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Marion Pointe

409 Bellfontaine Avenue, Marion, OH 43302 · For profit - Corporation · 45 certified beds · (740) 383-2126 Medicare & Medicaid certified

Call the home — (740) 383-2126 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • 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.

3/5
CMS overall
3 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
136 W Center St · (740) 751-6380 · Call to confirm hours
Pharmacy
Rite Aid0.3 mi
332 S Main St · (740) 382-0650 · Call to confirm hours
Grocery
110 S Main St · (740) 375-2141 · Call to confirm hours
Park
Quarry Park · Typically dawn to dusk
Place of worship
197 E Center St · (740) 914-5052

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

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 3 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 rating3★
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 increased5.6%5.3%15.4%typical for the state — see note marked double-dagger below the table
Long-stay residents who lose too much weight7.5%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.6%0.2%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.3%0.4%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms56.9%30.1%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury5.3%3.2%3.3%worse
Long-stay residents whose ability to walk worsened6.6%6.1%16.1%typical for the state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication36.1%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine97.6%94.5%95.3%typical
Long-stay residents with pressure ulcers2.2%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control16.9%21.4%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table15.9%8.8%17.1%typical
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine77.8%75.6%79.4%typical
Short-stay residents rehospitalized after admission26.3%24.9%22.6%worse
Short-stay residents with an outpatient ER visit15.9%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days4.111.731.67worse
Long-stay outpatient ER visits per 1,000 resident days1.011.801.80better

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.

10.1%U.S. median 10.7%
Went back to hospital
0.41U.S. median 0.31
Therapy hours / resident / day
0.22hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.41 therapist hours per resident per day in 2026Q1 — more than 70% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% 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 SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.1%CMS range 6.1–16.510.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%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 worsened3.9%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 hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.911.02Oct 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

0.48
RN hours/ resident / day
0.94
LPN hours/ resident / day
2.28
Aide hours/ resident / day
3.70
Total nurse hours/ resident / day
0.44
RN hoursweekends
44.2%
Total nursing turnover
33.3%
RN turnover

How full it usually is: this home is certified for 45 beds and averages 40.8 residents a day — about 91% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.70 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.28 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 3.15 hrs/resident/day on weekends vs 3.93 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.50 to 0.44 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%.

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

Inspection trend

7
deficiencies at the latest standard inspection (2025-12-11)
5
at the previous standard inspection (2024-03-21)

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 · Fcited before2025-12-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and policy review, the facility failed to properly store, label, and date food in the kitchen. Furthermore, the facility failed to ensure the kitchen was maintained in a sanitary manner. This had the potential to affect all residents. The facility census was 38. Observation on 12/08/25 at 8:01 A.M. of the dry storage revealed a bag of oats and honey granola that was opened and undated, a bag of pasta noodles that was opened and undated, and a loaf of bread that was opened and undated. Interview on 12/08/25 at 8:03 A.M. with Dietary Manager (DM) #242 verified the granola, pasta, and bread had been opened and was not dated. Observation on 12/08/25 at 8:04 A.M. of reach in refrigerator #1 revealed the inside of the refrigerator was coated in unidentifiable liquids and food crumbs. Inside of refrigerator #1 was a bottle of barbeque sauce that was opened and undated, a bag of mozzarella that was opened and undated, a bottle of cranberry juice that was opened and undated, and a bottle of thickened apple and orange juice that were both opened and…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-11 · 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 record review, observation, staff interview, resident interview, and policy review, the facility failed to ensure a clear advanced directive, and failed to ensure the advanced directive in the electronic medical record (EMR) and in the paper chart matched. This affected one Resident (#41) of 38 residents reviewed for advanced directives. The facility census was 38. Review of Resident #41's medical record revealed an admission date of 09/25/24. Diagnoses included cerebrovascular disease, hypertensive heart disease without heart failure, major depressive disorder, and vascular dementia. Review of Resident #41's annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #41 had severe cognitive impairment. Review of Resident #41's care plan with a last revision date of 09/04/25 revealed Resident #41 and or the responsible party had chosen for Resident #41 to be a full code with interventions including to call emergency services for emergency help, if needed, offer information and discuss 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 · D2025-12-11 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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, resident interview, staff interview, and policy review, the facility failed to ensure the temperature inside of the facility remained between 71 and 81 degrees Fahrenheit (DF). This affected three residents (#9, #10, and #33) of seven residents reviewed for facility temperature. The facility census was 38. Observation on 12/10/25 at 2:32 P.M. of the 200 hallway revealed it felt cold in the facility.Review of the medical record for Resident #9 revealed an admission date of 08/10/23. Diagnoses included epilepsy, dementia with mood disturbances, major depressive disorder, and anxiety disorder. Review of Resident #9's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #9 had moderately impaired cognition. Furthermore, Resident #9 was dependent for toilet hygiene, personal hygiene, and shower hygiene.Interview on 12/10/25 at 2:40 P.M. with Resident #9 revealed he felt it was cold in his bedroom. Concurrent interview with Maintenance Assistant (MA) #214…

