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Sycamore Run Nursing And Rehab Ctr

6180 State Route 83 N, Millersburg, OH 44654 · For profit - Corporation · 108 certified beds · (330) 674-0015 Medicare & Medicaid certified

Call the home — (330) 674-0015 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0604, F0609, F0610) — most recent Jun 2026Resident-funds citation (F0567)
Insights

The public record raises real questions here. Weigh the concerns below carefully.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0567)
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (2/5)

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

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

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 4 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1197 Glen Dr · (330) 674-4448 · Call to confirm hours
Pharmacy
187 S Clay St · (330) 674-5151 · Call to confirm hours
Grocery
Bunker Hill · (330) 893-2131 · Call to confirm hours
Park
62 N Grant St · (330) 674-3353 · Typically dawn to dusk
Place of worship
1207 Wooster Rd · (330) 674-3191

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 3 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 1 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 fell from 5 to 4 stars. From monthly CMS archive snapshots.

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

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased1.3%5.3%15.4%better than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight7.1%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms89.0%30.1%6.5%worse than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury3.5%3.2%3.3%typical
Long-stay residents whose ability to walk worsened2.7%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication36.5%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine94.7%94.5%95.3%typical
Long-stay residents with pressure ulcers1.6%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control19.5%21.4%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table24.3%8.8%17.1%worse
Short-stay residents who newly got an antipsychotic medication5.6%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine64.1%75.6%79.4%worse
Short-stay residents rehospitalized after admission20.4%24.9%22.6%typical
Short-stay residents with an outpatient ER visit17.9%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days1.031.731.67better
Long-stay outpatient ER visits per 1,000 resident days1.931.801.80typical

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.

44.3% 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 28 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

44.3%U.S. median 51.5%
Got home and stayed home
11.9%U.S. median 10.7%
Went back to hospital
34.8%U.S. median 56.6%
Met the expected recovery
0.18U.S. median 0.31
Therapy hours / resident / day
0.10hours / resident / day
Physical therapy
0.06hours / resident / day
Occupational therapy
0.02hours / resident / day
Speech therapy

Met the expected recovery: 34.8% 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 23 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 0.18 therapist hours per resident per day in 2026Q1 — more than 18% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF44.3%CMS range 27.6–57.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.9%CMS range 8.8–17.110.7%Oct 2022–Sep 2024no 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 discharge34.8%56.6%Oct 2024–Sep 2025CMS 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 discharge30.4%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge21.7%50.0%Oct 2024–Sep 2025CMS 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 identified25.9%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.0%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.0%CMS range 3.5–11.87.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.891.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.45
RN hours/ resident / day
1.19
LPN hours/ resident / day
1.98
Aide hours/ resident / day
3.62
Total nurse hours/ resident / day
0.34
RN hoursweekends
44.3%
Total nursing turnover
22.2%
RN turnover

How full it usually is: this home is certified for 108 beds and averages 87.4 residents a day — about 81% occupied, or roughly 21 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 3.62 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.45 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.98 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 3.18 hrs/resident/day on weekends vs 3.80 on weekdays — 16% thinner on weekends. RN hours go from 0.49 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as 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

4
deficiencies at the latest standard inspection (2025-01-16)
5
at the previous standard inspection (2022-12-07)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

