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Lodge Nursing & Rehab Center

9370 Union Cemetery Road, Loveland, OH 45140 · For profit - Limited Liability company · 120 certified beds · (513) 677-4900 Medicare & Medicaid certified

Call the home — (513) 677-4900 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0740)1 immediate-jeopardy citation CMS recorded as corrected before the inspection ended (past non-compliance)$15,924 in federal fines
Insights

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

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
Worth asking about
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (23) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • the CMS record shows $15,924 in federal fines (most recent 2023-12-04)
  • its payroll-based staffing rating is low (1/5)
  • nursing-staff turnover (57%) runs well above the national median (45%)

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.

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 5 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1301 Mattec Dr · (513) 454-7246 · Call to confirm hours
Pharmacy
9520 Fields Ertel Rd · (513) 583-9273 · Call to confirm hours
Grocery
9393 Fields Ertel Rd · (513) 583-1254 · Call to confirm hours
Park
Commerce Park Loveland Ohio · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 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 improved from 4 to 5 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 rating5★
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 increased5.0%5.3%15.4%typical for the state — see note marked double-dagger below the table
Long-stay residents who lose too much weight11.8%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.3%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms65.3%30.1%6.5%worse 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 injury1.9%3.2%3.3%better
Long-stay residents whose ability to walk worsened8.8%6.1%16.1%worse than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication31.6%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine95.7%94.5%95.3%typical
Long-stay residents with pressure ulcers0.1%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control30.1%21.4%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table14.4%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.4%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine93.9%75.6%79.4%better
Short-stay residents rehospitalized after admission21.1%24.9%22.6%typical
Short-stay residents with an outpatient ER visit14.1%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.151.731.67better
Long-stay outpatient ER visits per 1,000 resident days0.481.801.80better

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.

59.5% 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 212 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.5%U.S. median 51.5%
Got home and stayed home
11.3%U.S. median 10.7%
Went back to hospital
56.9%U.S. median 56.6%
Met the expected recovery
0.28U.S. median 0.31
Therapy hours / resident / day
0.14hours / resident / day
Physical therapy
0.10hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 56.9% 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 130 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 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 3% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

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 SNF59.5%CMS range 53.0–65.251.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.3%CMS range 8.4–15.210.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge56.9%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 discharge49.2%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 discharge36.9%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 identified99.4%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 setting99.2%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.6%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.6%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization6.3%CMS range 3.2–10.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.851.02Oct 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

0.52
RN hours/ resident / day
1.03
LPN hours/ resident / day
1.99
Aide hours/ resident / day
3.54
Total nurse hours/ resident / day
0.34
RN hoursweekends
57.3%
Total nursing turnover
50.0%
RN turnover

How full it usually is: this home is certified for 120 beds and averages 109.3 residents a day — about 91% occupied, or roughly 11 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.54 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.99 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.12 hrs/resident/day on weekends vs 3.71 on weekdays — 16% thinner on weekends. RN hours go from 0.59 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 57% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

5
deficiencies at the latest standard inspection (2026-04-09)
1
at the previous standard inspection (2024-05-16)

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.

23 citations, most serious first. The 11 most serious are shown; the remaining 12 are one tap away and print in full.

  • Immediate jeopardy · Jcited before2023-12-04 · 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 THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on observations, closed medical record review, review of the facility investigation and witness statements, staff interviews, review of the police incident report, review of the hospital report, review of the local weather report, and review of the facility policy addressing elopement, the facility failed to provide adequate supervision to prevent a cognitively impaired resident from eloping from the facility. This resulted in Immediate Jeopardy and subsequent serious harm and/or injuries when one resident (Resident #115) eloped from the facility without staff knowledge, was missing approximately one hour and thirty minutes and was found approximately 0.3 miles from the facility by a police officer and was taken to the hospital and admitted with a right hip fracture and hypothermia. This affected one (#115) of three residents reviewed for risk of elopement. The facility identified 35…

