Parkside Villa
7040 Hepburn Road, Middleburg Heights, OH 44130 · For profit - Corporation · 178 certified beds · (440) 260-7626 Medicare & Medicaid certified
This home’s record is mixed — some reassuring signs, some worth asking about.
- a middle-of-the-pack inspection score (3/5)
- no federal fines or payment denials on record
- a high number of inspection citations overall (22) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- its facility-reported quality-measure score sits well above its independent inspection score
- its payroll-based staffing rating is low (2/5)
- about 19% of its spending goes to commonly-owned related companies
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.
| 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
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
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 |
| Short-stay residentsrehab / post-hospital | 4 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 5.1% | 5.3% | 15.4% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 2.5% | 6.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.2% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 1.2% | 0.4% | 2.0% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 33.4% | 30.1% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.8% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 5.3% | 6.1% | 16.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 17.7% | 25.5% | 18.9% | typical |
| Long-stay residents given the seasonal flu vaccine | 88.4% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 9.3% | 3.4% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 24.0% | 21.4% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 2.9% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.7% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 85.1% | 75.6% | 79.4% | typical |
| Short-stay residents rehospitalized after admission | 27.1% | 24.9% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 6.8% | 12.9% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 1.56 | 1.73 | 1.67 | typical |
| Long-stay outpatient ER visits per 1,000 resident days | 1.02 | 1.80 | 1.80 | better |
‡ 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.
61.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 566 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 53.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 177 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.40 therapist hours per resident per day in 2026Q1 — more than 68% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 9% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 61.5%CMS range 56.8–66.2 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 11.3%CMS range 9.1–13.4 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 53.1% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 52.0% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 33.9% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 99.6% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison 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 discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.8% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.8% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 8.6%CMS range 6.1–11.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.90 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 178 beds and averages 156.1 residents a day — about 88% occupied, or roughly 22 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.89 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.84 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.11 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.36 hrs/resident/day on weekends vs 4.10 on weekdays — 18% thinner on weekends. RN hours go from 0.95 to 0.57 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 56% is about the same as the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.
- Potential for harm · F2025-04-30 · tag F0725 — failed to have enough nursing staff — widespreadProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident record review, resident interviews, and staff interviews. The facility failed to ensure adequate staff levels to meet the needs of the residents. This affected three (#4, #79, #104) of three residents reviewed and had the potential to affect all residents residing in the facility. The facility census was 142.Findings include:1. Interview on 04/21/25 at 10:46 A.M. with Certified Nurse Assistant #CNA) #953 revealed there were not enough aides. CNA #953 revealed there were only two aides covering the secured unit and it wasn't enough for the census and acuity level. Interview on 04/21/25 at 10:51 A.M. with Licensed Practical Nurse (LPN) #939 revealed there were not enough staff to manage the census and acuity levels. LPN #939 revealed there were multiple residents that required hoyer lift, hands-on feedings, showers, and frequent check and changes and monitoring. 2. Review of the medical record for Resident #4 revealed she was admitted to the facility on [DATE] with diagnoses that…
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.
- Potential for harm · Fcited before2025-04-30 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure 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
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, review of the facility policy and review of facility temperature monitoring logs, the facility failed to ensure unit refrigerators temperature monitoring logs were completed as required. This had the potential to affect all 115 residents receiving food from the facility kitchen. The facility identified twelve residents who received nothing by mouth (NPO). The facility census was 142. Findings include: Observation and interview on 04/24/25 at 3:00 P.M. with Registered Dietitian (RD) #852 of the facility unit refrigerators used for outside foods brought in for residents revealed no temperature monitoring logs were on the facility refrigerators. RD #852 stated the temperatures are to be taken for each unit refrigerator twice daily and are kept at the nurses' stations. Upon searching each nurse's station, it was revealed the temperature monitoring log for the Cypress unit refrigerator and freezer were only completed from 04/01/25 through 04/04/25, 04/07/25 and 04/08/25. Observation…
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.
