Oak Hills Nursing Center
3650 Beavercrest Drive, Lorain, OH 44053 · For profit - Corporation · 80 certified beds · (440) 282-9171 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- it has a citation for mishandling residents’ money or property (F0569)
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its payroll-based staffing rating is low (1/5)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 1 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 1.7% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 3.4% | 6.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.2% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 25.5% | 30.1% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.8% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 1.3% | 6.1% | 16.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 26.0% | 25.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 54.5% | 94.5% | 95.3% | worse |
| Long-stay residents with pressure ulcers | 2.9% | 3.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 17.6% | 21.4% | 21.2% | better |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 21.4% | 8.8% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 1.4% | 1.2% | 1.4% | typical |
| Short-stay residents given the seasonal flu vaccine | 8.5% | 75.6% | 79.4% | 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.
Therapy staffing: this home’s payroll records show 0.21 therapist hours per resident per day in 2026Q1 — more than 25% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 13% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 80 beds and averages 62.5 residents a day — about 78% occupied, or roughly 18 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 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.97 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 2.93 hrs/resident/day on weekends vs 3.28 on weekdays — 11% thinner on weekends. RN hours go from 0.38 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 50% 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
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · Fcited before2026-03-04 · tag F0921 — failed to keep a safe, functional, sanitary building — widespreadMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and staff interview, the facility failed to maintain a building in good repair. This had the potential to affect all residents residing in the facility. The facility census was 63.Findings Include:During an environment tour on 03/03/26 from 8:02 A.M. to 8:22 A.M. revealed physical damage to resident rooms and the hallways throughout the facility. Damage included general dents and chipped paint on walls throughout the building in the hallways. Observation in the hallway outside of Resident #05's room revealed a hole in the wall near the floor behind a carpeted wall. Inside Resident #05's room revealed holes on both sides of the bathroom door. Observation of room [ROOM NUMBER], which was empty, revealed significant wall damage on the wall with the window and missing baseboards. Observation by the nursing station revealed the wall adjacent to the station had been patched however it was unpainted, the base board on the side of the nursing station was missing, and the wall surrounding the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2026-03-04 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interview, review of the water temperature logs, and policy review, the facility failed to ensure water temperatures were within an acceptable range to promote resident comfort. This had the potential to affect 10 Residents (#05, #06, #14, #19, #21, #22, #42, #46, #54, and #64) identified as residing on the 100 hallway. The facility census was 63. Findings Included:Observation on [DATE] at 9:50 A.M., with the Regional Director of Asset Management #895 revealed Resident #05's water temperature was taken using the facility's digital thermometer in the resident's bathroom measuring at 104 degrees Fahrenheit (F). Interview on [DATE] at the time of observation with Regional Director of Asset Management #895 verified Resident #5's water temperature was not within desired range of 110-120 degrees F.Interview on [DATE] at 10:14 A.M. with the [NAME] President of Asset Management #896 revealed their maintenance director had quit about one week prior. The [NAME] President 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.
- Potential for harm · D2026-03-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, review of the hospital records, staff and resident interview, and policy review, the facility failed to ensure resident safety regarding the use of marijuana products. This affected two Residents (#27 and #60) out of three reviewed. The facility census was 63.Findings Included:1. Review of medical record for Resident #27 revealed an admission date of 02/09/17 and diagnoses including schizophrenia, vascular dementia with behavioral disturbance, aphasia following cerebral infarction, and diabetes mellitus.Review of the Medicare Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #27 had moderately impaired cognition. Resident #27 required set up or clean up assistance for activities of daily living (ADLs).Review of nursing progress note dated 01/31/26 at 5:49 A.M. revealed Resident #27 was observed in his room standing in a puddle of urine. Resident #27 was assisted to the bathroom. Resident #27 stated he felt fine but was unable to make it to the toilet in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-04 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview and policy review, the facility failed to ensure Enhanced Barrier Precautions (EBP) were followed during a wound treatment. This affected one (Resident #16) out of three reviewed for pressure ulcer treatment. The facility census was 63.Findings Included:Review of the medical record for Resident #16 revealed an admission date 09/24/25. Diagnosis included muscle weakness, pressure ulcer of right buttock, infrarenal abdominal aortic aneurysm and restless legs syndrome.Review of the Minimum Data Set (MDS) dated [DATE] revealed