    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 · Past Non-Compliance
  • Potential for harm · E2026-04-09 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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 store and prepare food in a sanitary manner to prevent spoliage and protect against a foodborne illness. This had the potential to affect all residents residing in the facility except for the three residents (#6, #13 and #15) with diet orders of nothing by mouth. The facility census was 117.Observation on 04/06/2026 at 9:05 A.M. revealed a red plastic bucket with a liquid inside being stored in the food preparation sink. Interview with Dietary Director (DD) # 446 revealed that the red bucket contained sanitizer and that it should not be stored in the food preparation sink. Observation on 04/06/2026 at 9:05 A.M. revealed two cracked eggs were stored in a small pastic bowl on ice in the kitchen. Further observation revealed that the ice was almost completely melted. Observation on 04/06/2026 9:07 A.M. revealed DD #446 taking a temperature of the eggs. DD #446 verified that the ice had melted and the eggs were at 46 degrees F. DD #446 verified that the eggs should be stored below 41 degrees F. Observation on…

    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 · D2026-04-09 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and policy review, the facility failed to treat residents with respect and dignity. This affected two (#8 and #11) of two residents reviewed for dignity. The facility census was 114. 1.Resident #11 admitted to the facility on [DATE] with diagnoses including malignant neoplasm of base of tongue, general anxiety disorder, and delusional disorders. Review of the minimum data set (MDS) dated [DATE] revealed Resident #11 had moderate cognitive impairment. Observation on 04/06/2026 at approxiamately 12:15 P.M. revealed Resident #11 was standing in her door way and visibly agitated. Resident #11 was being argumentative with staff while they were attempting to assist her. Interview on 04/09/2026 at the same time as the observation, Registered Nurse (RN) #418 made a comment to the surveyor stating that with the way Resident #11 is acting it appears the cancer has spread to her brain. 2.Review of the medical record revealed that Resident #8 was admitted to the facility on [DATE] 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-09 · 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 medical record review, observation, resident interview, staff interview, and policy review, the facility failed to ensure residents who were dependent on staff received adequate activities of daily living (ADL) care. This affected three (#29, #65, and #115) of four residents reviewed ADL's. The facility census was 117. Findings include: 1. Review of the medical record of Resident #29 revealed an admission date of 02/26/26. Diagnoses included right femur fracture, type 2 diabetes mellitus, depression, and history of breast cancer. Review of the comprehensive minimum data set (MDS) assessment dated [DATE] revealed the resident had intact cognition. The resident required setup/cleanup assistance with eating, substantial/maximal assistance with bed mobility and transfers, and was dependent for toileting and bathing. Observation on 04/06/26 at 3:00 P.M. revealed Resident #29 lying in bed. Resident #29 had several chin hairs, varying in length from 1 to 1.5 inches. Interview on 04/06/26 at 3:04 P.M., Resident…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-09 · tag F0740 — failed to provide behavioral / mental-health care — isolated
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review and policy review, the facility failed to ensure residents receive psychiatric services in a timely manner. This affected one (#11) of one resident reviewed for behavioral health services. The facility census was 117. Review of the medical record revealed Resident #11 was admitted to the facility on [DATE] with diagnoses including malignant neoplasm of base of tongue, generalized anxiety disorder, depression, and delusional disorders. Review of the Minimum Data Set assessment dated [DATE] revealed Resident #11 has moderate cognitive impairment. Review of the care plan revealed Resident #11 has impaired cognitive function/dementia or impaired thought process. Interventions include keeping family and care giver informed of Resident #11's capabilities and needs. Monitor, document and report to the physpician any changes is Resident #11's cognitive function. Observation 04/06/2026 at 12:15 P.M. revealed Resident #11 standing in the doorway of her room. Resident #11…