- Potential for harm · E2025-04-30 · tag F0695 — failed to provide proper breathing / tracheostomy care — patternProvide 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 observations, resident record reviews, resident interviews, staff interviews, and facility policy review, the facility failed to ensure oxygen tubing labeled and changed routinely. This affected six (#84, #91, #114, #118, #160, #367) of six residents reviewed for respiratory services. The facility census was 142. Findings include:1. Review of the medical record for Resident #114 revealed she was admitted to the facility on [DATE] with diagnoses that included type 2 diabetes, chronic obstructive pulmonary disease, and dependence on supplemental oxygen. Review of the physician orders dated 03/27/25 revealed Resident #114 had an order in place for oxygen at 2-4 liters per minute via nasal canula every shift to keep pulse oximetry readings equal or greater than 92 percent.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #114 was alert and oriented, required assistance from staff for activities of daily living (ADLs), had shortness of breath or trouble breathing when lying flat,…
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.
- Potential for harm · Ecited before2025-04-30 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, and facility policy review, the facility failed to ensure medications were stored in a safe, secured and proper manner. This had the potential to affect 101 residents who were identified by the facility to be independently mobile. The census was 142. Findings include: Observation on 04/22/25 at 1:00 P.M. revealed the staff development room was full of unreturned resident prescription medications. There were seven large boxes filled with cards of medications, and a table full of prescription medication cards for residents who had discharged . Additional medications were stacked on the floor of the room. There were three large purple bags of medications that were ready to be returned. There were creams, injectables, breathing treatments, cards (blister packs) and cards of unused pills, tablets, and capsules. There were at least 200 separate medications that were unsecured in the room. On 04/22/25 at 1:00 P.M. the Maintenance Supervisor verified the room was unlocked and a whole lot of medications were stored in the Staff Development room. On…
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.
- Potential for harm · Dcited before2025-04-30 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably 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, interview, and facility policy review, the facility failed to ensure call lights were within reach and accessible. This affected one resident (#4) of one resident reviewed for call light placement. The facility census was 142. Findings include: Review of the medical record for Resident #4 revealed she was admitted to the facility on [DATE] with diagnoses that included chronic respiratory failure, type 2 diabetes, and cellulitis of the right lower limb. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #4 was alert and oriented with cognition impairment, impaired on one side, and was dependent on staff for activities of daily living (ADLs). Review of the care plan dated 03/25/25 revealed Resident #4 was at risk for falls and had impaired mobility with interventions that included, but not limited to, call light accessible when in room. Observation on 04/22/25 at 3:00 P.M. revealed Licensed Practical Nurse (LPN) #858, Registered Nurse (RN) #879 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.
- Potential for harm · D2025-04-30 · tag F0676 — failed to keep up residents' daily-living abilities — isolatedEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review and interview the facility failed to ensure residents received restorative therapy as ordered. This affected one (Resident #138) of three residents reviewed for therapy. The facility census was 142. Findings include: Review of medical record for Resident #138 noted an admission date of 10/03/24. Diagnoses included chronic respiratory failure with hypoxia, acute kidney failure, encounter for attention to tracheostomy, and unspecified protein-calorie malnutrition. Review of the quarterly Minimum Data Set (MDS) assessment, dated 01/09/25, revealed the resident had impaired cognition. The resident was dependent for all activities of daily living. Review of plan of care dated 10/28/24 noted Resident #138 was at risk for impaired functional range of motion related to inability to move extremities independently. The plan of care included passive range of motion to bilateral to ankles and slow gentle pace holding at end range for 10 seconds. Additional instructions included to provide 10 repetitions for two to three sets over all joints including shoulder, elbow,…
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.
- Potential for harm · D2025-04-30 · tag F0698 — failed to provide proper dialysis care — isolatedProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident record review, resident interview, staff interviews, dialysis staff interviews, and facility policy review, the facility failed to ensure residents requiring dialysis attended scheduled appointments. This affected one (#84) of one resident reviewed for dialysis. The facility identified 13 total residents who received dialysis treatments. The facility census was 142. Findings include: Review of the medical record for Resident #84 revealed she was admitted to the facility on [DATE] with diagnoses that included polyneuropathy, respiratory failure, dependence on dialysis, and hypertensive heart and chronic kidney disease. Review of the MDS assessment dated [DATE] revealed Resident #84 was alert and oriented to person, place, and time, was dependent on staff for ADLs and required dialysis. Review of the physician order dated 01/15/25 revealed an order to complete dialysis communication form before dialysis and send with patient to dialysis one time a day every Monday, Wednesday, and Friday. Review…
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.
