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London Health & Rehab Center

218 Elm St, London, OH 43140 · For profit - Limited Liability company · 78 certified beds · (740) 852-3100 Medicare & Medicaid certified

Call the home — (740) 852-3100 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0609, F0610) — most recent May 2025
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • 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
  • 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
  • its payroll-based staffing rating is low (2/5)
  • about 20% of its spending goes to commonly-owned related companies

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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
55 Park Ave · (740) 845-7420 · Call to confirm hours
Pharmacy
214 Lafayette St · (740) 852-5644 · Call to confirm hours
Grocery
Kroger0.6 mi
230 Lafayette St · (740) 852-5542 · Call to confirm hours
Park
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 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 fell from 4 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 increased3.6%5.3%15.4%better than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight12.6%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.5%0.2%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.6%0.4%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms19.2%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.8%3.2%3.3%worse
Long-stay residents whose ability to walk worsened4.7%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication23.4%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.5%95.3%typical
Long-stay residents with pressure ulcers3.9%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control22.8%21.4%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table12.7%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.6%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine88.8%75.6%79.4%better
Short-stay residents rehospitalized after admission20.0%24.9%22.6%better
Short-stay residents with an outpatient ER visit16.0%12.9%12.0%worse

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.

50.3% 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 51 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

50.3%U.S. median 51.5%
Got home and stayed home
13.0%U.S. median 10.7%
Went back to hospital
40.0%U.S. median 56.6%
Met the expected recovery
0.24U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.08hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Met the expected recovery: 40.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 35 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 0.24 therapist hours per resident per day in 2026Q1 — more than 32% 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 SNF50.3%CMS range 36.9–61.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF13.0%CMS range 9.2–17.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge40.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge40.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge37.1%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified89.8%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting92.9%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot 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 stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.2%CMS range 3.6–12.17.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.891.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.36
RN hours/ resident / day
0.92
LPN hours/ resident / day
1.98
Aide hours/ resident / day
3.27
Total nurse hours/ resident / day
0.17
RN hoursweekends
45.7%
Total nursing turnover
42.9%
RN turnover

How full it usually is: this home is certified for 78 beds and averages 73.1 residents a day — about 94% occupied, or roughly 5 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 3.27 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.36 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.98 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 2.90 hrs/resident/day on weekends vs 3.41 on weekdays — 15% thinner on weekends. RN hours go from 0.44 to 0.17 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% 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

11
deficiencies at the latest standard inspection (2025-05-29)
5
at the previous standard inspection (2022-10-13)

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.

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 · E2026-02-20 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure a homelike environment after receiving vendor recommendations. This affected eight of ten rooms observed in the facility. The facility census was 74.Findings include:1. Review of the medical record for Resident #24 revealed an admission date of 01/23/26 with diagnoses of multiple sclerosis, depression, muscle weakness, fatigue, orthostatic hypotension, and transient ischemic attack. Observation on 02/20/26 at 9:25 A.M. of Resident #24 ' s room revealed uncovered soffits located above windows with structured covered fabric window valances. When walking up to look behind the valance, pipes displayed various shapes and sizes with deep gray to black speckled staining. Pipes were covered with layers of white flaking paint-like material and some discoloration appeared to be related to the layers of paint on piping. Interview and observation of Resident #24 ' s room on 02/20/26 at 11:47 A.M. with Maintenance Director #131 confirmed various staining present on pipes above resident windows located behind the window valance.2.…

