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Saint Joseph Care Center

2308 Reno Drive NE, Louisville, OH 44641 · For profit - Corporation · 60 certified beds · (330) 875-5562 Medicare & Medicaid certified

Call the home — (330) 875-5562 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0607, F0609, F0610) — most recent Jan 2026Behavioral-health or dementia-care citation — no harm found (F0758)2 actual-harm citations1 Medicare payment denial
Insights

The public record raises real questions here. Weigh the concerns below carefully.

Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 2 actual-harm citations
  • a high number of inspection citations overall (29) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its independent health-inspection rating is low (2/5)
  • its payroll-based staffing rating is low (2/5)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

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

Location & what’s nearby

Urgent care / clinic
1012 Main St W · (330) 875-1454 · Call to confirm hours
Pharmacy
700 Main St W · (330) 875-5525 · Call to confirm hours
Grocery
1338 N Chapel St · (330) 875-8000 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
1520 California Ave · (330) 875-1673

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 3 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 3 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased16.2%5.3%15.4%typical
Long-stay residents who lose too much weight4.1%6.2%5.4%better
Long-stay residents with a catheter left in their bladder3.0%0.2%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.6%0.4%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms1.2%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury2.9%3.2%3.3%better
Long-stay residents whose ability to walk worsened19.0%6.1%16.1%worse than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication32.3%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine97.5%94.5%95.3%typical
Long-stay residents with pressure ulcers3.7%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control24.3%21.4%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table10.1%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.5%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine96.2%75.6%79.4%better
Short-stay residents rehospitalized after admission29.4%24.9%22.6%worse
Short-stay residents with an outpatient ER visit10.1%12.9%12.0%better

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

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

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

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

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

64.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 111 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

64.6%U.S. median 51.5%
Got home and stayed home
10.2%U.S. median 10.7%
Went back to hospital
48.3%U.S. median 56.6%
Met the expected recovery
0.51U.S. median 0.31
Therapy hours / resident / day
0.20hours / resident / day
Physical therapy
0.25hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 48.3% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 29 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.51 therapist hours per resident per day in 2026Q1 — more than 82% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 21% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF64.6%CMS range 55.3–72.951.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.2%CMS range 6.8–16.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge48.3%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge37.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge44.8%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified86.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay2.2%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization9.3%CMS range 5.3–14.27.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.981.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.49
RN hours/ resident / day
0.68
LPN hours/ resident / day
2.16
Aide hours/ resident / day
3.33
Total nurse hours/ resident / day
0.20
RN hoursweekends
54.1%
Total nursing turnover
44.4%
RN turnover

How full it usually is: this home is certified for 60 beds and averages 55.6 residents a day — about 93% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.33 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.16 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 2.91 hrs/resident/day on weekends vs 3.50 on weekdays — 17% thinner on weekends. RN hours go from 0.61 to 0.20 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 54% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

11
deficiencies at the latest standard inspection (2026-01-05)
6
at the previous standard inspection (2024-03-13)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

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

ABCDEFGHIJKL

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

29 citations, most serious first. The 12 most serious are shown; the remaining 17 are one tap away and print in full.

  • Actual harm · Gcited before2026-01-05 · 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, medical record review, staff and representative interview, and facility policy review, the facility failed to develop and implement a comprehensive and individualized pressure ulcer prevention program to ensure monitoring and assessments were completed timely and appropriately for pressure ulcers and wound care was completed as ordered. This affected two residents (#5 and #61) of three reviewed for pressure wounds. The facility census was 57. Actual Harm occurred beginning on 11/04/25 to Resident #5, who was cognitively impaired, at risk for pressure ulcer development and required staff assistance for activities of daily living care, when the resident was identified to have moisture associated skin damage (MASD) to the coccyx that went unassessed and unmonitored resulting in a decline of the wound. On 12/29/25 the skin impairment was assessed by Wound Nurse Practitioner (NP) #201 to be a Stage III (a wound characterized by full-thickness tissue loss. Subcutaneous fat may be visible, but…

