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Waterview Pointe Nursing & Rehabilitation

117 Bartlett Street, Marietta, OH 45750 · For profit - Corporation · 80 certified beds · (740) 434-5900 Medicare & Medicaid certified

Call the home — (740) 434-5900 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0607) — cited Jan 2023Resident-funds citations (F0567, F0569)
Insights

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

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)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • lower-than-typical staff turnover (32% vs 45% nationally) — better care continuity
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has citations for mishandling residents’ money or property (F0567, F0569)
  • a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags

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) 4 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
416 Front St · (740) 236-4131 · Call to confirm hours
Pharmacy
131 3rd St · (740) 373-2961 · Call to confirm hours
Grocery
200 Butler St · (740) 885-8194 · Call to confirm hours
Park
801 Lancaster St · (740) 376-2001 · Typically dawn to dusk
Place of worship
115 High St

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

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 1 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 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 rating4★
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 increased5.3%5.3%15.4%typical for the state — see note marked double-dagger below the table
Long-stay residents who lose too much weight4.7%6.2%5.4%better
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 infection0.0%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms21.9%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.9%3.2%3.3%worse
Long-stay residents whose ability to walk worsened3.6%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication38.2%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine98.7%94.5%95.3%typical
Long-stay residents with pressure ulcers1.5%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control18.8%21.4%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table8.1%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication1.1%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine80.0%75.6%79.4%typical
Short-stay residents rehospitalized after admission28.3%24.9%22.6%worse
Short-stay residents with an outpatient ER visit11.0%12.9%12.0%typical
Long-stay hospitalizations per 1,000 resident days2.431.731.67worse
Long-stay outpatient ER visits per 1,000 resident days1.571.801.80better

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.

46.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 118 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

46.5%U.S. median 51.5%
Got home and stayed home
9.7%U.S. median 10.7%
Went back to hospital
25.0%U.S. median 56.6%
Met the expected recovery
0.30U.S. median 0.31
Therapy hours / resident / day
0.14hours / resident / day
Physical therapy
0.08hours / resident / day
Occupational therapy
0.07hours / resident / day
Speech therapy

Met the expected recovery: 25.0% 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 48 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 0.30 therapist hours per resident per day in 2026Q1 — more than 47% 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.

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 SNF46.5%CMS range 37.1–53.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.7%CMS range 7.5–12.610.7%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 discharge25.0%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 discharge22.9%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge14.6%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 identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final 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 stay1.5%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.9%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 hospitalization8.0%CMS range 4.8–11.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.001.02Oct 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

0.63
RN hours/ resident / day
1.00
LPN hours/ resident / day
2.05
Aide hours/ resident / day
3.68
Total nurse hours/ resident / day
0.43
RN hoursweekends
31.7%
Total nursing turnover
11.1%
RN turnover

How full it usually is: this home is certified for 80 beds and averages 68.9 residents a day — about 86% 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 3.68 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.05 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 3.41 hrs/resident/day on weekends vs 3.80 on weekdays — 10% thinner on weekends. RN hours go from 0.71 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below the national median of 45%.

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

Inspection trend

7
deficiencies at the latest standard inspection (2025-08-04)
5
at the previous standard inspection (2024-05-29)

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.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

