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Rose Lane Nursing And Rehabilitation

5425 High Mill Avenue NW, Massillon, OH 44646 · For profit - Corporation · 171 certified beds · (330) 833-3174 Medicare & Medicaid certified

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Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Jun 2025Resident-funds citation (F0569)Behavioral-health or dementia-care citation — no harm found (F0758)1 immediate-jeopardy citation1 actual-harm citation CMS recorded as corrected before the inspection ended (past non-compliance)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0569)
  • inspectors cited 1 immediate-jeopardy problem — the most serious level
  • inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
  • a high number of inspection citations overall (30) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

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

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
7452 Fulton Dr NW · (330) 830-6211 · Call to confirm hours
Pharmacy
7292 Fulton Dr NW · (330) 837-3095 · Call to confirm hours
Grocery
5186 Erie Ave NW
Park
9135 Fulton Dr NW · Typically dawn to dusk
Place of worship
8697 Mudbrook St NW · (330) 833-2960

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 5 of 5
Long-stay residentspeople who live here 5 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 improved from 1 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 increased2.0%5.3%15.4%better than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight4.7%6.2%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.4%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms6.8%30.1%6.5%typical
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.7%3.2%3.3%better
Long-stay residents whose ability to walk worsened0.9%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication34.6%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.5%95.3%typical
Long-stay residents with pressure ulcers1.3%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control21.0%21.4%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table6.2%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine96.6%75.6%79.4%better
Long-stay hospitalizations per 1,000 resident days0.541.731.67better
Long-stay outpatient ER visits per 1,000 resident days0.831.801.80better

‡ 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.

49.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 31 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

49.1%U.S. median 51.5%
Got home and stayed home
0.24U.S. median 0.30
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.12hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.24 therapist hours per resident per day in 2025Q4 — more than 34% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 9% 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 14% — 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 SNF49.1%CMS range 34.4–64.051.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.—
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 worsened0.0%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 SNFs1.321.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.63
RN hours/ resident / day
0.78
LPN hours/ resident / day
1.79
Aide hours/ resident / day
3.21
Total nurse hours/ resident / day
0.49
RN hoursweekends
45.2%
Total nursing turnover
31.8%
RN turnover

How full it usually is: this home is certified for 171 beds and averages 160.5 residents a day — about 94% 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 3.21 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.63 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.79 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.92 hrs/resident/day on weekends vs 3.35 on weekdays — 13% thinner on weekends. RN hours go from 0.70 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% 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

8 ↓
deficiencies at the latest standard inspection (2026-01-29)
13
at the previous standard inspection (2023-11-19)

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

Inspection deficiencies

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

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.

30 citations, most serious first. The 12 most serious are shown; the remaining 18 are one tap away and print in full.

  • Immediate jeopardy · Lcited before2021-09-13 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, review of Nursing Home Guidance from the Centers for Disease Control (CDC), review of the Centers for Medicare and Medicaid Services (CMS) Quality Safety and Oversight (QSO) Memo, review of the facility COVID-19 policy, observations and interviews, the facility failed to implement effective and recommended infection control practices to prevent the spread of COVID-19. This resulted in Immediate Jeopardy on 08/30/21 when the facility did not implement appropriate personal protective equipment (PPE) including disposable gowns, gloves, N95 respirator masks and goggles/face shields while caring for residents, did not ensure a resident who tested positive for COVID 19 (Resident #47) did not reside in a room with a resident who tested negative (Resident #126) without the guardian's knowledge. The facility failed to properly disinfect high touch areas including staff break rooms and…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Actual harm · Gcited before2024-01-20 · 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 THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, observation, interview, and facility policy review, the facility failed to provide Resident #49 adequate assistance when transferring resulting in a fall with major injury. Actual harm occurred on 01/13/24 when Resident #49, who required assistance of two people for transfers, was transferred from the toilet to a shower chair by one person, resulting in a fall and non displaced fracture on left metacarpal and closed fracture of radius and ulna in left forearm, requiring orthopedic surgery. This affected one (Resident #49) of three residents reviewed for falls. The census was 159. Findings Include: Resident #49 was admitted to the facility on [DATE]. Her diagnoses included but were not limited to hemiplegia and hemiparesis, muscle weakness, need for assistance with personal care chronic obstructive pulmonary disease, cerebrovascular disease, atrial…

