The Gables Of Marysville Health And Rehabilitation

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

62.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 180 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.2% 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 68 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 0.19 therapist hours per resident per day in 2026Q1 — more than 21% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 102 beds and averages 92.5 residents a day — about 91% occupied, or roughly 10 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 3.85 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.38 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.32 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 3.46 hrs/resident/day on weekends vs 4.00 on weekdays — 14% thinner on weekends. RN hours go from 0.44 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% 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

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.

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

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · Dcited before2026-06-04 · 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, staff interview, observations, and policy review, the facility failed to ensure one resident (#33) had applied oxygen appropriately and stored nebulizer mask and tubing appropriately. This affected one (Resident #33) of one resident reviewed for oxygen. The facility census was 85.Findings include:Review of the medical record for Resident #33 revealed an admission date of 02/13/23. Diagnoses included chronic obstructive pulmonary disease (COPD) , chronic respiratory failure (CFR) with hypoxia, chronic diastolic heart failure, and hypertension.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #33 had moderate cognitive impairment and was dependent on staff for all personal care. Review of the care plan revealed a focus area of Resident #33 having respiratory deficiencies or abnormalities of pulmonary function related to COPD-shortness of breath (SOB) with exertion, lying flat in bed and sitting at rest, CFR with hypoxia, chronic diastolic heart failure, and…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-04 · tag F0805 — failed to prepare food in a form residents can eat — isolated
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual 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, observations, policy review, and staff interviews, the facility failed to ensure a resident received the appropriate mechanical soft diet and thickened liquids per physician orders. This affected one (#67) of four residents reviewed for diets. The facility census was 85.Findings include:Review of the medical record for Resident #67 revealed an admission date of 02/20/25. Diagnoses included dementia, severe protein-calories malnutrition, and dysphagia.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #67 had moderate cognitive impairment. Resident #67 required a mechanically altered diet which required change in texture of foods or liquids (e.g., pureed food, thickened liquids).Review of the care plan for Resident #67 revealed a focus of potential to alteration in nutrition and hydration related to body mass index (BMI) eighteen point five, underweight status, diagnosis of malnutrition, history of percutaneous endoscopic gastrostomy (PEG) tube 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 · E2026-02-26 · tag F0582 — pattern
  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 record review and staff interview, the facility failed to provide required the Skilled Nursing Facility Advance Beneficiary Notices ( SNF ABNs) to residents who remained in the facility with Medicare benefit days remaining when skilled therapy services were discontinued. This affected four (#03, #59, #62, and #65) out of five residents reviewed. The facility census was 92Findings Included:1.Review of the medical record revealed Resident #03 admitted to the facility on [DATE] and remained in the facility after therapy services were discontinued. Review of a Notice of Medicare Non-Coverage (NOMNC) was issued with a cut date of 12/05/25. No Advance Beneficiary Notice (SNF ABN) was present in the medical record.2.Review of the medical record revealed Resident #62 admitted to the facility on [DATE] and remained in the facility after therapy services were discontinued. Review of a Notice of Medicare Non-Coverage (NOMNC) was issued with a cut date of 12/06/25. No Advance Beneficiary Notice (SNF ABN) was…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-26 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and review of facility policy, the facility failed to ensure staff performed hand hygiene during meals service and when feeding residents. This had the ability to affect 15 Residents (#06, #09, #12, #13, #14, #18, #40, #46, #48, #50, #52, #70, #74, #81, and #97) that were served and fed meals in the 100/200/300 halls dining room. The census was 92.Findings include: Observation of the meal service in the 100/200/300 halls dining room on 02/23/26 from 12:15 P.M. through 12:37 P.M., revealed one Certified Nursing Assistant (CNA) #217 served all of the residents in the dining room. CNA #217 served meal trays to residents and removed plates and silverware from the trays and opened lids. CNA #217 opened various food items, drinks, condiment packages, soda cans and poured soda into cups of ice. CNA #217 was observed passing a total of 15 meal trays. Continued observation on 02/23/26 at 12:20 P.M., revealed CNA #217 fed Resident #09 a portion of her meal. CNA #217 then moved to Resident #52 and fed her a portion of her meal at 12:22 P.M. CNA #217 did…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-26 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, and staff interview, the facility failed to ensure staff fed dependent residents in a dignified manner. This affected two (#09 and #52) out of six residents observed during dining. The facility census was 92.Findings include: 1.Review of Resident #09's medical record revealed an admission date of 05/08/24. Diagnoses included dysphagia, chronic pain, dementia, and hearing loss. Review of a quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #09 had severely impaired cognition and was dependent on staff for eating. 