Salem North Healthcare Center
250 Continental Drive, Salem, OH 44460 · For profit - Corporation · 86 certified beds · (330) 337-9503 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- a middle-of-the-pack inspection score (3/5)
- it has an abuse, neglect, or exploitation citation (F0602), cited Apr 2026
- inspectors cited 1 immediate-jeopardy problem — the most serious level
- 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
- the CMS record shows $23,163 in federal fines (most recent 2024-10-15)
- its facility-reported quality-measure score sits well above its independent inspection score
- its payroll-based staffing rating is low (2/5)
- about 24% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 3 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
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 improved from 3 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.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 7.7% | 5.3% | 15.4% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 5.0% | 6.2% | 5.4% | typical |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.2% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 8.2% | 30.1% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 7.0% | 3.2% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 9.1% | 6.1% | 16.1% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 26.1% | 25.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 94.7% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 1.9% | 3.4% | 4.7% | better |
| Long-stay residents with worsening bladder/bowel control | 32.9% | 21.4% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 3.3% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 2.0% | 1.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 50.0% | 75.6% | 79.4% | worse |
‡ 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.
56.3% 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 46 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Therapy staffing: this home’s payroll records show 0.39 therapist hours per resident per day in 2026Q1 — more than 66% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 56.3%CMS range 41.1–68.8 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.0%CMS range 5.9–12.9 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | not 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 next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | not 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 discharge | not 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 stay | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.6%CMS range 3.7–12.8 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.08 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 86 beds and averages 64.4 residents a day — about 75% occupied, or roughly 22 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 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.77 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 2.80 hrs/resident/day on weekends vs 3.33 on weekdays — 16% thinner on weekends. RN hours go from 0.60 to 0.23 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 38% 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
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
21 citations, most serious first. The 11 most serious are shown; the remaining 10 are one tap away and print in full.
- Immediate jeopardy · Jcited before2024-10-15 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on closed medical record review, review of telehealth progress notes, Life flight progress notes, policy review, and interviews, the facility failed to provide adequate and necessary care to meet the total care needs of Resident #70. The facility failed to consistently monitor blood (sugar) glucose levels as ordered, failed to administer insulin as ordered and failed to monitor Resident #70, who was assessed as being severely cognitively impaired and dependent on staff for activities of daily living, after an acute/significant change in condition. This resulted in Immediate Jeopardy and actual harm with the potential for serious impairment and/or death beginning on [DATE] at 4:18 P.M. when Resident #70's blood glucose level was elevated at 517 milligram/deciliter [mg/dl] (normal-74-106 mg/dl). Insulin was administered per physician order, however no additional assessment or monitoring was documented as being completed. At 6:00 P.M., Resident #70 was assessed to be clammy and having tremors with abnormal…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-28 · tag F0602 — failed to protect residents from theft of their belongings — isolatedProtect each resident from the wrongful use of the resident's belongings or money.
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, review of a facility self-reported incident (SRI) and facility policy review, the facility failed to prevent misappropriation of opioid medication. This affected one resident (#32) out of three residents reviewed for misappropriation. The facility census was 63.Findings include:Review of Resident #32's medical record indicated an admission date of 07/30/20 with diagnoses including acute kidney failure, end stage renal disease, pleural effusion, hypertensive chronic kidney disease Stage V, diabetes, chronic obstructive pulmonary disease, peripheral vascular disease, atrial flutter, and dependence on renal dialysis. Review of the admission Minimum Data Set (MDS) assessment dated [DATE] showed the resident was cognitively intact, required supervision for eating, needed partial to moderate assistance with oral hygiene, and was dependent on staff for toileting hygiene, showers, dressing, and bed mobility. Review of the resident's care plan showed the resident had, or was at risk…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-02-12 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, interview, review of manufacture's guidelines and facility policy review, the facility did not ensure medications were not left at the bedside for Resident #42. This affected one (Resident #42) of three residents observed for medication administration. The facility also failed to store medications in a manner to preserve efficacy and proper discard time frames affecting eight (Residents #59, #6, #9, #48, #18, #33, #55, and #57) medications observed during medication storage observation. The facility census was 70.Findings include:1. Review of the medical records for Resident #42 revealed the date of admission as 12/19/25. Significant diagnoses included chronic obstructive pulmonary disease (COPD) and acute respiratory failure. Significant orders included Dulera Inhalation 200/5 micrograms per actuation (mcg/act) (a prescription inhaler to reduce inhalation and open airways), two puffs inhale orally two times a day for asthma and Spiriva (a prescription inhaler used for daily…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-02-12 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and interview, the facility failed to ensure the smoking area of the courtyard was maintained in a clean and sanitary manner free from cigarette butts. This had the potential to affect all six (Residents #16, #21, #34, #41, #56, and #66) identified by the facility as utilizing the smoking area. The facility census was 70.Findings include:Observation on 02/10/26 at 4:25 P.M. of the courtyard smoking area revealed multiple cigarette butts (more than 50) scattered on the ground and in the snow. Interview at the time of the observation with Licensed Practical Nurse (LPN) #355 verified the observation and stated she was not sure who was responsible for cleaning up the cigarette butts. Observation on 02/10/26 at 4:42 P.M. of the courtyard smoking area with the Administrator and Regional Director of Clinical Operations (RDCO) #344 verified the multiple cigarette butts on the ground and snow. The Administrator stated it was the responsibility of maintenance to ensure the smoking area was clean.