    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
  • Actual harm · G2025-04-21 · 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 closed record review, review of a facility fall investigation, interviews and review of the facility policies, the facility failed to ensure adequate, individualized and effective fall risk interventions were in place to prevent a fall with injury for Resident #60, a resident at risk for falls. This affected one resident (#60) of three residents reviewed for falls. The facility census was 51. Actual Harm occurred on 03/10/25 when Resident #60 sustained an unwitnessed fall out of bed resulting in a fractured left arm, a laceration to the right side of her forehead, and a bruise to her right cheek. Prior to the incident, the resident had been having behaviors which staff identified as terminal agitation. The facility failed to ensure adequate, individualized and effective fall risk interventions were in place prior to the fall with injury to meet the resident's total care and safety needs. Findings include: Review of the closed medical record for Resident #60 revealed an admission date of 11/25/20 and a…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-01-05 · tag F0727 — failed to provide required RN coverage — widespread
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    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 review of the CASPER Report 1705D (Staffing Report) for quarter three of fiscal year 2025 ([DATE]- [DATE]), review of facility nursing schedules, facility daily staffing report postings, and interview with staff, the facility failed to ensure eight consecutive hours of registered nursing coverage per day. This had the potential to affect all residents residing in the facility. The facility census was 57. Findings include:Review on [DATE] of the Centers for Medicare and Medicaid (CMS) CASPER Report 1705D for quarter three of fiscal year 2025 ([DATE]- [DATE]) revealed no Registered Nurse (RN) coverage for more than eight consecutive hours on [DATE], [DATE], [DATE], [DATE], [DATE], and [DATE].Review on [DATE] of the facility daily nursing schedules revealed no RN assigned/scheduled or present working on [DATE], [DATE], [DATE], [DATE], [DATE], and [DATE]. Further review revealed all the infraction dates were on a Saturday or Sunday.Review on [DATE] of the facility's required daily staffing report postings…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-01-05 · tag F0814 — failed to dispose of garbage properly — widespread
    Dispose of garbage and refuse properly.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation, staff interview, and policy review, the facility failed to maintain a clean and sanitary dumpster area. This had the potential to affect all residents residing in the facility. The facility census was 57.Findings include:Observation on 12/29/25 at 8:26 A.M. with Dietary Manager (DM) #74 revealed significant unbagged debris mostly consisting of used gloves surrounding the dumpster. There were also various furniture items and housewares piled up along the fence surrounding the dumpster. Interview on 12/29/25 at 8:28 A.M. with Dietary Manager #74 confirmed the area was not kept clean and free of debris. Review of the facility policy Waste Disposal (undated) revealed trash bags would be sealed prior to removing them from the facility. Trash would be deposited into a sealed container outside the premises.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-01-05 · tag F0800 — pattern
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and facility policy review, the facility failed to ensure residents receiving puree diet were served the appropriate portion size and complete menu items. This affected five residents (#5, #6, #8, #9, and #11) of five identified as receiving a puree diets. The facility census was 57. Findings include:Observation on 12/30/25 at 11:00 A.M. with [NAME] #70 revealed the puree ham, green beans, and potato casserole (main menu) were served with a number 10 scoop with an ivory handle (approximately three to four ounces) and the puree Sheppard's pie (alternate menu) was served with a number 10 scoop with an ivory handle. [NAME] #70 confirmed her scoop sizes for the lunch service. Observation on 12/30/25 from 11:13 A.M. to 12:05 P.M. revealed there was no puree bread served to Residents #5, #6, #8, #9, and #11. Interview on 12/30/25 at 12:06 P.M. with [NAME] #70 confirmed she had not served puree bread and there was not puree bread available on the steamtable to serve. Review of the facility menu revealed lunch on 12/30/25 was ham, green beans, and…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-05 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of medical records, review of facility policies, self-reported incident review, and resident and staff interviews, the facility failed to investigate and self-report an alleged incident of verbal abuse. This affected one (#3) of one residents reviewed for abuse. The facility census was 57.Findings include:Review of the medical record of Resident #3 revealed admission to facility on 09/18/20 with diagnoses of Parkinson's disease (progressive disease affecting balance and fine motor skills), depression, atrial fibrillation (irregular heart rate), anxiety, post-traumatic stress disorder, high blood pressure, and chronic constipation.Review of Resident #3's most recent quarterly minimum data set (MDS) assessment completed on 09/25/25 revealed a brief interview for mental status score of 7 out of 15 indicating moderate cognitive impairment and a depression score of 12 indicating moderate depression. No hallucinations or delusional behaviors noted. Resident #3 required substantial assistance with bathing, transferring, and mobility. Further review revealed Resident #3…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-05 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of medical records, facility policy review, self-reported incident review, and resident and staff interviews, the facility failed to investigate an alleged incident of staff to resident verbal abuse. This affected one (#3) of one resident reviewed for abuse. The facility census was 57.Findings Include: Review of the medical record of Resident #3 revealed admission to facility on 09/18/20 with diagnoses of Parkinson's disease (progressive disease affecting balance and fine motor skills), depression, atrial fibrillation (irregular heart rate), anxiety, post-traumatic stress disorder, high blood pressure, and chronic constipation. Review of Resident #3's most recent quarterly minimum data set (MDS) assessment completed on 09/25/25 revealed a brief interview for mental status score of 7 out of 15 indicating moderate cognitive impairment and a depression score of 12 indicating moderate depression. No hallucinations or delusional behaviors noted. Resident #3 required substantial assistance with bathing, transferring, and mobility. Further review revealed Resident #3…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-05 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure comprehensive assessments were complete and accurate. This affected four (#4, #5, #22, and #43) of 22 residents reviewed for accurate comprehensive assessments. Findings include:1. Review of Resident #43's medical record revealed the resident was admitted on [DATE] and readmitted on [DATE] with diagnoses including depression, Alzheimer's disease and repeated falls. Review of Resident #43's physician orders revealed an order dated 11/26/25 for cefdinir oral capsule 300 milligrams (mg) give one capsule by mouth two times a day for an urinary tract infection (UTI). Review of Resident #43's admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] (with a seven-day look back from 11/27/25 to 12/03/25) revealed the resident exhibited moderate cognitive impairment, was on an hypnotic and not on an antibiotic. Review of Resident #43's medication administration records (MARs) and treatment administration records (TARs) revealed the last…