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

  • Potential for harm · Dcited beforedisputed · IDR2026-06-16 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and facility policy review, the facility failed to report an allegation of abuse to the State Survey Agency after the facility was made aware of the allegation. This affected one resident, (Resident #99), reviewed for abuse reporting. The facility census was 96. Findings include:Review of Resident #99's medical record revealed the resident was admitted to the facility on [DATE] and discharged from the facility on 05/26/26. Diagnoses included multiple fractures of ribs, left side, subsequent encounter for fracture with routine healing; unspecified dementia without behavioral disturbance; alcohol abuse; Type II Diabetes Mellitus with diabetic neuropathy; atrial fibrillation; muscle weakness; difficulty walking; cognitive communication deficit; need for assistance with personal care; depression; history of falling; dysphagia; and hypertension. Review of the complaint information revealed a complaint was filed which indicated Resident #99 was abused by facility staff. The complaint…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-30 · 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 medical record review, observation, interview, and medication manufacturer guideline review the facility failed to provide respiratory care following inhaled respiratory medication as administered. This deficient practice affected two residents (Resident #3 and #11) out of three residents reviewed for respiratory medication administration. The facility census was 90. 1.Review of Resident #11's medical record revealed admission date 02/27/26 with diagnoses including but not limited to Chronic Obstructive Pulmonary Disease (COPD), emphysema, and heart disease.Review of Resident #11's physician orders revealed an order dated 03/04/26 for respiratory medication Ellipta 62.5 micrograms (MCG) per actuation Aerosol Powder, breath activated 1 puff inhale orally one time a day related to Emphysema, Rinse mouth with water after using.Review of Resident #11's admission Minimum Data Set (MDS) dated [DATE] revealed Resident #11had intact cognition with a Brief Interview Mental Status (BIMS) score of 15 out a…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-04-30 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, interview and facility policy review the facility failed to ensure medications were labeled and stored securely. This deficient practice affected one resident (Resident #42) out of 10 residents reviewed for medication administration. The facility census was 90.Findings Include:Review of Resident #42's medical record revealed admission date 04/14/26 with diagnoses including but not limited to type two Diabetes, vascular dementia, and Congestive Heart Failure (CHF).Review of Resident #42's admission Minimum Data Set (MDS) dated [DATE] revealed Resident #42 had impaired cognition with a Brief Interview of Mental Status (BIMS) score of four out of possible 15 and required assistance from staff to complete Activities of Daily Living (ADL) tasks.Review of Resident #42's physician orders revealed an order for an insulin order Humalog Kwik-Pen 100 units per milliliter (ML) inject subcutaneously with meals related to type two Diabetes. Update physician or Nurse Practitioner for Blood…

    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 before2026-04-30 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, interview and facility policy review the facility failed to follow infection control procedures related to medication administration This deficient practice affected one resident (Resident #42) of 10 residents reviewed for medication administration. The facility census was 90. Findings include:Findings Include:Review of Resident #42's medical record revealed admission date 04/14/26 with diagnoses including but not limited to type two Diabetes, vascular dementia, and Congestive Heart Failure (CHF).Review of Resident #42's admission Minimum Data Set (MDS) dated [DATE] revealed Resident #42 had impaired cognition with a Brief Interview of Mental Status (BIMS) score of four out of possible 15 and required assistance from staff to complete Activities of Daily Living (ADL) tasks.Review of Resident #42's physician orders revealed an order for an insulin order Humalog Kwik-Pen 100 units per milliliter (ML) inject subcutaneously with meals related to type two Diabetes. Update MD/NP…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-01-21 · 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 THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENCE OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEYBased on record review, interview and policy review, the facility failed to ensure residents were assessed for alterations in skin integrity upon admission. This deficient practice affected one resident (Resident #89) out of two residents reviewed for alterations in skin integrity. The facility census was 88.Findings include: Review of Resident #89 ' s medical record revealed an admission dated 12/23/25 and a discharge date [DATE] against medical advice (AMA) with diagnoses including but not limited to urinary tract infection (UTI), spina bifida, asthma, dysphagia, and dependence on wheelchair for mobility.Review of Resident #89 ' s physician orders revealed an order dated 12/23/25 to encourage/assist to turn and reposition as tolerated every shift, a treatment order dated 12/23/25 for Mupirocin External Ointment 2% apply to chronic wounds topically every shift for chronic wounds and an…

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

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · D2025-01-16 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to maintain resident dignity when an indwelling urinary catheter drainage bag was not covered. This deficient practice affected one resident (Resident #48) of two reviewed for dignity. The facility census was 89. Findings Include: Review of the medical record for Resident #48 revealed an admission date of 03/12/18 with diagnoses including but not limited to unspecified injury at unspecified level of the cervical spinal cord, type two diabetes mellitus, paraplegia and neuromuscular dysfunction of the bladder. Review of the physician order dated 10/14/24 for Resident #48 revealed 16 French foley catheter with 10 cubic centimeter (cc) balloon to continuous drainage due to neuromuscular dysfunction of the bladder; Catheter care every shift; Change foley catheter as needed for signs and symptoms of infection, obstruction, system compromise dated 09/18/24. Review of the plan of care for Resident #48 dated 11/13/24 revealed an alteration 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-16 · tag F0567 — failed to protect residents' money held by the home — isolated
    Honor the resident's right to manage his or her financial affairs.
    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, interviews and review of the facility Management of Personal Funds form revealed the facility failed to have written authorization to manage Resident #54's funds. This affected one (Resident #54) of five residents reviewed for personal funds. The facility census was 89. Findings include: Review of the medical record revealed Resident #54 was admitted on [DATE] with diagnoses that included vascular dementia, peripheral vascular disease, type II diabetes, and major depressive disorder. Review of the Management of Personal Funds form dated 10/15/24 revealed the form was marked that Resident #54 did not wish to open a personal funds account and he would manage his own funds or have a person or entity other than the facility manage his money while at the facility. Resident #54 agreed to hold the facility harmless for any loss that occurred to their personal money. Lastly, the form was signed by Resident #54. The Medicare 5-day Minimum Data Set assessment dated [DATE] revealed Resident #54 had…

