athletic shoes with the resident's first and last name written in black ink. Interview on 08/16/22 at 2:37 P.M. with State Tested Nursing Assistant (STNA) #16 verified the residents had their names labeled in an obvious area of their clothing, including footwear, visible to the public. Review of the facility's Resident Rights policy dated 11/08/16 revealed the resident has a right to a dignified existence, self-determination, and communication…
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.
- Potential for harm · D2022-08-18 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 medical record review, staff interview, review of Self-Reported Incidents (SRIs), and review of facility policy, the facility failed to ensure care plans were updated to reflect residents' current status. This affected two (Residents #10 and #28) of two reviewed for care plan revisions. The facility census was 84. Findings include: 1. Review of the medical record for Resident #10 revealed admission date 02/23/22. Diagnoses included Guillain-Barre Syndrome, quadriplegia, cognitive communication deficit, muscle weakness, dysphagia, type II diabetes, heart failure, depression, and anxiety disorder. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had impaired cognition. The resident required extensive assistance of two people for bed mobility and extensive assistance of one person for transfers. The resident had no falls since admission/re-entry. Review of the Nursing Fall Review dated 07/10/22 revealed Resident #10 had a recent fall while getting out of her bed…
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.
- Potential for harm · E2019-08-15 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 observation and staff interview, the facility failed to ensure cleanliness of the microwave ovens. This had the potential to affect all 21 residents (#8, #20, #23, #26, #28, #31, #33, #34, #41, #46, #59, #63, #74, #85, #100, #104, #107, #113, #127, #128, and #131) residing on the secured unit. The facility census was 131. Findings include: Observation during tour of the secured unit dining area on 08/14/19 at 8:30 A.M. revealed there was multiple dried splattered substances noted on the inside of the microwave oven that was sitting on the counter. Interview with the Director of Nursing (DON) on 08/14/19 at 8:30 A.M. at the time of the observation confirmed the multiple dried splattered substances on the inside of the microwave oven and confirmed it was in need of cleaning. The DON reported this is generally a task completed by the State Tested Nurse Aids (STNA's) assigned to work the secured unit. The facility confirmed there are 21 residents (#8, #20, #23, #26, #28, #31, #33, #34, #41, #46, #59, #63, #74, #85, #100, #104, #107, #113, #127, #128, and #131) that could…
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.
- Potential for harm · E2019-08-15 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews and review of a cleaning schedule, the facility failed to maintain resident care equipment and wheelchairs were maintained in a clean manner. This had the potential to affect one (#09) resident who had a wheelchair that was soiled, four residents (#22, #73, #83 and #333) in the B and D halls who require the assistance of the stand up assist lift, nine residents (#11, #45, #76, #97, #98, #103, #105, #107 and #123) in the D hall who require the mechanical lift and 18 residents (#5, #10, #19, #32, #36, #38, #48, #49, #62, #65, #69, #96, #90, #99, #112, #120, #124 and #126) in the E hall who use the shower chairs. The facility census was 131. Findings include: Observations on 08/12/19 at 2:08 P.M. and on 08/13/19 from 8:14 A.M. to 1:41 P.M. revealed the shower chairs in the E hall appeared to have foreign substances on the seat and on the legs. The B hall shower room contained a stand up lift assist with foreign substances on the foot pad and on the soft knee pads. A wheelchair in the AB lounge had a large amount of foreign substances on the back…
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.