  • Potential for harm · D2025-08-04 · 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, beneficiary notice review, policy review and interview, the facility failed to ensure residents were informed of what type of skilled services were being terminated. This affected three residents (#2, #20 and #83) of three residents reviewed for beneficiary notifications.Findings include:Findings Include: 1. Medical record review revealed Resident #83 was admitted on [DATE] and discharged [DATE]. Review of the Notice of Medicare Non-Coverage dated 04/28/25 for Resident #83 revealed her skilled services were ending on 04/30/25. The facility failed to document what skilled services were ending on 04/30/25. 2. Medical record review revealed Resident #20 was admitted on [DATE]. Review of the Notice of Medicare Non-Coverage dated 04/08/25 for Resident #20 revealed current services was ending on 04/10/25. The facility failed to document what skilled services were ending on 04/10/25 for Resident #20. 3. Medical record review revealed Resident #2 was admitted on [DATE].Review of the…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-04 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of email correspondence to the local Ombudsman, and staff interview, the facility failed to ensure the State Ombudsman was notified of a resident's discharge from the facility. This affected one resident (#81) of three residents reviewed for discharge. Findings include: Review of Resident #81's closed medical record revealed she was admitted to the facility on [DATE]. Her diagnoses included Alzheimer's disease, delusional disorder, anxiety disorder, and tremors. She had a discharge date to home on [DATE]. Review of Resident #81's Discharge Plan of Care and Recapitulation dated 06/13/25 revealed the resident was there for a respite stay. Review of an email correspondence from the facility's social worker (Social Service Designee #202) to the State Ombudsman's email address dated 07/07/25 at 4:04 P.M. revealed Social Service Designee (SSD) #202 sent an email notifying the local State Ombudsman of discharges that had occurred for the prior month (June 2025). There were 13 residents 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-04 · 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, observations, and interviews, the facility failed to attempt new interventions for skin conditions (non-pressure related) and behaviors for Resident #42. This affected one resident (#42) of two residents reviewed for skin conditions. Additionally, the facility failed to ensure residents were positioned appropriately in their wheelchair. This affected one resident (#45) of one resident reviewed for positioning. The facility census was 69. Findings include:1.Record review revealed Resident #42 was admitted to the facility on [DATE] with diagnoses including neurocognitive disorder with Lewy bodies, seborrheic dermatitis, and psoriasis. Review of a care plan dated 06/27/22 revealed Resident #42 was at risk for alteration in skin integrity related to Lewy body dementia, pain, recent hip replacement, psoriasis- areas come and go (mainly on face)- picks at skin on face, and seborrheic dermatitis which comes and goes. Interventions included but were not limited to complete skin assessments per…

    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 before2025-08-04 · 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 Based on observation, interview, and record review the facility failed to provide a safe environment for a resident left unattended with medications. This affected one resident (#28) of 69 residents residing in the facility. The facility census was 69. Findings Include: Medical record review revealed Resident #28 was admitted on [DATE] with diagnoses including rheumatoid arthritis, anxiety disorder, chronic pain and cerebral infarction without residual deficits. Review of the electronic Order Summary Report dated 07/31/25 revealed no evidence the resident was capable to self-administer medications. There was also no physician order for Resident #28's medications could be left at bedside unsupervised by the nurse. On 07/31/25 at 7:45 A.M., the surveyor observed Licensed Practical Nurse (LPN) #130 at the medication cart in the 400 hallway preparing medications. Resident #28's door was closed and permission to enter the room was obtained after knocking on the door twice. As the surveyor entered the resident's room…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-04 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and staff interview, the facility failed to ensure the physician addressed all the recommendations made by the facility's consulting pharmacist for irregularities that were identified during their monthly medication regimen review. This affected two residents (#3 and #8) of five residents reviewed for unnecessary medications. Findings include: 1. Review of Resident #3's medical record revealed the resident was admitted to the facility on [DATE]. His diagnoses included schizo-affective disorder, generalized anxiety disorder, and major depressive disorder. Review of a pharmacy recommendation following a monthly medication regimen review of Resident #3's medications on 03/19/25 revealed the facility's consulting pharmacist recommended the physician consider a gradual dosage reduction (GDR) attempt regarding the resident's use of Zyprexa 10 milligrams (mg) daily, Remeron 15 mg at bedtime, Buspar 10 mg daily, and Paxil 20 mg daily. The physician agreed with the recommendation…

    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 · D2025-08-04 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and policy review the facility failed to follow physician ordered parameters for medication administration. This affected two residents (#3, #5) of five residents reviewed for medication regimens.Findings Include:1. Review of Resident #3's medical record revealed he was admitted to the facility on [DATE]. His diagnoses included Parkinson's disease, adult onset diabetes mellitus, malignant neoplasm of the colon, schizo-affective disorder of the bipolar type, and mild intellectual disabilities. Review of Resident #3's physician's orders revealed the resident had an order to receive Hydrocodone- Acetaminophen (Norco) 5-325 milligrams (mg) by mouth (po) every six hours prn for pain rating 5-10. That order originated on 07/18/25. He also had an order to receive Tylenol Extra Strength 500 mg tablets with directions to give two tablets every six hours prn for a pain rating of 1-5. Review of Resident #3's electronic medication administration record (eMAR) for June 2025 revealed 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-04 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, policy review and interview, the facility failed to maintain adequate infection control practices during the administration of medications. This affected two residents (#35 and #51) of three residents observed for medication administration. Findings include: Medical record review revealed Resident #35 was admitted on [DATE] and Resident #51 was admitted on [DATE].On 07/29/25 between 8:48 A.M. and 9:15 A.M., observation of both Resident #35 and #51's morning medication administrations revealed Registered Nurse (RN) #200 would apply gloves, open the medication cart, removed the pharmacy package and over-the-counter bottles of the ordered medications from multiple drawers on the medication cart and then dispense the medications into his gloved hand. The medications would then be placed into the medication cup. Twice during the observations, RN #200 was observed opening the lid to the trash can to dispose of a wasted medication and throw away trash. The electronic…