    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 · D2025-01-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record record review, observation, staff interview, and policy review, the facility failed to ensure fall interventions were implemented. This affected two (Resident #10 and Resident #34) of four residents reviewed for accidents. The facility census was 89. Findings include: 1. Review of Resident #34's medical record revealed she was admitted to the facility on [DATE]. Diagnoses included dementia, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF) and pre-diabetes. Review of the plan of care dated 08/14/23 revealed Resident #34 is at risk for falls. Interventions included: Alarming floor mat beside the bed, taped down with brightly colored tape and a Motion Sensor to the floor while the resident is in the room to alert staff to attempts of unassisted ambulation and transfers. Check function and placement every shift. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident's cognition was not intact. She used a walker for ambulation,…

    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 · D2025-01-16 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview, the facility failed to maintain an accurate medical record for Resident #47. This affected one resident (#47) of 16 reviewed. The facility census was 89. Findings include: Review of the medical record for Resident #47 revealed an admission date of 02/25/21. Diagnoses included paralytic syndrome following cerebral infarction bilateral, type two diabetes mellitus, respiratory disorders, obstructive sleep apnea, vascular dementia with behavioral disturbance, cognitive social or emotional deficit following cerebral infarction, dysphagia following cerebral infarction, chronic kidney disease stage three, major depressive disorder, chronic pain syndrome, gout, hypertension, hyperlipidemia, allergic rhinitis, heart disease, fibromyalgia, gastroesophageal reflux disease, polyneuropathy, cluster headache syndrome, insomnia, anxiety disorder, and epididymitis. The comprehensive list of diagnoses in the electronic medical record for Resident #47 did not include psychosis or any other severe mental health diagnoses. Review of the psychiatry notes 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-03-25 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of self-reported incident (SRI), review of facility investigation, review of witness statements, medical record review, resident interview, staff interview, and review of the policy, the facility failed to timely report an allegation of abuse to the Ohio Department of Health and report the allegation to the local Police Department. This affected one (#93) of three residents reviewed for abuse. The facility census was 98. Findings include: Review of the SRI dated 03/14/24 at 1:12 P.M., for the category of sexual abuse, revealed on 03/14/24 at 1:30 A.M., a female resident, (Resident #93) reported that a male resident (Resident #70) who has dementia was in her bed. Staff witnessed Resident (#70) walking in the hallway fully clothed at the time of the allegation. Resident (#93) was noted to be lying in bed fully clothed and denied skin to skin contact. Upon further questioning, the female resident (#93) stated she thought he (Resident #70) was wanting to have sex with her. Immediately the Director 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · Dcited before2023-11-15 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews the facility failed to report an allegation of abuse reported on 11/07/23 involving Resident #42. This affected one (Resident #42) of four residents reviewed for abuse. The census was 99. Findings included: Review of the medical record for Resident #42 revealed an admission date of 10/20/23. Diagnoses included neurocognitive disorder with lewy bodies, unspecified dementia, type 2 diabetes mellitus and hypo-osmolality and hyponatremia. Review of the admission Minimum Data Set (MDS) assessment, dated 10/27/23, revealed Resident #42 had impaired cognition. The resident was independent with locomotion on unit and room. Review of behaviors and moods revealed Resident #42 exhibited physical and verbal behaviors and other behaviors toward others one to three times a week. He exhibited rejection of care and wandering on a daily basis. It stated his behaviors had no impact on others. Interviews on 11/15/23 at 9:40 A.M. during the entrance conference with Administrator, Director of Nursing (DON) and Assistant Director of Nursing (ADON) revealed there…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-15 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record reviews and interviews the facility failed to thoroughly investigate an allegation of abuse reported on 11/07/23 involving Resident #42. This affected one (Resident #42) of four residents reviewed for abuse. The census was 99. Findings included: Review of the medical record for Resident #42 revealed an admission date of 10/20/23. Diagnoses included neurocognitive disorder with lewy bodies, unspecified dementia, type 2 diabetes mellitus and hypo-osmolality and hyponatremia. Review of the admission Minimum Data Set (MDS) assessment, dated 10/27/23, revealed Resident #42 had impaired cognition. The resident was independent with locomotion on unit and room. Review of behaviors and moods revealed Resident #42 exhibited physical and verbal behaviors and other behaviors toward others one to three times a week. He exhibited rejection of care and wandering on a daily basis. It stated his behaviors had no impact on others. Interviews on 11/15/23 at 9:40 A.M. during the entrance conference with Administrator, Director of Nursing (DON) and Assistant Director of Nursing (ADON)…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-07 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, medical record review, and resident and staff interviews, the facility failed to ensure Resident #37 had access to her call light at all times. This affected one resident (Resident #37) of 19 residents reviewed for accommodation of needs. Finding include: Review of Resident #37's medical record identified admission to the facility occurred on 08/11/14 with medical diagnosis including obstructive hydrocephalus, convulsions, COPD, malignant neoplasm of breast, neoplasm of bone, schizoaffective disorder, dysphasia, panic disorder and low back pain. The [AGE] year old was identified to be wheelchair dependent. Review of the 10/10/22 Quarterly Minimum Data Set (MDS) Assessment identified Resident #37 was dependent on staff for all Activates of daily living. Review of the plan of care for Resident #37 identified Clip to call light to bed and encourage resident to use for help. Interview with Resident #37 occurred on 12/04/22 at 10:02 A.M. in her room. Resident #37 was observed at that time…