    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 · Dcited before2026-04-09 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled:24Number of residents cited:2 Based on observation, interviews, medical record review, and policy review, the facility failed to ensure medication carts were appropriately locked while nurses administered medications. The facility identified one (Resident #31) resident residing on the Central Unit who was cognitively impaired with mobility. Additionally the facility failed to ensure eye drops were stored according to manufacturer's recommendations. This affected one (Resident #17) of one residents receiving eye drops from the Shelter-Even medication cart. The facility census was 114. Findings include: 1.Review of the medical record revealed Resident #31 was admitted to the facility on [DATE]. Diagnoses included unspecified cerebral infarction, unspecified vascular dementia with mood disturbance, unspecified protein calorie malnutrition, and malignant neoplasm of the colon with colostomy status. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed Resident…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, review of a facility Self-Reported Incident (SRI) and facility policy review, the facility failed to thoroughly investigate a resident's fall and failed to implement new fall interventions to prevent future falls. This affected one (#42) out of three Residents reviewed. The facility census was 102. Findings include: Review of the medical record for Resident #42 revealed the resident was admitted to the facility on [DATE]. Diagnoses included dementia, anxiety, diabetes mellitus, atrial fibrillation, and hypotension. Review of the fall care plan for Resident #42 dated 02/10/24, revealed the resident was at risk for falls related to dementia, impaired safety awareness, resistance to care at times, fear of falling, and fluctuations of assistance with transfers and toileting assistance. The fall care plan revealed no new interventions to prevent additional falls after the resident's fall on 08/29/24. Review of the facility's incident log from 07/01/24 through 09/24/24 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-05-16 · 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 observations, staff interviews, record review, and policy review, the facility failed to ensure narcotics were accurately reconciled. This affected two (Residents #64 and #404) of 19 residents with narcotics medications stored on the Shelter Hall and East Hall odd-side medication carts. The facility census was 105. Findings include: 1. Review of the medical record revealed Resident #64 was admitted to the facility on [DATE]. Diagnoses included cerebral infarction, severe vascular dementia with anxiety, type II diabetes mellitus, and other chronic pain. Review of the Minimum Data Set (MDS) assessment completed on 03/07/24 revealed Resident #64 had severely impaired cognition, had no behaviors, did not wander, and did not reject care. Review of the physician orders dated 01/04/2024 revealed an order for Morphine sulfate 20 milligrams (mg) per (/) milliliter (ml) solution give 0.25 ml (five mg) under tongue every four hours as needed for pain or shortness of breath. Review of the Controlled Drug Record…

    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 · E2024-03-28 · tag F0842 — failed to keep accurate, complete medical records — pattern
    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

    Based on medical record review, staff interview, and review of facility policy, the facility failed to ensure record of meal intakes were consistently documented. This affected four (Residents #1, #3, #36, and #92) of five residents reviewed for meal consumption. The facility census was 104. Findings include: 1. Review of the medical record for Resident #1 revealed an admission date of 12/05/23 with diagnoses including need for assistance with personal care and nutritional deficiency. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #1 dated 02/04/24 revealed the resident had intact cognition. Review of the care plan for Resident #1 dated 12/13/23 revealed the resident had nutritional problems and was at risk for malnutrition related to inadequate meal intake. Interventions included to monitor intake and record every meal. Review of the meal intake records for Resident #1 from 02/27/24 through 03/26/24 revealed there were no intakes documented for the following dates: 02/28/24, 02/29/24, 03/08/24, 03/09/24, and 03/10/24. There were only two meal intake…

    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 · F2021-04-22 · tag F0921 — failed to keep a safe, functional, sanitary building — widespread
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation and staff interview, the facility failed to ensure the main laundry room dryers were free of lint build up. This had the potential to affect all residents who reside in the facility. Facility census was 86. Findings included: During observation of the laundry room on 04/22/21 at 2:33 P.M. with Maintenance Director # 78 revealed dryer #01 (far right) had a large build-up of lint in the front of the dryer where the lint trap was located. Observation revealed a large build-up of lint on top of the lint screen mechanisms, bottom of the drum and lint twisted around to the electric wires. Further observation revealed Dryer #03 (far left) had a hole in the dryer lint screen, a build-up of lint within the lint trap device and large build-up of lint within the vents leading out of the dryer. During interview with Maintenance Director #78 on 04/22/21 at 243 P.M. verified the lint build up in the dryers (#01 and #03) . Maintenance Director #78 stated he was responsible for the back of the dryers and Laundry staff was responsible for the front of the dryers where the lint…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2021-04-22 · tag F0583 — failed to protect personal privacy — pattern
    Keep residents' personal and medical records private and confidential.
    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, observations, staff interview and policy review, the facility failed to provide privacy to residents while in their rooms regarding the use of a video monitoring device and the facility failed to ensure private medical information was secured and kept confidential. This affected four (#3, #72, #74 and #233) out of four residents reviewed for privacy. The facility census was 86. Findings include: 1. Record review of Resident #72's chart revealed resident was admitted to the facility on [DATE] with the following diagnoses; major depressive disorder, respiratory disorders in diseases classified elsewhere, chronic respiratory failure with hypoxia, hypertension, unspecified dementia without behavioral disturbance, gastro esophageal reflux disease without esophagitis, overactive bladder, heart failure, other chronic pain and hypertensive retinopathy. Review of Resident #72's quarterly Minimum Data Sets (MDS) assessment dated [DATE] revealed resident to be cognitively intact and required…