    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 · Past Non-Compliance
  • Potential for harm · Ecited before2026-03-27 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    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

    Based on observation, interview, review of the facility policy and review of the resident handbook, the facility failed ensure a clean, sanitary and homelike environment. This affected 12 residents (#32, #37, #40, #70, #77, #109, #110, #129, #131, #148, #149 and #159) out of 30 residents residing on the 300-hall (memory care). The facility census was 167.Findings include: Observation on 03/27/26 from 10:08 A.M. to 10:28 A.M. with Housekeeping Supervisor (HS) #303 revealed the following areas of concern:- In Resident #149's room, there was feces on the toilet leading down the bowl of the toilet, and the toilet looked like it had not been cleaned in a while.- In Resident #110's room, there was feces on the floor in front of the toilet.- In Resident #109's room, there was feces over the toilet and an open soiled brief filled with feces in the corner of the bathroom.- In Resident #32 and Resident #37's bathroom, there was feces on and in the toilet, and the toilet was visibly dirty.- In Resident #70, Resident #131 and Resident #159's bathroom, there was urine puddled on the riser over…

    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 · Fcited before2026-01-29 · 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 the kitchen was maintained in a clean and sanitary manner. This had the potential to affect 160 residents who ate meals prepared by the facility's kitchen, as two residents (Resident #3 and #23) were ordered nothing by mouth and did not receive meals from the kitchen. The facility census was 162. Findings include:Observation of the kitchen on 01/28/26 from 2:18 P.M. to 3:16 P.M. revealed the following: at 2:32 P.M. the sanitizing level of a bucket of quaternary cleaner (QUAT) (a disinfectant that uses ammonium compounds) on the three compartment sink was checked with QUAT paper (testing papers made of litmus paper used to measure the concentration level) and was below the required 150-200 parts per million (ppm), at 2:33 P.M. the bucket of QUAT located near the dishwashing station was below the required 150-200ppm, at 2:34 P.M. the bucked of QUAT located in the main food preparation area was below the required 150-200ppm, a layer of dust and grime on the top and side of the juice dispenser, a bulk…

    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 · E2026-01-29 · tag F0550 — failed to protect resident dignity and rights — pattern
    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 record review, interview, and observation, the facility failed to provide a dignified dining experience on the Memory Care Unit (MCU), and failed to ensure Resident #9 was provided dignity and respect at all times This affected ten residents (#10, #18, #32, #49, #69, #83, #105, #125, #139 and #142) out of 22 residents observed in the dining room, and one (Resident #9) of one resident reviewed for abuse.Findings include:1.Observation on 01/28/26 at 12:04 P.M. of the MCU dining room revealed 22 residents sitting at seven different tables. Two certified nursing assistants (CNAs), CNA #912 and CNA #937, were passing the trays from the cart in the nearby hallway. Also assisting in the dining room were Activity Director (AD) #817 and Human Resources (HR) #819. Observations on 01/28/26 at 12:05 P.M. of table one revealed Resident #18, Resident #69 and Resident #138 were all seated. Resident #138's family had walked in and took him to another dining area. Resident #69 was eating his meal while Resident #18 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 · E2026-01-29 · tag F0679 — failed to provide activities — pattern
    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 record reviews, interviews with families and staff and observations on the Memory Care Unit (MCU) the facility failed to provide meaningful activities to Resident #18. This affected Resident #18 and had the potential to affect all 27 residents on the MCU. Findings include:Review of the medical record for Resident #18 revealed an admission date of 03/22/18. Diagnoses included intracranial injury with loss of consciousness of unspecified duration, dementia, dysphagia, aphasia and major depressive disorder. Review of the annual Minimum Data Set (MDS) 3.0 dated 01/13/26 revealed Resident #18 had cognitive impairment. He was independent with walking. Review of preferences for routine revealed snacks were very important, reading and animals were not important and music was somewhat important. Review of the Activity assessment dated [DATE] completed by Resident #18's wife revealed his participation in activities was none. Resident #18 enjoyed motorcycle riding. He watched TV. He would be interested in pet…