    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 before2022-12-07 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, facility policy review, and staff interview, the facility failed to report an alleged incident of misappropriated narcotics to the State Survey Agency within five working days of the incident. This affects one resident (Resident #37) of six residents reviewed for controlled narcotic medication. Findings include: Review of the medical record for Resident #37 revealed an admission date of 08/11/14. Resident #37's diagnoses included malignant neoplasm of breast, neoplasm of bone and low back pain. Review of Resident #37's physician orders revealed orders for oxycodone 5 milligrams (mg) give 1 tablet by mouth every four hours as needed for pain to low back and may have two tablets every four hours for pain. Review of the missing medications investigation dated 06/22/22 revealed on 06/22/22 during the narcotic reconciliation count with Licensed Practical Nurse (LPN) #102 and LPN #218 there was a discrepancy with Resident #37's oxycodone tablet 5 milligrams (mg) cards in the narcotic drawer. Resident #37 had three cards of oxycodone 5 mg in the narcotic…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-07 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, medical record review, and resident and staff interviews, the facility failed to ensure Resident #37 and Resident #148 received assistance with activities of daily living (ADL). This affected two residents (Resident #37 and Resident #148) of three residents reviewed for ADL. Findings include: 1. Review of Resident #37's medical record identified admission to the facility occurred on 08/11/14 with medical diagnosis including obstructive hydrocephalus, convulsions, malignant neoplasm of Breast and bone, schizoaffective disorder, dysphasia, panic disorder, and low back pain. Review of Resident #37's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed #37 was dependant on staff for ADL, including hygiene and bathing. Interview and observation with Resident #37 on 12/04/22 at 10:02 A.M. revealed she had multiple long hairs across her chin. Resident #37 was asked if the hair on her chin bothered her. Resident #37 confirmed the long hairs on her chin did bother her and she would…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-12-07 · 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 medical record review and staff interview, the facility failed to ensure new pressure ulcer treatment orders were transcribed and completed per physician orders. This affected one resident (Resident #91) of one resident reviewed for pressure ulcers. Findings Include: Review of the medical record for Resident #91 revealed an admission dated 10/04/22. Resident #91's diagnoses included non-pressure ulcer left foot, atrial fibrillation, and pressure ulcer. Review of the admission Minimum Data Set (MDS) dated [DATE] revealed Resident #91 had intact cognition. The resident required extensive assistance of two staff for bed mobility, transfers, ambulation. Review of the physician orders for November 2022 revealed orders to cleanse bilateral buttocks with normal saline, pat dry, apply calcium alginate to excoriated area and cover with foam dressing, change everyday on dayshift and as needed. Review of the wound care nurse practitioner note dated 11/18/22 revealed new order for a buttock pressure wound, to apply…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-12-07 · 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