    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 · F2025-05-29 · tag F0887 — widespread
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on interview and record review, the facility failed to ensure the COVID-19 vaccine was offered or provided to facility staff. This had the potential to affect all 70 residents residing in the facility. The facility census was 70. Findings include: Review of the staff respiratory virus information fact sheet and acknowledgement, dated 10/06/23, revealed the facility would not be administering the updated COVID-19 vaccine to team members at the facility. Interview with Corporate Registered Nurse (CRN) #500 on 05/29/25 at 12:51 P.M. confirmed the COVID-19 vaccination was available at the facility and further verified the facility did not offer or provide the COVID-19 vaccination to the facility staff.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-05-29 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and medical record review, the facility failed to ensure resident rooms were maintained in a safe, comfortable, and homelike manner. This affected four (#5, #12, #41, and #47) of 70 residents residing in the facility. The facility census was 70. Findings include: 1. Observation of the facility on 05/29/25 at 10:13 A.M. revealed there was exposed drywall with black spots on it in the corner of Resident #12, Resident #41, and Resident #47's room near the window. There was also a television that was on a wall mount that was removed from the wall with the screws exposed that was sitting on a night stand in Resident #12, Resident #41, and Resident #47's room. Interview with Maintenance Director (MD) #17 on 05/29/25 at 10:13 A.M. verified there was exposed drywall with black spots on it in the corner of Resident #12, Resident #41, and Resident #47's room near the window. MD #17 also confirmed there a television that was on a wall mount that was removed from the wall with the screws exposed that was sitting on a night stand in Resident #12, Resident…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-05-29 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, review of a resident census, review of drug manufacturer instructions for use, and policy review, the facility failed to ensure medications were labeled and stored in a safe and secure manner. This had the potential to affect 14 (#3, #4, #7, #18, #25, #30, #40, #42, #58, #62, #225, #226, #227, and #228) of 70 residents residing in the facility. The census was 70. Findings include: 1. Observation of the 203 hall medication cart on 05/28/25 starting at 9:14 A.M. revealed there were five (5) loose pills that were a variety of shapes and colors in the medication cart with no identification to which residents the medications belonged to. Continued observation of the medication cart at 9:17 A.M. revealed there was an opened Incruse Ellipta 62.5 microgram (mcg) inhaler prescribed to Resident #7 without a date when it was opened. Review of a resident census dated 05/29/25 revealed five (#3, #7, #18, #30, and #58) resident's medications were stored in the 203 hall medication cart. Interview with Licensed Practical Nurse (LPN) #70 on 05/28/25 at 9:18…

    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 · D2025-05-29 · 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 medical record review, witness statements, staff and resident interviews, and policy review the facility failed to ensure respect and dignity was implemented for the residents. This affected two (#57 and #62) of two residents reviewed for dignity and respect. The census was 70. Findings included: 1. Medical record review for Resident #57 revealed an admission date of 09/09/24. Medical diagnoses included cerebral vascular accident (CVA). Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #57 was moderately cognitively impaired. His functional status was substantial/maximal assistance for eating and bed mobility, and he was dependent for toileting and for transfers. He was always incontinent for bowel and bladder. Review of the progress notes dated 05/02/25 for Resident #57 revealed they were silent for respect and dignity issues. Review of witness statement dated 05/02/25 revealed Social Service Designee (SSD) #48 interviewed Resident #57 who reported he didn't have his 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-29 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, review of Self-Reported Incidents (SRI), witness statement review, staff and resident interviews, and policy review, the facility failed to ensure an allegation of staff-to-resident abuse was reported to the State Survey Agency, Ohio Department of Health (ODH). This affected one (#62) of two residents reviewed for abuse. The facility census was 70. Findings include: Medical record review for Resident #62 revealed an admission date of 06/14/24. Diagnoses included cerebrovascular attack (CVA) and depression. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #62 was rarely or never understood and was dependent on staff for bed mobility and transfers. Review of a witness statement dated 05/24/25 on night shift from Resident #62 and Resident #2 revealed on 05/24/25, Resident #62 pushed his call light and 20-minutes later, Certified Nursing Assistant (CNA) #90 came to the room on her cell phone. CNA #90 stated Now what do you want? Resident #62…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-29 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, witness statement review, staff and resident interviews and policy review, the facility failed to ensure an allegation of staff-to-resident abuse was investigated thoroughly. This affected one (#62) of two residents reviewed for abuse. The facility census was 70. Findings include: Medical record review for Resident #62 revealed an admission date of 06/14/24. Diagnoses included cerebrovascular attack (CVA) and depression. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #62 was rarely or never understood and was dependent on staff for bed mobility and transfers. Review of a witness statement dated 05/24/25 on night shift from Resident #62 and Resident #2 revealed on 05/24/25, Resident #62 pushed his call light and 20-minutes later, Certified Nursing Assistant (CNA) #90 came to the room on her cell phone. CNA #90 stated Now what do you want? Resident #62 motioned with his hands and CNA #62 said I know you want a shower but it is going to be 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-05-29 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, policy review, and resident and staff interviews, the facility failed to ensure fall interventions were in place for a resident who was at a high risk for falls and had a recent fall in the facility. This affected one (Resident #40) of seven residents reviewed for falls. The facility census was 70. Findings include: Review of the medical record for Resident #40 revealed a date of admission of 11/30/22. Diagnoses included disorder of brain, delusional disorders, cerebral infarction, tremor, muscle weakness, and paranoid schizophrenia. Review of the plan of care dated 08/20/24 revealed Resident #40 was at risk for falls due to cognitive impairment, muscle weakness, and unsteady gait. Interventions included educating the resident on fall prevention, performing daily checks to ensure interventions were in place, and verifying interventions during morning rounds. Specific fall interventions included a fall mat at bedside, hipsters on at all times as tolerated, bed against 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-29 · 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, medical record review, staff interview, and policy review, the facility failed to ensure a resident's fluid restriction was followed according to physician orders. This affected one (#29) of four residents reviewed for nutrition. The facility census was 70. Findings include: Medical record review for Resident #29 revealed an admission date of 05/06/23. Diagnoses included chronic obstructive pulmonary (COPD), vascular dementia, and congested heart failure (CHF). Review of the physician orders for Resident #29 dated 01/20/25 revealed a fluid restriction of 2,000 cubic centimeters (cc) for a 24-hour period. Dietary was to provide a total 1,560 cc per day, which was spread out to 600 cc at breakfast, 480 cc at lunch, and 480 cc at dinner. Nursing was to provide a total 440 cc per day, which was spread out 240 cc on first shift and 200 on second shift. Review of the care plan dated 03/18/25 revealed Resident #29 was at risk for nutrition/hydration related to CHF. Interventions were to monitor…