    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 before2026-01-29 · 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

    Based on interviews, observation and resident handbook the facility failed ensure a clean homelike environment. This affected three residents (Resident #51, #172, and #178) out of five residents reviewed for physical environment. The facility census was 162. Findings Include:1. On 01/27/26 at 10:44 AM Resident #178 room revealed the bedside commode (BSC) had a small amount of urine and bowel movement (BM) in it dried and when the bathroom door was opened there was BM all around the toilet riser, toilet base and on the floor by the toilet. Resident #178 was not in the room at that time. At 10:53A.M. Resident #178 came back from getting her hair done At10:55 A.M. with Register Nurse #821unit manager and Licensed Practical Nurse (LPN) #902 stated Resident #178 takes herself to bathroom. Resident #178 stated yes, she does take herself to the bathroom and it has been a few days ago that she used her BSC. At 10:59 A.M. RN #821 cleaned up the bathroom. Observation at 1:50 P.M. of the BSC in Resident #178's room revealed it still had not been cleaned. No housekeeping has been seen on 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 · D2026-01-29 · 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 record reviews, interviews and observations the facility failed to assist Resident #32 with his meal per his care plan. This affected one resident (Resident #32) of one residents reviewed for meal assistance. The census was 162.Findings include: Review of the medical record for Resident #32 revealed an admission date of 09/12/24. Diagnoses included dementia, depression, anxiety, hypertension, need for assistance with personal care and muscle weakness. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #32 was cognitively impaired. He required set-up or clean-up assistance with eating. He was dependent for all other activities of daily living. Review of the medical nutritional assessment dated [DATE] revealed Resident #32 weighed 169.8 pounds. He ate 50-100% of meals. He was ordered a house supplement BID. Review of January 2026 orders revealed Resident #32 had an order for regular diet and thin liquids and a 4 ounce house supplement twice a day. Review 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-29 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interviews the facility failed to ensure resident's received timely assistance to meet their needs. This affected two of two residents (Resident #180 and Resident #181) observed for call lights. The facility census was 162. Findings Include:Observation on 01/28/26 at 11:25 A.M. of the call light monitor on the 500-hall nurse's station revealed Certified Nurse Assistant (CNA) #909 was seating at the desk charting on the computer right next to the call light monitor. CNA #909 then got up and stated she had to answer the call lights. Call lights for room [ROOM NUMBER] (Resident #181) had been on for 34:54 minutes and room [ROOM NUMBER] (Resident #180) call light had been on for 43 minutes. This was verified with Licensed Practical Nurse (LPN) #971.Interview with Register Nurse (RN) #821 on 01/28/26 at11:29 A.M. revealed CNA #884 was on the hall and should have answered the call light. RN #821 verified 35 minutes was too long. RN #821 revealed Resident #181 used the call light…

    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 · D2026-01-29 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure Resident #110 was assessed properly after they returned to the facility from the dialysis center. This affected one resident sampled for dialysis care. The facility census was 162.Findings include:Review of the medical record revealed Resident #110 was admitted to the facility on [DATE] with diagnoses that included traumatic brain injury, diabetes type two, kidney disease, nephritic syndrome (inflammation of the filtering units of the kidneys), and need for assistance with personal care.Review of the physician orders revealed an order dated 10/02/25 that Resident #110 received dialysis at an outside dialysis center every Tuesday, Thursday, and Saturday and the absence of an order to assess the resident on return from the dialysis center.Review of the care plan revealed a revision dated 10/03/25 that Resident #110 received dialysis with the goal of being free from complications related to dialysis and an intervention dated 09/12/25 to monitor…

    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 before2026-01-29 · 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

