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Samaritan Care Center And Villa

806 E Washington Street, Medina, OH 44256 · Non profit - Corporation · 56 certified beds · (330) 725-4123 Medicare & Medicaid certified

Call the home — (330) 725-4123 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • a high number of inspection citations overall (21) — 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
  • its payroll-based staffing rating is low (2/5)
  • nursing-staff turnover (69%) runs well above the national median (45%)

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) 2 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
★★★★★ 5/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
807 E Washington St · (330) 725-4777 · Call to confirm hours
Pharmacy
4087 Medina Rd · (330) 721-7949 · Call to confirm hours
Grocery
Nibble0.8 mi
229 S Court St · (330) 952-1200 · Call to confirm hours
Park
785 E Washington St · (330) 721-6950 · Typically dawn to dusk
Place of worship

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 2 to 4 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased11.2%5.3%15.4%worse than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight8.4%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms21.7%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.7%3.2%3.3%worse
Long-stay residents whose ability to walk worsened9.7%6.1%16.1%worse than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication17.8%25.5%18.9%typical
Long-stay residents given the seasonal flu vaccine97.4%94.5%95.3%typical
Long-stay residents with pressure ulcers2.9%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control14.4%21.4%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table6.5%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication9.5%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine82.1%75.6%79.4%typical

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.

0.20U.S. median 0.31
Therapy hours / resident / day
0.11hours / resident / day
Physical therapy
0.07hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 23% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 27% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNFnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a 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 identifiednot 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 next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — Newly certified nursing home with less than 12-15 months of data available or the nursing home opened less than 6 months ago, and there were no data to submit or claims for this measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 SNFsnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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

0.57
RN hours/ resident / day
0.95
LPN hours/ resident / day
1.67
Aide hours/ resident / day
3.18
Total nurse hours/ resident / day
0.37
RN hoursweekends
69.0%
Total nursing turnover
60.0%
RN turnover

How full it usually is: this home is certified for 56 beds and averages 38.9 residents a day — about 69% occupied, or roughly 17 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.67 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 2.98 hrs/resident/day on weekends vs 3.27 on weekdays — 9% thinner on weekends. RN hours go from 0.65 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 69% is well above 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

5
deficiencies at the latest standard inspection (2025-06-18)
9
at the previous standard inspection (2022-10-31)

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · Fcited before2026-02-12 · 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 observations, interviews and record review the facility failed to label food items to prevent potential food borne illnesses. This had the potential to affect all 38 residents at the facility. Findings include:Observation and interview on 02/11/26 at 9:34 A.M. with Dietary Manager #346 revealed the following items in the fridge that were not labeled or dated: two containers of mushrooms, a plastic container of cooked vegetable mix, peaches, potato soup, a pitcher of tea, a pitcher of lemonade, a plastic package of cheese slices, a plastic container of cooked steak for Philly cheese steak, plastic container of chicken salad, a plastic container of Jell-O, a container of muffins, a bag of shredded cheese and plastic container of chili. This observation was confirmed with Dietary Manager #346 who revealed she did not work last night and staff from last night did not label or date the food.Review of facility policy Date Marking for Food Safety dated 2025 revealed the following: The food shall be clearly marked to indicate the date or day by which the food shall be consumed or…

    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 · D2026-02-12 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure water temperatures were maintained at appropriate temperatures. This affected Resident #1 and had the potential to affect all 6 residents on 100 Hall. Findings include:Interview 02/11/26 at 10:18 A.M. with Resident #2 revealed the water in his bathroom sink is cold.Interview and observation on 02/11/26 at 10:44 A.M. with Maintenance Director (MD) #326 of water temperatures in resident rooms. Resident #1 in room [ROOM NUMBER] water temperature was 101 degrees Fahrenheit (F) after running for 3 minutes. room [ROOM NUMBER] that was not occupied had a water temperature of 102 F. Interview on 02/11/26 at 2:00 P.M. with Resident #1 revealed the water in her room had not been hot since she was admitted in September 2025. Resident #1 said she had told staff previously about the cold water. Review of Tap Water Temperature Checks from July 2025 through January 2026 revealed in August 2025 the water temperature was 101 F in room [ROOM NUMBER].…

