Edgewood Manor Of Lucasville II

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 0.38 therapist hours per resident per day in 2026Q1 — more than 65% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 7% 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 71 beds and averages 67.6 residents a day — about 95% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. 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 3.10 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 1.83 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 2.80 hrs/resident/day on weekends vs 3.21 on weekdays — 13% thinner on weekends. RN hours go from 0.39 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 50% is about the same as the national median of 45%. 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.

31 citations, most serious first. The 13 most serious are shown; the remaining 18 are one tap away and print in full.

• Actual harm · Gcited before2021-09-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, facility policy and procedure review and interview the facility failed to ensure treatment for a non-pressure related skin impairment was completed as ordered by the physician for Resident #65 and failed to appropriately assess and treat a cigarette burn on Resident #59's thumb following the injury. Actual harm occurred on 06/16/21 when Resident #65 was admitted to the hospital and diagnosed with osteomyelitis (inflammation of bone or bone marrow, usually due to infection) of the second left toe had to have the second left toe amputated. Treatment for non-pressure related skin impairment to the toe area was not completed as ordered after 05/13/21. This affected two residents (#59 and #65) of three residents reviewed for hospitalization and/or skin conditions. Findings Include: 1. Record review revealed Resident #65 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD), type two diabetes mellitus, anxiety, depression,…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2021-09-07 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to provide nutritional interventions, including timely and adequate assistance with meals to Resident #65 to prevent weight loss. Actual harm occurred when Resident #65, who was dependent on staff for eating and assessed to sustain a 20.9% severe weight loss in 180 days (on 02/12/21 the resident weighed 240.6 pounds and on 08/10/21 the resident weighed 190.2 pounds loss of 50.4 pounds in 180 days) did not receive adequate or timely assistance with meals on 08/30/21 and 09/01/21. This affected one resident (#65) of four residents reviewed for weight loss. Findings include: Record review revealed Resident #65 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD), type two diabetes mellitus, anxiety, depression, insomnia, constipation, right below the knee amputation, deep vein thrombosis (DVT) and congestive heart failure (CHF). Resident #65's weight on admission [DATE]) was documented to be…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2021-09-07 · tag F0791 — failed to provide routine dental services — isolated
  Provide or obtain dental services for each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure timely dental services were provided for Resident #9 and Resident #65. Actual harm occurred on 09/02/21 when Resident #65, who had been referred for tooth extraction (on 04/27/21) was assessed to have an infected tooth which required antibiotic treatment. The facility failed to ensure a follow up appointment for the extraction was completed timely after the need for the extraction was identified on 04/27/21 resulting in the resident developing an infection. This affected two residents (#9 and #65) of the three residents reviewed for dental services. Findings Include: 1. Record review revealed Resident #65 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease (COPD), type two diabetes mellitus, anxiety, depression, insomnia, constipation, right below the knee amputation, deep vein thrombosis (DVT) and congestive heart failure (CHF). Review of a physician order, dated 04/20/21 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 · Ddisputed · IDR2026-06-12 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on closed record review, interview and policy review, the facility failed to allow Resident #22 to return to the facility following a discharge to jail and subsequent hospitalization due to the inability to find a safe discharge location. The facility also failed to assist the resident with appropriate and necessary discharge planning to ensure the resident's total care needs were met. This affected one resident (#22) of three residents reviewed for discharge and transfers. The facility census was 68.Findings include: Closed record review revealed Resident #22 admitted to the facility on [DATE] with diagnoses including bipolar disorder, traumatic brain injury, and schizoaffective disorder bipolar type. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #22's cognition was moderately impaired. The MDS assessment noted the goal for the resident was to remain in the facility for long term care. The MDS also reflected the resident had physical behaviors directed towards others…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-06-18 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
  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 observations, staff interviews, and review of facility policy, the facility failed to ensure privacy curtains were in place around commodes in the communal bathroom for residents to utilize for privacy when toileting. This had the potential to affect the 22 residents (#1, #2, #5, #6, #9, #14, #17, #18, #19, #22, #26, #27, #33, #34, #35, #36, #38, #39, #45, #54, #59, and #64) who resided on the 300 hall and 400 hall and were identified by the facility as utilizing the communal bathrooms. The facility census was 67. Findings include: Observation on 06/17/25 at 10:30 A.M. revealed residents residing on the 300 hall did not have private bathrooms present in their rooms and had to utilize a communal bathroom for toileting. The bathroom contained two commodes which had tracks on the ceiling to place a curtain to pull around the commodes for privacy when in use. No curtains were in place on the tracks to pull for privacy. Interview with Certified Nursing Assistant (CNA) #241 at the time of the observation confirmed the residents residing on the 300 hall had to utilize the communal…

