Carecore At Mentor

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

41.4% 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 51 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 42% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 33% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 124 beds and averages 86.8 residents a day — about 70% occupied, or roughly 37 beds typically open. It usually has some room. 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 2.98 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.35 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.51 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 2.64 hrs/resident/day on weekends vs 3.12 on weekdays — 15% thinner on weekends. RN hours go from 0.40 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 72% is well above the national median of 45%. 1 administrator has left in the past year.

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

Inspection trend

Deficiencies are 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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

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

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

32 citations, most serious first. The 16 most serious are shown; the remaining 16 are one tap away and print in full.

• Actual harm · Gcited before2025-12-10 · 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 closed record review and interview, the facility failed to adequately monitor Resident #85's condition including bowel and bladder elimination to timely identify and treat infection and constipation. This affected one resident (#85) of three residents reviewed for change in condition. The facility census was 80. Actual harm occurred on 06/25/25 after Resident #85 who had cystitis (inflammation of the bladder), reflux, diabetes, impaired cognition and mobility, a high risk for constipation and infection, and a history of sepsis (a life-threatening response to an infection) failed to receive sufficient monitoring to timely treat constipation and infection. The resident developed progressive symptoms throughout the day including an upset stomach, diaphoresis (heavy sweating), vomiting fecal matter, a firm and distended abdomen, hypoxemia (low blood oxygen), a change in mental status, a high heart rate and pallor before being transferred to the hospital and admitted with aspiration pneumonia and a possible…

  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
• Actual harm · G2025-12-10 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on closed medical review and interview, the facility failed to develop and implement a comprehensive and individualized pressure ulcer prevention program to promote healing and to prevent a decline and infection in pressure ulcers. This affected one resident (#87) of three residents reviewed for pressure ulcers. The facility census was 80.Actual harm occurred beginning on 04/30/25 when Resident #87, who was admitted to the facility with two Stage IV (a severe open sore that has penetrated through all layers of the skin and underlying tissue exposing muscle, tendon or bone) pressure wounds was noted to have a deterioration in wound status (green drainage indicative of infection and increase in size). Wound cultures were not obtained until 05/15/25. On 06/06/25 Resident #87 requested to go to the hospital due to complaints of not feeling well (the resident's family had identified the resident had experienced new onset confusion and lethargy during the week prior). The resident was admitted to the hospital…

  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
• Actual harm · G2024-05-10 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, review of hospital records, facility policy review and interview the facility failed to ensure Resident #91 was free from a significant medication error when the facility administered Resident #91's diuretic (medication to increase the production of urine) when it should have been on hold. Actual Harm occurred on 03/29/24 when the facility failed to hold Resident #91's diuretic medication resulting in a significant change in the resident's condition resulting in an unplanned hospitalization. On 03/29/24 Primary Care Physician (PCP) #615 ordered to hold Resident #91's Torsemide (diuretic medication) due to abnormal lab work including an increase in the resident's creatinine level (a test that measured how well the kidneys filter waste from the blood) to 3.3 mg/ deciliter (dl) indicating worsening of her kidney function, repeat the lab work on 04/01/24 and to notify Nephrologist #614 of the results. On 04/01/24 Resident #91's creatinine increased to 5.4 mg/dl; however, the facility…

  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
• Actual harm · Gcited before2024-04-19 · 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 record review, facility policy review and interview, the facility failed to provide comprehensive, individualized and sufficient wound care for Resident #28 and Resident #95. This affected two residents (#28 and #95) of three residents reviewed for non-pressure related wound care. The facility census was 90. Actual harm occurred on 03/21/24 when Resident #28, who was incontinent and admitted for wound care, was directly admitted to the hospital with a foul smelling, pus draining, painful wound and diagnosed with cellulitis/infection due to a lack of monitoring and adequate wound care following the resident's admission on [DATE]. Findings include: 1. Review of the medical record for Resident #28 revealed an admission date of 03/12/24. Diagnoses included polyneuropathy, diabetes mellitus type II, congestive heart failure, hidradenitis suppurativa (chronic skin condition which involve lesions from inflammation and infection of sweat glands), pain in hip, dorsalgia (back pain), cervicalgia (neck pain),…