    Based on medical record review, facility policy and staff interview the facility failed to maintain an accurate reconciliation of narcotic medication for Resident #37. This affected one resident (Resident #37) of six residents reviewed for controlled narcotic medication. Findings include: Review of the medical record for Resident #37 revealed an admission date of 08/11/14. Resident #37's diagnoses included malignant neoplasm of breast, neoplasm of bone and low back pain. Review of Resident #37's physician orders revealed orders for oxycodone 5 milligrams (mg) give 1 tablet by mouth every four hours as needed for pain to low back and may have two tablets every four hours for pain. Review of the missing medications investigation dated 06/22/22 revealed on 06/22/22 during the narcotic reconciliation count with Licensed Practical Nurse (LPN) #102 and LPN #218 there was a discrepancy with Resident #37's oxycodone tablet 5 milligrams (mg) cards in the narcotic drawer. Resident #37 had three cards of oxycodone 5 mg in the narcotic drawer. Card #1 identified with Rx# 26937782 revealed there…

    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 · D2019-10-24 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure Resident #57 was assessed quarterly for the use of alarming devices. This affected one (Resident #57) of six residents reviewed for restraints. Findings include: Resident #57 was admitted on [DATE] with diagnoses including hydrocephalus, epilepsy, anxiety disorder, unspecified dementia with behavioral disturbance, lack of coordination, and a history of traumatic brain injury. Resident #57's physician orders dated 12/29/16 revealed he was ordered a personal alarm while in bed to alert staff of transfers and on 04/11/18 he was ordered a motion sensor alarm to alert staff of unassisted transfers. Resident #57's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed he had short and long term memory problems. The Restraint section of the MDS indicated a bed alarm and motion sensor alarm were used daily. Review of Resident #57's medical record revealed no evidence the resident was assessed quarterly for the use of a motion…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-10-24 · 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 medical record review and staff interview the facility failed to ensure comprehensive assessments were accurate regarding prognosis for Resident #56 and falls for Resident #57. This affected two (Residents #56 and #57) of 26 reviewed for plans of care. The facility census was 108. Finding include: 1. Resident #56 was admitted to the facility on [DATE] with diagnoses including dementia, acute embolism and thrombosis, diabetes, hypokalemia, hypertension, dysphagia, right bundle block, hyperlipidemia, absence of kidney, Alzheimer's disease, syncope and collapse, cataract, insomnia, anxiety disorder, major depressive disorder, macular degeneration, acute myocardial infarction, and intervertebral disc degeneration. Review of the October 2019 Physicians orders revealed Resident #56 had an order dated 12/07/18 to be discharged from hospice services due to a prognosis of greater than six months. Review of the quarterly Minimum Data Set (MDS) 3.0 dated 03/16/19 revealed Resident #56 had a life expectancy of less…

    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 · D2019-10-24 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview the facility failed to ensure two residents (Residents #56 and #79) had care plans in place to address the use of positioning devices. This affected two of 25 residents reviewed for care plans. The facility census was 108. Findings include: 1. Resident #79 was admitted to the facility on [DATE] with diagnoses including vascular dementia, major depressive disorder, and inflammatory disease of the prostate. Review of Resident #79's care plans dated 01/02/19 did not reveal any care plan which addressed the use of a pommel cushion (a cushion used to prevent sliding or forward movement) only a care plan which stated Resident #79 slid down in his wheelchair with interventions for therapy to evaluate and treat. Review of Resident #79's Restraint-Enabler Decision Tree dated 09/12/19 revealed the pommel cushion did not restrict any movement, assisted in the improvement of Resident #79's functional status, and provided optimal positioning and safety while in the…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2019-10-24 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure CPAP (continuous positive airway pressure) equipment for Resident #81 was cleaned regularly to reduce the risk for infection. This affected one (Resident #81) of one resident reviewed for the use of a CPAP machine. The facility census was 108. Findings include: Resident #81 was admitted on [DATE] with diagnoses including obstructive sleep apnea. Review of physician's orders dated 09/18/19 revealed she was to utilize a CPAP machine at 14 centimeters of water and to be set at two liters of oxygen during sleep. Interview on 10/21/19 at 2:37 P.M. with Resident #81 revealed she had asked the aides and nurses to clean her CPAP equipment regularly but she had never seen them clean it nor did they tell her they cleaned it. She cleaned it monthly with vinegar according to the manufacturer guidelines when she was at home. Resident #81 stated she could tell the mask had not even been wiped. Observation on 10/22/19 at 2:19 P.M. of Resident #81's…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction

“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.