    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 · D2026-01-05 · 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 observation, record review, and interviews the facility failed to ensure residents had accurate care plans. This affected two residents (#10 and #45) of 22 residents reviewed for accurate care planning.Findings include:1. Review of Resident #45's medical record revealed the resident was initially admitted on [DATE] and readmitted on [DATE] with diagnoses including muscle weakness, history of falling, and acquired absence of the right leg below the knee.Review of Resident #45's admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident exhibited intact cognition.Review of Resident #45's fall care plans revealed an intervention dated 11/10/25 for dycem to the recliner for safety. The care plans did not reflect the dycem to the wheelchair.Review of Resident #45's physician orders revealed an order dated 11/10/25 for dycem to the wheelchair; and an order dated 12/24/25 for dycem to the recliner. No directions were specified for the order.Interview on 12/29/25 at 4:15 P.M. 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-05 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interviews the facility failed to ensure a resident had interventions in place for monitoring of congestive heart failure. This affected one resident (#17) of one resident reviewed for congestive heart failure (CHF). Findings include: Review of Resident #17's medical record revealed the resident was admitted on [DATE] with diagnoses including chronic pulmonary edema and chronic CHF.Review of Resident #17's admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident had debility and cardiorespiratory conditions that included chronic pulmonary edema and heart failure.Review of Resident #17's care plan for nutrition/hydration related to CHF and pulmonary edema revealed an intervention dated 12/15/25 for daily weights as ordered for CHF monitoring. Review of Resident #17's physician orders revealed an order dated 12/13/25 for daily weights due to CHF.Review of Resident #17's weights from 12/13/25 to 12/30/25 revealed Resident #17 was missing daily…

    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 · D2026-01-05 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to honor resident food preferences. This affected two residents (#17 and #43) of three residents reviewed for nutrition. Findings include:1. Review of Resident #17's medical record revealed the resident was initially admitted on [DATE] with diagnoses including chronic pulmonary edema, congestive heart failure, and muscle weakness. Review of Resident #17's admission MDS 3.0 assessment dated [DATE] revealed the resident exhibited intact cognition. Review of Resident #17's nutrition care plan revealed an intervention dated 12/11/25 to provide substitutions for any food/fluid dislikes. Review of Resident #17's physician orders revealed an order dated 12/15/25 for four ounces of a nutritional supplement twice a day for decreased meal intake. Observation on 12/30/25 at 7:52 A.M. of Resident #17 revealed she received breakfast. She received milk, juice, orange juice, and water on tray with eggs and toast. A Certified Nursing Assistant (CNA) brought…