    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
Show the remaining 12 citations
  • Potential for harm · Ecited before2021-04-22 · tag F0755 — failed to provide safe pharmacy services — pattern
    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

    Based on record review, observation, staff interview, and review of the facility policy, the facility failed to document a count/reconciliation of controlled substances each shift. This had the potential to affect ten (#14, #23, #29, #48, #50, #55, #59, #69, #79 and #195) residents with controlled substance medications stored on the Shelter Unit Odd Cart. The census was 86. Findings include: Review of the controlled substance shift to shift count on 04/20/21 at 8:55 A.M. with Registered Nurse (RN) #107 revealed neither the off going nurse nor the oncoming nurse had signed the count for 04/20/21 at 7:00 A.M. for the Shelter Unit Odd Cart. Further review revealed there were 10 (#14, #23, #29, #48, #50, #55, #59, #69, #79 and #195) residents with controlled substances medications stored on the Shelter Unit Odd Cart. Interview on 04/20/21 at 9:09 A.M. with RN #107 confirmed the off going nurse had not signed the count for 04/20/21 at 7:00 A.M. and she had not signed the count at the beginning of her shift on 04/20/21. Interview on 04/22/21 at 2:34 P.M. with the Director of Nursing (DON)…

    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 · E2021-04-22 · 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

    Based on record review, observation, staff interview, review of online resources, and policy review the facility failed to ensure staff performed proper hand hygiene during medication administration. This affected one resident (#240) of seven residents observed for medication administration. In addition the facility failed to ensure a nurse completed appropriate infection control techniques after she provided direct care to a resident in transmission based precautions/quarantined for COVID-19. This affected two residents (#196 and #245) of 24 reviewed for infection control. The facility census was 86. Findings include: Review of the medical record for Resident #240 revealed an admission date of 04/06/21 with a diagnosis of diabetes mellitus. Review of the April 2021 physician orders for Resident #240 revealed an order for a blood sugar check and for an oral medication, midodrine (a medication to help low blood pressure) at noon. Observation of the medication administration on 04/20/21 at 11:37 A.M. for Resident #240 per Licensed Practical Nurse (LPN) #88 revealed the nurse donned…

    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 · D2021-04-22 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor 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 record review and staff interview the facility failed to ensure resident's medical record accurately reflected the resident's advanced directive for a selected code status. This affected one (#8) of one residents reviewed for advanced directives. The census was 86. Findings include: Review of the medical record for Resident #8 revealed an admission date of 06/05/18 with a diagnosis of multiple sclerosis. Review of the April 2021 physician orders for Resident #8 revealed resident's code status was listed as Do Not Resuscitate Comfort Care (DNRCC)-Arrest. Review of the online dashboard in the electronic medical record for Resident #8 revealed resident's code status was listed as DNRCC-Arrest Review of the care plan for Resident #8 dated 06/07/18 revealed resident's advanced directive was for her code status to be DNRCC-Arrest. Interventions included: advanced directives should be kept on the resident's chart and updated quarterly and as needed. Review of the state of Ohio DNR form dated 06/06/18 for Resident #8 under the advanced directive tab on the resident's chart signed…

    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 · D2021-04-22 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and review of the facility policy, the facility failed to notify resident physician of elevated resident blood sugar. This affected one (#3) of seven residents reviewed for unnecessary medications. Additionally, the facility failed failed to ensure the facility physician or advanced provider was notified when a resident had a weight gain of five pounds. This affected one (#241) of three residents reviewed. Facility census was 86. Findings include: 1. Review of the medical record for Resident #3 revealed an admission date of 11/16/18 with a diagnosis of diabetes mellitus. Review of the Minimum Data Set (MDS) assessment for Resident #3 dated 04/02/21 revealed resident was cognitively impaired and required extensive assistance of two staff with activities of daily living (ADL's). Review of the care plan for Resident #3 dated 11/16/18 revealed the resident had diabetes mellitus and received insulin and was at risk for hyper/hypoglycemic episodes and secondary complications…