    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 · D2026-02-12 · 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 interview and record review, the facility failed to ensure residents were provided assistance safely to prevent falls during care. This affected two residents (Resident #9 and #39) of three reviewed for falls. The facility census was 38.Findings include:1. Review of the closed medical record for Resident #39 revealed an admission date of 07/14/25 with diagnosis that included chronic obstructive pulmonary disease (COPD), emphysema, lack of coordination, cognitive communication deficit, abnormalities of gait and mobility, abnormal posture, muscle weakness, dementia, cardiac murmur, hyperlipidemia and venous insufficiency. The minimum data set (MDS) assessment dated [DATE] revealed the resident was dependent for bed mobility, transfers and mobility. The brief interview mental status (BIMS) score of 02 indicated the resident was severely cognitively impaired. Review of the quarterly Fall Risk assessment dated [DATE] revealed Resident #39 was a high risk for falls with a score of 16.Review of the Care Plan…

    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 · D2026-02-12 · tag F0806 — failed to honor food preferences — isolated
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    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 provide residents with food that met their preference. This affected two residents (Resident #1 and #22) of three reviewed for food preferences. The facility census was 38.Findings include:1. Review of the medical record for Resident #1 revealed an admission date of 09/11/25 with diagnosis that include post-traumatic stress disorder, alcohol use, major depressive disorder, generalized anxiety disorder, history of traumatic brain injury, convulsions, anemia, essential hypertension, vitamin D deficiency and insomnia. Review of Resident #1 food preferences and allergy dietary sheet revealed resident dislikes any type of tomato products, apricots, pears, pineapple, raisins, hotdogs, liver, fish, tuna, egg, salad, rice, spaghetti, goulash, pancakes, rye bread, lemon bars, salami, lima beans and stewed tomato. Observation and interview on 02/11/26 at 11:35 A.M. through 12:12 P.M. of lunch tray line revealed Resident #1 was plated rice. Review of Resident #1 tray card on tray revealed resident disliked rice. The…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2025-06-18 · 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 and staff interview, the facility failed to ensure the food stored in a designated refrigerator for resident use and resident personal room refrigerators were labeled, dated and expired items were disposed of timely. This affected three (Residents #8, #11, and #18) of five residents reviewed for personal resident refrigerators. The facility indicated 17 residents had personal refrigerators in their rooms. This had the potential to affect all 34 residents at the facility using facility refrigeration for personal food items. The facility census was 34. Findings include: Observation on 06/17/25 at 11:05 A.M. with the Assistant Director of Nursing (ADON) #249 of the nutrition refrigerator for resident use located on the 300 hall revealed the following concerns: - A four ounce (oz) nutritional shake with a use by of 06/05/25. - An undated, unlabeled foil wrapped breadstick and red sauce that appeared to be hard and stale. - An unlabeled, undated 16-ounce bottle with unidentified liquid with separated particles. - A one-cup container of a facility prepared side salad…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-06-18 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record review the facility failed to ensure Resident #27's responsible party was notified of a change of condition. This affected one resident (#27) of one residents reviewed for notification of change. The facility census was 34. Findings include: Review of Resident #27 medical record revealed admission date of 02/27/25 with diagnosis of diabetes type II with foot ulcer, protein-calorie malnutrition, cognitive communication deficit, dysphagia, abnormal posture, benign prostatic hyperplasia, essential hypertension, fatigue, nonrheumatic aortic stenosis, polymyalgia rheumatica, major depressive disorder, history of traumatic brain injury, heart failure, history of pulmonary embolism, hypoglycemia, hyperlipidemia, dementia, mild cognitive impairment, and acquired absence of left leg above knee. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #27 had a Brief Interview for Mental Status (BIMS) of 2, indicating severely impaired cognition. Review of court records…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-06-18 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Review of the medical record for Resident #30 revealed an admission date 09/07/23 with diagnoses bipolar, acute respiratory failure, post-traumatic stress disorder (PTSD), anxiety, and type II diabetes. Review of the Minimum Data Set 3.0 MDS comprehensive assessment, dated 05/23/25, revealed Resident #30 had moderate cognitive impairment and required substantial/maximum assistance from staff for activities of daily living. Review of the plan of care for Resident #30 dated 02/25/25 revealed a plan for alteration in mood and behavior related to bipolar disorder, anxiety, depression and unspecified mood disorder. Resident #30 shows little interest or pleasure in doing things and frequent crying. There was no evidence of a plan of care that addressed the resident's history of PTSD. Observation on 06/16/25 at 11:34 A.M. Resident #30 was in her room lying in bed grunting and yelling out. Interview on 06/18/25 at 11:28 A.M. with the Assistant Director of Nursing (ADON) #249 revealed Resident #30 yells out, cries…