- Potential for harm · Dcited before2019-08-15 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor 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 medical record review and interview with a resident, staff and Ombudsman, the facility failed to ensure a resident was treated with respect and dignity when the administration issued the resident an unofficial (fake) 30 day discharge notice. This affected one (#44) of 27 residents reviewed during the survey. The census was 131. Findings include: Review of the medical record for Resident #44 revealed the resident was admitted to the facility on [DATE]. Diagnoses include borderline personality disorder, cerebral infarction, malignant neoplasm of rectum, hemiplegia and hemiparesis, dysphagia, obstructive sleep apnea, diabetes mellitus type two, bacteremia, neuromuscular dysfunction of the bladder, cystectomy, and gastrostomy. Review of a care plan dated 11/29/19, revealed Resident #44's goal was to discharge home. Review of a care plan dated 03/06/19, revealed the resident had a mood problem related to admission to the facility, depression, anxiety, and borderline personality disorder. The goal was for the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-08-15 · tag F0640 — isolatedEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review and staff interview, the facility failed to ensure a Quarterly Minimum Data Set (MDS) assessment was submitted within 14 days of completion to Center for Medicare & Medicare Services (CMS) system. This affected one (#2) out of 27 resident MDS assessments reviewed during the annual survey. The facility census was 131. Findings include: Review of medical record for Resident #2 revealed an admission date of 06/21/16 with diagnoses including muscle weakness, history of falls, dementia without behavioral disturbances, pulmonary heart disease, orthostatic hypotension, seizures, anxiety, essential hypertension and major depressive disorder. Review of Quarterly MDS with an assessment reference date (ARD) of 07/02/19 documented the assessment was completed. Review of electronic medical record revealed Resident #2 MDS assessment was never transmitted to CMS system as of 08/14/19. On 08/14/19 at 9:22 A.M. interview with MDS Nurse #600 verified Resident #2's Quarterly MDS assessment with an ARD of 07/02/19 was completed but was not submitted timely within 14 days…
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.
- Potential for harm · Dcited before2019-08-15 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, resident and staff interview and policy review, the facility failed to implement adequate measures to ensure residents followed safe smoking procedures. This affected two residents (#38 and #62) of two residents reviewed for smoking. The facility identified eight residents as smokers. Facility census was 131. Findings include: 1. Review of Resident #38's medical record revealed an admission date of 07/28/11 with diagnoses of folate deficiency, alcohol use with induced psychotic disorder, osteoarthritis, gait and mobility abnormalities, unsteady on feet, muscle weakness, hyperlipidemia, major depressive disorder, atrial fibrillation, cardiac pacemaker, dementia without behaviors, epiphora, dry eye syndrome, ectropion of unspecified eye, lack of coordination, age related cataract, allergic conjunctivitis, dorsalgia, constipation, abnormal posture, chronic pain, hypertension, neoplasm of breast, gastroesophageal reflux disease and cardiac arrhythmias. Review of Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to HCF MANAGEMENT — 22 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.1 | +0.9 vs chain |
| Health inspection | 4 of 5 | 2.9 | +1.1 vs chain |
| Staffing | 3 of 5 | 2.8 | +0.2 vs chain |
| Quality measures | 4 of 5 | 4.1 | ≈ chain avg |
The other 21 homes this chain runs (chain average 3.1★, per CMS)
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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| HCF OPERATIONS, INC | Organization | DIRECT OWNERSHIP INTEREST | — | since 01/01/2004 |
| CHAD M. UNVERFERTH 12-14-11 IRRV GRANTOR TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| JOANN C. UNVERFERTH 11-29-04 REVOCABLE TRUST FBO KENDRA M. UNVERFERTH | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | since 05/01/2025 |
| JOANN C. UNVERFERTH 11-29-04 REVOCABLE TRUST FBO KEVAN R. UNVERFERTH | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | since 05/01/2025 |
| JOANN C. UNVERFERTH 12-29-04 REVOCABLE TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | since 12/31/2021 |
| JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KENDRA M. U | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | since 12/13/2021 |
| JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KERRI A. RO | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | since 12/31/2021 |
| JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KEVAN R. UN | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | since 12/31/2021 |
| JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KRISTEN S. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | since 12/31/2021 |
| JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KYLE J. UNV | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | since 12/31/2021 |
| KERRI A. ROMES 11-28-18 BUSINESS TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | since 05/01/2025 |
| KRISTEN S. STECHSCHULTE 02-21-20 BUSINESS TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | since 05/01/2025 |
| KYLE J. UNVERFERTH 02-21-20 BUSINESS TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | since 05/01/2025 |
| HCF, INC | Organization | INDIRECT OWNERSHIP INTEREST | — | since 01/01/2004 |
| LANGHALS, LUKE | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/31/2025 |
| MAYER, MIRANDA | Individual | CORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/31/2022 |
| ROMES, KERRI | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/29/2019 |
| KIMMEL, LACY | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 10/31/2025 |
| SHAW, ANTHONY | Individual | CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/26/2015 |
| HCF MANAGEMENT, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2004 |
| BRANDEBERRY, KENT | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 06/01/2022 |
CMS files one row per role, so the 35 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.
15 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.
About 74% 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 $610K 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
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.
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 365361. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-02-13, 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.