Resident #16 had memory impairment. He was dependent on staff for all activities of daily living (ADL's). He was always incontinent of bowel and bladder.Review of the physician orders revealed on 02/24/26 gloves and a gown were to be worn when providing treatment to Resident #16's sacral wound. The treatment was to cleanse the sacrum with normal saline, pat dry with gauze, apply calcium alginate (a debridement treatment), cover with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2025-06-05 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, review of the dishwashing machine temperature logs and review of the facility policy, the facility failed to maintain appropriate dishwasher temperatures to ensure clean and sanitary dishware. This had the potential to affect all 59 residents who received food from the kitchen. The facility census was 59. Findings include: Review of the low-temperature dishwashing machine logs from 03/01/25 through 06/03/25 revealed wash temperatures were not to be below 120 degrees Fahrenheit (F) and were to be checked once per shift. During the time period reviewed, wash temperatures were documented to be below 120 degrees F on 83 occasions. During an observation on 06/04/25 at approximately 1:35 P.M. with Dietary Supervisor (DS) #471 revealed the last load of dishes following the lunch meal was in the process of being washed using the low-temperature, chemical-sanitation dishwashing machine. The dishwashing machine reached a maximum temperature of 112 degrees F for both the wash and the rinse cycles. The dishwashing machine was run numerous times and there…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2025-06-05 · tag F0814 — failed to dispose of garbage properly — widespreadDispose of garbage and refuse properly.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and staff interview, the facility failed to ensure garbage and refuse was disposed of properly. This had the potential to affect all 59 residents residing in the facility. The census was 59. Findings include: Observation on 06/02/25 at approximately 8:50 A.M. with Dietary Supervisor (DS) #471 revealed two exterior dumpsters with trash laying around the dumpsters. The trash included an empty cheese wrapper, disposable gloves, an aluminum can, disposable plastic lids, clear plastic bags, empty bread bags, an empty salad dressing bottle, crumbled aluminum foil, an empty nutritional shake bottle, empty sugar packets, empty Styrofoam cups, plastic eating utensils, and more than 50 cigarette butts on the ground. Further observation revealed more than 10 clear-plastic garbage bags filled with trash including briefs and gloves. Concurrent interview with DS #471 verified the debris on the ground around the dumpster and further stated the facility had various animals in the area.
- Potential for harm · Ecited before2025-06-05 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interviews and resident interviews the facility failed to ensure the facility was maintained in good repair. This affected six (#1, #7, #19, #41, #52 and #56) of nine residents reviewed for environment. The facility census was 59. Findings included: 1. Observation on 06/03/25 at 8:18 A.M. of Resident #7's room revealed the wall to the right of the air conditioning unit had an unknown black substance and the drywall was crumbling. Additionally, there were brown stains on the wall above the air conditioning unit. Interview on 06/05/25 at 10:22 A.M. with Director of Maintenance (DOM) #428 verified the wall around the air conditioning was crumbling and a black mold-like substance was present. DOM #428 confirmed the brown stains on the wall above the air conditioning unit and stated the brown stains were the result of a water leak. 2. Observation on 06/02/25 at 9:19 A.M. of Resident #52's bathroom revealed four tiles on the wall were missing and the sink was pulled away from the wall by approximately 1.5 inches. Interview on 06/05/25 at 10:18 A.M. with DOM…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-06-05 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, staff interview and review of facility policy, the facility failed to ensure resident code status was accurately documented throughout the resident's medical record. This affected one (#8) of one resident reviewed for Advance Directives. The facility census was 59. Findings include: Review of the electronic medical record (EMR) for Resident #8 revealed an admission date of 12/02/22. Diagnoses included leukemia, chronic obstructive pulmonary disease (COPD) and heart disease. Further review revealed Resident #8's code status was Do Not Resuscitate Comfort Care-Arrest (DNRCCA). Review of the physician order dated 11/12/24 revealed Resident #8 was a DNRCCA code status. Review of Resident #8's hard chart revealed a red paper stating DNRCC (Do Not Resuscitate Comfort Care). Further review revealed the physician signed advanced directive stated Resident #8 was a DNRCC code status. Interview on 06/03/25 at 3:30 P.M. with Register Nurse (RN) #476 revealed a resident's code status should match throughout the resident's EMR and hard chart to ensure appropriate…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2025-04-05 · tag F0926 — failed to keep the home smoke-free / fire-safe — widespreadHave policies on smoking.