    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 before2025-12-11 · 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 medical record review, staff interview, and policy review the facility failed to comprehensively treat residents after a fall. This deficient practice affected one (Resident #27) of three resident reviewed for accidents. The facility census was 38.Review of Resident #27 medical record revealed an admission date of 5/21/25 and medical diagnosis of Alzheimer's disease with late onset, unspecified protein-calorie malnutrition, dementia with moderate mood disturbance and agitation, anxiety, psychotic disorder with delusions, glaucoma, hypertension, muscle weakness, abnormal gait and mobility, repeated falls, and personal injury in unspecified motor-vehicle accident.Review of Resident #27 Minimum Date Set (MDS) assessment dated [DATE] revealed the resident was cognitively intact and was at risk for falls. Review of Resident #27 care plan last updated 12/9/25 revealed a risk for fall related to confusion related to the dementia process, impaired balance, impaired mobility, non-compliance with mobility aide,…

    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 before2025-12-11 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, staff interview, and review of the facility policy, the facility failed to properly store medication in a safe manor. This affected one (#15) resident reviewed for medication storage. The facility census was 38. Review of the medical record for Resident #15 revealed an admission on [DATE] with a readmission on [DATE]. Diagnoses included displaced intertrochanteric fracture of left femur, chronic kidney disease, and dementia.Review of the quarterly Minimum Data Set (MDS) on 09/25/25 revealed Resident #15 had impaired cognition. Resident #15 required moderate assistance with activities of daily living (ADLs).Review of the care plan dated 07/21/25 revealed Resident #15 prefers to provide his own personal care and is resistant to staff assistance and refuses assistance when offered. Interventions included assisting with functional abilities as requested. Review of the Self Medication Program Assessment of Skills dated 09/30/25 revealed Resident #15 presents a danger to…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-11 · tag F0800 — isolated
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, staff interview, and policy review, the facility failed to ensure residents received the correct portions during meal service and further failed to ensure liquids were thickened per the physician's orders. This affected three (#37, #38 and #18) of three residents revealed for diets to meet the resident needs. The facility census was 38. 1. Review of Resident #37 ' s medical record revealed an admission date of 04/12/17. Diagnoses included esophageal varices without bleeding, muscle wasting and atrophy, dysphagia, and functional dyspepsia. Review of Resident #37 ' s physician orders revealed a diet order for a regular diet, pureed texture, with thin liquids. Review of Resident #37 ' s quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #37 required a mechanically altered diet. Review of Resident #37 ' s care plan dated 10/10/25 revealed Resident #37 had an altered nutritional status as evidenced by the need for a mechanically altered diet with…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-11 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, staff interview, and review of the facility policy, the facility failed to ensure medications were documented in the Treatment Administration Record (TAR). This affected one (#15) of four residents reviewed for medication administration. The facility census was 38. Review of the medical record for Resident #15 revealed an admission on [DATE] with a readmission on [DATE]. Diagnoses included displaced intertrochanteric fracture of left femur, chronic kidney disease, and dementia.Review of the quarterly Minimum Data Set (MDS) on 09/25/25 revealed Resident #15 had impaired cognition. Resident #15 required moderate assistance with activities of daily living (ADLs)Review of the care plan dated 07/21/25 revealed Resident #15 prefers to provide his own personal care and is resistant to staff assistance and refuses assistance when offered. Interventions included assisting with functional abilities as requested. Review of the Self Medication Program Assessment of Skills dated 09/30/25…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2025-09-04 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and policy review, the facility failed to ensure food was stored in a sanitary manner. This had the potential to affect all 40 residents who receive food from the facility. The facility census was 40.Findings include:Observation on 09/03/25 from 8:45 A.M. to 8:50 P.M. of the kitchen dry storage area revealed one case of fudge rounds stored on the floor and four plastic grocery bags containing fruit-flavored cereal on the floor. Observation of the reach-in freezer revealed seven bags of unidentified product open and not dated.Interview on 09/03/25 at 8:47 A.M. with Dietary Staff (DS) #242 revealed the unidentified products in the reach-in freezer were fried chicken, chicken patties, chicken cordon bleu, sausage patties, hamburger patties, diced chicken, and vegetables. DS #242 verified the bags were not labeled or dated when opened and verified the case of fudge rounds and the four bags of cereal were on the floor.Review of the undated policy titled, Food Receiving and Storage, revealed food in designated dry storage areas are raised off the…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-09-04 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    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, resident and staff interview, and medical record review, the facility failed to ensure residents were provided activities per their interests. This affected one (#38) of one residents reviewed for activities. The facility census was 40.Findings include:Review of the medical record for Resident #38 revealed an admission date of 08/26/24 with diagnoses including but not limited to senile degeneration of the brain, type two diabetes, other symptoms and signs involving cognitive functions and awareness, visual hallucinations, major depressive disorder, muscle wasting and atrophy, difficulty walking, abnormal posture, schizoaffective disorder, mixed obsessional thoughts and acts, and anxiety disorder. Review of Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #38 had moderate cognitive impairment. Further review revealed the resident's activity preferences included it was very important to the resident to have books, newspapers, and magazines to read, be around animals such as…