    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 · D2025-05-29 · tag F0847 — isolated
    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
    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 an arbitration agreement, and staff interview, the facility failed to ensure residents were explained binding arbitration agreements in a form and manner the resident can understand prior to signing them. This affected one resident (#43) of three residents reviewed for arbitration agreements. The facility census was 71. Findings include: Review of the medical record for Resident #43 revealed the resident was admitted on [DATE] with diagnoses of unspecified dementia, hypocalcemia, encephalopathy, unspecified visual loss, atelectasis, muscle weakness, cognitive communication deficit, hallucinations, anemia, and dysphagia. Review of Resident #43's admission Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severe cognitive impairment with a Brief Interview for Mental Status (BIMS) of 03. Review of an arbitration agreement document revealed the parties understood, acknowledged, and agreed by entering into the arbitration agreement they are voluntarily…

    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
Show the remaining 10 citations
  • Potential for harm · D2025-05-29 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, medical record review and review of the Centers for Disease Control and Prevention (CDC) guidelines, the facility failed to ensure staff donned personal protective equipment (PPE) during care for a resident on Enhanced Barrier Precautions (EBP) This affected one (#18) of one resident reviewed for EBP. The facility identified 14 residents on EBP. The facility census was 70. Findings include: Review of Resident #18's medical record revealed an admission date of 01/03/25. Diagnoses included cerebrovascular disease, displaced fracture of shaft of humerus (right arm), obstructive and reflux uropathy, dysphagia, cognitive communication deficit, difficulty in walking, arteriosclerotic heart disease of native coronary coronary artery, age related physical debility, and wedge compression fracture of first lumbar vertebrae. Review of the quarterly Minimum Data Set (MDS) assessment, dated 05/13/25, revealed Resident #18 was severely cognitively impaired and utilized a wheelchair to aid in mobility. Resident #18 had an indwelling catheter. Review of a…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-05-29 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, hospital record review, staff interview, and review of facility policy, the facility failed to ensure appropriate antibiotics were ordered for the treatment of infections. This affected one (#23) of four residents reviewed for antibiotic stewardship. The facility census was 70. Findings include: Review of the medical record for Resident #23 revealed an admission date of 06/22/22. Diagnoses included chronic obstructive pulmonary disease (COPD) with acute exacerbation, acute and chronic respiratory failure with hypoxia, other membranous urethral stricture, Parkinson's disease with dyskinesia, cognitive communication deficit, obstructive and reflux uropathy, benign prostatic hyperplasia with lower urinary tract symptoms, type II diabetes mellitus without complications, morbid obesity, and major depressive disorder. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment, dated 05/16/25, revealed Resident #23 had a Brief Interview for Mental Status (BIMS) score of 15, indicating…

