Autumn Aegis Nursing Home

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

50.4% 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 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.33 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 99 beds and averages 79.5 residents a day — about 80% occupied, or roughly 20 beds typically open. It usually has some room. 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 3.65 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.33 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.29 hrs/resident/day on weekends vs 3.80 on weekdays — 13% thinner on weekends. RN hours go from 0.62 to 0.28 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below 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

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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

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

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

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

• Potential for harm · F2024-05-02 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
  Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and staff interview, the facility failed to maintain a clean, sanitary, and safe environment. This had the potential to affect all 86 residents. The facility census was 86. Findings Include: Observation of the facility environment on 05/02/24 between 9:30 A.M. and 10:00 A.M., with Maintenance Director (MD) #210, revealed the carpeting throughout common areas, hallways, and resident rooms showed significant instances of large stains. Further observation of the common areas of the facility revealed the handrails in the common hallways were observed to be discolored and rough to the touch in numerous areas. There were numerous instances of dead bugs noted in light fixtures throughout the facility including in resident dining areas. There were numerous water-stained ceiling tiles noted around the 100 hall nurse's station. Observation of resident rooms on 05/02/24 between 9:30 A.M. and 10:00 A.M., during the environmental tour with MD #201, revealed the privacy curtains in the rooms of Resident #1, Resident #22, Resident #26, Resident #27, Resident #50, Resident #70,…

  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 · Ecited before2024-05-02 · tag F0553 — failed to let residents help plan their care — pattern
  Allow resident to participate in the development and implementation of his or her person-centered plan of care.
  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 a care conference audit tool, resident and resident representative interview, staff interview, and review of a facility policy, the facility failed to conducted care conferences quarterly and with a significant change in condition as required. This affected five (#25, #32, #36, #62, and #64) of six residents reviewed for care planning meetings. The facility census was 86. Findings include: 1. Record review for Resident #32 revealed an admission date of 02/11/22. Diagnoses included sequelae of cerebral infarction, chronic obstructive pulmonary disease (COPD), viral hepatitis C, major depressive disorder, dysphagia, speech and language deficits, muscle weakness, and anxiety disorder. Review of the annual Minimum Data Set (MDS) assessment for Resident #32 dated 01/25/24 revealed Resident #32 was cognitively intact. Resident #32 had impairment to one side of the upper extremity and both sides to the lower extremities. Resident #32 used a wheelchair for mobility and was…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-05-02 · tag F0569 — pattern
  Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of banking records and staff interview, the facility failed to notify residents when their resident funds accounts were within $200.00 of the Medicaid resource limit as required. This affected four (#12, #60, #65, and #79) of five residents reviewed for personal funds. The facility census was 86. Findings include: 1. Review of the banking records for Resident #12 revealed a current balance of $6,595.42 and was over the Medicaid resource limit of $2,000.00 as of 02/12/24. Further review of the banking records for Resident #12 on 05/02/24 revealed no notification of spend down was provided to the resident as required. 2. Review of the banking records for Resident #60 revealed a current balance of $6,061.71 and was over the Medicaid resource limit of $2,000.00 as of 01/03/23. Further review of the banking records for Resident #60 on 05/02/24 revealed no notification of spend down was provided to the resident as required. 3. Review of the banking records for Resident #65 revealed a current balance of $2,404.86 and was over the Medicaid resource limit of $2,000.00 as of…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-05-02 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident and staff interview, and review of the Resident Assessment Instrument (RAI) manual, the facility failed to code resident Minimum Data Set (MDS) assessments accurately. This affected five (#53, #60, #78, #47, and #64) 18 sampled residents reviewed for accuracy of MDS assessments. The facility census was 86. Findings Include: 1. Review of the medical record revealed Resident #53 was admitted to the facility on [DATE] with diagnoses that included unspecified intellectual disabilities, seizures, and unspecified delirium. Review of the Pre-admission Screening and Resident Review (PASRR) Level Two evaluation from the state department of developmental disabilities dated [DATE] revealed Resident #53 had a level two developmental disability. Review of section A of the Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the facility answered no to the question, Is the resident currently considered by the state level II PASRR process to have serious mental illness and/or…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-02 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident and staff interview, and policy review, the facility failed to ensure resident care plans were updated to reflect individualized and necessary components of their care. This affected two (#47 and #64) of 22 residents reviewed for care planning. The facility census was 86. Findings include: 1. Review of the medical record for Resident #47 revealed an admission date of [DATE]. Medical diagnoses included neuralgia and neuritis, anxiety, and depression. Review of the Minimum Data Set (MDS) 3.0 annual assessment, dated [DATE], revealed Resident #47 was assessed as cognitively intact. Resident #47 was recorded as having intact hearing with no hearing device used and was not recorded as having any behaviors or rejection of care. Review of Resident #47's care plan for hearing, initiated on [DATE], revealed a focus of potential for altered communication related to hearing loss. Goals included the hearing deficit would not interfere with communication with others. Interventions…