    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 · Dcited before2026-01-05 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure appropriate enhanced barrier precaution signage was in place and appropriate isolation gowns were used when completing wound care. This affected two (#5 and #61) of three residents reviewed for pressure ulcer wounds.Findings include:1. Review of the medical record for Resident #5 revealed an admission date of 11/06/15 and diagnoses included Alzheimer's disease, diabetes mellitus, idiopathic progressive neuropathy, venous insufficiency, obesity due to excess calories, generalized muscle weakness, oropharyngeal phase dysphagia, and anxiety disorder. Review of the Medicare Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #5 had Brief Interview for Mental Status (BIMS) score of 01 indicating severe cognitive impairment. Review of the physician's order dated 12/23/25 revealed order to cleanse open area to coccyx with normal saline (NS), pat dry, apply calcium alginate and cover with foam dressing daily and PRN.…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
Show the remaining 17 citations
  • Potential for harm · Dcited before2024-08-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the medical record, review of the call light audit reports, and interview with the staff the facility failed to answer call lights timely for Resident #10 and #58. This affected two residents (Resident #10 and #58) of three residents reviewed for call light response times. The facility census was 57. Findings included: 1. Review of the medical record revealed Resident #58 was admitted to the facility on [DATE] . Diagnoses included urinary tract infection, sepsis, weakness, and cognitive communication deficit. She was discharged to home on [DATE]. Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #58 had moderately impaired cognition. She needed some help with self-care and required substantial assistance with toilet transfers. Review of the call light audit report revealed Resident #58 had a call light activated for 48 minutes on 05/26/24 at 8:58 A.M. and a call light that was activated for 42 minutes on 05/28/24. On 08/22/24 at 9:42 A.M. an 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-03-13 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and policy review the facility failed to ensure foods were labeled, dated, and discarded when expired. This had the potential to affect all 51 residents in the facility. Findings Include: Observation of the main kitchen and resident refrigerators on 03/10/24 starting at 8:59 A.M. with Dietary Manager (DM) #235 revealed the following areas of concern: • In the dry storage area in the main kitchen, there was an expired case of tortillas dated December 2023. • In the juice and supplement cooler in the main kitchen, there were multiple containers of yogurt and juice that were out of date. • On the Division One unit, there were two containers of takeout food without a date or name. • On the Rehab unit, there was takeout with Resident #26's name and a date of 02/22/24. There was also an undated container of takeout with a resident name that was no longer in the facility as of 03/10/24. Interviews with DM #235 verified the out-of-date foods at the time of observation. DM #235 stated resident food was to have a date and resident name and was to be discarded…

    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 · E2024-03-13 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 interview and record review the facility failed to initiate care plans for hospice care and medication monitoring. This affected six residents (#7, #14, #17, #23, #37 and #39) out of 18 residents reviewed for care planning. The facility census was 51. Findings Include: 1. Review of the medical record for Resident #17 revealed an admission date of 05/30/2023. Diagnoses included respiratory failure, chronic kidney disease, Multiple Sclerosis, and localized swelling. Review of Resident #17's admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #17 was cognitively intact, was dependent for mobility, and received anticoagulant medication. Review of Resident #17's March 2024 physician orders revealed an order dated 06/23/23 for Eliquis (anticoagulant or blood thinning medication) with directions to give 2.5 milligrams (mg) by mouth two times a day for blood clots. Review of Resident #17's care plan dated 12/27/23 revealed no evidence that the resident was receiving anticoagulant…