2.Review of Resident #52's medical record revealed an admission date of 08/09/18. Diagnoses included Parkinsonism, major depressive disorder, and psychotic disturbance. Review of a quarterly MDS dated [DATE] revealed Resident #52 had severely impaired cognition and required substantial to maximum assistance eating. Observation on 02/23/26 at 12:20 P.M. Certified Nurse Aide (CNA) #217 was observed feeding Resident #09. CNA #217 was standing beside…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-26 · 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, staff interview, and policy review, the facility failed to ensure discrepancies in a resident code status was identified and corrected timely. This affected one resident (#80) out of 36 residents reviewed for advance directives. The facility census was 92.Findings include:Review of the medical record for Resident #80 revealed an admission date of 11/27/19 with diagnoses including Alzheimer's disease, delusional disorder, vascular dementia, type II diabetes mellitus, hypertension, and adult failure to thrive.Review of a physician order with a start date of 04/23/20 and a discontinuation date of 02/02/26 revealed an order for Do Not Resuscitate - CC Arrest, which permits life saving measures until the resident's heart or breathing stops.Review of the Do Not Resuscitate (DNR) order form dated 11/28/25 revealed Resident #80's guardian elected DNR Comfort Care (DNRCC), which refuses resuscitation measures.Review of the care plan dated 12/01/25 revealed Resident #80 received hospice…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-26 · tag F0676 — failed to keep up residents' daily-living abilities — isolated
  Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
  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 and resident interview, the facility failed to provide follow up care related to audiology services. This affected one (Resident #64) out of two residents reviewed for hearing/vision. The facility census was 92. Findings included:Review of the medical record revealed Resident #64 was admitted to the facility on [DATE]. Diagnoses included cerebral infarction, generalized anxiety disorder, spinal stenosis and paroxysmal atrial fibrillation.Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #64 was cognitively intact, required supervision for eating, substantial assistance for toileting, substantial assistance for bathing, and partial assistance for personal hygiene.Review of the medical record for Resident #64 revealed no documentation of an audiology visit in the past three months.Interview on 02/23/26 at 2:20 P.M. with Resident #64 revealed someone came in several weeks ago to check his ears due to having hearing issues.…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-26 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, observation, and staff interview, the facility failed to implement a pressure ulcer/injury prevention intervention. This affected one (Resident #13) out of four residents reviewed for pressure ulcer/injury. The census was 92.Findings Included:Review of Resident #13's medical record revealed an admission date of 02/03/24. Diagnoses included chronic respiratory failure, severe protein-calorie malnutrition, heart failure, muscle weakness, peripheral vascular disease, and dementia. Review of Resident #13's care plan dated 01/09/26 revealed a focus area stating the resident was at risk for alteration in skin integrity related to falls, impaired mobility, and prolonged pressure to bony prominences. Intervention for this focus was to encourage and assist resident to elevate heels when in bed as need/tolerated. Review of a Braden Scale assessment for Predicting Pressure Ulcers/Injuries dated 01/27/26 revealed a score of 11.0, which indicated a high risk for developing pressure ulcers/injuries. Review of the current physician's orders list 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-26 · 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 observation, staff interview, record review, and facility policy review, the facility failed to ensure appropriate infection control practices were followed during tracheostomy care for one (Resident #111) of one resident reviewed for tracheostomy care. The facility census was 92.Findings include:Review of the medical record for Resident #111 revealed an admission date of 01/29/26. Diagnoses included chronic respiratory failure with hypoxia, encounter for palliative care, unspecified severe protein-calorie malnutrition, and tracheostomy status.Review of the admission Minimum Data Set assessment dated [DATE] revealed the resident had impaired cognition with a Brief Interview for Mental Status score of seven and required extensive to total assistance with activities of daily living.Review of the plan of care dated 02/09/26 revealed the resident was at risk for infection related to tracheostomy status, chronic respiratory failure with hypoxia, and severe protein-calorie malnutrition. Interventions included…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-26 · 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 and interview, the facility failed to ensure pharmacy recommendations were reviewed and acted upon. This affected one resident (Resident #72) out of five residents reviewed for pharmacy recommendations. The facility census was 92.Findings include:Review of the medical record for Resident #72 revealed an admission date of 09/20/23 with diagnoses of Alzheimer's disease, dementia, senile degeneration of the brain, bipolar disorder, insomnia, and anxiety disorder.Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #72 was severely cognitively impaired, received an antipsychotic and an antidepressant, and last underwent a gradual dose reduction (GDR) on 12/28/23.Review of a pharmacy recommendation dated 02/26/25 revealed the resident had taken Trazodone (an antidepressant) 50 milligrams nightly since September 2023. The resident's Celexa (an antidepressant) was reduced in January, and the resident also received Seroquel (an antipsychotic). The pharmacy…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

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 →

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

Who owns this facility

CMS files one row per role, so the 13 rows in the source record cover these 7 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.

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

Follow the money — this home’s finances

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

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in OH