    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 · F2022-10-13 · 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 interview and policy review, the facility failed to store food in a sanitary manner. This had the potential to affect 58 of 58 residents who receive food from the kitchen. The census was 58. Findings include: Observation on 10/11/22 at 9:00 A.M., of the kitchen, revealed three extra large bins, containing flour, food thickener and sugar. In each bin, a large scoop was stored inside each bin. This observation was verified by the Dietary Manager #50. Observation on 10/11/22 at 9:15 A.M., of the walk-in refrigerator revealed a pound of butter block opened, in a bag not sealed with no date. An open package of hot dogs sitting on a metal shelf, not sealed, or dated. Observation on 10/12/22 at 11:10 A.M., of the kitchen, revealed three extra large bins, containing flour, food thickener and sugar. The sugar bin revealed three lumps of a brown like substance. Interview on 10/12/22 at 11:45 A.M., with Dietary Manager #50 revealed the contents of each binned was not disposed of after discovering the scoops being stored inside each bin. The dietary staff continued…

    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 · F2022-10-13 · tag F0908 — failed to keep essential equipment working — widespread
    Keep all essential equipment working safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and staff interviews, the facility failed to ensure kitchen equipment maintained in working condition and safe. This had the potential to affect 58 of 58 residents. The census was 58. Findings include: Observation on 10/12/22 at 11:00 A.M., of the kitchen revealed the steamer was not working and the convention oven was not working. Observation of a cookie sheet with a little bit of water covering the bottom of the sheet pan sat on the free-standing grill , the water was steaming. Ten minutes later a smell of something burnt was filtered throughout the kitchen. Dietary Aid #10 removed the pan from the grill because the liquid evaporated and formed a dry crusted black substance while sitting on the grill while it was turned on. Interview on 10/12/22 at 11:40 A.M., with the Regional Dietician #65 revealed the steamer was not working, two stove burners were not working, and the conventional oven was out of order. They were using the grill to keep the food warm. Observations on 10/12/22 at 3:10 P.M., with Maintenance Supervisor (MS) #16 confirmed the steamer 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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-10-13 · tag F0805 — failed to prepare food in a form residents can eat — pattern
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interviews, National Dysphasia Diet: Standardization for Optimal Care guideline review, menu spreadsheet review and recipe review, the facility failed to prepare residents' food to meet individual needs. This had the potential to affect six (#8, #9, #45, #52, #53 and #311) residents who receive mechanical soft diet and seven (#10, #20, #31, #38, #43, #55 and #209) residents who receive puree diets. The facility census was 58. Findings include: 1. Observation on 10/12/22 at 11:10 A.M., with Dietary Aide #34 was preparing cupcakes for the mechanical and puree diets. She placed 13 baked cupcakes into the robot-coupe canister added two tablespoons of chocolate frosting for each cupcake into the canister. She blended the cupcakes and frosting until it formed a thick mixture. To thin the mixture, she added an unmeasured amount of water into the cupcake mixture. She explained, she was instructed to serve the residents who receive a mechanical soft diet a puree cupcake for their lunch dessert. Interview on 10/12/22 at 11:25 A.M., with the Regional Dietician #65…

    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 · D2022-10-13 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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, staff interview and policy review, the facility failed to notify the Ombudsman in writing of discharges to the hospital. This affected two (#6 and #14) of three residents reviewed for hospitalization. The facility census was 58. Findings include: 1. Record review of Resident #14's medical record revealed an admission date of 05/31/22, with pertinent diagnoses of: asthma, atherosclerotic heart disease, heart failure, chronic obstructive pulmonary disease, diabetes mellitus, hypertension, gastro-esophagael reflux, arthritis, glaucoma, obstructive hypertrophic cardiomyopathy, adjustment disorder with anxiety, respiratory failure, cardiomegaly, shortness of breath, constipation, inappropriate diet and eating habits, dysphagia oropharyngeal phase, cognitive communication deficit, and chronic obstructive pulmonary disease. Review of a progress note dated 06/27/22 at 9:00 A.M., revealed Resident #14 with a low grade fever since this morning. Tremors have worsened over this shift. Primary Care…