    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 · E2024-03-13 · tag F0757 — failed to avoid unnecessary drugs — pattern
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, and policy review the facility failed to monitor residents using anticoagulant medications. This affected three residents (#7, #17 and #23) out of seven residents reviewed for medications. The facility census was 51. Findings Include: 1. Review of the medical record for Resident #17 revealed an admission date of 05/30/2023. Diagnoses included respiratory failure, chronic kidney disease, Multiple Sclerosis, and localized swelling. Review of Resident #17's admission Minimum Data Set assessment dated [DATE] revealed the resident was cognitively intact, was dependent for mobility, and received anticoagulant medication. Review of the Resident #17's March 2023 physician orders revealed an order dated 06/23/23 for Eliquis (anticoagulant or blood thinning medication) with directions to give 2.5 milligrams (mg) by mouth two times a day for blood clots. Continued review revealed the facility had no orders in place to monitor the resident for side effects related to her high-risk…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-03-13 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy reviewed the facility failed to ensure staff wore appropriate Personal Protective Equipment (PPE) into Resident #36's Enhanced Barrier Precautions (EBP) room and completed appropriate hand washing during incontinence care for Resident #36. This affected one resident (#36) out of three residents reviewed for transmission-based precautions. This had the potential to affect all ten residents (#5, #20, #36, #7, #37, #4, #9, #1, #103, and #29) on the 500-hall where Resident #36 resided. The facility census was 51. Findings Include: Review of the medical record for Resident #36 revealed an admission date of 02/05/24. Diagnoses included hydronephrosis with renal and ureteral calculous obstruction, urinary tract infection, and Multiple Sclerosis. Review of Resident #36's admission Minimum Data Set assessment dated [DATE] revealed the resident was cognitively intact, required substantial maximum assistance for toileting. Review of Resident #36 physician order…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-13 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement 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 record review, interview, and facility policy review the facility failed to ensure monitoring for medication effects and potential adverse consequences was completed for residents who were receiving psychotropic medications. This affected two residents (#37 and #39) out of five residents reviewed for unnecessary medications. The facility census was 51 residents. Findings Include: 1. Review of Resident #37's medical record revealed an admission date of 11/20/22 and diagnoses including hyperkalemia, obesity, moderate protein-calorie malnutrition, and cognitive communication deficit. Review of Resident #37's annual Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #37 had moderate cognitive impairment and received antianxiety and antidepressant medications. Review of Resident #37's current physician's orders revealed an order dated 03/27/23 for mirtazapine tablet 15 milligrams (mg) give one tablet by mouth at bedtime for increase appetite and an order dated 07/19/23 for Vistaril oral…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-13 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record review, and policy review the facility failed to obtain an ordered culture and sensitivity prior to starting antibiotic therapy for Resident #23. This affected one resident (#23) out of five residents reviewed for antibiotic stewardship. The facility census was 51. Findings Include: Review of the medical record for Resident #23 revealed an admission date of 09/18/20. Diagnoses include Parkinson's disease, fibromyalgia, and hypertension. Review of Resident #23's nursing note dated 12/12/23 at 9:46 A.M. revealed the physician saw the resident on rounds. The resident complained of constipation and abdominal discomfort due to constipation. The physician examined the resident's abdomen and bowel sounds. The resident complained of burning with urination. A urinalysis, lab, and antibiotic were ordered. Review of Resident #23's physician orders revealed an order dated 12/13/23 to straight catheter for urinalysis and culture and sensitive for dysuria and abdominal discomfort. Also noted was an order on 12/13/23 for the resident to start Cefdinir 300 milligrams (mg)…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2024-03-04 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of the infection control logs, review of facility policy and interviews with staff, the facility failed to maintain proper surveillance of all infections in the facility. This had the potential to affect all 51 residents in the facility. Findings include: Review of the infection control log from 11/20/23 to 02/20/24 revealed no documentation of infections from 01/01/24 to 02/20/24. On 02/20/24 at 11:51 A.M. an interview with the Administrator revealed they facility did not have any surveillance of infections documented for January and February 2024 due to the infection control nurse, who just quit her job at the facility the prior week, had not been doing them. On 02/26/24 at 12:27 P.M. an interview with Registered Nurse # 210 revealed she had been the facility's infection control nurse, however, she was never trained to do the infection control log so she never created them for January and February 2024. She stated she had asked several times to be shown how to do the logs but was never shown how to do them. Review of the facility policy titled, Surveillance for…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-03-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — pattern
    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 record reviews and interviews, the facility failed to ensure timely initiation of wound treatment orders and thorough admission skin assessments for Resident #7, #8, #10, and #13 and failed to ensure a weekly wound assessment was completed for Resident #1 who had existing wounds. This affected five residents ( Resident #1, #7, #8, #10 and #13) of 15 residents reviewed for wounds. The facility census was 51. Finding included: 1. Review of the medical record revealed Resident #7 was admitted to the facility on [DATE]. Diagnoses included bacterial pneumonia, acute respiratory failure, urinary tract infection, cognitive communication deficit, polyneuropathy, anxiety disorder, major depressive disorder, chronic obstructive pulmonary disease, atherosclerotic heart disease, chronic constructive pericarditis, hypertension, cervicalgia and dorsalgia. Resident #7 was sent out to the hospital on [DATE]. Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #7 had intact…