    Based on observation, interview, record review and policy review, the facility failed to ensure enhanced barrier precautions were followed while providing Resident #181 catheter care. This affected one resident (Resident #181) of one resident reviewed for catheter care. Findings include:Review of the medical record for Resident #181 revealed an diagnosis of neurogenic bladder. Orders for indwelling catheter, and on Enhanced Barrier Precautions.Observation of Resident #181's door revealed Resident #181 was on Enhanced Barrier Precautions (EBP) and gown and gloves were to be worn while providing urinary catheter care.Observation on 01/28/2026 3:34 P.M. of Resident #181 indwelling catheter care with Certified Nursing Assistant (CNA) #884 revealed Resident #181 had a sign outside the door stating she was on EBP and a gown and gloves were to be worn while providing catheter care. Observation of CNA #884 revealed she did not wear proper Personal Protection Equipment while providing indwelling catheter care. Interview on 01/28/2026 at 3:42 P.M. with Resident #181 stated staff never wear 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-24 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, facility policy, and self-reported incident (SRI) review, the facility failed to timely report an injury of unknown origin. This affected one resident (Resident #175) of three residents reviewed for abuse. The facility census was 151. Findings included: Review of the closed medical record for Resident #175 revealed an admission date of 06/05/25 with diagnosis including but not limited to abscess of bursa right hip, methicillin resistant staphylococcus aureus infection, and Alzheimer's Disease. Resident #175 was discharged to hospital of 06/15/25. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #175 was rarely/never understood. Resident #175 was dependent on staff for all activities of daily living (ADL'S) and always incontinent of bladder and bowel. Review of the care plan dated 06/06/25 revealed Resident #175 had a ADL/self-care deficit due to weakness, dementia, bacteremia, and status post incision and drainage (I/D) right hip.…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
Show the remaining 18 citations
  • Potential for harm · E2023-11-19 · tag F0688 — failed to keep residents mobile / prevent decline — pattern
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for 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 reviews, policy review, observations, and interview, the facility failed to ensure services were provided to maintain or improve a resident's range of motion. This affected four (Residents #58, #91, #125 and #127) of five residents reviewed for limited range of motion. Findings include: 1. Review of Resident #58's medical record revealed a diagnoses of right side weakness and paralysis following a stroke and right hand contracture. Review of a care plan initiated 08/28/20 revealed Resident #58 had a self care deficit due to post stroke and right sided weakness and chronic obstructive pulmonary disease. An intervention dated 10/13/20 indicated a right resting hand splint was to be donned six to eight hours as tolerated. Check skin integrity before applying and after removing. A care plan initiated 12/02/20 revealed Resident #58 was at risk for decline in active and passive range of motion. An intervention dated 10/28/22 indicated an intervention for Restorative Nursing Services (RNS) 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 · E2023-11-19 · tag F0725 — failed to have enough nursing staff — pattern
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    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, review of schedules and time punches, and interview, the facility failed to ensure there was sufficient staff to consistently provide restorative programs and to respond to call lights in a timely manner. This affected two (Residents #58, #127) of six residents reviewed for activities of daily living and two (Residents #58 and #127) of five residents reviewed for range of motion and one additional resident (Resident #140) who was identified as not having the call light responded to timely. This had the potential to affect all residents. Findings include: 1. During a resident council meeting with Residents #4, #10, #19, #28, #31, #33, #57, #64, #117 and #126 the residents had a majority consensus that the facility did not have sufficient staff with multiple residents reporting it could take up to an hour to get assistance with some residents reporting they were incontinent as a result. Residents reported there had been restorative programs that were not provided…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-11-19 · 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 2. On 11/14/23 at 12:10 P.M., observation of the medication room in the 400 hall revealed one box of Multistix urinalysis dip sticks to test for urinary tract infections with an expiration date of 08/31/23. Licensed Practical Nurse (LPN) #410 verified the urinalysis test strips were expired. Observation of the medication cart in the 400 hall revealed a bottle of Biotene mouth wash, labeled for Resident #46, had an expiration date of 08/03/22. At the time of observation, LPN #410 verified the Biotene was expired. 3. On 11/14/23 at 2:55 P.M., observation of the medication room in the 100 hall revealed an open one milliliter vial of Tubersol (a multi-dose solution used for tuberculosis testing) in the refrigerator. The vial of tubersol was not labeled as to when it was opened. At the time of observation, Registered Nurse (RN) #404 verified the vial was open and was not labeled as to when it was opened. 4. On 11/15/23 at 9:55 A.M., observation of the medication storage room in the 200 hall revealed a bottle 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 · E2023-11-19 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations and interviews the facility failed to maintain a clean, sanitary environment This had the potential to affect eight residents (Resident #7, #29, #36, #84, #87, #100, #103, #125) for environment and all 18 residents (Resident #1, #2, #13, #20, #25, #42, #70, #74, #75 #78, #89, #99, #112, #122, #123, #126, #134, #143) on the 200 unit who used the shower room. The facility census was 155. Findings Included: 1. Observations on 11/13/23 at 9:05 A.M., 1:46 P.M., and 3:00 P.M. revealed there was fecal matter on the toilet seat and the floor in front of the toilet in the shared bathroom of Resident #29 and #103. On 11/13/23 at 3:00 P.M. an interview with State Tested Nursing Assistant (STNA) #406 verified the fecal matter on the toilet seat and the floor in front of the toilet in the shared bathroom of Resident #29 and #103. She stated the 100 and 200 units did not have a housekeeper today so it was the aides' responsibility to clean up any messes. On 11/15/23 at 10:45 A.M. an interview with Housekeeping Director #317 revealed all the units should have at least one…