    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 · D2025-09-04 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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, resident and staff interview, and policy review, the facility failed to provide timely incontinence care for a dependent resident. This affected one (#11) of four residents reviewed for bowel and bladder incontinence. The facility census was 40.Findings include:Review of medical record for Resident #11 revealed an admission date of 09/25/24 with diagnoses including but not limited to cerebrovascular disease, psychotic disorder with delusions, vascular dementia, and major depressive disorder. Review of a Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #11 had moderate cognitive impairment and was assessed as frequently incontinent of bowel and bladder. Review of Resident #11's current care plan revealed a focus area for alteration in urinary elimination related to urinary incontinence. Interventions included to check the resident every two hours and assist with toileting as needed. Observation on 09/04/25 from 3:10 P.M. to 4:15 P.M. revealed Resident…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 12 citations
  • Potential for harm · Fcited before2025-03-26 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and policy review, the facility failed to ensure a clean and sanitary environment in the dry storage room in the kitchen. This had the potential to affect all residents who receive food from the kitchen. The facility census was 37. Findings include: Observation on 03/26/25 from 8:36 A.M. to 9:07 A.M. of the dry storage area in the kitchen revealed mouse droppings and urine in a box of thickened orange juice. Mouse droppings observed in the following: silverware container holding packets of ketchup, mustard, and A1 sauce with several packets of ketchup chewed into, on top of box with lasagna noodles, on several unopened boxes, on the top of three peanut butter tubs, on the bottom of soda cans, a bag of chocolate sprinkles, in a box of unopened lime gelatin packets (urine as well as droppings), and all over the storage area. One bag of French-fried onions was observed to be chewed through. Two bags of macaroni noodles, one bag of regular noodles, box of lasagna noodles, large box of shell noodles, and one bag of chocolate sprinkles were opened and not…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-21 · tag F0646 — pattern
    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
    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 ensure residents Pre-admission Screening and Resident Review (PASARRs) were completed accurately and updated when a new diagnosis was identified. This affected four (#01, #13, #31 and #35) of the five residents reviewed for PASARRs. The facility census was 36. Findings include: 1) Review of the medical record for Resident #01 revealed an admission date of 04/12/17. Diagnoses included schizoaffective disorder, paranoid schizophrenia, personality disorder, depression, and anxiety. Review of the PASARR dated 12/12/22 for Resident #01, revealed mood disorder, and schizophrenia were listed for the resident. Personality disorder was not documented. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #01 was cognitively intact with a Brief Interview for Mental Status (BIMS) of 15. 2) Review of the medical record for Resident #13 revealed an admission date of 09/10/21. Diagnoses included depression, chronic pulmonary disease,…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-03-21 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interview, review of portion size documents and review of the facility policy, the facility failed to ensure the recipes for pureed foods were followed to ensure nutritional value. This had the potential to affect four (#01, #07, #10, #20) of the four residents who received pureed diets. The facility census was 54. Findings include: Observation of [NAME] # 220 preparing puree meals on 03/20/24 at 11:15 A.M. revealed [NAME] #225 added water and bread to make the pureed chicken patty and did not add any chicken base. Interview with [NAME] #220 at the same time verified she always used water to put in the pureed foods and does not follow a recipe. Interview with Dietary Manager (DM)#285 on 03/20/24 at 11:20 A.M. verified they always use water to do their pureed foods. DM #285 reported the facility did not follow a specific recipe for pureed foods and this was the way she had been trained. Interview with Registered Dietitian Nutritionist, Licensed Dietitian #400 on 03/20/24 at 3:45 P.M. verified the DM#285 and the cook should be following the recipes for all…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-21 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident and staff interviews and record review, the facility failed to ensure a resident was offered and assisted with showers per the resident's preference and according to the shower schedule. This affected one (#31) resident of two residents reviewed for activities of daily living (ADL) care. The facility census was 36. Findings include: Review of the medical record for Resident #31 revealed an admission date of 08/07/23. Diagnoses included dementia, bipolar disorder, spinal stenosis, unspecified psychosis, and chronic obstructive pulmonary disease. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #31 was cognitively intact with a Brief Interview for Mental Status (BIMS) of 15 and required set up and clean up assistance with bathing. Review of the paper shower sheets from 02/01/24 to 03/20/24 for Resident #31 revealed there was only documented evidence of a shower/bathing being provided on 02/02/24, 02/27/24, 03/12/24 and 03/19/24. Review of the shower schedule for…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-21 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, facility staff interview, policy review and manufacturer instruction review, the facility failed to accurately complete insulin pen administration which resulted in a significant medication error. This affected one (#04) of the two residents observed for insulin administration. The facility identified nine (#03, #05, #18, #25, #26, #32, #33, and #35) residents who received insulin pen injections. The total facility census was 36. Findings Include: Review of Resident #04's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included type two diabetes mellitus, pure hyperglycemia, and schizoaffective disorder. Review of the annual Minimum Data Set (MDS) 3.0 assessment dated [DATE] for Resident #04, revealed the resident was cognitively intact and the resident received injections and insulin on seven days of the