  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 · D2025-06-18 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 staff interview, the facility failed to complete a gradual dose reduction (GDR) or documentation of a clinical contraindication for not attempting a GDR for a resident on two antipsychotics. This affected one (Resident #16) of five residents reviewed for unnecessary medications. The facility census was 67. Findings include: Record review of Resident #16 revealed this resident was admitted to the facility on [DATE]. Diagnoses included paranoid schizophrenia. Review of the Minimum Data Set (MDS) assessment completed on 04/02/25 revealed Resident #16 had cognitive impairments. Review of the physician orders revealed Resident #16 was on the following medications: on 02/11/23, Perphenazine (antipsychotic) 8.0 milligrams (mg) one tablet by mouth four times a day for paranoid schizophrenia. On 02/21/24, Ziprasidone (antipsychotic) 80 mg one tablet by mouth twice daily for paranoid schizophrenia, Resident #16's medical record did not have evidence have a GDR attempt for the two antipsychotic…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-18 · 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

  Based on medical record review and staff interview, the facility failed to ensure a resident who had abnormal heart rate received timely care and services. This affected one (Resident #37) of two residents reviewed for change of condition. The facility census was 67. Findings include: Review of the medical record for Resident #37 revealed an admission date of 11/19/2020. Diagnoses included chronic obstructive pulmonary disease, anxiety disorder, and chronic pain. Review of the nursing progress note dated 04/19/25 at 1:09 P.M. created by Licensed Practical Nurse (LPN) #202 revealed the nurse was putting the vital signs in the medical record for Resident #37 when noticing a heart rate was documented on the paper as 23 beats per minute (bpm) (normal was 60 to 100 bpm). LPN #202 went to recheck the resident's pulse to make sure it was not actually 23 bpm. The resident's heart rate was fluctuating back and forth from 23 to 25 bmp. LPN #202 called the physician to report the findings and the physician instructed to send Resident #37 to the emergency room. Interview on 06/18/25 at 3:30…

  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 before2024-10-25 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, review of facility Self-Reported Incidents (SRIs), and review of the facility policy, the facility failed to timely report an allegation of staff to resident physical abuse. This affected one (Resident #9) of three residents reviewed for abuse. The facility census was 65 residents. Findings include: Review of the medical record for Resident #9 revealed an admission date of 05/24/23 with diagnoses including muscle weakness, unsteadiness on feet, difficulty walking, paranoid schizophrenia, and anxiety disorder. Review of the Minimum Data Set (MDS) assessment for Resident #9 dated 09/04/24 revealed the resident was moderately cognitively impaired. Review of the facility SRI form for Resident #9 dated 10/11/24 timed at 8:38 A.M. revealed the facility reported an allegation of physical abuse per Licensed Practical Nurse (LPN) #205 towards Resident #9. Review of witness statements per Certified Nursing Assistants (CNAs) # 163 and #166 obtained by the Director of Nursing (DON) on 10/11/24 revealed between approximately 4:00 A.M. to 4:30 A.M. on 10/11/24 the…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-10-25 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, review of facility Self-Reported Incidents (SRIs), and review of the facility policy, the facility failed to ensure residents were protected from further possible abuse during an abuse investigation. This affected one (Resident #9) of three residents reviewed for abuse. The facility census was 65 residents. Findings include: Review of the medical record for Resident #9 revealed an admission date of 05/24/23 with diagnoses including muscle weakness, unsteadiness on feet, difficulty walking, paranoid schizophrenia, and anxiety disorder. Review of the Minimum Data Set (MDS) assessment for Resident #9 dated 09/04/24 revealed the resident was moderately cognitively impaired. Review of the facility SRI form for Resident #9 dated 10/11/24 timed at 8:38 A.M. revealed the facility reported an allegation of physical abuse per Licensed Practical Nurse (LPN) #205 towards Resident #9. Review of witness statements per Certified Nursing Assistants (CNAs) # 163 and #166 obtained by the Director of Nursing (DON) on 10/11/24 revealed at approximately 4:00 A.M. to 4:30…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-17 · 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 staff interview and record review the facility failed to have accurate advance directives in the electronic and medical record. This affected one (Resident #14) of one resident reviewed for advanced directives. The facility census was 64. Findings include: Record review of Resident #14 revealed an admission date of 08/13/21 with pertinent diagnoses of: Alzheimer's disease, hypertensive heart disease with heart failure, hypertension, type two diabetes mellitus, and chronic obstructive pulmonary disease. Review of the 07/24/23 quarterly Minimum Data Set (MDS) assessment revealed the resident was moderately cognitively impaired and required extensive assistance for dressing, personal hygiene, and limited assistance for walk in room and transfer. The resident needed supervision for bed mobility, eating, and toilet use. Review of the paper medical record on 08/15/23 at 8:45 A.M. revealed Resident #14 had a do not resuscitate comfort care (DNR-CC) paper that was not dated but had a signature of a doctor on it. Review of the electronic medical record on 08/15/23 at 8:50 A.M.…