    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 · D2022-10-13 · tag F0926 — failed to keep the home smoke-free / fire-safe — isolated
    Have policies on smoking.
    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, resident interview and policy review, the facility failed to implement the smoking policy to ensure residents did not have possession of cigarettes and lighter. This affected two (#19 and #24) of the three residents reviewed for smoking. The facility identified five residents smoke. The facility census was 58. Findings include: 1. Review of Resident #19's medical record revealed an admission date of 04/16/21, with diagnoses of: chronic obstructive pulmonary, dysphagia, sensorineural hearing loss, muscle weakness, atrial fibrillation, chronic ischemic heart disease, morbid severe obesity due to excess calories, osteoarthritis, and depression. Review of the 07/26/22 quarterly Minimum Data Set (MDS) assessment revealed the resident was cognitively intact and the area to indicate if the resident was a smoker was left blank. Interview on 10/11/22 at 1:11 P.M., with Resident #19 revealed she was an unsupervised smoker and she keeps her cigarettes and lighter in her room.…

    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 · D2020-01-02 · tag F0625 — isolated
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview and policy review, the facility failed to provide residents with bed hold notifications when the resident was transferred to hospital. This affected two (#8 and #60) residents of two residents reviewed for hospitalizations. The facility census was 58. Findings include: 1. Review of the medical record revealed Resident #8 was admitted to the facility on [DATE] with diagnoses including acute post hemorrhagic anemia, spinal stenosis, hypertension, morbid obesity, type two diabetes, ulcerative colitis, and unspecified atrial fibrillation. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had no cognitive impairment and required extensive assist with bed mobility, transfers, dressing, toilet use and personal hygiene and required supervision with eating. Further review of the medical record revealed resident was sent to the hospital on [DATE] for a significant change in condition, and no verification was found in the medical…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2020-01-02 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview and policy review, the facility failed to ensure fall interventions were in place prior to a resident's fall and failed to thoroughly investigate a resident's fall. This affected one (#15) of one residents reviewed for falls. The census was 58. Findings include: Review of the medical record for Resident #15 revealed an admission date of 07/01/15 with diagnoses including anxiety, muscle wasting and atrophy, and unspecified lack of coordination. Review of the Resident #15's fall care plan revealed interventions to prevent falls which included Resident #15's bed being in lowest position while he was in the bed. Review of Resident #15's quarterly minimum data set (MDS) dated [DATE] revealed the resident was cognitively impaired and scored a zero out of 15 on the brief interview for mental status. Resident #15 requires extensive assistance of two or more staff for bed mobility and transfers and did not walk in his room or corridor. Resident #15's balance was unsteady…