    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 · Dcited before2024-05-29 · 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, interview, record review, and facility policy review, the facility failed to evaluate and treat a resident's skin condition. This affected one of one resident (#31) reviewed for non pressure skin impairment. The facility census was 71. Findings include: Review of the medical record for Resident #31 revealed an admission date of 07/22/22 with diagnoses including psoriasis. Review of the quarterly Minimum Data Set (MDS) dated [DATE] indicated Resident #31 required partial to moderate assistance with showers and or bathing and supervision with personal hygiene. The assessment indicated Resident #31 had no skin impairments however received application of ointment/medication to site other than his feet. Review of the physician orders dated May 2024 revealed Resident #31 had an order for Ketoconazole external shampoo 2 percent to apply to scalp topically every day shift on Monday and Thursday for Seborrhea. Review of the Medication Administration Record for May 2024 revealed Resident #31 received…

    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 before2024-05-29 · 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 observations, staff interview, resident interview, and record review, the facility failed to ensure each resident received adequate supervision to prevent accidents. This affected one of one residents reviewed for falls (#12). The facility census was 71. Findings include: Review of the medical record for Resident #12 revealed an admission date of 02/29/24 and diagnoses including morbid obesity, chronic obstructive pulmonary disease, and chronic respiratory failure. Review of a fall risk assessment 02/29/24 revealed the resident was at risk for falls and had a history of a fall in the last 30 days. It indicated the resident's balance was not steady moving from a seated to standing position or with walking. Review of an incident report revealed on 03/04/24 at 4:30 P.M. Resident #12 was noted on the floor in her bathroom. The resident was sitting on her buttocks facing the grab bar with her legs straight out in front of her. The resident stated that staff assisted her to the bathroom and gave her the call…

    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 · D2024-05-29 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such 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 interviews and record review, the facility failed to monitor a dialysis site per the resident centered care plan. This affected one resident (#26) of one resident reviewed who was receiving dialysis. The facility census was 71. Findings include: Review of the medical record for Resident #26, revealed an admission date of 10/18/20. Diagnoses included: type 2 diabetes mellitus with diabetic neuropathy, heart failure, chronic kidney disease, stage 4 (severe) and dysphagia, oral phase. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of 15. The resident was assessed to require independent with bed mobility and transfers from bed and chairs, with supervision or touching assistance with tub/shower transfers and partial moderate assistance with shower/bathe self. Review of the progress note dated 04/10/24 for Resident #26 revealed the placement of a central venous line (CVL) for dialysis with no documentation on the location 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
Show the remaining 12 citations
  • Potential for harm · D2024-05-29 · tag F0699 — isolated
    Provide care or services that was trauma informed and/or culturally competent.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure residents with Post Traumatic Stress Disorder (PTSD) were appropriately evaluated to identify the cause of the resident's PTSD and minimize triggers and/or re-traumatization. This affected two residents (#23 and #24) of two residents identified by the facility as having PTSD/trauma. The facility census was 71. Findings include: 1. Review of the medical record for Resident #24 revealed an admission date of 03/20/23 with diagnoses including major depressive disorder, anxiety disorder, bipolar disorder and dated 03/23/23 PTSD. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #24 was cognitively intact with a Brief Interview of Mental Status (BIMS) of 15 with no behaviors however, did self isolate at times. Resident #24 required staff assistance to complete activities of daily living. The assessment identified Resident #24 had diagnoses of anxiety, depression, bipolar disorder, and PTSD. Review of the Brief…

