No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Ohio Eastern Star Hlth Care Ctr The

1451 Gambier Road, Mount Vernon, OH 43050 · Non profit - Corporation · 86 certified beds · (740) 397-1706 Medicare & Medicaid certified

Call the home — (740) 397-1706 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0607) — cited Mar 2023Behavioral-health or dementia-care citations — no harm found (F0744, F0758)1 actual-harm citation
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • it did not file the payroll staffing data CMS requires — its 1 of 5 staffing rating is the rating CMS assigns for not reporting, not a measure of how many nurses are on the floor

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 3 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 3 of 5

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
10 Woodlake Trl · (740) 625-5326 · Call to confirm hours
Pharmacy
1451 Yauger Rd Ste 1h · (740) 397-1420 · Call to confirm hours
Grocery
Aldi1.2 mi
1545 Coshocton Ave · (855) 955-2534 · Call to confirm hours
Park
50 Liberty St · Typically dawn to dusk
Place of worship

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

Quality measures — how residents actually fare

Overall quality measures 3 of 5
Long-stay residentspeople who live here 3 of 5
Short-stay residentsrehab / post-hospital 3 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 4 stars. From monthly CMS archive snapshots.

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

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 increased14.1%5.3%15.4%typical
Long-stay residents who lose too much weight3.1%6.2%5.4%better
Long-stay residents with a catheter left in their bladder3.2%0.2%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection3.7%0.4%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms5.8%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury9.7%3.2%3.3%worse
Long-stay residents whose ability to walk worsened17.9%6.1%16.1%worse than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication18.0%25.5%18.9%typical
Long-stay residents given the seasonal flu vaccine97.1%94.5%95.3%typical
Long-stay residents with pressure ulcers3.9%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control24.0%21.4%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table10.0%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.8%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine88.2%75.6%79.4%better
Short-stay residents rehospitalized after admission28.7%24.9%22.6%worse
Short-stay residents with an outpatient ER visit15.5%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days0.901.731.67better
Long-stay outpatient ER visits per 1,000 resident days1.911.801.80typical

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.

62.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 81 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

62.4%U.S. median 51.5%
Got home and stayed home
12.7%U.S. median 10.7%
Went back to hospital
58.7%U.S. median 56.6%
Met the expected recovery

Met the expected recovery: 58.7% 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 63 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.

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 SNF62.4%CMS range 53.9–69.451.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF12.7%CMS range 9.0–17.810.7%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 discharge58.7%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 discharge57.1%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 discharge55.6%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 identified92.9%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 setting98.2%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final 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 stay1.2%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 worsened5.9%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 hospitalization7.2%CMS range 4.0–13.97.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.131.02Oct 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

No payroll-based (PBJ) staffing hours are on file for this home — and the record suggests that is because it did not report them. CMS rates its staffing 1 of 5, which is the rating CMS assigns when a home does not report. Every Medicare-certified nursing home is required to submit its actual payroll data quarterly, and that submission is what makes staffing numbers auditable rather than a claim. A home that does not file is not the same as a home with no data yet: ask this home directly what its nurse-to-resident ratios and weekend RN coverage are, why its payroll data is not filed, and weigh the independent health-inspection score heavily in the meantime.

Inspection trend

8
deficiencies at the latest standard inspection (2026-02-12)
2
at the previous standard inspection (2024-05-02)

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

Inspection deficiencies

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

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.

17 citations, most serious first. The 11 most serious are shown; the remaining 6 are one tap away and print in full.

  • Actual harm · G2025-02-27 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on closed medical record review, review of medication prescribing information, facility policy and procedure review and interview, the facility failed to prevent a significant medication error from occurring involving Resident #75 related to the administration of prescribed narcotic pain medication. Actual Harm occurred on 01/13/25 at 12:25 A.M. when Registered Nurse (RN) #201 administered Morphine Concentrate Solution, with a concentration strength of 100 milligrams (mg) per five milliliters (ml) (100 mg/5 ml), five milliliters (100 mg) to Resident #75, who had an order to receive 15 mg every eight hours. Following the identification of the significant medication error, the on-call physician was notified and Narcan (reversal agent) nasal spray was administered. As a result of the medication overdose, Resident #75 experienced tingling to the right side of the body with random spastic movements, chills (complaints of being cold) with clammy skin and diarrhea and required increased monitoring. This affected…