  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 · Dcited before2023-08-17 · 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 and interview, the facility failed to notify one resident's (#218) physician of a change in condition. This affected one (Resident #218) of four residents reviewed for accidents. The census was 64. Findings Include: Review of the medical record for Resident #218 revealed an initial admission date of 04/20/16 with the latest readmission of 07/13/23 with diagnoses including paranoid schizophrenia, chronic obstructive pulmonary disease, repeated falls, difficulty in walking, unsteadiness on feet, generalized muscle weakness, extrapyramidal and movement disorder, bipolar II disorder, anxiety disorder, legal blindness , atrial fibrillation, ocular manifestations of vitamin A deficiency, disorder of urea cycle metabolism, dizziness and giddiness, benign prostatic hyperplasia, dysphagia, bullous keratopathy right eye, open angle glaucoma both eyes, acquired absence of eye, hyperlipidemia, constipation, speech disturbances, history of falling, pain, manic episodes, gastro-esophageal reflux…

  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 · D2023-08-17 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure one resident (#55) was free from physical restraints. This affected one (Resident #55) of three residents reviewed for restraints. The facility census was 64. Findings Include Review of the medical record for Resident #55 revealed an initial admission date of 04/07/22 with the latest readmission of 05/13/23 with diagnoses including sepsis, anterior displaced type II dens fracture with delayed healing, chronic viral hepatitis, insomnia, tobacco use, Alzheimer's disease, generalized muscle weakness, shortness of breath, difficulty in walking, unsteadiness, dysphagia, dementia with behavioral disturbances, disorders of bladder, neurogenic bladder, hypertension and atrial fibrillation. Review of the resident's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had a severe cognitive deficit. Review of the mood and behavior revealed the resident had both hallucinations and delusions. The assessment indicated…

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

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-08-17 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, review of facilities Self Reported Incident (SRI), review of facility policy titled Abuse, Investigation and Reporting and interviews the facility failed to appropriately identify and report a resident to resident abuse. This affected one resident (Resident #39) out of four residents screened for abuse. The facility policy was 64. Findings include: Record review of Resident #39 revealed an admission date of 07/13/20 with pertinent diagnoses of: Bipolar disorder, depression, hypertension, seizures, muscle weakness, falls, COVID-19, lack of coordination, dementia, traumatic brain injury, and alcohol abuse. Review of the 07/11/23 annual Minimum Data Set (MDS) revealed the resident has severe cognitive impairment and is rarely/never understood. The resident required one person limited assistance for personal hygiene and physical help in part of bathing. The resident uses a wheelchair to aid in mobility. Review of progress note from 08/01/23 revealed another resident went into this resident's room and Resident #39 threw his water cup at the other 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.

  Freedom from Abuse, Neglect, and Exploitation 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.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

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 76% 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 $689K 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