    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 · Dcited before2025-06-18 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and review of facility policy and procedure, the facility failed to ensure infection prevention protocols were maintained for Resident #27, who required enhanced barrier precautions. This affected one resident (#27) of three residents reviewed for enhanced barrier precautions. The facility census was 34. Findings include: Review of the medical record revealed Resident #27 was admitted on [DATE] with diagnosis of diabetes type 2 with foot ulcer, protein-calorie malnutrition, cognitive communication deficit, dysphagia, benign prostatic hyperplasia, essential hypertension, fatigue, nonrheumatic aortic stenosis, polymyalgia rheumatica, major depressive disorder, history of traumatic brain injury, heart failure, history of pulmonary embolism, hypoglycemia, hyperlipidemia, dementia, mild cognitive impairment, and acquired absence of left leg above knee. Review of Resident #27's physician order for enhanced barrier precautions dated 6/14/25 revealed a gown and gloves were…

    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 · D2025-06-18 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, facility policy review, and review of manufacturer prescribing information, revealed the facility failed to ensure antibiotics were appropriately prescribed with a correct indication, dose, and duration. This affected one resident (#1) of five residents reviewed for unnecessary medications. The facility census was 34. Findings include: Review of the medical record revealed Resident #1 was admitted to the facility on [DATE] with diagnoses including chronic obstructive pulmonary disease, anxiety, type II diabetes, atrial fibrillation, and peripheral vascular disease. Review of Resident #1's hospital Discharge summary dated [DATE] revealed an order for Macrobid 100 milligrams (mg) every ten days to be administered at 9:00 A.M. and 9:00 P.M. Review of Resident #1's physician's orders revealed an order dated 11/27/24 for Macrobid 100 milligrams (mg), give one capsule by mouth two times a day, every ten days, for urinary tract infection (UTI) prophylaxis (prevention). Review of the…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2025-05-05 · tag F0925 — failed to control pests — widespread
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based observation, review of pest control service inspection report, review of a maintenance request form, and interview, the facility failed to ensure an effective pest control program. This affected seven residents (Residents #23, #15, #11, #14, #35, #2 and #4) and had the potential to affect all residents who resided at the facility. The census was 35. Findings include: Observation on 05/05/25 at 9:05 A.M. revealed Resident #23 was lying in bed, watching television with his half-eaten breakfast meal tray on the overbed table next to him. There were several tiny flying insects swarming around his face and meal. There were approximately 20 tiny flying insects on the wall, in the sink, on the toilet and the door of his bathroom. Interview, during the observation, with Resident #23 revealed his room had a gnat problem for a couple of weeks and the facility had sprayed his room and bathroom and poured a chemical down his drain to eradicate the gnats. Interview on 05/05/25 at 9:19 A.M. with Housekeeper #1 revealed the facility had a gnat problem for a week and he believed the gnats…

    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
Show the remaining 11 citations
  • Potential for harm · Fcited before2022-10-31 · 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 — the official record, unedited, may be distressing

    Based on observations, interview, and facility policy review, the facility failed to ensure the kitchen was clean and sanitary. This had the potential to affect all 32 residents in the facility. Findings include: Observation during the initial tour of the kitchen on 10/24/22 from 8:00 A.M. through 8:20 A.M. with the Director of Nursing (DON) revealed the following items were not stored properly in the reach-in freezer: Salisbury steak and premade French toast were not labeled or dated. In the reach-in refrigerator, a pastry brush in butter that was in a measurer and sliced cheese was not labeled or dated. In a storage bin, there was a bag of pasta and a bag of sugar not properly sealed, labeled, or dated. The microwave had dried food splatter in it, and the door of the microwave was damaged. These findings were verified by the DON at the time of the observation. Review of the undated facility policy titled, Food Safety revealed the facility must store, prepare, distribute, and serve food in accordance with professional standards for food safety.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2022-10-31 · 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