    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 · Fcited before2026-02-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, and facility policy review, the facility failed to store food in a sanitary manner and failed to maintain sanitary conditions while serving food. This deficient practice had the potential to affect all residents residing in the facility, who received meals from the kitchen. The facility census was 70.Findings Include:1. An observation on 02/10/26 at 7:57 A.M. revealed in the reach-in freezer there was an opened cardboard box of exposed frozen egg patties in an opened plastic bag, an opened cardboard box of exposed frozen pre-made biscuits in an opened plastic bag, and an opened cardboard box of exposed beef patties in an opened plastic bag. An interview on 02/10/26 at 7:45 A.M. with dietary cook (DC) #208 confirmed the opened cardboard box of exposed frozen egg patties in an opened plastic bag, the opened cardboard box of exposed frozen pre-made biscuits in an opened plastic bag, and the opened cardboard box of exposed beef patties in an opened plastic bag. DC #208 stated the plastic bags should be closed and the box should be closed after being…

    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 · E2026-02-12 · tag F0803 — failed to meet residents' dietary needs — pattern
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, interview, review of menus, and facility policy review, the facility failed to prepare and serve appropriate portions of food during meal service. This deficient practice had the potential to affect all 14 residents residing in the Lily neighborhood. The facility census was 70.Findings Include:Review of the portion size chart kept at each neighborhood serving station revealed the following requirements for portion sizes: 4 oz for fruits, vegetables, regular meats, desserts, and pureed meats with bread worked in; 3 oz for pureed sides, desserts, meats, ground meats, and pureed fruits and veggies; and 5 1/3 oz regular, mech soft, pureed casseroles.Review of the weekly menu revealed there were no portion sizes noted for each food item.An observation on 02/11/26 from 11:30 A.M. to 11:50 A.M revealed Dietary Server (DS) #202 preparing to serve lunch meal for residents in the Lily neighborhood. Per the weekly menu, lunch meal consisted of chipped beef on toast, cooked carrots, cooked green beans, mandarin oranges, and as substitute meal cabbage soup and a tuna salad…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-12 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, medical record review, and policy review, the facility failed to notify the physician when Resident #15 missed doses of medication and failed to notify the family/power of attorney (POA) and physician of Resident #74's transfer to the hospital. This affected two residents (#15 and #74) of 20 records reviewed. The facility census was 70.Findings include: 1. Review of Resident #15's medical record revealed an admission date of 07/17/24 with diagnoses including acute respiratory failure with hypoxia, type two diabetes mellitus, major depressive disorder, unspecified dementia, insomnia, and cognitive communication deficit. Review of Resident #15's comprehensive Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed severely impaired cognition. Review of Resident #15's physician order dated 11/05/24 revealed an order for Brillinta 90 milligrams (mg) twice a day. Review of Resident #15's Medication Administration Record for 02/01/26 to 02/11/26 revealed Brillinta was not administered on…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-12 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and medical record review, the facility failed to maintain Resident #56's privacy when a video monitor, monitoring his room, was kept in the common area. This affected one resident (#56) of one resident reviewed for privacy. The facility census was 70.Findings include: Review of Resident #56's medical record revealed an admission date of 01/03/26 with diagnoses including fracture of right pubis, unspecified dementia, severe protein-calorie malnutrition, depression, anxiety disorder, chronic kidney disease, and repeated falls. Review of Resident #56's comprehensive Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed severely impaired cognition. Review of Resident #56's physician order dated 01/04/26 revealed a video monitoring device was to be in place for fall prevention.Observation on 02/10/26 at 9:16 A.M. of Resident #56's unit revealed when entering the unit through the door there was a main common area with several recliners facing the television. The television was…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-02-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure fall prevention strategies were in place for Resident #15 prior to a fall. This affected one resident (#15) of three residents reviewed for falls. The facility census was 70.Findings include: Review of Resident #15's medical record revealed an admission date of 07/17/24 with diagnoses including acute respiratory failure with hypoxia, type two diabetes mellitus, major depressive disorder, unspecified dementia, and cognitive communication deficit.Review of Resident #15's fall event dated 10/14/24 revealed she had a fall while transferring off the commode.Review of Resident #15's Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident had severely impaired cognition and required partial to moderate assistance with toileting hygiene and supervision or touching assistance with toilet transfers. Review of Resident #15's plan of care dated 07/10/25 revealed the resident was at risk for falls, accidents, and injury related to admitted…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-12 · tag 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