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

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-19 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review and interview with staff the facility failed to ensure Resident #36's call light was within reach. This affected one resident (Resident #36) of 36 residents observed for call lights. Findings included: Review of the medical record revealed Resident #36 was had an admission date of 06/11/14. Diagnoses included heart failure, borderline personality disorder, chronic obstructive pulmonary disease, major depressive disorder, schizophrenia, asthma, post-traumatic stress disorder, and auditory hallucinations. Review of the plan of care dated 05/29/14 revealed Resident #36 received psychotropic medication with potential for falls, injury potential for harmful side effects relate to schizophrenia, depression and anxiety. Intervention included to keep (the) call light within reach. Review of the quarterly Minimum Data Set assessment dated [DATE] revealed Resident #36 had moderately impaired cognition and she had no upper extremity impairment. Observations on 11/13/23 at 9:44 AM…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-19 · tag F0569 — isolated
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview the facility failed to ensure resident funds were conveyed timely upon resident discharge from the facility. This affected two residents (Resident #410 and #411) of two residents reviewed for funds conveyance. The facility census was 155. Findings Include: 1. Resident #410 was admitted to the facility on [DATE] with diagnoses including, but not limited to, vascular dementia, generalized anxiety disorder, schizophrenia, and major depressive disorder. Resident #410 expired at the facility on [DATE]. Review of the business records for Resident #410 revealed a check in the amount of $50.13 was dispersed to the State of Ohio Treasurer on [DATE]. 2. Resident #411 was admitted to the facility on [DATE] with a readmission date of [DATE] with diagnoses including, but not limited to, Alzheimer's Disease, major depressive disorder, diabetes mellitus. Resident #411 expired at the facility on [DATE]. Review of the business records for Resident #411 revealed a check in the amount 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-19 · 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, policy review, and interview, the facility failed to ensure restorative programs for ambulation and/or transfers were consistently implemented and evaluated for two (Residents #58 and #127) of six residents reviewed for activities of daily living. The facility identified nine residents on restorative ambulation or transfer programs. The census was 155. Findings include: 1. Review of Resident #58's medical record revealed diagnoses including right sided weakness and paralysis following a stroke, chronic obstructive pulmonary disease, polyneuropathy, atrial fibrillation, anemia, and osteoarthritis. Review of a physical therapy (PT) Discharge summary dated [DATE] indicated interventions provided during PT included activities to promote safe ambulation. Resident #58 had demonstrated improved tolerance to transfers and mobility with a hemi-walker (designed for individuals with the use of only one hand or arm. Lighter than a walker and more stable than a cane) with minimal episodes 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-19 · 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, review of the medical record, and interview the facility failed to ensure Resident #134 was transported to a non-emergent emergency room visit for evaluation after a fall and wound dressings were applied as ordered for Resident #46. This affected one resident (Resident #134) of eight residents reviewed for accidents and one resident (Resident #46) of three residents reviewed for pressure ulcers. The census was 155. Findings included: Review of the medical record revealed Resident #134 was admitted to the facility on [DATE]. Diagnoses included lumbar fracture, diabetes, major depressive disorder, osteoarthritis bilateral knees, respiratory failure, and kidney disease. Review of the quarterly Minimum Data Set assessment dated [DATE] revealed Resident #134 had intact cognition. Review of the progress note dated 08/25/23 at 2:30 A.M. revealed the nurse was informed by the nursing assistant after answering his call light Resident #134 stated he had fallen out of bed. Upon entering his room he…