    Based on observation, review of Centers for Disease Control (CDC) guidance, review of Occupational Safety and Health (NIOSH) Personal Protective Technology (PPT), and staff interview the facility failed to provide the appropriate personal protective equipment for the laundry staff when transporting COVID-19 contaminated linens. This had the potential to affect all residents residing in the facility. The facility census was 32. Findings include: Observation of the laundry room on 10/27/22 at 3:30 P.M. with Housekeeper #4 revealed there were no gowns in the laundry room for the staff to wear when placing contaminated laundry into washing machine. Interview on 10/27/22 at 3:32 P.M. with Housekeeping #4 indicated they do not have gowns in the laundry room to wear while placing the soiled and wet laundry into the washing machine. Housekeeping #4 stated they just place the contaminated and isolation laundry directly in to the washing machine without a gown on. She stated they do wear gloves. The facility identified six residents (Resident's #3, #7, #23, #25, #38 and #134) positive 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-10-31 · 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 resident interview, staff interview, and review of activities records the facility failed to ensure activities were held to meet residents' needs and preferences. This affected six (Resident's #2, #5, #14, #17, #21 and #28) of 18 residents reviewed for activities. The facility census was 32. Findings include: 1. Review of the medical record for Resident #2 revealed an admission date of 01/07/20 with diagnoses including congestive heart failure, chronic kidney disease, and type two diabetes mellitus. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #2 had no cognitive impairment. Review of the activity care plan dated 01/15/20 revealed Resident #2 was interested in bingo, computers, puzzles, sports, music, and pet visits. Interventions included invite and encouraged resident to attend activities, provide an activities calendar, notify of any changes to the calendar, and give verbal reminders of activities. Review of the activities attendance reports for October…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-31 · 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, record review, and interview the facility failed to ensure call lights were within reach and accessible for Residents #14, #28 and #30. This affected three residents (Resident's #14, #28 and #30) of 32 residents reviewed for call light placement. The facility census was 32. Findings include: 1. Record review revealed Resident #14 was admitted to the facility on [DATE] and a readmission date of 07/15/22 with diagnoses including diabetes mellitus, atherosclerotic heart disease, and chronic kidney disease. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #14 was cognitively intact and required extensive assistance with activities of daily living. Review of the care plan dated 11/22/19 for Resident #14 revealed Resident #14 was a risk for falls. Interventions included but were not limited to encourage call light to be pinned to gown while in bed. Observation of Resident #14 on 10/24/22 at 11:50 A.M. revealed Resident #14 was lying in bed and call…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-31 · tag F0623 — isolated
    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 staff interview and record review, the facility failed to provide written notice of transfer to the hospital for Resident #17. This affected one (Resident #17) of one resident reviewed for hospitalization. The facility census was 32. Findings include: Review of the medical record for Resident #17 revealed an admission date of 02/17/20 with diagnoses including chronic kidney disease, dementia, type two diabetes mellitus, anxiety, bipolar disorder, and schizoaffective disorder. Resident #17 was transferred to the hospital on [DATE]. Review of the 5-day Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #17 had moderate cognitive impairment. Resident #17 required extensive assistance of one or two staff for activities of daily living. Review of the progress note dated 09/10/22 at 11:46 P.M. revealed Resident #17 was transferred to the hospital for increased confusion. Facility staff notified the physician and Resident #17's sister of the transfer via phone calls. There was no evidence…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-31 · 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, review of the medical record, resident interview, staff interview, and facility policy review the facility failed to ensure Resident #4 had oxygen on as ordered and failed to ensue oxygen equipment was stored properly when not in use for Resident's #4 and #15. This affected two residents (Resident's #4 and #15) of three reviewed for respiratory care. The facility census was 32. Findings include: 1. Review of the medical record revealed Resident #4 was admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disease, dementia, acute respiratory failure, atherosclerotic heart disease, and opioid dependence. Review of the five-day Medicare Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #4 had intact cognition and did not have oxygen. Resident #4 required extensive assistance for all activities of daily living. Review of the October 2022 physician's orders revealed Resident #4 had an order for oxygen (O2) continuously at two liters via nasal…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-31 · 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 record review, interview, and facility policy review the facility failed to ensure the pharmacy recommendations approved by the physician were updated in the medical record. This affected one (Resident #28) of five (Resident's #10, #17, #19, #27 and #28) reviewed for unnecessary medications. The facility census was 32. Findings include: Record review revealed Resident #28 was readmitted to the facility on [DATE] with diagnoses including Alzheimer's, major depressive disorder, spinal stenosis, and chronic obstructive pulmonary disease. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #28 had moderately impaired cognition and required extensive assistance of activities of daily living. Review of the monthly pharmacy recommendations to the attending physician dated 10/19/22, revealed the pharmacist made a recommendation to evaluate Buspirone 5 milligram (mg) for a gradual dose reduction (GDR) from three times day to twice a day. The physician addressed the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-10-31 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interviews, and facility policy review the facility failed to ensure Resident #4 was offered the pneumonia vaccine. This affected one resident (Resident #4) of five reviewed for vaccines. The facility census was 32. Findings include: Review of the medical record revealed Resident #4 was admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disease, dementia, acute respiratory failure, atherosclerotic heart disease, and opioid dependence. Review of the five-day Medicare Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #4 had intact cognition and required extensive assistance for all activities of daily living. Further review of the medical record revealed no documented evidence Resident #4 had been administered the pneumonia vaccine and she did not have a consent filled out refusing the pneumonia vaccine or indicating the vaccine was medically contraindicated. Interview on 10/27/22 at 12:10 P.M. Licensed Practical Nurse (LPN)…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-10-18 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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, and record review the facility failed to maintain accurate care plans for turning and positioning assistance devices This affected one of 16 residents (Resident #20) reviewed for accuracy of care plans. The facility census was 36. Finding Included: Review of the medical record for Resident #20 revealed an admission date 08/18/19; diagnoses included dementia, muscle weakness and history of falling. Review of the restraint/ side rails assessment dated [DATE] revealed the resident used side rails for bed mobility. Review of the plan of care dated 08/20/19 revealed no care plan for bilateral side rails on bed. Observation on 10/16/19 at 9:00 A.M. of Resident #20's room revealed bilateral side rails on the bed Interview on 10/18/19 at 1:15 P.M. with the Director of Nursing (DON) revealed when it was determined that a resident needed side rails, the plan of care was to be updated. The DON verified that Resident #20's plan of care did not include a plan of care for bilateral side…