- Potential for harm · D2025-04-30 · tag F0770 — failed to provide lab services — isolatedProvide timely, quality laboratory services/tests to meet the needs of residents.
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, closed medical record review and review of laboratory testing results, the facility failed to ensure physician ordered testing was completed timely as required. This affected one (Resident #147) of three reviewed for timely completion of physician orders. This had the potential to affect all 142 residents residing at the facility. Findings include: Review of the closed medical record for Resident #147 revealed an admission date of 11/14/24 and a discharge date of 03/27/25. Diagnoses included but were not limited to anoxic brain damage, type II diabetes mellitus with chronic kidney disease, dependence on renal dialysis, anemia, unspecified protein-calorie malnutrition, and gastrostomy. Review of Resident #147's care plan initiated on 12/06/24 indicated bowel incontinence related to impaired mobility, loss of sphincter control, and physical limitations. Interventions were to record bowel movement, note size and consistency. Report any abnormalities to the charge nurse. Resident #147 was also…
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.
- Potential for harm · D2025-04-30 · tag F0926 — failed to keep the home smoke-free / fire-safe — isolatedHave policies on smoking.
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 review of the facility policy the facility failed to effectively implement the facility smoking policy. This affected one (Resident #108) of one resident reviewed for smoking. The facility census was 142. Findings include: Review of medical record for Resident #108 noted an admission date of 06/26/24. Diagnoses included respiratory failure, unspecified whether with hypoxia or hypercapnia, metabolic encephalopathy, delusional disorder, and visual hallucinations. Review of Social Services smoking assessment dated [DATE] noted Resident #108 exhibited knowledge of facility smoking rules and policies, does not smoke in designated areas only, does not know correct smoke time, does know where smoking materials are to be properly stored/kept. Resident #108 could use a lighter safely, could hold smoking materials safely, could extinguish smoking materials, and does not demonstrate compliance with facility smoking rules. Resident #108 was safe to smoke independently/unsupervised.…
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.
- Potential for harm · D2024-11-07 · tag F0625 — isolatedNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and interviews with facility and hospital staff, the facility failed to ensure Resident #170 was provided a bed hold notice when discharged to the hospital. This affected one resident (Resident #170) of three residents reviewed for bed hold notices. Findings include: Review of the closed medical record for Resident #170 revealed an initial admission date of [DATE] then a readmission on [DATE]. He was discharged to the hospital on [DATE]. He expired on [DATE] at the hospital. Resident #170's diagnoses included heart transplant recipient, end stage renal disease and congestive heart failure. Review of the progress note dated [DATE] at 4:24 A.M. revealed a transfer and bed hold notice signed by the nurse. There was no evidence Resident #170 signed the notice or was given a written copy of the notice. Interview on [DATE] at 2:46 P.M. with Registered Nurse (RN) #201 revealed she did not have Resident #170 sign the bed hold notice nor have other evidence he received a copy in…
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.
Show the remaining 12 citations
- Potential for harm · Ecited before2024-04-30 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations and interviews the facility failed to name and date open insulin and discard expired and unused insulin from the medication cart. This affected five (#18, #27, #85, #105, and #115) of 21 residents that required insulin. Findings include: Observation on [DATE] at 9:29 A.M. of Medication cart #1 revealed an open vial of insulin for Resident #105, the vial was not dated as to when it was opened; an open vial of insulin with no name or date as to when the insulin vial had been opened, and six additional opened insulin vials for residents that were either discharged or moved to another unit. Interview during the observation with Licensed Practical Nurse (LPN) #200 revealed staff were to write the resident's name and date the insulin vial was opened and remove all insulin vials non longer in use from the cart. Observation on [DATE] at 9:51 A.M. of Medication cart #2 revealed open vials of insulin that were not dated as to when opened for Resident #18 and Resident #27, and one opened vial 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.