    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 · D2020-01-02 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    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 policy review, the facility failed to ensure pharmacist recommendations were acted upon in a timely manner. This affected two (#15 and #23) of five residents reviewed for unnecessary medications. The census was 58. Findings include: 1. Review of the medical record for Resident #15 revealed an admission date of 07/01/15 with diagnoses including anxiety, depression, and hypertension. Review of the physician orders for Resident #15 revealed an order dated 07/30/18 for Duloxetine HCL capsule delayed release particles 60 milligrams by mouth one time a day for depression. Review of the Pharmacy Consultation Report dated 02/04/19 revealed the pharmacist recommended to please attempt a gradual dose reduction to Duloxetine 20 milligrams once per day while concurrently monitoring for reemergence of depressive and/or withdrawal symptoms. Review of the medical record for Resident #15 revealed the pharmacy recommendation dated 02/04/19 was not addressed by 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SABER HEALTHCARE GROUP — 126 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 52.9+0.1 vs chain
Health inspection 3 of 52.6+0.4 vs chain
Staffing 2 of 52.2-0.2 vs chain
Quality measures 4 of 54.0≈ chain avg
The other 125 homes this chain runs (chain average 2.9★, per CMS)
1 of 5Autumn Care of MarshvilleMarshville, NC 1 of 5Autumn Care of Myrtle GroveWilmington, NC 1 of 5Autumn Care of WaynesvilleWaynesville, NC 1 of 5Brunswick Health & Rehab CenterAsh, NC 1 of 5Bryn Mawr Extended Care CenterBryn Mawr, PA 1 of 5Caring Heights Community Care & Rehab CtrCoraopolis, PA 1 of 5Colonial Health & Rehab Center, LLCVirginia Beach, VA 1 of 5Currituck Health & Rehab CenterBarco, NC 1 of 5Davidson Health & Rehab CenterLexington, NC 1 of 5Edison Manor Nursing & Rehabilitation CenterNew Castle, PA 1 of 5Gastonia Health & Rehab CenterGastonia, NC 1 of 5Greene Health & Rehab CenterGreensburg, PA 1 of 5Grey Stone Health And Rehabilitation CenterFort Wayne, IN 1 of 5Harmar Village Health & Rehab CenterCheswick, PA 1 of 5Highland Pointe Health & Rehab CenterHighland Heights, OH 1 of 5Hilltop Heights Health & Rehab CenterJohnstown, PA 1 of 5Maple Heights Health & Rehab Center, LLCEbensburg, PA 1 of 5Midtown Oaks Health & Rehab CenterAltoona, PA 1 of 5Mountain City Nursing & Rehabilitation CenterHazleton, PA 1 of 5Providence Health & Rehab CenterBeaver Falls, PA 1 of 5River's Bend Health & Rehab CenterHarrisburg, PA 1 of 5Riverside Health & Rehab CenterMcKeesport, PA 1 of 5South Boston Health & Rehab CenterSouth Boston, VA 1 of 5Tallmadge Health & Rehab CenterTallmadge, OH 1 of 5University Manor Health & RehaCleveland, OH 1 of 5Village Care of KingKing, NC 1 of 5Woodhaven Health & Rehab CenterMonroeville, PA 1 of 5Woodlands Health And Rehab CenterRavenna, OH 2 of 5Aurora Manor Special Care CentAurora, OH 2 of 5Autumn Care Of MadisonMadison, VA 2 of 5Autumn Care Of MechanicsvilleMechanicsville, VA 2 of 5Autumn Care Of SuffolkSuffolk, VA 2 of 5Autumn Care of CorneliusCornelius, NC 2 of 5Autumn Care of RaefordRaeford, NC 2 of 5Autumn Care of SaludaSaluda, NC 2 of 5Autumn Care of ShallotteShallotte, NC 2 of 5Azalea Health & Rehab CenterWilmington, NC 2 of 5Bath Manor Special Care CentreAkron, OH 2 of 5Berea Health & Rehab CenterFredericksburg, VA 2 of 5Broad Mountain Health And Rehabilitation CenterFrackville, PA

Showing 40 of 125; lowest-rated first.

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

Who owns this facility

Owner / managerTypeRoleSince
VOLPE, BENJAMINIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; ADP OF THE SNFsince 03/01/2019
WEISBERG, WILLIAMIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 03/01/2019
NICOLUZAKIS, GREGORYIndividualCORPORATE OFFICER; ADP OF THE SNFsince 03/01/2019
SABER GOVERNANCE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/01/2019
SHG MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/01/2019
CARPENTER, FREDERICKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/10/2020
YOUELL, VALERIEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2024
BENJAMIN N. VOLPE FAMILY DYNASTY TRUST (DATED DECEMBER 29, 2020)OrganizationADP OF THE SNFsince 01/01/2023
BNV DYNASTY LLCOrganizationADP OF THE SNFsince 01/01/2023
CITRIN COOPERMAN ADVISORS LLCOrganizationADP OF THE SNFsince 07/01/2015
DECANTED WILLIAM I. WEISBERG FAMILY DYNASTY TRUST (DATED SEPT 30, 2020OrganizationADP OF THE SNFsince 01/01/2023
LONDON RE GROUP, LLCOrganizationADP OF THE SNFsince 07/01/2015
WIW DYNASTY LLCOrganizationADP OF THE SNFsince 01/01/2023
NDIFE, ANITAIndividualADP OF THE SNFsince 03/01/2023

CMS files one row per role, so the 22 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

8 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.

$6.5M
Net patient revenuemost recent cost report
-10.0%
Operating marginrevenue minus expenses
$1.4M
Related-party expense20% of expenses
Who pays — share of resident-days
Medicaid 28%Medicare 2%Other / private 70%

This home reported $1.4M paid to related parties — landlords or management companies under common ownership — equal to about 20% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

$296per resident / day
operating cost
$8,992per month
≈ monthly operating cost
$269per 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 365241. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-05-29, 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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