    Based on observation, interview, and facility policy review, the facility failed to properly store medications for Resident #9. This affected one resident (#9) out of two residents reviewed for pain management and had the potential to affect two of fifteen residents the facility noted as independently ambulatory. The facility census was 70.Findings include:Review of Resident #9's medical record revealed an admission date of 07/27/24. Diagnoses included unspecified dementia, low back pain, unspecified chronic back pain, poly-osteoarthritis and type II diabetes with diabetic chronic kidney disease.Review of Resident #9's quarterly Minimum Data Set (MDS) assessment revealed a Brief Interview for Mental Status (BIMS) of 05 indicating impaired cognition. Review of Resident #9's physician orders revealed an order for Tramadol (an opioid medication) 50 milligrams (mg) four times a day due upon rising, at noon, afternoon, and at bedtime.Review of the Resident #9's comfort care plan dated 01/19/26 revealed Resident #9 experienced low back pain, pain and had osteoarthritis with a goal that…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-02-12 · 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 maintain infection control during wound care for Resident #50, failed to implement Enhanced Barrier Precautions (EBP) for two residents. These deficient practices affected one resident (Resident #50) out of four residents reviewed for pressure ulcers and affected two residents (Residents #56 and #78) out of five residents reviewed for transmission based precautions. The facility census was 70.Findings Include: 1. Review of Resident #50's medical record revealed an admission date of 07/15/25 with diagnoses including but not limited stage four (IV) sacral pressure ulcer with osteomyelitis, type two diabetes mellitus, high blood pressure, and chronic pain. Review of Resident #50's quarterly Minimum Data Set (MDS) dated [DATE] revealed cognitive impairment with a Brief Interview Mental Status (BIMS) score of 10 out a possible 15 and required staff assistance with self-care and mobility. Review of Resident #50'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
  • Potential for harm · D2026-02-12 · tag F0881 — failed to use antibiotics responsibly — isolated
    Implement a program that monitors antibiotic use.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, record review, review of facility policy, and review of McGeer's criteria, revealed the facility failed to follow antibiotic stewardship for two residents (#10 and #15) of seven residents reviewed for infection control. The facility census was 70.Findings include:1. Review of Resident #15's medical record revealed an admission date of 07/17/24 with diagnoses including acute respiratory failure with hypoxia, type two diabetes mellitus, major depressive disorder, unspecified dementia, and cognitive communication deficit.Review of Resident #15's comprehensive Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed severely impaired cognition.Review of Resident #15's progress note dated 01/09/26 revealed the nurse assessed a skin issue to the residents' right inner thigh. The area was hard to the touch, large in measurement, and raised with no discoloration. Resident #15 only reported pain in the area when it was touched. An additional progress note on 01/09/26 revealed the Certified Nurse…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-01-03 · tag F0744 — failed to care for residents with dementia — isolated
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review, and review of the facility assessment, the facility failed to appropriately revise and implement individualized treatment and services to ensure residents, who displayed behaviors and/or were diagnosed with dementia received the appropriate treatment and services to attain or maintain their highest practicable physical, mental and psychosocial well-being. The facility failed to appropriately address Resident #73's dementia-related behaviors. This affected one (Resident #73) of three residents reviewed for dementia. The facility census was 71. Findings include: Review of the medical record revealed Resident #73 was admitted on [DATE] and expired on [DATE] with diagnoses that included vascular dementia, anxiety disorder, depression, and dysphagia. Review of the significant change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #73 had moderately impaired cognitive skills. The MDS also revealed Resident #73 had verbal behaviors directed towards others. Review 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-04 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure Resident #67 who was elopement risk did not leave the facility unsupervised. This affected one resident (#67) of three residents reviewed for elopement. The facility census was 71. Findings include: Review of the medical record for Resident #67 revealed an admission date of 10/17/23 with diagnoses including dementia, pain, insomnia, depression, hyperlipidemia, and anxiety. Review of Resident #67's quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed she had a severe cognitive impairment and had wandered during the lookback period. Review of Resident #67's plan of care initiated 11/12/23 and revised 08/19/23 revealed the resident was at risk for elopement due to wandering off of her neighborhood (unit), diagnosis of dementia, and being found outside of the neighborhood on 08/07/24. Interventions were dated 11/12/23 and included wanderguard to the right ankle, checking the placement of the wanderguard every shift, redirecting the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
Show the remaining 6 citations
  • Potential for harm · Fcited before2024-05-02 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, review of an owner's manual, and review of the facility policy, the facility failed to maintain the kitchen in a clean condition and failed to maintain kitchen equipment in proper working condition to prevent contamination and/or food borne illness. The had the potential to affect all residents in the facility. The facility census was 68. Findings include: 1.Observation on 04/29/24 at 10:47 A.M. with [NAME] #169 revealed the bottom of two hot holding units were covered in food debris. Interview on 04/29/24 at 10:47 A.M. with [NAME] #169 confirmed the bottoms of both units were not clean and they should be cleaned every two to three weeks. Observation on 04/29/24 at 10:53 A.M. with [NAME] #169 and Dietary Manager (DM) #170 revealed there was a large thick frozen puddle of a dark brown and red substance on floor of walk-in freezer. Interview on 04/29/24 10:53 A.M. with [NAME] #169 confirmed the substance on the floor of the walk-in freezer was a puddle of corned beef juice…