- Potential for harm · D2024-04-30 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide 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
Based on record review, observation, interview, policy review, and review of the Centers for Disease Control and Prevention guidance, the facility failed to test blood glucose levels appropriately. This affected one (#12) of six residents reviewed for blood glucose testing. Findings include: Review of the medical record for Resident #12 revealed an admission date of 04/16/24. Diagnoses included type two diabetes, joint replacement surgery, and peripheral vascular disease. Review of the Minimum Data Set (MDS) assessment, dated 04/23/24, revealed Resident #12 had intact cognition. Review of the physician order dated 04/17/24 revealed an order to administer insulin with meals and at bedtime per sliding scale based on blood glucose levels. Observations of medication administration on 04/29/24 at 8:37 A.M. revealed Licensed Practical Nurse (LPN) #200 checking a blood glucose level for Resident #12. Resident #12 had already consumed breakfast. Resident #12's blood sugar level was 206 which indicated the resident was to receive four units of insulin per sliding scale. LPN #200 confirmed…
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.
- Potential for harm · D2024-04-30 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, observation, interview, and review of manufacturer guidelines for use of KwikPen, the facility failed to residents were free of significant medication errors. This affected one (#12) of one resident observed for insulin administration. Findings include: Review of the medical record for Resident #12 revealed an admission date of 04/16/24. Diagnoses included type two diabetes, aftercare following joint replacement surgery, peripheral vascular disease, and need for assistance with personal care. Review of the comprehensive Minimum Data Set (MDS) assessment, dated 04/23/24, revealed Resident #12 had intact cognition, required maximal assistance for toileting and showering, and was occasionally incontinent of bladder and frequently incontinent of bowel. Review of Resident #12's plan of care dated 04/17/24 revealed plans to monitor and provide care for hyper/hypoglycemia. Observations of medication administration on 04/29/24 at 8:37 A.M. revealed Licensed Practical Nurse (LPN) #200 checking blood glucose levels for Resident #12. Resident #12 had already consumed…
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.
- Potential for harm · Dcited before2024-04-30 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview the facility failed to ensure appropriate infection control standards were maintained during medication administration. This affected one (Resident #23) of three residents observed for medication administration. Findings include: Observations of medication administration on 04/29/24 at 10:32 A.M. revealed Licensed Practical Nurse (LPN) #208 sanitizing hands, opening the drawers in the medication cart, and removing the bubble packs of medications. LPN #208 popped seven medications for Resident #23 into a bare hand. Interview immediately after observation with LPN #208 revealed the pills should have been popped into the medication cup or a gloved hand. The facility did not provide a policy regarding hand hygiene during medication administration as requested. This deficiency represents non-compliance investigated under Complaint Number OH00152656.
- Potential for harm · Ecited before2024-02-20 · tag F0805 — failed to prepare food in a form residents can eat — patternEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, and record review, the facility failed to prepare pureed food in a smooth consistency for safe consumption. This had the potential to affect 10 residents (Resident #5, #68, #91, #94, #106, #128, #135, #141, #213, #215) of 10 resident who received a puree diet. Findings include: Observation on 02/13/24 at 4:30 P.M. of [NAME] #212 preparing puree skillet lasagna revealed an unmeasured amount of hot water was added into the noodle mixture. The mixture was a thin nectar consistency that dripped off the spoon. Dietary Manager #217 and [NAME] # 212 verified the puree constituency was too thin for safe service. [NAME] #212 then added an unmeasured amount of food thickener to the mixture that altered the taste of the skillet lasagna. Observation on 02/13/24 at 6:05 P.M. of the dinner tray line with Food Service Manager #217 revealed the served puree peas were of a thin consistency that ran into other food items on the dinner plate. Interview on 02/20/24 at 12:45 with the Food Service Manager #217 revealed the facility did not have a puree diet recipe 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.
