Edgewood Manor Of Lucasville I

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

Therapy staffing: this home’s payroll records show 0.44 therapist hours per resident per day in 2026Q1 — more than 75% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 37% 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.

Staffing

How full it usually is: this home is certified for 96 beds and averages 88.6 residents a day — about 92% occupied, or roughly 7 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 3.09 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.33 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.77 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 2.85 hrs/resident/day on weekends vs 3.19 on weekdays — 10% thinner on weekends. RN hours go from 0.40 to 0.15 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 37% is about the same as 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

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

Inspection deficiencies

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

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

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

• Potential for harm · D2026-04-16 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  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 adequate notice for Medicare A benefits being cut for skilled services. This affected three (#98, #99 and #100) of three residents reviewed for Beneficiary Notices and termination of services without providing the right to appeal. The facility census was 92. Findings include:1. Record review for Resident #98 revealed the resident was admitted to the facility on [DATE]. Diagnoses included myocardial infarction, intestinal obstruction, lack of coordination, and muscle weakness. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #98 had minimally impaired cognition.Review of the Notice of Medicare Non-Coverage Notification revealed Medicare coverage of therapy services will end on 12/10/25. There was no legal signature on the notice with a statement of a verbal notice being given on 12/16/25.2. Record review for Resident #99 revealed the resident was admitted to the facility on [DATE]. Diagnoses…

  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 · D2026-04-16 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 record review and interview, the facility failed to accurately complete a level one Pre-admission Screening/Resident Review (PASARR) and did not list mood disorder or mental disorder on the serious mental illness section to be reviewed for a level two. This affected one resident (#32) of three reviewed for PASARR. The facility census was 92.Findings include: Review of the medical record for Resident #32, revealed an admission date of 03/27/2026. Diagnoses included but were not limited to major depressive disorder, post traumatic stress disorder (PTSD) and respiratory failure. Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of 15 out of 15 suggesting cognitive intactness. The resident was assessed to have a mood disorder and mental disorder. Review of a PASARR completed on 03/27/2026 by the Social Services Director #125 revealed mood disorder and other mental disorder was not indicated under the level one review for serious mental…

  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 before2026-04-16 · 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 interviews, medical record reviews, and review of information from the National Institute of Health, the facility failed to ensure a peripherally inserted central catheter (PICC)/intravenous (IV) access had a baseline plan of care and line maintenance orders upon admission for Resident #16. This affected one resident (#16) of one for intravenous medication therapy. The facility census was 92. Review of the medical record for Resident #16, revealed an admission date of 03/28/26. Diagnoses included but were not limited to acute and subacute infective endocarditis, psychoactive substance abuse and muscle weakness. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed resident was cognitively intact. The resident was assessed to have an intravenous (IV) access and receiving IV antibiotic medication. Review of the medical record for Resident #16 revealed no base line plan of care for PICC access care. Review of the physician orders dated 03/28/26 for Resident #16's 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-04-16 · 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 interviews, observations, medical record review, and policy review, the facility failed to ensure pressure ulcer assessment and treatment was completed timely for Resident #97. The facility also failed to ensure air mattresses were on proper functional settings for Resident # 52 and #97 as well as not being in the plan of care and ordered for proper functional settings for Resident #32. This affected 3 residents (#32, #52, and #97) of 3 residents reviewed for pressure ulcer care. The facility census was 92.1. Review of the medical record for Resident #97, revealed an admission date of 04/09/26. Diagnoses included but were not limited to spina bifida with hydrocephalus, paraplegia, muscle weakness, neuromuscular dysfunction of bladder, and gastrostomy status. Review of the baseline care plan initiated 04/09/26 for Resident #97 revealed a pressure injury with an intervention including but not limited to an air mattress. Review of the clinical admission assessment dated [DATE] for Resident #97 revealed 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 · Fcited before2024-05-09 · 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 observation, staff interview and review of the facility policy the facility failed to implement enhanced barrier precautions (EBP) for residents when appropriate. This affected 11 facility-identified (Residents #13, #23, #29, #39, #43, #54, #60, #70, #77, #92, #337) who were appropriate for EBP and had to potential to affect all of the residents residing in the facility. The facility census was 90. Findings include: Observations on from 05/05/24, 05/06/24, 05/07/24, 05/08/24 and 05/09/24 revealed there were no rooms with signage indicating residents were on EBP. The facility identified 11 residents with a higher risk of infections who were appropriate for EBP: five residents with indwelling Foley catheters (Residents #13, #29, #60, #92, #337), one with a dialysis port (Resident #43), three residents with draining wounds that required a dressing (Residents #13, #39, #60) , two residents with ostomies (Residents #43, #60), five residents with enteral feeding tubes (Residents #23, #43, #54, #70, #77). Interview on 05/08/24 at 10:35 A.M. with State Tested Nursing Assistant…