    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 · D2021-04-22 · tag F0623 — isolated
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to send a copy of the transfer or discharge notice to the Ombudsman for a resident that discharged to the hospital. This affected one (#73) out of three residents reviewed for hospitalizations. The facility census was 86. Findings include: Record review of Resident #73's chart revealed resident was admitted to the facility on [DATE] with the following diagnoses; encephalopathy, unspecified fracture of lower end of left radius initial encounter for closed fracture, Alzheimer's disease, unspecified dementia with behavioral disturbance, essential hypertension, generalized anxiety disorder, irritable bowel syndrome without diarrhea, and nutritional deficiency. Review of Resident #73's quarterly Minimum Data Sets (MDS) assessment dated [DATE] revealed resident to be severely cognitively impaired and required limited assistance with bed mobility, dressing, toileting, and personal hygiene. Resident #73 also required supervision with transfers 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-04-22 · 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 record review, staff interview and review of facility policy, the facility failed to ensure residents were weighed according to physician orders. This affected two (#1 and #241) of the three residents reviewed. Facility census was 86. Findings include: 1. Review of the medical record for Resident #1 revealed an admission date of 03/30/21. Diagnoses included, but not limited to, congestive heart failure (CHF), hypertension (HTN), Atrial fibrillation, osteoarthritis, aortic stenosis, and spondylosis. Review of the most recently completed Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #1 was cognitively intact, had no behaviors, did not reject care, did not wander, was one person assist and required extensive and limited assistance with activities of daily livings (ADL's). Review of physician orders for Resident #1 dated 03/30/21 revealed resident was ordered to be weighed daily in morning before breakfast and physician was to be notified for weight gain greater than three pounds in 24…

    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 · D2021-04-22 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide 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

    Based on medical record review, observation and resident and staff interview the facility failed to ensure residents wore splints as ordered by the physician to treat contractures. This affected one (#25) of three residents reviewed for limited range of motion. The census was 86. Findings include: Review of the medical record for Resident #25 revealed an admission date of 08/25/19 with diagnoses including cerebral infarction and hemiplegia. Review of the Minimum Data Set (MDS) assessment for Resident #25 dated 02/03/21 revealed resident was cognitively intact, required extensive assistance of two staff with activities of daily living (ADL's) and had contractures to her upper extremities. Review of the care plan for Resident #25 dated 02/09/21 revealed resident had an ADL self-care performance deficit due to cerebrovascular accident (CVA) with left hemiparesis, limited ROM, muscle weakness, and left hand contracture. Interventions included resident was to wear a palmar grip splint in left hand at all times except for hygiene and bathing. Review of the care plan for Resident #25 dated…

    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 · Dcited before2021-04-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview and policy review, the facility failed to ensure fall interventions were in place in accordance with a resident's fall care plan. This affected one (#73) out of 19 residents reviewed for care planning. The facility census was 86. Findings include: Record review of Resident #73's chart revealed resident was admitted to the facility on [DATE] with the following diagnoses; encephalopathy, unspecified fracture of lower end of left radius initial encounter for closed fracture, Alzheimer's disease, unspecified dementia with behavioral disturbance, essential hypertension, generalized anxiety disorder, irritable bowel syndrome without diarrhea, and nutritional deficiency. Review of Resident #73's quarterly Minimum Data Sets (MDS) assessment dated [DATE] revealed resident to be severely cognitively impaired and required limited assistance with bed mobility, dressing, toileting, and personal hygiene. Resident #73 also required supervision with transfers 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-04-22 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interviews, review of facility policy, review of Licensed Practical Nurse (LPN) job description and review of online resources from Ohio Board of Nursing, the facility failed to ensure resident received ordered intravenous (IV) medications and accommodating IV flushes via peripherally inserted central catheter (PICC). Additionally, the facility also failed to ensure an LPN was appropriately licensed to administer IV medications when she recorded medications administered through a PICC line. This also affected one (#61) out of one residents reviewed for IV medications. The facility identified only one resident in the facility on IV medications. Facility census was 86. Findings include: Review of the medical record for Resident #61, revealed an admission date of 03/22/21. Diagnoses include osteomyelitis of vertebra, multiple sclerosis (MS), pressure ulcer of sacral region, hypothyroidism, depressive disorders, colostomy, anxiety, flaccid neuropathic bladder, osteoporosis, 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2021-04-22 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, staff interview, and review of medication information from Medscape, the facility failed to timely respond to and implement pharmacist drug regimen recommendations. This affected one (#3) of seven residents reviewed for unnecessary medications. The census was 86. Findings include: Review of the medical record for Resident #3 revealed an admission date of 11/16/18 with a diagnosis of diabetes mellitus. Review of the Minimum Data Set (MDS) assessment for Resident #3 dated 04/02/21 revealed resident was cognitively impaired and required extensive assistance of two staff with activities of daily living (ADL's). Review of the physician orders for Resident #3 revealed an order dated 10/20/20 for hydroxyzine three times daily routinely for itching. Review of the pharmacist recommendation dated 03/15/21 revealed the pharmacist noted resident had been receiving hydroxyzine routinely three times daily for itching since October 2020 and the medication was not recommended for use in the elderly. Further review of the recommendation revealed the medication should…