    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 before2023-11-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, review of the medical record and interview the facility failed to ensure fall interventions were in place for Resident #36, and failed to ensure medications were not left at the bedside for Residents #147 and #355. This affected three residents (Resident #36, #147 and #335) of eight residents reviewed for accidents. Findings included: 1. Review of the medical record revealed Resident #36 was admitted to the facility on [DATE]. Diagnoses included heart failure, borderline personality disorder, chronic obstructive pulmonary disease, suicidal ideation, major depressive disorder, schizophrenia, asthma, post-traumatic stress disorder, and auditory hallucinations. Review of the physician's orders revealed Resident #36 had an order to have a floor mat to the open side of the bed dated 01/03/23. Review of the plan of care dated 01/16/23 revealed Resident #36 had a potential for falls related to psychotropic medication use, decreased cognition, weakness, decreased mobility, obesity, and arthritis.…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-19 · 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 observation, medical record review, review of the narcotic count sheet and interview the facility failed to ensure residents were free from unnecessary psychotropic medications and failed to ensure medications were administered per physician orders. This affected one resident (Resident #66) of five residents reviewed for unnecessary medications. The census was 155. Findings included: Review of the medical record revealed Resident #66 was admitted to the facility on [DATE]. Diagnoses included dementia with behavioral disturbance, depression, psychosis, insomnia, post traumatic stress disorder, and chronic pain. Review of the comprehensive Minimum Data Set assessment dated [DATE] revealed Resident #66 had severely impaired cognition. Review of the November 2023 physician's orders revealed Resident #66 had an order for oxycodone hydrochloride (HCL) (pain medication) five milligrams (mg) one or two tablets every four hours as needed for pain dated 02/19/23. He had an as needed order for Ativan (anti-anxiety…

    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 · D2023-11-19 · 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

    Based on observation, record review and interview, the facility failed to maintain accurate medical records. This affected three (Residents #96, #125 and #138) of 34 resident records reviewed for accurate medical records The census was 155. Findings include: 1. Review of Resident #125's medical record revealed diagnoses including stroke, heart failure and atrial fibrillation. On 09/08/23 an order was written for a resting left hand splint with wear time as tolerated. A quarterly Minimum Data Set (MDS) assessment revealed Resident #125 had functional limitation in range of motion of both lower extremities and one upper extremity. Resident #125 denied pain over the prior five days. Observations on 11/13/13 at 11:32 A.M., 2:09 P.M. and 2:20 P.M. revealed Resident #125 was observed lying in bed with no splint applied. On 11/13/25 at 2:25 P.M., State Tested Nursing Assistant (STNA) #428 stated she had never seen Resident #125 wear a splint and she had not attempted to apply it. STNA #428 indicated she was unsure about Resident #125's ability to tolerate the splint. Subsequent…