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

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-05-02 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, medical record review, review of an air mattress operation manual, and policy review, the facility failed to ensure interventions were in place to treat existing pressure ulcers and prevent new pressure ulcers from developing as ordered. This affected one (#64) of two residents reviewed for pressure ulcers. The facility census was 86. Findings include: Review of the medical record for Resident #64 revealed an admission date of 08/05/21. Medical diagnoses included cerebral infarction, moderate protein-calorie malnutrition, chronic obstructive pulmonary disease (COPD), and type II diabetes with neuropathy. Resident #64 was hospitalized from [DATE] to 02/06/24 for sepsis (bloodstream infection). Resident #64 was admitted to hospice care on 02/16/24. Resident #64's current weight was documented as 116 pounds (lbs) on 04/05/24. Review of Resident #64's Minimum Data Set (MDS) 3.0 significant change in status assessment, dated 02/25/24, identified the resident to have a severe…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-02 · 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, review of a list of residents who smoke, resident and staff interview, and review of a facility policy, the facility failed to complete smoking assessments as required. This affected one (#25) of three residents reviewed for smoking. The facility census was 86. Findings include: Record review for Resident #25 revealed an admission date of 09/19/22. Diagnoses included type two diabetes mellitus, bipolar disorder, benign prostatic hyperplasia, and cognitive communication deficit. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #25 was cognitively intact, had impairment on one side of the lower extremities, and required assistance with activities of daily living. Review of the care plan for Resident #25 dated 08/09/23 revealed Resident #25 had potential for injury and was a chronic smoker. Interventions included to secure cigarettes and lighter at the nurses station and complete a smoking assessment quarterly and with significant change.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-02 · tag F0791 — failed to provide routine dental services — isolated
  Provide or obtain dental services for 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, resident and staff interview, and medical record review, the facility failed to offer and provide dental services for residents with dentures. This affected one (#36) of three residents reviewed for ancillary services. The facility census was 86. Findings include: Record review for Resident #36 revealed an admission date of 03/08/23. Diagnoses included type two diabetes mellitus and adult failure to thrive. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] for Resident #36 revealed the resident was assessed as severely cognitively impaired. Further review revealed Resident #36 was assessed with no broken or loosely fitting full or partial dentures, and Resident #36 had natural teeth. Interview on 04/29/24 at 10:35 A.M. with Resident #36 revealed his upper dentures were lost. Observation at the time of the interview revealed Resident #36 had natural teeth to the lower gums and was edentulous to the upper gums. Interview on 04/30/24 at 1:04 P.M. with Social Service Director…

  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 · E2022-02-10 · tag F0803 — failed to meet residents' dietary needs — pattern
  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, policy review and staff interview, the facility failed to ensure proper portion sizes were served to residents that received pureed consistency meal items. This had the potential to affect 13 (#7, #11, #18, #20, #34, #38, #39, #40, #42, #43, #318, #319, and #320) of 13 residents, who were prescribed a pureed diet. The facility census was 74. Findings include: Observation of tray line on 02/09/22 from 4:30 P.M. through 5:14 P.M., revealed that Dietary [NAME] #266 served pureed battered fish with one number (#) 10 scoop instead of two #8 scoops, served mashed potatoes with one #12 scoop instead of one #8 scoop, and served pureed cabbage with one #16 scoop instead of one #8 scoop, as indicated on the spreadsheet. Review of the dinner meal spreadsheet for 02/09/22 revealed that pureed battered fish should be served using two #8 scoops, mashed potatoes should be served using one #8 scoop, and pureed cabbage should be served using one #8 scoop. Interview on 02/09/22 at 4:43 P.M., with Dietary Manager #273 verified at time of observation that Dietary…

  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 · E2022-02-10 · 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 interview and policy review, the facility failed to serve pureed foods at a smooth consistency for safe swallowing. This had the potential to affect 13 (#7, #11, #18, #20, #34, #38, #39, #40, #42, #43, #318, #319, and #320) of 13 residents, who were prescribed a pureed diet. The facility census was 74. Findings include: Observation on 02/09/22 at 9:00 A.M., of the lunch meal revealed that the pureed bologna and cheese and pureed tater tots had small chunks on the surface and did not appear smooth. The pureed bologna and cheese and tater tots were tasted by the surveyor. The mixtures were not smooth and not of proper consistency. Interview with Dietary [NAME] #265, at the time of the observation, verified the consistency of the pureed bologna and cheese and pureed tater tots. The pureed bologna and cheese and pureed tater tots were at proper consistency at 9:28 A.M. Review of resident diet list revealed residents (#7, #11, #18, #20, #34, #38, #39, #40, #42, #43, #318, #319, and #320) who were prescribed a pureed diet. Review of facility policy titled…

  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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SPRENGER HEALTH CARE SYSTEMS — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 46 rows in the source record cover these 27 parties — each is shown once here with every role it holds. Nothing is omitted.

10 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.

This home reported $1.0M paid to related parties — landlords or management companies under common ownership — equal to about 13% 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.

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