    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 · D2024-03-04 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on a review of the medical record and interview with staff the facility to failed to ensure the resident representative for Resident #1 was notified of a new antibiotic treatment for a wound infection for Resident #1. This affected one resident (Resident #1) of 15 residents reviewed for change of condition. The facility census was 51. Findings included: Review of the medical record for Resident #1 revealed an admission date of 10/19/23 with diagnoses including respiratory failure, non-Hodgkin's lymphoma, cognitive communication deficit, muscle weakness, moderate protein-calorie malnutrition, COVID-19, chronic kidney disease, aortic valve stenosis, and atrial fibrillation. Review of the documentation by the wound nurse, dated 02/12/24, revealed Resident #1 had an unstageable pressure injury to the thoracic spine measuring 3.2 centimeters (cm) in length by 2.5 cm in width by undetermined depth. The wound bed was covered in 70 percent slough (yellow/white accumulation of dead cells in a wound). An oral antibiotic (medication used to treat bacterial infections) was ordered due to…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-04 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of facility policy and interviews, the facility did not ensure the Abuse, Mistreatment, Neglect, Exploitation and Misappropriation of Resident Property policy was implemented to ensure timely reporting of alleged resident mistreatment to the Administrator, timely reporting of the allegation to the Ohio Department of Health (ODH) and thorough investigation of the incident. This affected three residents (Resident #23, #32 and #41) of eleven residents reviewed for abuse. The facility census was 51. Findings include: 1. Record review was conducted for Resident #41 who was admitted to the facility on [DATE] with diagnoses including muscle weakness, cognitive communication deficit, heart failure and diabetes mellitus type two. Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #41 had intact cognition, no behaviors, required extensive assistance by two staff for bed mobility and transfers, extensive assistance by one staff for toileting and set up help…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-04 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of facility policy and interviews, the facility did not ensure an allegation of resident mistreatment was immediately reported to the Administrator and was timely reported to the Ohio Department of Health (ODH). This affected one resident (Resident #23) of eleven residents reviewed for abuse. The facility census was 51. Findings include: Record review was conducted for Resident #23 who was admitted to the facility on [DATE] with diagnoses including need for assistance with personal care, major depressive disorder and generalized muscle weakness. Review of the MDS 3.0 assessment dated [DATE] revealed Resident #23 had impaired cognition, no behaviors, required extensive assistance of one staff for bed mobility and toileting, one person physical assist for eating and extensive assistance of two staff for transfers. Review of the plan of care, date initiated 07/18/19, revealed no findings related to abuse. Review of a typed letter from the family member of Resident #23, dated 11/16/23,…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-10 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ensure narcotic pain medication was available in a timely manner following admission to the facility. This affected one resident (Resident #53) of three residents reviewed for admission medication availability. The facility census was 52. Findings include: Review of Resident #53's closed medical record revealed an admission date of 07/27/23 with diagnoses that included left femur fracture with repair and hypertension. Further review of the medical record revealed a physician's order upon admission on [DATE] at 4:17 P.M. which initiated the use of oxycodone (opioid narcotic analgesic) 5 milligrams (mg) every six hours as needed (prn). Review of the 07/27/23 Pain Assessment, listed on the Medication Administration Record, revealed from 7:00 P.M. to 7:00 A.M. the resident had a pain rating of three on a numerical scale of 0-10 (zero being no pain and 10 being the worst pain). There was no evidence of the time the resident was assessed for…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-03-31 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and interview, the facility failed to ensure the dishwasher was functioning in accordance with sanitation requirements. This had the potential to affected all 43 residents who consumed food or drink from the kitchen. Findings include: On 03/28/22 at 7:30 A.M., observation of the dishwasher revealed the temperature gauge was showing a final rinse temperature of 154 degrees Fahrenheit (F). The label on the dishwasher indicated the minimum final rinse temperature should have been 180 degrees F. Further observation of the kitchen revealed a three compartment sink with chemical sanitizer solution was available for use. Interview at the time of observation, Dietary Manager #68 verified the dishwasher temperature gauge was not functioning properly and a three compartment sink with chemical sanitizer solution was available in the kitchen. On 03/28/22 at 8:25 A.M., observation of the dishwasher revealed the temperature gauge was showing a final rinse temperature of 150 degrees F. Dietary Manager #68 verified the dishwasher temperature gauge reading at the time of the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-03-31 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
    Ensure residents do not lose the ability to perform activities of daily living unless there is 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 and staff interview the facility failed to provide restorative nursing services for Resident #4, #14, and #33 per therapy recommendation and as care planned. This affected three residents (Resident #4, #14, and #33) of five reviewed for activities of daily living. Findings include: 1. Review of the medical record revealed Resident #14 was admitted to the facility on [DATE]. Diagnoses included Alzheimer's disease major depressive disorder, dementia dysphagia, cognitive communication deficit, lack of coordination, muscle weakness, difficulty walking, unsteady on feet, hypertension, and need for assistance with care. Review of Resident #14's Restorative Nursing Recommendations from therapy dated 03/05/21 revealed Physical Therapy recommended an ambulation program with contact guard assistance with a front wheeled walker and the wheelchair to follow for 180 feet for Resident #14. Review of the plan of care dated 03/10/21 revealed Resident #14 had impaired self-ambulation related to…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-03-31 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review, the facility failed to ensure showers were provided a minimum of twice a week for Resident #31 and #33, and nails were cleaned and trimmed for Resident # 14. This affected three residents (Resident #14, Resident #31, and Resident #33) of three residents reviewed for activities of daily living (ADL). Findings include: 1. Resident #31 was admitted on [DATE] with diagnoses including Parkinson's disease, major depressive disorder (MDD) and cognitive communication deficit. Resident #31's quarterly Minimum Data Summary (MDS) 3.0 of 03/01/22 revealed the resident was cognitively intact, totally dependent for bathing, and extensive assist of two for other ADLs. Review of the care plan for 11/23/21 revealed a care area for an ADL self-care performance deficit with an intervention for bathing/showering of total dependence of one staff for showering twice a week and as necessary. Review of the shower log from 01/01/22 to 03/26/22 for Resident #31 revealed the resident was scheduled…

