Als Mount Vernon INC

Location & what’s nearby

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

Quality measures — how residents actually fare

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

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

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

35.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 33 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.44 therapist hours per resident per day in 2026Q1 — more than 74% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 46% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

Staffing

How full it usually is: this home is certified for 20 beds and averages 19.2 residents a day — about 96% occupied, or roughly 1 bed typically open. It runs essentially full — expect a waiting list. 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 3.17 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.89 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.60 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 3.01 hrs/resident/day on weekends vs 3.24 on weekdays — 7% thinner on weekends. RN hours go from 0.99 to 0.65 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 70% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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

Inspection trend

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

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.

23 citations, most serious first. The 10 most serious are shown; the remaining 13 are one tap away and print in full.

• Potential for harm · D2026-03-17 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  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 permit Resident #21 to return to the facility after a hospitalization. This affected one (Resident #21) of three residents reviewed for discharge. The facility census was 20.Findings include:Review of the medical record for Resident #21 revealed an admission date of 01/09/2026. Diagnoses included nontraumatic intracerebral hemorrhage, atherosclerotic heart disease, hypertension, nicotine dependence, nonrheumatic aortic valve stenosis, prediabetes, malignant neoplasm of prostate, diverticulosis of intestine without perforation or bleeding, vitamin D deficiency, dysphagia, cognitive communication deficit, muscle weakness, abnormalities of gait and mobility, lack of coordination, hearing loss, and amnesia.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #21 had a Brief Interview of Mental Status (BIMS) score of two, indicating severe cognitive impairment. Review of Resident #21's record revealed the facility…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-17 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interviews, and review of facility policies, the facility failed to ensure a bed hold notice was provided and failed to inform the resident and/or resident representative of bed hold rights at the time of hospital transfer. This affected one (Resident #21) of three residents reviewed for discharge. The facility census was 20.Findings include:Review of the medical record for Resident #21 revealed an admission date of 01/09/2026. Diagnoses included nontraumatic intracerebral hemorrhage, atherosclerotic heart disease, hypertension, nicotine dependence, nonrheumatic aortic valve stenosis, prediabetes, malignant neoplasm of prostate, diverticulosis of intestine without perforation or bleeding, vitamin D deficiency, dysphagia, cognitive communication deficit, muscle weakness, abnormalities of gait and mobility, lack of coordination, hearing loss, and amnesia.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #21 had a Brief Interview of Mental Status…

  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 · F2026-01-29 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on the facility Legionella Environmental Assessment, the Legionella plan and monitoring process, and interview, the facility failed to accurately complete the assessment and follow the plan for monitoring to minimize the risk of Legionella in the water system. This had the potential to affect all 19 residents. The facility census was 19. Findings include: Review of the Legionella Environmental Assessment Form (no date) revealed the facility did not have a whirlpool spa, hot, or hydrotherapy spa on the facility premises. The form also revealed the facility had a water safety plan but did not indicate if the facility ever tested for Legionella in water samples. The source of water used by the facility was municipal water but there was no documentation of how the municipal water was disinfected or if the treatment of the water had changed within the last year. The assessment also revealed there were thermostatic mixing valves used but no documentation where they were located. It was documented that the hot water temperatures were measured by the facility at the points of use, but…

  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 · E2026-01-29 · tag F0947 — failed to train nurse aides adequately — pattern
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  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 the Facility Assessment, personnel record review, and interview, the facility failed to provide dementia training to staff upon hire. This had the potential to affect all residents residing in the facility. The facility census was 19. Findings include: Review of the facility's Facility assessment dated [DATE] included under staff training, education and competencies that training would be provided on hire and annually on caring for residents with dementia, Alzheimer's and cognitive impairments as well as implementing non-pharmacological interventions.Review of the personnel record for Certified Nursing Assistant (CNA) #125 revealed a hire date of 12/11/25 with no documentation of dementia training.Review of the personnel record for CNA #120 revealed a hire date of 12/31/25 with no documentation of dementia training.Review of the personnel record for Social Services Designee (SSD) #141 revealed a hire date of 02/25/25 with no documentation of dementia training.Review of the personnel record 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-29 · tag F0949 — failed to train staff on dementia and abuse — pattern
  Provide behavior health training consistent with the requirements and as determined by a facility 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 review of the Facility Assessment, personnel record review, and interview, the facility failed to provide behavioral health training upon hire. This had the potential to affect all residents residing in the facility. The facility census was 19. Findings include: Review of the facility's Facility assessment dated [DATE] included under staff training, education and competencies that training would be provided on hire and annually on caring for residents with mental and psychosocial disorders, as well as caring for residents with a history of trauma and/or post-traumatic stress disorder and implementing non-pharmacological interventions.Review of the personnel record for Certified Nursing Assistant (CNA) #125 revealed a hire date of 12/11/25 with no documentation of behavioral training.Review of the personnel record for CNA #120 revealed a hire date of 12/31/25 with no documentation of behavioral training.Review of the personnel record for Social Services Designee (SSD) #141 revealed a hire date 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-29 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and facility policy review, the facility failed to ensure as needed (PRN) medication orders for psychotropic medications were limited to 14 days or that the facility physician justified in the medical record continued use of such medications. This affected one resident (#12) of six residents reviewed for unnecessary medications. The facility identified three residents (#2, #10 and #12) as receiving PRN psychotropic medications. The facility census was 19.Findings include: Review of the medical record for Resident #12 revealed an admission date of 09/07/23 with diagnoses including diabetes mellitus, anxiety, and major depressive disorder.Review of the current physician ' s orders revealed that Resident #12 was prescribed 0.5 milligrams (mg) of Lorazepam (an antianxiety medication) by mouth every four hours as needed (PRN) for agitation and anxiety on 12/24/25 with no stop date.Review of the MDS 3.0 quarterly assessment dated [DATE] revealed Resident #12 had a Brief…