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and policy review, the facility failed to implement their resident smoking policy related to the outside smoking area. This had the potential to affect Residents #4, #8, #12, #13, #17, #21, #25, #27, #29, #30, #32, #34, #35, #36, #40, #41, #42, #46, #54, #56 and all facility residents. The facility census was 58. Findings Include: Observation of the outside smoking area on 04/05/25 at 1:30 P.M. with the Administrator revealed approximately 75 to 100 cigarette butts on the ground. Multiple piles of leaves were also noted on the ground with cigarette buts intertwined in the piles of leaves. Additionally six cigarette receptacles made of combustible plastic were observed in the area and were all approximately 75% or more full. A seventh receptacle container made out of a plastic bucket from a local big box home improvement store was also used as a cigarette receptacle and was over ninety percent filled to the top with cigarette butts. In total approximately three to four hundred cigarettes butts were present in the area on the ground and in the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-12-05 · tag F0758 — failed to limit and justify psychotropic drugs — isolatedImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ensure as needed (PRN) psychotropic medications were monitored by a physician and had a stop date after 14 days of use. This affected one (#1) of three sampled residents reviewed for unnecessary medications. The facility census was 58. Findings include: Review of the medical record revealed Resident #1 was admitted to the facility on [DATE]. Diagnoses included Parkinson's disease, anxiety, and insomnia. Review of the quarterly Minimum Data Set assessment dated [DATE] identified the resident as cognitively impaired. Review of Resident #1's prescribed medications list for 10/01/24 through 11/24/24 identified an order dated 10/16/24 for Ativan (anti-anxiety) oral tablet 0.5 milligrams every eight hours as needed for anxiety. The Ativan was active as of 11/25/24. An interview on 11/25/24 at 3:20 P.M. with the Director of Nursing verified the Ativan was ordered to be given as needed beginning on 10/16/24 and did not have a stop date. This…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 12 citations
- Potential for harm · D2024-07-05 · tag F0569 — isolatedNotify 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, review of census records, review of financial records, and staff interview, the facility failed to ensure a final accounting and disbursal of funds was completed timely following a resident death. This affected one (#1) of four residents reviewed for funds disbursement upon death or discharge. The facility census was 59. Findings Include: Review of Resident #1's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses that included chronic kidney disease, dementia, and altered mental status. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 was severely cognitively impaired and required extensive assistance for his activities of daily living. Further review of the medical record revealed Resident #1 expired at the facility on [DATE]. Review of census records for Resident #1 revealed he was admitted under private pay with Medicare as secondary insurance. Review of financial records revealed Resident #1's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2022-08-04 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff interviews, medical record reviews, and policy review, the facility failed to ensure supplies necessary for proper personal protective equipment (PPE) usage were readily accessible and signage for specified PPE needs were posted. This affected two (#213 and #217) of two residents reviewed for transmission-based precautions. The facility also failed to ensure staff properly wore PPE while in patient care areas throughout the facility. This directly affected one (#17) resident observed with the potential to affect all residents. The facility census was 65. Findings include 1. Interview on 08/01/22 at 10:49 A.M., with Licensed Practical Nurse (LPN) #434 indicated only Resident #213 was on transmission-based precautions (TBP). LPN #434 indicated there are usually bins for PPE or a door hanger and signs indicating type of precautions. LPN #434 verified when looking down hallway towards Resident #213's room and no PPE bin or signage was observed. Observation on 08/01/22 at 10:56 A.M., revealed LPN #434 placing bins for PPE and Transmission Based Precautions…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2022-08-04 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, resident and staff interviews, the facility failed to maintain an environment that was clean and in good repair in the vending area leading to the smoke area. The facility also failed to ensure the wall near Resident #31's bed was in good repair. This directly affected one resident and had the potential to affect an undetermined number of residents that may utilize the vending machine areas. The facility census was 65. Findings include: Observation on 08/02/22 at 8:44 A.M., of the wall around the air conditioner (AC) unit near Resident #31's bed revealed it was in disrepair. Interview at this time, Resident #31 stated it had been that way for a long time. Observation and interview on 08/02/22 at 1:38 P.M., with Director of Maintenance (DM) #470 of Resident #31's wall around the AC unit verified the wall was in disrepair and further observation revealed a wire coming out wall on the lower right side. Observation 08/03/22 at 3:26 P.M., with Housekeeping Director (HD) #479 of the vending machine area that leads to the outside smoke area, revealed several dead…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2019-08-15 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview and review of facility policy the facility failed to ensure housekeeping and maintenance services were provided to maintain a clean environment. This affected six Residents (#12, #16, #28, #36, #50, #260) of 22 sampled residents. The facility census was 60. Findings include: Observation on 08/14/19 at 12:05 P.M. revealed Resident #16's room (room [ROOM NUMBER]) had plastic baseboard hanging loose from the wall. The area measured approximately 12 inches. The bathroom tile around the toilet was also observed as stained with a dark substance. This encircled the entire base of the toilet base. Observation on 08/14/19 at 12:06 P.M. revealed Resident #50's room (room [ROOM NUMBER]) had a large window next to the resident's bed. The area between the outer window glass and screen was covered with spider webs and dead insects. Observation on 08/14/19 at 12:07 P.M. revealed Resident #260's room (room [ROOM NUMBER]) had a large section of damaged drywall on the right side of the 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.