    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 · D2022-03-31 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard 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 review of the medical record, facility Self-Reported Incident (SRI) review, staff interview, and Ohio Revised Code review, the facility failed to ensure the admissions coordinator had not signed a cognitively impaired resident's signature and initials on her Durable Power of Attorney for Healthcare. This affected one resident (Resident #242) of one reviewed for falsification of records. Findings include: Review of the medical record revealed Resident #242 was admitted on [DATE] with the diagnoses of hemiplegia following cerebrovascular disease affecting the left side, dementia, major depressive disorder, anxiety disorder, encephalopathy, low back pain, left hand contracture, epilepsy, schizoaffective disorder, cerebral infarction, peripheral vascular disease, cognitive communication deficit, disorders of the brain, dysphagia, chronic pain syndrome, aneurysm, and vascular dementia. The resident expired on [DATE]. Review of the State of Ohio Health Care Power of Attorney form 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record. 1 Medicare payment denial on record.

  • Medicare payment denial — starting 2026-01-27 for 11 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.

Who owns this facility

Owner / managerTypeRoleSince
FIRST MERIT BANK NAOrganization5% OR GREATER MORTGAGE INTERESTsince 11/01/1999
HOCK, RACHAELIndividualW-2 MANAGING EMPLOYEEsince 12/16/2021
KRESS, RICHARDIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 11/05/2014
KERCHNER, CYNTHIAIndividualCORPORATE OFFICERsince 12/16/2021
ROSENBERG, ANNETTEIndividualCORPORATE OFFICERsince 12/16/2021
STRUTNER, SUSANIndividualCORPORATE OFFICERsince 11/01/2017

CMS files one row per role, so the 7 rows in the source record cover these 6 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.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$6.1M
Net patient revenuemost recent cost report
-24.9%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 11%Medicare 12%Other / private 76%

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

$400per resident / day
operating cost
$12,158per month
≈ monthly operating cost
$320per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OH

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.

Typical monthly cost in Ohio
$9,186/mo
Nursing home (semi-private)
$10,389/mo
Nursing home (private)
$6,103/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 365904. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-05, 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.

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