    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 · D2024-05-29 · 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 interview and record review, the facility failed to administer medication as ordered for Resident #26 after dialysis treatments. This affected one resident (#26) of one resident reviewed for dialysis. The facility census was 71. Findings include: Review of the medical record for Resident #26, revealed an admission date of 10/18/20. Diagnoses included: type 2 diabetes mellitus with diabetic neuropathy, heart failure, chronic kidney disease, stage 4 (severe), anxiety, depression, parkinson's disease, and dysphasia, oral phase. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) of 15. The resident was assessed to require independent with bed mobility and transfers from bed and chairs, with supervision or touching assistance with tub/shower transfers and partial moderate assistance with shower/bathe self. Review of active physician orders for Resident #26 revealed the following medications were to be given upon rise at 7:00 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-01-24 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
    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 medical record review, resident interview, staff interview, and facility policy review, the facility failed to adequately monitor resident nutritional status and health. This affected four (Residents #7, #39, #41, and #59) of five residents reviewed for nutrition. The census was 71. Findings Include: 1. Record review revealed Resident #7 was admitted to the facility on [DATE]. Her diagnoses were acute of chronic right heart failure, atrial fibrillation, generalized edema, low back pain, disorder of bone density, constipation, enterococcus as the cause of diseases, urinary tract infection, and hypertension. Review of her Minimum Data Set (MDS) assessment, dated 10/02/22, revealed she was cognitively intact. Review of Resident #7 weights revealed the following weights and dates in which significant change occurred: 08/08/22 (139.1 pounds), 09/01/22 (115.4 pounds), 10/02/22 (112.2 pounds), and 11/01/22 (121 pounds). Review of Resident #7 progress notes, dated 09/01/22 to 11/01/22, revealed no documentation…

    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 · D2023-01-24 · tag F0567 — failed to protect residents' money held by the home — isolated
    Honor the resident's right to manage his or her financial affairs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of resident fund management services authorization agreement form, interviews, and policy review the facility failed to obtain written authorization to manage residents' funds. This affected two (Resident #33 and #35) of six residents reviewed for personal funds. Findings include: 1. Record review revealed Resident #33 was admitted to the facility on [DATE] with diagnoses including heart and kidney failure. Review of Resident #33's resident fund management services authorization agreement to handle funds undated revealed there was an X for the resident's signature. There were two witnesses, however, the witnesses were facility staff. Interview on 01/17/23 at 3:26 P.M. and 01/18/23 at 8:27 A.M., with the Business office Manager (BOM) #187 revealed the resident and his sister refused to sign the fund authorization form and she was afraid the resident would throw the checks in the trash, so she took his mail and deposited the checks into a personal funds account. The BOM #187 verified…

    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 · D2023-01-24 · tag F0569 — isolated
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, resident fund review, interview, and policy review the facility failed to ensure residents received spend down notifications timely and reimbursed funds timely after death. This affected one (Resident #35) of five residents reviewed for personal funds and one (Resident #74) of two residents reviewed for closer of account. Findings included: 1. Record review revealed Resident #35 was admitted to the facility on [DATE] with diagnoses of dementia, psychosis, mental disorder, depression, anxiety, and Alzheimer's disease. The resident's primary insurance was Medicaid and secondary was Medicare. Review of Resident #35's resident fund statements dated [DATE] to [DATE] revealed the resident had an active account and the balances ranged from $3,588.38 to $5,468.71. Review of Resident #35's resident fund management services authorization agreement to handle funds dated [DATE] revealed there was an X for the resident's signature. The two witness signatures were staff members. There was no evidence…

    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 · D2023-01-24 · tag F0576 — isolated
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    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 Resident medical and financial record review, resident interview, resident family interview, and staff interview, the facility failed to allow residents to receive all mail without it being unopened. This affected one (Resident #33) of one resident reviewed for opened mail. The census was 71. Findings Include: Resident #33 was admitted to the facility on [DATE]. His diagnoses included heart and kidney failure. Review of his Minimum Data Set (MDS) assessment revealed he was cognitively intact. Review of Resident #33 financial records revealed he had an opened personal funds account with the facility. There were multiple entries per month of funds that were being added, via checks that were deposited by the facility into this account. There were between two and four checks per month added to this financial account; the checks were sent to the facility via mail and addressed to Resident #33. Interview on 01/18/23 at 1:25 PM with Resident #33 revealed he did not give the facility permission to open his mail…

    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 · D2023-01-24 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, review of hospital records, interview, and policy review the facility failed to ensure a resident was involved in advance directive decisions. This affected one (Resident #225) of two residents reviewed for advance directives. Findings included: Record review revealed Resident #225 was admitted to the facility on [DATE] with diagnoses including heart and respiratory failure. Review of Resident #225's progress notes dated 01/11/23 to 01/23/23 revealed the resident had no cognition impairment. Review of Resident #225's hospital notes dated 01/06/23 to 01/11/23 revealed the resident was a full code and had changed code status on 01/06/23 to Do Not Resuscitate-Comfort Care Arrest (DNRCC-A). Review of Resident #225's facility physician orders dated 01/11/23 revealed the resident's code status was a full code. Review of Resident #225's paper care conference note dated 01/17/23 revealed the social worker had marked the resident's code status was a full code. Interview on 01/18/23 at 3:45…