  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 · Dcited before2026-01-29 · 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 interview, the facility failed to code resident Minimum Data Set (MDS) assessments accurately. This affected two residents (#12 and #21) of 18 sampled residents reviewed for accuracy of MDS assessments. The facility census was 19.Findings include: 1. Review of the medical record for Resident #12 revealed an admission date of 09/07/23 with diagnoses including diabetes mellitus, anxiety, and major depressive disorder. Review of the physician's orders revealed Resident #12 was admitted to hospice services on 06/23/25 and remained on hospice services. Review of the MDS 3.0 quarterly assessment dated [DATE] revealed Resident #12 had a Brief Interview for Mental Status (BIMS) score of 02, indicating the resident was severely cognitively impaired. Resident #12 was recorded as not receiving hospice services during the look back period. Interview on 01/28/26 at 3:50 P.M. with Corporate MDS Nurse #201 revealed Resident #12 should have been marked as being on hospice on the quarterly MDS…

  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 · D2026-01-29 · tag F0679 — failed to provide activities — isolated
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interviews, and facility policy review, the facility failed to ensure activities were held where Resident #2 could attend and failed to ensure meaningful activities were provided for Resident #4. This affected two residents (#2 and #4) out of five residents reviewed for activities. The facility census was 19.Findings include: 1. Review of the medical record revealed Resident #2 was admitted on [DATE] with diagnoses that included osteomyelitis of the vertebra, type 2 diabetes, and chronic kidney disease. The activities initial review dated 10/27/25 revealed Resident #2 liked playing her gaming system, gardening, reading, word searches, coloring, watching television, and previously enjoyed attending church every Sunday. Resident #2 was currently bedbound and would be doing activities in her room. The activity participation review revealed Resident #2 was willing to go to group activities when she was feeling better. Review of the modification of the 5-day Minimum Data Set (MDS)…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-29 · tag F0805 — failed to prepare food in a form residents can eat — isolated
  Ensure 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and facility policy review, the facility failed to serve pureed foods at a smooth consistency for safe swallowing. This affected two residents (#4 and #17) who were ordered pureed diets prepared by the facility's kitchen. The facility census was 19. Findings include: 1. Review of the medical record for Resident #4 revealed an admission date of 05/14/24 with diagnoses including Huntington's Disease, depression, and dysphagia. Review of the physician's orders for January 2026 revealed that Resident #4 was prescribed a regular diet with pureed consistency and thin liquids.Review of the MDS 3.0 quarterly assessment dated [DATE] revealed Resident #4 had a Brief Interview for Mental Status (BIMS) score of 05, indicating the resident was severely cognitively impaired. Resident #4 was dependent for activities of daily living (ADLs) and required assistance with eating.2. Review of the medical record for Resident #17 revealed an admission date of 12/20/23 with diagnoses…

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

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-26 · tag F0842 — failed to keep accurate, complete medical records — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident record review and staff interview, the facility failed to ensure resident medical records were complete. This affected five of five residents (#4, #7, #11, #12, and #20) reviewed for the administration of treatments, side effect monitoring, and behavior monitoring. The facility census was 19. Findings include: 1. Review of Resident #4's medical record revealed that she was admitted to the facility on [DATE] with diagnoses that included Huntington's disease, major depressive disorder, and dementia. Review of Resident #4's physician orders revealed that she had an order dated 03/06/25 to have her weight taken daily in the morning, an order on 03/01/25 to have skin preparation (prep) to her left knee during the day shift, an order on 03/03/25 to monitor for signs and symptoms of depression for each shift, an order on 03/03/25 to monitor for side effects of her sedative medication for each shift, and an order on 03/03/25 to monitor for side effects of her antidepressant medication on each shift.…

  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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to LIONSTONE CARE — 24 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

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

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

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.

This home reported $153K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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