    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 · D2024-05-02 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and staff interview the facility failed to ensure nonpharmacological interventions were attempted and/or behaviors were documented prior to the administration of as needed psychotropic medications. This affected one (Resident #37) of five residents reviewed for unnecessary medications. The facility census was 68. Findings include: Review of the medical record for Resident #37 revealed an admission date of 06/02/21 with diagnoses including unspecified dementia, muscle weakness, depression, unspecified mood disorder, anxiety disorder, and cognitive communication deficit. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #37 dated 01/30/24 revealed the resident had severely impaired cognition and was coded for receiving antipsychotic, antianxiety, and antidepressant medications. Review of the care plan for Resident #37 revised 02/07/24 revealed the resident had the potential for adverse or less than effective results from psychoactive medications. The resident was on antidepressants and medication for anxiety. Interventions included the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2023-03-07 · tag F0607 — failed to have anti-abuse policies — widespread
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interview, record review, and review of the facility abuse policy the facility failed to ensure all employees were checked against the Nurse Aide Registry (NAR) for findings concerning abuse, neglect, exploitation, mistreatment of residents, or misappropriation of resident property. This affected four employees (Controller #217, Activities Assistant #234, Human Resources Director (HR) #235, and Dietary Aide (DA) #338) out of ten employees reviewed for proper screening procedures. This had the potential to affect all 59 residents residing at the facility. Findings include: Review of the personnel file for Controller #217 revealed her date of hire was 01/23/23, and there was no evidence in his personnel file that she was checked against the NAR prior to being employed at the facility. Review of the personnel file for Activities Assistant #234 revealed her date of hire was 01/05/21, and there was no evidence in his personnel file that she was checked against the NAR prior to being employed at the facility. Review of the personnel file for HR #235 revealed her date of hire was…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Fcited before2023-03-07 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interview, and record review the facility failed to ensure the kitchen was clean and sanitary. This had the potential to affect all 59 residents that received meals from the facility. No residents were identified as receiving nothing by mouth. Findings include: A tour of the main kitchen on 02/27/23 from 8:00 A.M. through 8:30 A.M. with Dietary Manager #265 revealed the following: • The small tabletop mixer had dried food splatter on the back of it. • The reach-in refrigerator contained sliced ham, chili, and lunch meat that was not labeled or dated. • The reach-in freezer contained pie crusts and angel food cake that was taken out of the original package without a label or date. • The walk-in refrigerator contained chopped garlic in a plastic container not labeled or dated. Dieatary Manager #265 verified the above findings at the time of the observation. Observation of the [NAME] Unit Pantry with Server #352 on 02/28/23 at 7:38 A.M. revealed the microwave was dirty, and in the reach-in freezer contained frozen omelets stored in a gallon-sized Ziploc bag with…

    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 · D2023-03-07 · 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 review of the medical record, observation, and interview the facility failed to appropriately clean the wound according to standards of care, and failed to maintain appropriate hand hygiene during the dressing change for Resident #42. This affected one resident (#42) out of two residents observed for wound care. The facility census was 59. Findings include: Review of the medical record revealed Resident #42 was admitted to the facility on [DATE] with diagnoses including a non-ST elevation myocardial infarction, coronary angioplasty, hemiplegia, and hemiparesis following cerebral infarction (stroke) affecting the left non-dominant side, type two diabetes, major depressive disorder, and bradycardia with pauses. Review of the Minimum Data Set Assessment (MDS) 3.0 assessment dated [DATE] revealed Resident #42 was cognitively intact. Functionally, she required extensive assistance of two staff for bed mobility, dressing, toilet use, and personal hygiene. The resident had a stage II pressure ulcer…

    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 · D2023-03-07 · 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 policy review, the facility failed to serve pureed foods at a smooth consistency for safe swallowing. This affected one resident (#59) out of one resident who was prescribed pureed diets of 59 residents who consumed meals from the facility's kitchen. No residents were identified to receive nothing by mouth. Findings include: Review of the medical record for Resident #59 revealed an admission date of 12/15/22 with diagnoses including Alzheimer's disease, diabetes mellitus, depression, and anxiety disorder. Review of the comprehensive Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #59 had severely impaired cognition and required supervision with set-up only for eating. Review of the physician's orders for February 2023 revealed on 02/14/23 nectar consistency liquids were ordered and pureed diet with sugar substitute was ordered on 02/28/23. Interview on 03/01/23 at 11:20 A.M. Server #289 stated she already made Resident #59's tray because…

    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

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

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
ENGELBACH, MICHELEIndividualW-2 MANAGING EMPLOYEE; CORPORATE OFFICERsince 07/09/2012
HARDESTY, RONALDIndividualCORPORATE DIRECTORsince 01/01/2022

CMS files one row per role, so the 3 rows in the source record cover these 2 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.

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.

$6.3M
Net patient revenuemost recent cost report
-57.8%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 35%Medicare 11%Other / private 54%

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

$433per resident / day
operating cost
$13,166per month
≈ monthly operating cost
$274per 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 366076. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-12, 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.

What to do next