  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
• Actual harm · G2024-04-19 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the facility failed to ensure Resident #62 received nutritional supplements as ordered, failed to develop and implement a comprehensive and effective nutrition program, and failed to obtain re-weights and/or weekly weights when a severe weight loss was noted. This affected one resident (#62) of three residents reviewed for nutrition. The facility census was 90. Actual harm occurred when Resident #62, who weighed 11.0 pounds on 01/04/24, experienced a severe 6.2% weight loss from 01/04/24 to 02/01/24, continued to lose an additional 8.4% from 02/01/24 to 03/01/24, and the weight loss was not addressed until 02/28/24. Resident #62 did not receive nutritional supplements as ordered. Resident #62's weight of 95.4 pounds on 03/01/24 reflected a severe weight loss of 14.5% over 56 days. Findings include: Review of the medical record for Resident #62 revealed an admission date of 07/10/23. Diagnoses included rheumatoid arthritis (RA), diabetes, lupus,…

  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
• Actual harm · Gcited before2024-04-19 · 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 interview and record review, the facility failed to provide sufficient tracheostomy care for Residents #19 and #29. This affected two residents (#19 and #29) of three residents reviewed for tracheostomy care. The facility census was 90. Actual harm occurred on [DATE] and on [DATE] when Resident #19, who was cognitively impaired and was dependent on staff for tracheostomy care, was admitted to the hospital with acute on chronic respiratory failure with hypoxia, recurrent infection, and need for mechanical ventilation. On [DATE] there was concern for mucus plugging prior to the hospital stay which contributed to the respiratory failure. From admission on [DATE] through [DATE], there was no evidence Resident #19 received routine ordered tracheostomy care including administering oxygen, continuous monitoring of oxygenation levels, suctioning, changing the cannula, and cleaning the tracheostomy site outside of when the respiratory therapist was in the facility. Findings include: 1. Review of the medical…

  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 · Ecited before2026-02-05 · 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 interview and record review, the facility failed to ensure that facility heating units were maintained in good repair. This affected 20 residents (#8, #23, #30, #37, #39, #41, #42, #43, #49, #55, #58, #60, #65, #70, #72, #75, #81, #85, #86, and #93) of 93 residents residing in the facility. The facility census was 93. Findings include: Record review of the Mentor Fire Department Incident Report #26872, dated 01/31/26 at 4:48 P.M., revealed an incident at the facility involving a blower motor belt smoking and causing excessive heat from the conference room heating unit.On 02/04/26 at 9:41 A.M., an interview with the Administrator revealed on 01/31/26, the facility experienced an issue with the heating unit located in the conference room. The Administrator stated that the motor froze on the heating unit which caused the belt to smoke resulting in excessive heat and the activation of the fire alarm system.A review of a facility document titled Monitoring of Heaters, dated 02/04/26, revealed 18 thermostats were not functioning correctly in the following resident rooms (Rooms…

  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 · D2025-12-10 · 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

  Based on record review and interviews, the facility failed to timely notify Resident #84's family of the resident's hospitalization. This affected one resident (#84) of three residents reviewed for change in condition. The facility census was 80.Findings include:Review of the medical record for Resident #84 revealed an admission date of 06/19/25. Diagnoses included chronic obstructive pulmonary disease (COPD), displaced fracture neck of the left femur, open wound to the left hip, diabetes, presence of left artificial hip, peripheral vascular disease. The resident was discharged to another facility on 07/16/25.Review of the Five-Day Minimum Data Set (MDS) assessment, dated 06/23/25, revealed Resident #84 had intact cognition. Review of the nurses note on 06/21/25 at 7:00 A.M. revealed at around 4:00 A.M. Emergency Medical Services (EMS) arrived at the facility stating they got a call from a female resident that did not know where she was and was afraid. Upon entering room, Resident #84 was on the phone with 911. The resident's call light was not on. The resident had no complaints 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 · Dcited before2025-12-10 · 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