    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 · F2021-09-13 · tag F0835 — failed to run the facility competently — widespread
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and record review, the facility failed to ensure the administration used its resources effectively and efficiently to ensure comprehensive and effective infection control policies and practices were developed and implemented to prevent the spread of COVID-19. This affected all 150 facility residents. Findings include: The facility failed to implement effective and recommended infection control practices and failed to use Personal Protective Equipment (PPE) appropriately to decrease the risk of the spread of Covid-19 within the facility. The facility did not effectively utilize PPE including disposable gowns, N95 respirator masks, and goggles/face shields while caring for residents, did not assure staff were completing appropriate hand hygiene while caring for residents, did not ensure a resident's guardian was notified when the resident refused to move to from a room with Covid- 19 positive resident, did not consistently and thoroughly screen visitors and staff for Covid -19, did not monitor visitation, and did not properly disinfect high touch areas…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2021-09-13 · tag F0867 — failed to act on quality-improvement findings — widespread
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, and interview, the facility failed to ensure identified concerns were timely and appropriately addressed through the Quality Assurance and Performance Improvement committee. This had the potential to affect all 150 residents residing at the facility. Findings include: During the annual survey, concerns related to infection control practices were identified, specifically the facility failed to implement effective and recommended use of Personal Protective Equipment (disposable gowns, N95 respirator masks, and goggles/face shields) while caring for residents to decrease the risk of the spread of Covid-19 within the facility. The facility did not assure staff were completing appropriate hand hygiene while caring for residents, did not ensure a resident's guardian was notified when the resident refused to move from a room with a resident who tested positive for Covid-19, did not consistently and thoroughly screen visitors and staff for Covid -19 and did not monitor visitation during the outbreak of Covid-19. The facility failed to properly disinfect…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2021-09-13 · 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 observations, interview, and review of manufacturer information for sanitizer use, the facility failed to prepare puree food under sanitary conditions. This affected 12 residents (Residents #14, #26, #36, #55, #56, #74, #88, #91, #105, #120, #127, and #142) of 12 residents who received puree diets. The facility identified 148 residents who received diets from the kitchen. Findings include: On 09/01/21 beginning at 9:30 A.M., [NAME] #411 was observed pureeing ham. From 9:34 A.M. to 9:35 A.M., [NAME] #411 was observed washing, rinsing and sanitizing the Robo Coup (food processor) canister, blades and lid. The items were shaken to remove excess water. [NAME] #411 returned to the food processor and pureed the scalloped potatoes. Between 9:38 A.M. and 9:40 A.M., [NAME] #411 washed, rinsed, and sanitized the canister, blades and lid. The items were shaken to remove excess water. [NAME] #411 returned to the food processor to puree corn. On 09/01/21 at 9:45 A.M., [NAME] #411 verified she shook the items to remove excess water and did not permit the items to air dry. On 09/01/21 at…

    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 · D2021-09-13 · 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 record review, interview and observation the facility failed to ensure adequate incontinence care was provided for two residents (#27 and #56) of two reviewed for incontinence care. The facility census was 150. Finding include: 1. Review of Resident #56's medical records revealed an admission date of 10/22/13 with diagnoses that included muscle weakness, need for personal assistance and difficulty walking. Review of the MDS assessment dated [DATE] revealed Resident #56 had impaired cognition, required extensive assistance with bed mobility, toileting and personal hygiene, had total dependence for transfers and the resident was incontinent of bowel and bladder. Review of the care plan dated 07/01/21, revealed Resident #56 was incontinent. Interventions included encourage resident to hold urine until next scheduled time, but assist if required, pericare when incontinent and check and change every two hours. Review of Resident #56's physician orders for August 2021 revealed an order for check and change…

    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 before2021-09-13 · 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, record review and interview, the facility failed to discard expired insulin. This affected one (Resident #3) of three residents (Resident #3, #13 and #30) reviewed for insulin medication in the 500 medication cart. The facility census was 150. Findings include: Medical record review of Resident #3 revealed an admission date of [DATE] with diagnoses including diabetes mellitus with hyperglycemia, visual loss of both eyes, and history of traumatic brain injury. Resident #3 had a physician's order dated [DATE] for Humalog 100 unit/milliliter (insulin) at breakfast, lunch and dinner per sliding scale. Review of the resident's medication administration record revealed the Humalog was administered as ordered. Observation on [DATE] at 9:44 A.M. of the medication cart on the 500 unit with Registered Nurse (RN) #517, revealed a bottle of Insulin Lispro (Humalog) was dated as opened on [DATE]. Interview with RN #517 at time of observation verified Resident #3's Insulin Lispro (Humalog) was dated 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • No harm found · B2023-11-19 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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, review of transfer notices, policy review, and interview, the facility failed to ensure information regarding the reason for hospital transfer was documented on the transfer notice. This affected four residents (Residents #4, #16, #125 and #151) of 31 residents reviewed for hospitalization during the initial phase of the survey. The census was 155. Findings include: 1. Review of Resident #16's medical record revealed diagnoses including Parkinson's disease, schizoaffective disorder/bipolar type, type two diabetes mellitus, anxiety disorder and chronic obstructive pulmonary disease. Review of a nursing note dated 03/07/23 at 9:30 P.M. indicated Resident #16's cheeks were flushed. Resident #16's tremors increased and her fingers were cyanotic (blue discoloration due to a lack of oxygen). Resident #16 was alert and oriented. Resident #16's oxygen saturation was originally 56-76% (normal range 90%-100%), pulse was 102 (beats per minute), blood pressure was 137/104, temperature 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
  • No harm found · B2023-11-19 · tag F0625 — pattern
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, review of transfer notices, and interview, the facility failed to ensure information was provided regarding the length of time a resident's bed would be held or the cost to do so when residents were transferred to the hospital. This affected four (Residents #4, #16, #125 and #151) of 31 residents reviewed for hospitalization during the initial phase of the survey. Findings include: 1. Review of Resident #16's medical record revealed diagnoses including Parkinson's disease, schizoaffective disorder/bipolar type, type two diabetes mellitus, anxiety disorder and chronic obstructive pulmonary disease. Review of a nursing note dated 03/07/23 at 9:30 P.M. indicated Resident #16's cheeks were flushed. Resident #16's tremors increased and her fingers were cyanotic (blue discoloration). Resident #16 was alert and oriented. Resident #16's oxygen saturation was originally 56-76% (normal 90-100%), pulse was 102 beats per minute, blood pressure was 137/104, temperature was 98.2 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.