    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 before2023-01-24 · 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, medical record review, and staff interview, the facility failed to ensure a resident's back brace (ordered to be in place at all times when out of bed) was implemented. This affected one (Resident #19) of the 24 residents reviewed for orders being implemented. The facility census was 71. Findings include: Review of the medical record for Resident #19 revealed an admission date of 11/14/22. Diagnoses included dementia without behavioral disturbance, muscle wasting and atrophy, symbolic dysfunction, dysphagia, difficulty walking, L 2 fracture, and osteoarthritis. Review of Resident #19's admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 09 indicating a moderately impaired cognition for daily decision making abilities. No behaviors were noted with this assessment review including rejection of care. Resident #19 required extensive assistance from two staff members for bed mobility, transfers, toilet use, and extensive…

    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 · D2023-01-24 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
    Provide safe and appropriate respiratory care 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 record review, observation, interviews, and policy review the facility failed to ensure respiratory equipment was maintained to prevent infection. This affected two (Resident #1 and #59) of two reviewed for respiratory. Findings included: 1. Record review revealed Resident #59 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease and heart disease. Observation on 01/17/23 at 9:29 A.M., of Resident #59 revealed the resident's oxygen tubing was dated 10/15/22. The resident's oxygen concentrator was running and set at four liters. The resident's oxygen tubing was wrapped around the bedrail. The resident reported she had removed the oxygen because she needed a break. The resident reported she had no idea when the last time staff changed the oxygen tubing. Observation on 01/18/23 at 7:57 A.M., of Resident #59's oxygen tubing revealed the tubing was still dated 10/15/22. Observation on 01/18/23 at 5:04 P.M., of Resident #59 with Licensed Practical Nurse (LPN)…

    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 · D2023-01-24 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Review of the medical record for Resident #46 revealed an initial admission date of 06/29/20 and re-admission [DATE]. Diagnoses included dementia without behavioral disturbances, carcinoma in situ of prostate, squamous cell carcinoma of skin of right ear and external auricular canal, acquired absence of part of head and neck, and psoriasis. Review of the plan of care dated 09/15/22 revealed Resident #46 had an alteration in skin integrity as evidenced by open lesion present at right ear with a cancer lesion 2nd squamous cell carcinoma. Resident picks at skin at times. Interventions included to assess area for size, color, drainage as needed, and complete skin care. Review of the plan of care, (no date noted) revealed Resident #46 was at risk for infection related to cancer lesion to right ear and resident has a habit of picking at area. Interventions include to administer antibiotics as ordered, assess for signs and symptoms of infection, culture areas if it is clinically suspicious, labs as ordered, 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-01-24 · tag F0886 — failed to test for COVID-19 as required — isolated
    Perform COVID19 testing on residents and staff.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of COVID-19 testing records, staff interview, and facility policy review, the facility failed to ensure employees who tested positive for COVID-19 had a negative COVID test within 48 hours of returning to work when returning in seven days. This affected three of three employees who tested positive for COVID-19 in the past 50 days and had the potential to affect 71 of 71 residents residing in the facility. Findings include: The facility provided a list of employees who had tested positive for COVID-19 since 12/01/22. The list indicated there were three employees that had tested positive: State Tested Nursing Assistant (STNA) #181 on 12/08/22, Occupational Therapy Assistant (OTA) #155 on 12/27/22, and Physical Therapy Assistant (PTA) #113 on 01/11/23. Review of employee COVID-19 testing logs revealed it indicated STNA #181 tested positive on 12/01/22, not 12/08/22. The log indicated OTA #155 tested positive on 12/27/22, and PTA #113 on 01/11/23. Review of the facility policy titled Return to Work Criteria-Interim Policy for COVID-19 revised 09/26/22 revealed healthcare…