    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 · D2021-04-22 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, staff interview, review of facility policy and review of medication information from Medscape, the facility discontinued a residents blood pressure medication without a physician's order to do so resulting in a significant medication error . This affected one (#3) of seven residents reviewed for unnecessary medications. The census was 86. Findings include: Review of the medical record for Resident #3 revealed an admission date of 11/16/18 with a diagnosis of diabetes mellitus. Review of the Minimum Data Set (MDS) assessment for Resident #3 dated 04/02/21 revealed resident was cognitively impaired and required extensive assistance of two staff with activities of daily living (ADL's). Review of the care plan for Resident #3 dated 09/19/19 revealed resident was at risk for complications associated with cardiovascular status due to disease processes including congestive heart failure, hypertension, and atrial fibrillation. Interventions included the following: administer medications per physician order, coordinate care as needed with physician or pharmacy 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 · Dcited before2021-04-22 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, observations, staff interview, and review of the facility policy, the facility failed to discard expired medications and failed to ensure medication carts were free of loose unidentified pills in the drawers of the carts. This had the potential to affect the following 17 (#8, #14, #19, #23, #24, #28, #29, #43, #48, #59, #55, #59, #60, #69, #70, #79 and #192) residents who received medication from the Shelter Unit Odd Cart and the following 13 (#1, #61, #232, #233, #234, #235, #236, #237, #238, #239, #240, #241 and #242) residents who received medications from the East Odd Cart. In addition, the facility failed to store controlled substance medication under double lock. This had the potential to affect Resident #74. The census was 86. Findings include: 1. Observation on 04/20/21 at 9:42 A.M. with Registered Nurse (RN) #107 of the refrigerated medication storage in Shelter Unit medication room revealed an expired vial of pneumonia vaccine dated 09/26/20 for Resident #69. Interview on 04/20/21 at 9:42 A.M. with RN #107 confirmed the pneumonia vaccine 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

“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

$15,924 in federal fines across 1 penalty.

  • $15,924 — penalty dated 2023-12-04

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 CARING PLACE HEALTHCARE GROUP — 5 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 54.0≈ chain avg
Health inspection 4 of 53.6+0.4 vs chain
Staffing 1 of 51.6-0.6 vs chain
Quality measures 5 of 55.0≈ chain avg
The other 4 homes this chain runs (chain average 4.0★, 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 / managerTypeRoleShareSince
IRREVOCABLE TRUST AGREEMENT OF BARRY A. KOHNOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 02/15/2024
KOHN, PATSYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST100%since 10/11/2023
KOHN, CHASEIndividualMANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2013
PAYNE, MATTIndividualCORPORATE OFFICERsince 12/18/2024
CARING PLACE HEALTHCARE GROUP, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 07/08/2014
CONCEPT REHAB, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2025
BORT, THADDEUSIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/02/2025
GATES, TAMMYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/19/2025
HUEBNER, KATIEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/02/2025
LEWIS, STEVIEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/15/2021
TRACEY, JUDITHIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/01/1999
ENGAGE CONSULTING, LLCOrganizationADP OF THE SNFsince 12/01/2023
KOHN FAMILY HOLDINGS LIMITED LIABILITY COMPANYOrganizationADP OF THE SNFsince 12/18/2024
LN&R INVESTMENTS LLCOrganizationADP OF THE SNFsince 12/18/2024
KOHN, JONATHANIndividualADP OF THE SNFsince 12/18/2024
RUDOWSKI, ELIZABETHIndividualADP OF THE SNFsince 09/02/2025
SCHUMAN, LAURYNIndividualADP OF THE SNFsince 12/18/2024

CMS files one row per role, so the 27 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted.

6 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.

$12.2M
Net patient revenuemost recent cost report
+2.6%
Operating marginrevenue minus expenses
$960K
Related-party expense8% of expenses
Who pays — share of resident-days
Medicaid 8%Medicare 47%Other / private 46%

This home reported $960K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

$321per resident / day
operating cost
$9,757per month
≈ monthly operating cost
$330per 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 365889. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-04-09, 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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