“Disputed” is CMS’s own flag, not our reading: the CMS deficiency file records whether the home has formally contested a citation, and we reproduce that. IDR is Informal Dispute Resolution, run by the state survey agency that wrote the citation; IIDR is Independent Informal Dispute Resolution, a separate process before an outside entity, available when CMS has proposed a civil money penalty. They are different processes and we mark them differently. Two things to hold at once. A disputed citation is still a citation — it was written by a surveyor, it stands on the record unless and until it is changed, and we neither hide it nor discount it. And we cannot tell you how the dispute came out: CMS publishes that a citation is under dispute, not the outcome, so a tag marked here may since have been upheld, reduced, or deleted, and an unmarked tag may have been disputed and resolved before this file was cut. Ask the home what it disputed and why — it is entitled to tell you, and the answer is often the most informative thing on this page.

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to FOUNDATIONS HEALTH SOLUTIONS — 64 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 4 of 54.1≈ chain avg
Health inspection 4 of 53.9+0.1 vs chain
Staffing 2 of 52.3-0.3 vs chain
Quality measures 3 of 54.3-1.3 vs chain
The other 63 homes this chain runs (chain average 4.1★, per CMS)
1 of 5Inniswood Health and RehabilitationWesterville, OH 2 of 5Canterbury Villa Of AllianceAlliance, OH 2 of 5Park Health CenterSt Clairsville, OH 2 of 5Tuscany GardensPataskala, OH 2 of 5Veranda Gardens Nursing & Rehabilitation CenterCincinnati, OH 3 of 5Arlington Care CenterNewark, OH 3 of 5Bennington Glen Nursing & Rehabilitation CenterMarengo, OH 3 of 5Cumberland Pointe Care CenterSt Clairsville, OH 3 of 5Emerald Pointe Health And Rehab CtrBarnesville, OH 3 of 5Hickory Ridge Nursing & Rehabilitation CenterAkron, OH 3 of 5Home At Taylor's PointeCincinnati, OH 3 of 5McNaughten Pointe Nursing And RehabColumbus, OH 3 of 5Meadow Grove Transitional CareGrove City, OH 3 of 5The Gables Of Marysville Health And RehabilitationMarysville, OH 3 of 5The Gardens Of Fairfax Health Care CenterCleveland, OH 3 of 5Timberland Ridge Nursing & RehabilitationFairlawn, OH 4 of 5Austin Trace Health And RehabilitationCenterville, OH 4 of 5Batavia Nursing Care CenterBatavia, OH 4 of 5Claymont Health And RehabilitationUhrichsville, OH 4 of 5Crown Pointe Care CenterColumbus, OH 4 of 5Florentine GardensLoveland, OH 4 of 5Hickory Creek Of AthensThe Plains, OH 4 of 5Jefferson Healthcare CenterJefferson, OH 4 of 5Lafayette Pointe Nursing & Rehab CtrWest Lafayette, OH 4 of 5Maria Joseph Living Care CenterDayton, OH 4 of 5Mill Creek Nursing & RehabilitationGalion, OH 4 of 5Respiratory And Nursing Center Of DaytonMoraine, OH 4 of 5Waterview Pointe Nursing & RehabilitationMarietta, OH 4 of 5Woods On French Creek Nursing & Rehab Center TheAvon, OH 5 of 5Admirals Pointe Nursing & RehabilitationHuron, OH 5 of 5Brunswick Pointe Transitional CareBrunswick, OH 5 of 5Capri GardensLewis Center, OH 5 of 5Carington ParkAshtabula, OH 5 of 5Concord Health & Rehab CtrWheelersburg, OH 5 of 5Concord Ridge Health And RehabilitationMentor, OH 5 of 5Country View Of SunburySunbury, OH 5 of 5Darby Glenn Nursing And Rehabilitation CenterHilliard, OH 5 of 5Glen MeadowsHamilton, OH 5 of 5Golden Years Nursing CenterHamilton, OH 5 of 5Highbanks Care CenterColumbus, OH

Showing 40 of 63; lowest-rated first.

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 / managerTypeRoleSince
COLLERAN, BRIANIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2019
KRYSTOWSKI, JOHNIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2018
FOUNDATIONS HEALTH SOLUTIONS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2019
MILLER, CARRIEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/09/2024
LATOUF, BUTROSIndividualADP OF THE SNFsince 05/01/2007

CMS files one row per role, so the 12 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner 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.

$10.9M
Net patient revenuemost recent cost report
+6.7%
Operating marginrevenue minus expenses
$1.6M
Related-party expense16% of expenses
Who pays — share of resident-days
Medicaid 68%Medicare 2%Other / private 30%

This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 16% 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

$290per resident / day
operating cost
$8,828per month
≈ monthly operating cost
$311per day
avg. revenue, all payers

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

What families pay in OH

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366024. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-16, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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