review period. Review of the physician's orders dated 01/22/24 for Resident #04, revealed the resident was ordered to receive Basaglar…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-03-21 · 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, staff interview, medical record review, facility policy review and manufacturer instructions review, the facility failed to discard the disposable needle off an insulin pen in a safe and sanitary manner. This affected one (#4) of two residents observed for insulin administration. The facility also failed to prepare an insulin pen injection in a sanitary manner. This affected one (#05) of two residents observed for insulin administration. The facility identified nine (#03, #18, #25, #26, #32, #33, and #35) residents who received insulin injections. The facility census was 36. Findings Include: 1) Review of Resident #04's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included type two diabetes mellitus, pure hyperglycemia, and schizoaffective disorder. Review of the annual Minimum Data Set (MDS) 3.0 assessment dated [DATE] for Resident #04, revealed the resident was cognitively intact and the resident received injections and insulin on seven days of…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-04-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview and policy review, the facility failed to safety store food in dry storage area and in the refrigerator. This affected 40 of 40 residents (except #24) who eats food from the kitchen. The facility census was 41. Findings include: Observation on 04/04/22 at 6:34 P.M., revealed a six pound can of country sausage gravy with a large fist sized dent. A tied bag of Oreo's and a tied bag of coconut were found to be undated. Review of the refrigerator revealed a turkey sandwich wrapped in foil with no date and four cups of apple juice that expired in November 2021. Interview on 04/04/22 at 6:45 P.M., with [NAME] #162 confirmed the can had a large dent and revealed the facility would serve food from a dented can if it could be opened with the can opener. [NAME] #162 confirmed the Oreo's and coconut was not dated. [NAME] #162 confirmed the turkey was not dated and the four apple juice containers were expired. Observation on 04/06/22 at 9:38 A.M., revealed the can of country sausage gravy remained on the shelf but was placed behind a another can without a…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-04-11 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews and policy review, the facility failed to ensure medications were stored appropriately. This had the potential to affect six (#2, #6, #15, #22, #23, and #25) of 41 residents in the facility. The facility census was 41. Findings include: 1. Observation of the 200 hall medication cart on [DATE] at 8:00 A.M., with Licensed Practical Nurse (LPN) #128 revealed three Biscodyl 5 milligram (mg) tablets loose in the top drawer of the cart and one bottle of Aspirin 325 mg that expired in February 2022. Interview on [DATE] at 8:00 A.M., with LPN #128 confirmed the above findings. 2. Observation of the 300 hall medication cart on [DATE] at 8:40 A.M., with LPN #126 revealed a bottle of Preservision tablets that expired in [DATE]. Interview on [DATE] at 8:40 A.M., with LPN #126 confirmed the above findings. 3. Observation of the medication room on [DATE] at 10:00 A.M., with LPN #152 revealed a bottle of Simethicone 80 milligrams (mg) that expired in February 2021 and four containers of…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-04-11 · 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 interviews, the facility failed to ensure a resident's bruises were monitored. This affected one (#24) of one residents reviewed for skin impairment. The census was 41. Findings include: Review of the medical record for Resident #24 revealed an admission date of 12/23/19, with diagnoses of cerebral infarction, aphasia, hemiplegia affecting the left nondominant side, weakness, encephalopathy, osteoarthritis, atrial fibrillation, and altered mental status. Review of the Medicare 5 Day Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #24 had a Brief Interview of Mental Status (BIMS) of 00, indicating she is rarely or never understood and she required extensive two staff assistance for bed mobility and toilet use, total dependence of two staff for transfers, and extensive assistance of one staff for personal hygiene. It also stated the resident had wounds and was at risk for skin impairment. Review of Resident #24's physician orders 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 · D2022-04-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and policy review, the facility failed to assess a resident after a fall that resulted in injury. This affected one (#6) of two residents reviewed for falls. The facility census was 41. Findings include Review of the medical record for Resident #6 revealed an admission date of 08/23/21, with diagnoses including: heart failure, weakness, hemiplegia, atrial fibrillation, depression, anxiety, chronic obstructive pulmonary disease, kidney disease stage three, hypertension, and muscle atrophy. Review of the Quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #6 was cognitively intact and required supervision assistance for transfers and mobility. Review of the plan of care dated 01/11/22 revealed Resident #6 revealed resident was at risk for falls with a history of falls with injury. The interventions included having common articles within reach, reinforce to call for assistance, ensure environment is free of clutter, complete a fall risk…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-04-11 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interviews, the facility failed to ensure a resident was not started on a anti-psychotic medication (Seroquel) without adequate indications of the need of its use. This affected one (#15) of five residents reviewed for unnecessary medications. The facility census was 41. Findings include: Review of Resident #15's medical records identified admission to the facility occurred on 06/11/21, with medical diagnosis including: dementia, glaucoma, high blood pressure, anxiety and depression. Resident #15 was additionally diagnosed with COVID-19 on 01/20/22. Review of the facility quarterly minimum data set (MDS) assessment dated [DATE] identified Resident #15 as having moderately impaired cognition and required supervision with ambulation. Review of Resident #15's medication regime identified on 01/31/22 the anti-psychotic medication Seroquel 25 mg was started daily. The progress notes identified on 01/20/22, Resident #15 was diagnosed with COVID-19 and was on isolation until…