- Potential for harm · Ecited before2024-02-20 · tag F0812 — failed to store, cook, and serve food safely — patternProcure 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 facility policy review the facility failed to ensure food was stored and served properly and in a sanitary manner. This had the potential to affect all 147 residents who consumed food from the kitchen as 12 residents (Resident #28, #34, #57, #58, #67, #76, #77, #86, #92, #112, #155, #431) received nothing by mouth (NPO). Findings include: Observation on 02/12/24 at 6:32 P.M. of the facility dry storage room revealed an unsealed open egg noodle plastic bag open to air and undated, an open bag and undated raisin bran cereal, an open box of saltine crackers packages with no expiration date for resident consumption, an all-purpose four bag was open to air and undated, and an opened sugar bag was open to air that was undated. There was also a dried puddle of tube feeding on the floor under the tube feeding storage shelf. Interview with Dietary Staff #221 at the time verified the findings. Interview on 02/13/24 at 9:55 A.M. with Food Service Manager #217 verified tube feeding was spilled on the dry storage room floor and the sugar and flour packages…
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.
- Potential for harm · D2024-02-20 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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 label and date Resident #92's continuous tube feed bag to ensure proper administration of enteral formula over extended periods of time. This affected one resident (Resident #92) out of four residents reviewed for tube feedings. Findings include: Review of medical record for Resident #92 revealed an admission date of 11/01/23 and her diagnoses included diabetes malignant neoplasm of esophagus, gastrostomy, and hypertension. Review of care plan last revised on 01/07/24 revealed Resident #92 required a feeding tube to maintain and/ or improve her nutritional status related to dysphagia, weight loss, and esophageal cancer. Interventions included tube feedings per dietitian and physician recommendations. Review of quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #92 had intact cognition and had a feeding tube. Review of February 2024 Physician Orders revealed Resident #92 had the following tube feeding order: Diabeta Source 65…
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.
- Potential for harm · Dcited before2024-02-20 · tag F0761 — failed to label and store drugs safely — isolatedEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, observation, policy review and review of medical record, the facility failed to ensure medications were secured and not left at bedside unsecured. This affected one resident (Resident #94) out of one resident reviewed for unsecured medication. Findings include: Review of medical record for Resident #94 revealed an admission date of 12/26/23 and diagnoses included diabetes, heart failure, depression, anxiety, anemia, and chronic kidney disease. There was nothing in her medical record that she was assessed to be able to self-administer her medications. Review of Medicare five-day Minimum Data Set (MDS) dated [DATE] revealed Resident #94 had intact cognition. Review of care plan dated 01/17/24 revealed Resident #94 had impaired mobility and required assistance with activities of daily living due to decreased mobility. Interventions included setting up meals, cutting up food and assist as needed, toe touch only weight bearing to right lower extremity, and assist as needed with all aspects 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.
- Potential for harm · Ecited before2021-11-04 · tag F0558 — failed to accommodate residents' needs and preferences — patternReasonably 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, interview and policy review, the facility failed to ensure call lights were within reach and accessible for Resident's #12, #19, #81 and #59. This affected four residents (#12, #19, #81 and #59) of 133 residents reviewed for call light placement. Findings include: 1. Record review revealed Resident #12 was admitted to the facility on [DATE] with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting left side, dementia, diabetes mellitus, and bipolar. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #12 had intact cognition and required extensive assistance of activities of daily living. Observation and interview on 11/01/21 at 9:26 A.M. revealed Resident #12's call light was dangling on the left side of bed. Resident #12 did not know where it was and couldn't reach it. Resident #12 stated she uses the call light when she can get to it. Interview with State Tested Nursing Assistant (STNA) #118 at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2021-11-04 · tag F0805 — failed to prepare food in a form residents can eat — patternEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and taste test, the facility failed to serve pureed foods at a smooth consistency for safe swallowing. This affected ten of 10 residents (Resident's #12, #32, #93, #128, #153, #355 and #55) were prescribed a pureed diet and (Residents #60, #83 and #554) who were prescribed a mechanical diet with pureed meats. The facility census was 133. Findings include: Observation on 11/02/21 at 3:45 P.M. with Dietary Manager #128 and [NAME] #127 revealed the pureed food was not the proper consistency. Taste test revealed it was not a smooth consistency. Dietary Manager #128 verified the consistency of the pureed meatloaf at the time of observation. Observation on 11/03/21 at 3:45 P.M. with Dietary Manager #128 and [NAME] #127 revealed that the pureed peaches were not smooth in texture like pudding or mashed potatoes. Dietary Manager #128 verified the consistency of the pureed peaches at the time of observation. Review of the resident diet list revealed Resident's #12, #32, #93, #128, #153, #355 and #55 were prescribed a pureed diet, and Resident's #60, #83 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.