    Resident Rights 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 SPRENGER HEALTH CARE SYSTEMS — 12 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 53.5+0.5 vs chain
Health inspection 3 of 53.3-0.3 vs chain
Staffing 3 of 52.8+0.2 vs chain
Quality measures 5 of 54.5+0.5 vs chain
The other 11 homes this chain runs (chain average 3.5★, 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 / managerTypeRoleShareSince
BLUESKY HEALTHCARE INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 09/21/2010
HUTSENPILLER, WENDIEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF18%since 03/01/2011
MALANOWSKI, KENNETHIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF20%since 03/21/2011
SPRENGER, NICOLEIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF31%since 03/21/2011
SPRENGER, TRACEYIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF31%since 03/21/2011
FOX, EMILYIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 12/31/2024
KUHN, SHANNONIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 12/31/2024
MALANOWKI, BRANDONIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 12/31/2024
CMS & CO. MANAGEMENT SERVICES, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 01/22/2001
COURTOCK, MELISSAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 12/02/2002
DIDOMENICO, RICHARDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 03/26/2024
EPPERLY, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 01/20/2022
GOLLINGER, KRISTENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 11/13/2000
MARINO-FREETAGE, JAIMEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 03/01/2011
MICALE, JACOBIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 02/20/2023
MILLER, KIMBERLYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 03/01/2025
WOOTEN, KAREEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 12/30/2024
BSH INVESTMENTS LLCOrganizationADP OF THE SNF—since 09/21/2010
CITRIN COOPERMAN AND COMPANY, LLPOrganizationADP OF THE SNF—since 02/01/2025
DELTA HEALTH CARE CONSULTANTS, INC.OrganizationADP OF THE SNF—since 01/01/2008
HUNTINGTONOrganizationADP OF THE SNF—since 03/01/2011
ROSE LANE RENTAL PROPERTIES, LLCOrganizationADP OF THE SNF—since 09/21/2010
WELLSPRING STAFFING, INC.OrganizationADP OF THE SNF—since 10/15/2021
SAWULSKI, JENNIFERIndividualADP OF THE SNF—since 03/21/2011
SKIDMORE, JODIIndividualADP OF THE SNF—since 03/21/2011

CMS files one row per role, so the 44 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted.

8 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.

$17.2M
Net patient revenuemost recent cost report
+10.7%
Operating marginrevenue minus expenses
$2.2M
Related-party expense14% of expenses
Who pays — share of resident-days
Medicaid 14%Medicare 2%Other / private 84%

This home reported $2.2M paid to related parties — landlords or management companies under common ownership — equal to about 14% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

$266per resident / day
operating cost
$8,079per month
≈ monthly operating cost
$298per 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 2026-09-01 — CMS provider number 365289. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-29, 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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