- Potential for harm · Ecited before2019-08-15 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview and review of a facility policy, the facility failed to remove expired food items from the kitchen. This had the potential to affect all residents who resided in the facility except three (#1, #37, #311) residents identified by the facility who did not receive meals from the kitchen. The facility census was 60. Findings include: Observation of the kitchen on 08/12/19 at 9:35 A.M. revealed two loafs of Nickels white bread with a use by date of 07/23/19 and a third loaf dated 08/10/19. The bread in one of the two packages dated 07/23/19 was observed to be approximately 80% covered with a green substance. A package of 12 hotdog buns dated 08/10/19, one with with three hotdog buns dated 08/10/19, one with eight hotdog buns dated 08/06/19, and a package of 12 hamburger buns dated 08/10/19 were also observed. Interview on 08/12/19 at 9:50 A.M., Dietary Manger (DM) #401 revealed it was the facility policy to not use bread after the printed date on the package regardless to whether is was an expiration date or a use by date. The date printed on the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-08-15 · tag F0561 — failed to honor residents' choices — isolatedHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observation, review of bathing schedules, review of bathing documentation, staff interview and facility policy review, the facility failed to ensure a resident's choice of bathing. This affected one (#260) of two residents reviewed for choices. The facility census was 60. Findings include Medical record review revealed Resident #260 had an admission date of 07/31/19. Diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, morbid obesity, chronic obstructive pulmonary disease and depressive disorder. Review of the North and South Hall Shower Schedule revealed Resident #260 was scheduled for showers on second shift on Sundays and Thursdays. Further review of the shower schedules revealed for the nurses and nursing assistants to document shower refusals. Review of the shower sheets revealed there were no documented shower/tub bath/bed bath sheets for Resident #260 until 08/14/19. Further review of the bathing sheet revealed no documentation of the type of bathing Resident #260 had received. Review 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.
- Potential for harm · D2019-08-15 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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 determination summary reports from the Ohio Bureau of Pre-admission Level two Screening and Resident Review (PASRR), and staff interview, the facility failed to assess a resident with a serious mental illness accurately. This affected one resident (#46) of two reviewed for PASRR. The facility census was 60. Findings included: Medical record review revealed Resident #46 admitted to the facility on [DATE]. Diagnoses included bipolar disorder, major depressive disorder, and alcohol abuse. Review of the comprehensive Minimum Data Sets (MDS) assessment dated [DATE], section A1500, revealed the facility assessed Resident #46 as not having serious mental illness and or intellectual disabilities as determined by PASRR level two screening. Review of the PASRR Level two screening determination summary, dated 04/15/18, revealed Resident #46 was determined to have serious mental illness. Interview on 08/15/19 at 10:13 A.M., Licensed Practical Nurse (LPN) #205 revealed she 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.