- Potential for harm · D2021-11-04 · tag F0578 — failed to honor advance directives / code status — isolatedHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and record review, the facility failed to ensure advance directives were in place as per the resident's wishes. This affected one (Resident #14) of seven (Resident's #1, #14, #78, #95, #462, #464 and #468) residents reviewed for advance directives. The facility census was 133. Findings include: Record review of Resident #14 revealed an admission date of 10/13/21 with diagnoses including malignant neoplasm of the ovary and brain (cancer). Review of the physician order in the electronic system dated 10/13/21 revealed Resident #14 was a Do Not Resuscitate Comfort Care Arrest (DNRCCA). No signed Do Not Resuscitate (DNR) order form was completed in the resident's chart. Interview on 11/01/21 at 3:10 P.M. with Resident #14 revealed she told staff she wanted to be a DNRCCA when she was admitted . Interview on 11/01/21 at 3:16 P.M. with Licensed Practical Nurse (LPN) #184 verified there was a blank DNR order form in the chart. Interview on 11/01/21 at 3:22 P.M. with Registered Nurse (RN) #249 revealed the facility's procedure with obtaining a resident's advance…
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.
- Potential for harm · Dcited before2021-11-04 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, interviews, record review and policy review, the facility failed to ensure staff disinfected the glucometer between residents. This affected one (Resident #95) of two (Resident #95 and #456) residents receiving glucometer checks on the unit. The facility census was 133. Findings include: Record review of Resident #95 revealed an admission date of 09/24/21 with diagnoses including diabetes mellitus, heart failure, and difficulty walking. Review of the physician order dated 10/22/21 revealed Resident #95 had an order to check her blood sugar before each meal. Observation on 11/02/21 at 7:54 A.M. revealed Licensed Practical Nurse (LPN) #187 go into Resident #456's room with the glucometer and check the resident's blood sugar. Once LPN #187 was finished with the blood sugar check he came out of the room, laid the glucometer on the medication cart, removed his gloves, and used hand sanitizer. LPN #187 then placed new gloves on, gathered supplies and picked up the glucometer off the medication cart and went into Resident #95's room without disinfecting 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.
“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.
- 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.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to LEGACY HEALTH SERVICES — 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 →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.5 | +0.5 vs chain |
| Health inspection | 3 of 5 | 2.7 | +0.3 vs chain |
| Staffing | 2 of 5 | 2.2 | -0.2 vs chain |
| Quality measures | 5 of 5 | 4.9 | ≈ chain avg |
The other 9 homes this chain runs (chain average 3.5★, per CMS)
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| OH 10 HOLDCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 07/06/2022 |
| CC OH10 OPCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| CHAVOS221 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| CHAVOS221 IRRV TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| LIONSVIEW OPCO NR LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| LIONSVIEW SC LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| LIVING26 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| LIVING26 IRRV TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| SAPPHIRE143 HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| SAPPHIRE143 IRRV TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 07/06/2022 |
| STUMP, BARRY | Individual | W-2 MANAGING EMPLOYEE; CORPORATE OFFICER | — | since 05/07/2019 |
CMS files one row per role, so the 12 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.
10 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.
This home reported $4.5M paid to related parties — landlords or management companies under common ownership — equal to about 19% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
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
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.
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 366229. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-30, 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.