    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
  • No harm found · C2023-01-24 · tag F0607 — failed to have anti-abuse policies — widespread
    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 staff personnel record review, staff interview, and facility handbook review, the facility failed to complete reference checks for newly hired staff in a timely manner. This had the potential to affect 71 of 71 residents. Findings Include: Review of Registered Nurse (RN) #109 personnel file revealed she was hired by the facility on 06/13/22. Her reference checks were completed on 06/16/22 and 06/17/22. Review of State Tested Nursing Aide (STNA) #198 personnel file revealed she was hired by the facility on 09/16/22. Her reference checks were completed on 09/13/22 and 09/21/22, which one was after her hire date. Review of Human Resource (HR) Director #110 personnel file revealed she was hired by the facility on 01/24/22. She had three hand written notes on the back of her application in which it appeared that reference checks were completed/attempted. There were no dates as to when these reference checks were completed/attempted. Interview with HR Manager #110 on 01/19/23 at 9:20 A.M. revealed the facility utilizes the 30 days after hire to complete all the background 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has plan of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to FOUNDATIONS HEALTH SOLUTIONS — 64 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 54.1≈ chain avg
Health inspection 4 of 53.9+0.1 vs chain
Staffing 4 of 52.3+1.7 vs chain
Quality measures 3 of 54.3-1.3 vs chain
The other 63 homes this chain runs (chain average 4.1★, per CMS)
1 of 5Inniswood Health and RehabilitationWesterville, OH 2 of 5Canterbury Villa Of AllianceAlliance, OH 2 of 5Park Health CenterSt Clairsville, OH 2 of 5Tuscany GardensPataskala, OH 2 of 5Veranda Gardens Nursing & Rehabilitation CenterCincinnati, OH 3 of 5Arlington Care CenterNewark, OH 3 of 5Bennington Glen Nursing & Rehabilitation CenterMarengo, OH 3 of 5Cumberland Pointe Care CenterSt Clairsville, OH 3 of 5Emerald Pointe Health And Rehab CtrBarnesville, OH 3 of 5Hickory Ridge Nursing & Rehabilitation CenterAkron, OH 3 of 5Home At Taylor's PointeCincinnati, OH 3 of 5McNaughten Pointe Nursing And RehabColumbus, OH 3 of 5Meadow Grove Transitional CareGrove City, OH 3 of 5The Gables Of Marysville Health And RehabilitationMarysville, OH 3 of 5The Gardens Of Fairfax Health Care CenterCleveland, OH 3 of 5Timberland Ridge Nursing & RehabilitationFairlawn, OH 4 of 5Austin Trace Health And RehabilitationCenterville, OH 4 of 5Batavia Nursing Care CenterBatavia, OH 4 of 5Claymont Health And RehabilitationUhrichsville, OH 4 of 5Crown Pointe Care CenterColumbus, OH 4 of 5Florentine GardensLoveland, OH 4 of 5Hickory Creek Of AthensThe Plains, OH 4 of 5Jefferson Healthcare CenterJefferson, OH 4 of 5Lafayette Pointe Nursing & Rehab CtrWest Lafayette, OH 4 of 5Maria Joseph Living Care CenterDayton, OH 4 of 5Mill Creek Nursing & RehabilitationGalion, OH 4 of 5Respiratory And Nursing Center Of DaytonMoraine, OH 4 of 5Sycamore Run Nursing And Rehab CtrMillersburg, OH 4 of 5Woods On French Creek Nursing & Rehab Center TheAvon, OH 5 of 5Admirals Pointe Nursing & RehabilitationHuron, OH 5 of 5Brunswick Pointe Transitional CareBrunswick, OH 5 of 5Capri GardensLewis Center, OH 5 of 5Carington ParkAshtabula, OH 5 of 5Concord Health & Rehab CtrWheelersburg, OH 5 of 5Concord Ridge Health And RehabilitationMentor, OH 5 of 5Country View Of SunburySunbury, OH 5 of 5Darby Glenn Nursing And Rehabilitation CenterHilliard, OH 5 of 5Glen MeadowsHamilton, OH 5 of 5Golden Years Nursing CenterHamilton, OH 5 of 5Highbanks Care CenterColumbus, OH

Showing 40 of 63; lowest-rated first.

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 / managerTypeRoleSince
COLLERAN, BRIANIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2021
KRYSTOWSKI, JOHNIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/15/2020
FOUNDATIONS HEALTH SOLUTIONS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/15/2020
JONAS, CHRISTOPHERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/15/2020
LLOYD, JOHNIndividualADP OF THE SNFsince 04/15/2020

CMS files one row per role, so the 12 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

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

Follow the money — this home’s finances

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

$7.8M
Net patient revenuemost recent cost report
+3.2%
Operating marginrevenue minus expenses
$1.0M
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 53%Medicare 10%Other / private 37%

This home reported $1.0M paid to related parties — landlords or management companies under common ownership — equal to about 14% 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

$302per resident / day
operating cost
$9,185per month
≈ monthly operating cost
$312per 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 366478. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-04, 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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