- Potential for harm · D2019-08-15 · tag F0637 — isolatedAssess the resident when there is a significant change in condition
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, review of the quarterly Minimum Data Set (MDS) assessments and staff interviews, the facility failed to ensure a comprehensive assessment was completed after a significant change in functional ability for activities of daily living. This affected one (#2) of three residents reviewed for activities of daily living (ADLs). The facility census was 60. Findings include Medical record review revealed Resident #2 had an admission date of 03/15/19. Diagnoses included cerebrovascular disease and dementia. Review of the quarterly MDS functional assessment completed 04/17/19 revealed Resident #2 required the extensive assistance of two staff members for bed mobility, transfers, dressing and toilet use. The resident also required the extensive assistance of one staff member for personal hygiene. Review of the quarterly MDS functional assessment completed 07/18/19 revealed Resident #2 was independent (no help or staff oversight at any time) with bed mobility, transfers, dressing, eating, toilet use, personal hygiene, and locomotion on and off the unit. Interview…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-08-15 · tag F0641 — isolatedEnsure 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 and staff interview, the facility failed to ensure quarterly Minimum Data Sets (MDS) assessments were accurate. This affected one resident (#57) of nineteen residents reviewed during the annual survey. The facility census was 60. Findings include: Medical record review revealed Resident #57 admitted to the facility on [DATE]. Diagnoses included peripheral vascular disease, muscle wasting and atrophy, and hypertension. Review of the resident's quarterly MDS assessments, dated 07/13/19 and 07/17/19, section M1030, revealed the resident did not have any vascular wounds coded on either MDS assessment. Review of a Skin Grid, dated 07/12/19, revealed the resident had a new vascular wound on his left toe that measured 3 centimeters (cm) long by 3 cm wide by 0.1 cm deep. Interview on 08/14/19 11:54 A.M., Licensed Practical Nurse (LPN) #205 revealed she was responsible for completing resident's MDS assessments. LPN #205 confirmed on 07/12/19, Resident #57 was diagnosed with a vascular ulcer…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-08-15 · tag F0688 — failed to keep residents mobile / prevent decline — isolatedProvide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff and resident interviews, and facility policy review, the facility failed to ensure physical therapy recommendations for restorative ambulation were completed. This directly affected one (#2) of one resident reviewed for activities of daily living (ADL). The facility identified five residents (#2, #4, #10, #18, #58) as receiving restorative services. The facility census was 60. Findings include Medical record review revealed Resident #2 had an admission date of 03/15/19. Diagnoses included cerebrovascular disease and dementia. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #2 had mild cognitive impairment. Further review of the MDS functional assessment revealed the resident was walked in her room and corridor one to two times. Continued review of the MDS mobility assessment revealed the resident used a wheelchair and no walker in the look back period. Review of a physical therapy Discharge summary dated [DATE] revealed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2019-08-15 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ensure resident's medications and treatments were documented in the medical record. This affected two resident (#51 and #261) of six residents reviewed for medications and treatments. The facility census was 60. Findings include: 1. Medical record review revealed Resident #51 was admitted to the facility on [DATE]. Diagnoses included Alzheimer's disease, vascular dementia with behavioral disturbances, impulse disorder and major depressive disorder. Review of the comprehensive Minimum Data Sets (MDS) dated [DATE] revealed the resident's cognition was moderately impaired. Review of the most recent plan of care revealed Resident #51 had been observed displaying sexual behavior in inappropriate locations. Interventions included to limit at risk situation, provide alternative activities, redirect from entering resident rooms without permission, and allow the resident to express need for companionship. Review of the resident's psychiatric…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2019-08-15 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observation, staff interview and review of facility policy, the facility failed to implement infection prevention and control practices during the administration of insulin. This directly affected one (#40) of four residents observed for medication administration. The facility identified 14 residents (#4, #19, #21, #22, #28, #40, #41, #44, #48, #49, #53, #56, #261, #262) who received insulin. The facility census was 60. Findings include Medical record review revealed Resident #40 had an admission date of 08/14/19. Diagnoses included, diabetes mellitus, hypertension, and cerebral infarction. Review of the 08/2019 monthly physician orders revealed the resident was ordered Admelog (100 units/milliliter) four units subcutaneously three times a day with meals. Observation on 08/13/19 at 8:10 A.M. during medication administration revealed Licensed Practical Nurse (LPN) #200 administered a subcutaneous injection of insulin to Resident #40 without wearing gloves. Interview on 08/13/19 at 8:13 A.M. with LPN #200 revealed she forgot to wear gloves during 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.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record. 1 Medicare payment denial on record.
- Medicare payment denial — starting 2025-09-05 for 74 days
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to EMBASSY HEALTHCARE — 33 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 3 of 5 | 2.4 | +0.6 vs chain |
| Health inspection | 3 of 5 | 2.1 | +0.9 vs chain |
| Staffing | 1 of 5 | 1.8 | -0.8 vs chain |
| Quality measures | 5 of 5 | 4.4 | +0.6 vs chain |
The other 32 homes this chain runs (chain average 2.4★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Since |
|---|---|---|---|
| HANDLER, AARON | Individual | MANAGING CONTROL - GOVERNING BODY; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2020 |
| EMBASSY HEALTHCARE MANAGEMENT INC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2020 |
| HERITAGE EMPLOYMENT SERVICES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2020 |
| HERR, AMANDA | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2025 |
| REPCHICK, GEORGE | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | since 01/01/2020 |
CMS files one row per role, so the 11 rows in the source record cover these 5 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.
2 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 $281K paid to related parties (affiliated landlords or management companies) in its most recent cost report. 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
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OH
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 365550. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-05, 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.