  Based on record review and interview, the facility failed to timely collect a urine sample and start an antibiotic for a urinary tract infection (UTI). This affected one (Resident #84) of three residents reviewed for timely lab work. The facility census was 80.Findings include:Review of the medical record for Resident #84 revealed an admission date of 06/19/25. Diagnoses included chronic obstructive pulmonary disease (COPD), displaced fracture neck of the left femur, open wound to the left hip, diabetes, presence of left artificial hip, peripheral vascular disease. The resident was discharged to another facility on 07/16/25.Review of the Five-Day Minimum Data Set (MDS) assessment, dated 06/23/25, revealed Resident #84 had intact cognition. The resident required partial/moderate assistance for toileting hygiene, upper body dressing, to roll left and right, and sit to laying. The resident required substantial/maximal assistance for lower body dressing, sit to stand, chair to bed to chair transfer, and toilet transfer.Review of the nurse's note dated 07/07/25 at 7:10 A.M. revealed the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-07-11 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and review of facility policy, the facility failed to ensure the ice machine filter was clean and sanitary and that staff properly secured and covered their hair while working in the kitchen. This had the potential to affect all residents (except Residents #45 and #85 who were identified by the facility as having orders for nothing by mouth) who received food from the kitchen. The facility census was 84. Findings include: On 07/08/24 from 8:08 A.M. through 8:20 A.M., the initial tour of the kitchen revealed the ice machine filter was not clean and had a layer of dust. Interview at the time of observation with Dietary [NAME] #814 verified the ice machine filter was dirty and it was supposed to be cleaned monthly. On 07/10/24 at 12:26 P.M., an observation of the kitchen revealed Dietary [NAME] #815 was wearing a hairnet on top of her head with long braids hanging down her back which were not covered by the hairnet. Dietary [NAME] #815 began preparing food without securing or covering her long braids. On 07/10/24 at 1:03 P.M., an interview with Dietary…

  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 · F2024-07-11 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working 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, review of email communication between the facility and the repair company, and review of the quote for repairs, the facility failed to maintain the walk-in freezer in a proper working condition and address a malfunction of the freezer door in a timely manner. This had the potential to affect all residents (except Residents #45 and #85 who were identified by the facility as having orders for nothing by mouth) who received food from the kitchen. The facility census was 84. Findings include: Review of the repair quote, dated 05/13/24, revealed Royal Heating and Air Conditioning Service determined the freezer door sweep needed repaired and quoted the facility $288.00 for the repair with an estimated completion date of 07/10/24 through 08/07/24. Review of an email, dated 07/01/24, sent from Royal Heating and Air Conditioning Service to the Administrator revealed the repair company needed confirmation that the repair quote had been accepted and the part needed to be ordered from 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.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2024-07-11 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  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, interview and record review, the facility failed to change nasal cannula oxygen tubing in a timely manner. This affected four residents (#22, #32, #64 and #69) of 18 residents identified as utilizing oxygen. The facility census was 84. Findings include: 1. Review of Resident #32's medical record revealed an initial admission date of 04/02/24. Resident #32's significant diagnoses included chronic obstructive pulmonary disease. Review of Resident #32's admission Minimum Data Set (MDS) assessment dated [DATE] revealed resident's cognition was intact and used oxygen continuously over the previous seven-day lookback. Review of care plan dated 04/25/24 revealed Resident #32 had an alteration in respiratory function related to chronic obstructive pulmonary disease. Interventions included to provide oxygen as ordered at three liters per minute via nasal cannula. Resident #32's physician orders included to administer oxygen at three liters per minute via nasal cannula to maintain a pulse oximeter…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-11 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, admitting facility documents and hospital paperwork, the facility failed to adequately capture Resident #47 health status at the time of the Minimum Data Set Assessments (MDS). This affected one (#47) of one reviewed for dialysis. The facility census was 84. Findings include: Review of the medical record for Resident #47 revealed an admission date of 09/02/23 with diagnoses that included intraductal carcinoma of left breast, end stage renal disease, and dependence on renal dialysis. Review of the physician orders dated 09/05/23 revealed an order for dialysis every Monday, Wednesday, and Friday starting at 5:10 A.M. and ending at 8:25 A.M. at Fresenius Mentor. Review of the care plan dated 03/04/24 revealed Resident #47 had an alteration in health maintenance related to end stage renal disease and received dialysis on Mondays, Wednesdays, and Fridays with interventions that included attend dialysis as ordered, receive treatments as ordered, and monitor, document, 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-11 · 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