    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 · D2022-04-11 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    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 offer the pneumococcal vaccine to a resident. This affected one (#14) of five residents reviewed for immunizations. The facility census was 41. Findings include: Review of the medical record for Resident #14 revealed an admission date of 07/19/21, with diagnoses including: diabetes type two, encephalopathy, chronic obstructive pulmonary disease, muscle wasting, atrophy, dysphagia, dysfunction of the bladder, dementia with behaviors, heart disease, depression, Alzheimer's and chronic kidney disease. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #14 had moderate cognitive impairment. Review of section O of the MDS revealed Resident was not given the pneumococcal vaccine and it was not offered to the resident. Further review of resident's medical record revealed no evidence resident received or was ever offered the pneumococcal vaccine. Interview on 04/07/22 at 10:41 A.M., with the Director…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction

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

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 JAG HEALTHCARE — 9 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 3 of 53.3-0.3 vs chain
Health inspection 3 of 52.9+0.1 vs chain
Staffing 3 of 52.4+0.6 vs chain
Quality measures 4 of 54.6-0.6 vs chain
The other 8 homes this chain runs (chain average 3.3★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleSince
GRIFFITHS, JAMESIndividualDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF; ADP OF THE SNFsince 08/01/2013
JAG HEALTHCARE INCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 08/01/2013
MARION POINTE RE LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/03/2016
MCADOW, AMANDAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2016
PIACENTINI, MARKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 10/01/2023

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.

2 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.

$3.7M
Net patient revenuemost recent cost report
-1.7%
Operating marginrevenue minus expenses
$455K
Related-party expense12% of expenses
Who pays — share of resident-days
Medicaid 70%Medicare 5%Other / private 25%

This home reported $455K paid to related parties — landlords or management companies under common ownership — equal to about 12% 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

$271per resident / day
operating cost
$8,228per month
≈ monthly operating cost
$266per 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 365323. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-11, 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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