    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 · Dcited before2019-10-18 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and medical record review the facility failed to provide and maintain infection prevention during incontinence care. This affected one of one residents (Resident #9) reviewed for incontinence care. The facility census was 36. Finding Included: Review of the medical record of Resident #9 revealed an admission date of 10/29/18 with diagnoses including dementia, cyst of kidney and benign prostatic hyperplasia. Review of the quarterly Minimum Data Set (MDS) assessment, dated 07/19/19, revealed the resident had impaired cognition. The resident required extensive assistance of two staff for toileting. The resident was identified to be incontinent of bowel and bladder. Review of the plan of care dated 10/29/18 revealed the resident was incontinent of bladder due to benign prostatic hyperplasia. Interventions included check for incontinence, wash, rinse and dry perineum. Change clothing as needed after incontinence episodes. Review of the bowel and bladder assessment dated [DATE]…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2022-10-31 · tag F0576 — widespread
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on resident interview, staff interview, and record review, the facility failed to ensure resident mail was delivered in a timely manner. This had the potential to affect all 32 residents in the facility. Findings include: Review of activity records provided by the facility for October 2022 for Resident's #6, #10, #19, #21, #22, and #134 revealed mail delivery was indicated on the resident activity's records. There was no evidence that mail was delivered to residents on Saturdays and Sundays. On 10/25/22 at 1:00 P.M., during the Resident Council Meeting, Resident's #6, #21, #22, and #134 stated they did not receive mail on the weekends because there were no activity staff on the weekends to deliver mail. On 10/25/22 at 2:32 P.M., interview with Activities Assistant Director #8 verified there were no activity staff on the weekends, and any mail delivered on the weekends was given to residents on Monday.

    Resident Rights Deficiencies · Deficient, Provider has plan of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to AMERICAN HEALTH FOUNDATION — 5 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 52.8+1.2 vs chain
Health inspection 3 of 52.6+0.4 vs chain
Staffing 2 of 52.8-0.8 vs chain
Quality measures 5 of 53.6+1.4 vs chain
The other 4 homes this chain runs (chain average 2.8★, 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
AMERICAN HEALTH FOUNDATION , INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL100%since 05/01/2016
HAEMMERLE, J MICHAELIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 05/01/2016
HAEMMERLE, JEFFREYIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROLsince 12/20/2023
HAEMMERLE, JOHNIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 11/20/1996
HAEMMERLE, MARKIndividualCORPORATE DIRECTORsince 12/29/1995
LEHMAN, TIMOTHYIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 05/01/2016
MCDONOUGH, JAMESIndividualCORPORATE DIRECTORsince 01/01/2017
AHF MANAGEMENT CORPOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/13/2025
COLLINS, JANICEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/31/2024
JAIN, SUSHILIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/21/2025
LEHMAN, SUZANNEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/01/2016
SALSER, ANNETTEIndividualOPERATIONAL/MANAGERIAL CONTROLsince 05/01/2016

CMS files one row per role, so the 22 rows in the source record cover these 12 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$4.0M
Net patient revenuemost recent cost report
-44.1%
Operating marginrevenue minus expenses
$198K
Related-party expense3% of expenses
Who pays — share of resident-days
Medicaid 42%Medicare 0%Other / private 58%

This home reported $198K paid to related parties (affiliated landlords or management companies) in its most recent 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

$287per resident / day
operating cost
$8,728per month
≈ monthly operating cost
$199per day
avg. revenue, all payers

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

What families pay in OH

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.

Typical monthly cost in Ohio
$9,186/mo
Nursing home (semi-private)
$10,389/mo
Nursing home (private)
$6,103/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 365817. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-06-18, 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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