  Based on record review, interview, and review of facility policy, the facility failed to develop and implement a plan of care for use of psychotropic medications for Resident #72. This affected one (#72) of five residents reviewed for unnecessary medications. The facility census was 84. Findings include: Review of the medical record for Resident #72 revealed and admission date of 07/10/23 with diagnoses including schizophrenia, insomnia, and anxiety. Review of the quarterly Minimum Data Set (MDS) Assessment, dated 04/18/24, revealed Resident #72 received an antipsychotic and antidepressant during the seven day lookback period. Review of the comprehensive care plan, last reviewed 04/19/24, revealed there was no care plan for use of psychotropic medications. Review of the physician's orders for July 2024 identified orders for Invega Sustenna (an antipsychotic) intramuscular prefilled syringe 156 milligrams (mg) per milliliter (ml) inject one ml intramuscularly on the first of every month (ordered 04/01/24) and Trazodone Hydrochloride (HCl) (an antidepressant) 25 mg by mouth once daily…

  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 · D2024-07-11 · tag F0755 — failed to provide safe pharmacy services — isolated
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to securely administer medications according to Resident #3's needs. This affected one resident (Resident #3) of five residents reviewed for medications. The total census was 84. Findings include: Record review of Resident #3 revealed she was admitted [DATE] and had diagnoses including Chronic Obstructive Pulmonary Disease (COPD), diabetes, visual hallucinations, major depressive disorder, and bipolar disorder. Review of Resident #3's physician orders revealed no order allowing her to keep medications at the bedside except for her nasal spray. She had an active order dated 01/27/24 for Desvenlafaxine 100 mg to be given daily in the morning for depression. She had an order for as-needed acetaminophen and for scheduled Alrex and Fluticasone doses, but no active order for Turmeric. The record review revealed no evidence of a medication self-administration assessment. Observation of Resident #3 on 07/09/24 at 8:14 A.M. revealed she 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-07-11 · tag F0759 — failed to keep medication error rate low — isolated
  Ensure medication error rates are not 5 percent or greater.
  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 a medication error rate of less than 5 percent (%). A total of 27 medications were observed with two errors identified for a medication error rate of 14.8 %. This affected one (Resident #3) of five residents reviewed for medication administration. The total census was 84. Findings include: Record review of Resident #3 revealed she was admitted [DATE] and had diagnoses including chronic obstructive pulmonary disease (COPD), diabetes, visual hallucinations, major depressive disorder, and bipolar disorder. There was no order allowing her to keep medications at the bedside except for her nasal spray. The record review revealed no evidence of a medication self-administration assessment. Resident #3's physician orders dated 01/27/24 revealed orders for Desvenlafaxine 100 milligram (mg) to be given daily in the morning for depression, an order dated 01/24/24 for artificial tears to be given twice daily for dry eyes, an order dated…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

$35,457 in federal fines across 1 penalty. 1 Medicare payment denial on record.

• $35,457 — penalty dated 2024-04-19
• Medicare payment denial — starting 2024-05-16 for 41 days

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to CARECORE HEALTH — 10 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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.

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

Cost & finances

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

What families pay in OH