  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 · E2024-05-09 · tag F0756 — failed to review each resident's drug regimen — pattern
  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and review of the facility policy, the facility failed to ensure pharmacy recommendations were addressed by the physician in a timely manner. This affected four (Residents #32, #43, #77, and #78) of five residents reviewed for unnecessary medications. The facility census was 90 residents. Findings include: 1. Review of the medical record for Resident #43 revealed an admission date of 01/16/20 with diagnoses including end stage renal disease, hypertension, and unspecified psychosis. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #43 dated 03/11/24 revealed the resident had intact cognition. Review of the pharmacy recommendation for Resident #43 dated 09/18/23 revealed a recommendation for a gradual dose reduction of Lexapro (an antidepressant.) The recommendation was signed and dated as being reviewed by the physician on 10/23/23 which was 35 days after the recommendation was made. Interview on 05/08/24 at 10:00 A.M. with Regional Director…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-05-09 · 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

  Based on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure interventions to prevent skin breakdown were implemented as appropriate. This affected one (Resident #45) of four residents reviewed for pressure ulcers. The facility census was 90. Findings include: Review of the medical record for Resident #45 revealed an admission date of 02/14/20 with diagnoses including spina bifida, dementia with behavioral disturbance, and contractures of the left and right hand. Review of the active physician's orders for Resident #45 revealed an order dated 01/03/23 for staff to apply bilateral palm shields with finger separators which should be removed for range of motion and hygiene. Review of the active physician's orders for Resident #45 revealed an order dated 01/12/23 for Prevalon boots to bilateral lower extremities at all times. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #45 dated 03/19/23 revealed the resident was cognitively impaired and had limitation in functional range of motion to the left…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-09 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, observation, resident interview, staff interview, and review of facility policy, the facility failed to timely assess, treat and report increased pain to the physician. This affected one (Resident #65) of one residents reviewed for pain. The facility census was 90 residents. Findings include: Review of the medical record for Resident #65 revealed an admission date of 10/25/22 with diagnoses including unspecified severe protein calorie malnutrition, bipolar disorder, chronic pain, peripheral vascular disease, carpal tunnel syndrome of left and right upper extremities, polyneuropathy, post-traumatic stress disorder (PTSD) and history of alcohol, cannabis, and opioid abuse. Review of the plan of care for Resident #65 initiated on 11/11/22 and revised on 02/16/24 revealed the resident had the potential for pain related to opioid abuse with opioid induced mood disorder, chronic obstructive pulmonary disease (COPD), polyneuropathy, severe carpal tunnel bilateral upper extremities, neuropathy to bilateral lower extremities and peripheral vascular disorder.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-05-09 · tag F0757 — failed to avoid unnecessary drugs — isolated
  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

  Based on medical record review and staff interview the facility failed to ensure appropriate indications for prescribing antibiotic medications to residents. This affected three (Residents #28, #50 and #62) of three residents reviewed for antibiotic stewardship. The facility census was 90 residents. Findings include: Review of the medical record for Resident #28 revealed an admission date of 06/06/19 with diagnoses including Parkinson's disease, atrial fibrillation, bilateral osteoarthritis of hip, chronic kidney disease, hemiplegia and hemiparesis following cerebral infarction affecting left non dominant side, bladder neck obstruction, benign prostatic hyperplasia with lower urinary tract symptoms and chronic obstructive pulmonary disorder. Review of the Medication Administration Record (MAR) for Resident #28 dated December 2023 revealed an order dated 12/23/23 for Bactrim (an antibiotic) by mouth once daily for a urinary tract infection (UTI) with a stop date of 12/28/24. Review of the nursing progress note for Resident #28 dated 12/23/23 timed at 6:53 P.M. revealed the 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 · Fcited before2022-07-05 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, employee interview, and facility policy review the facility failed to ensure staff wore appropriate personal protective equipment in resident areas to prevent the potential spread of COVID-19. This had the potential to affect all 82 residents residing in the facility. Findings Include: Observation on 06/26/22 at 9:00 A.M. Licensed Practical Nurse (LPN) #145 answered the front door of the facility and instructed the survey team who to speak to for direction. Observation on 06/26/22 at 9:02 A.M. Registered Nurse (RN) #200 was standing next to a medication cart without a mask, googles or face shield, and an unknown resident in a wheelchair was propelling away the medication cart. Interview on 06/26/22 at 9:03 A.M. with RN #200 verified she was not wearing a mask or googles. RN #200 stated she arrived at the facility at 7:45 A.M. and was administering medications to residents without appropriate PPE. Observation on 06/26/22 at 9:07 A.M. revealed LPN #139 sitting at the nurse's…

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

  Infection Control Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AOM HEALTHCARE — 20 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

3 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.

About 80% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $890K paid to related parties — landlords or management companies under common ownership — equal to about 11% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in OH