- Potential for harm · Dcited before2026-02-12 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
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 accurate and complete clinical documentation and failed to notify the physician of resident refusals of a prescribed cervical collar (C collar). This affected one (Resident #6) of two residents reviewed for orthotic devices. The facility census was 70.Findings include:Review of the medical record for Resident #6 revealed an admission date of 11/17/25. Diagnoses included right femur fracture, dementia, abnormal posture, vertebral fracture, collarbone fracture, pelvis fracture, insomnia and muscle weakness.Review of the physician's order dated 11/18/25 revealed Resident #6 had an order for a C collar (medical device designed to restrict movement of the neck and upper spine to allow injuries to heal, protect against further damage, or provide relief from severe pain) to be in place at all times, only to be removed for showers and to check skin integrity.Review of the comprehensive Minimum Data Set (MDS) 3.0…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-02-12 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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 record review, observation, interview and facility policy review review, the facility failed to ensure falls were thoroughly investigated for Resident #18 and failed to ensure safe smoking practices were followed for Resident #16. This affected one (Resident #18) of three residents reviewed for falls and one (Resident #16) of three residents reviewed for smoking. The facility identified six residents (Residents #16, #22, #34, #41, #56 and #66) in the facility who smoked. The facility census was 70.Findings include: 1. Review of the medical record for Resident #18 revealed an admission date of 06/03/24. Diagnoses included congestive heart failure (CHF), diabetes, morbid obesity, hypertension, depression and anxiety. Review of the fall risk assessment dated [DATE] revealed Resident #18 was at risk for falls. Review of the comprehensive Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #18 was cognitively intact. She required substantial/maximum assistance with oral hygiene, upper body…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-02-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide 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 record review, interview, observation and facility policy review, the facility failed to ensure oxygen tubing was changed every seven days. This affected one (Resident #42) of two residents reviewed for respiratory care and had the potential to affect eight additional (Residents #1, #5, #7, #16, #35, #48, #54, and #65) identified by the facility as utilizing oxygen. The facility census was 70.Findings include: A review of medical records for Resident #42 revealed the date of admission as 12/19/25. Significant diagnoses included chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), and unspecified acute respiratory failure. A review of significant orders revealed no current physician order for oxygen therapy, including flow rate, method of delivery, indication for use, or parameters for monitoring. No orders for oxygen tubing management.Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 out of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-12-12 · tag F0804 — failed to serve food at safe, palatable temperature — widespreadEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on resident interview, observation, staff interview, record review, and review of the facility policy, the facility failed to ensure foods were served at a palatable temperature. This had the potential to affect 64 of the 66 residents (excluding Residents #16 and #65) who received meals prepared and served by the facility kitchen. The facility census was 66 Findings include: Interview on 12/10/24 at 12:18 P.M. with Resident #38 confirmed foods were not served at the right temperatures Interview on 12/10/24 at 4:00 P.M. with Resident #19 confirmed food and drinks served in the facility did not always keep the desired temperatures by the time the tray got to her. Observation of tray line on 12/11/24 at 12:35 P.M. revealed the final meal trays were plated and placed on the meal cart for the main dining hall next to the kitchen. Surveyor requested a test tray as the last lunch tray was plated. The food cart was taken from the kitchen to the dining room at 12:49 P.M. Staff delivered meals and set-up for residents eating in the dining hall from 12:49 P.M. to 1:09 P.M. Observation on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-12-12 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, staff interview, review of online medication resources, and review of facility policy, the facility failed to ensure residents did not receive unnecessary or duplicate medications. This affected one (Resident #67) of three residents reviewed for medication administration. The facility census was 66. Findings include: Review of the medical record for Resident #67 revealed an admission date of 07/23/24 and a discharge date of 09/15/24. Diagnoses included polyneuropathy, cellulitis of the lower limb, type two diabetes mellitus, lymphedema, weakness, adult failure to thrive, atrial fibrillation, oropharyngeal dysphagia, overactive bladder, Alzheimer's Disease, and vascular dementia. Review of the admission Minimum Data Set (MDS) assessment for Resident #67 dated 07/30/24 revealed the resident had severe cognitive impairment and was dependent on staff for bathing, dressing, toileting hygiene, and personal hygiene. Review of the physician's orders for Resident #67 revealed the following medication orders dated 08/15/24: • Aricept five milligrams (mg) for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-10-15 · tag F0580 — failed to tell family and doctor about changes — isolatedImmediately 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 closed medical record review, policy review and interview, the facility failed to timely notify Resident #70's representative of an acute change in condition. This affected one resident (#70) of 12 residents reviewed for notification of change. Findings include: Review of the closed medical record for Resident #70 revealed the resident was admitted to the facility on [DATE] with diagnoses of Temefactive Multiple Sclerosis (MS), Type 1 diabetes, autistic disorder, attention-deficit hyperactivity, narcolepsy, anxiety disorder, transient alteration of awareness, other symptoms involving cognitive functions and awareness and aphasia. Resident #70 was discharged to the hospital on [DATE]. Review of the Nursing admission Evaluation assessment dated [DATE] revealed Resident #70 arrived at the facility on 08/30/24 at 12:29 P.M. with an admitting diagnosis of MS, was confused/disoriented and had a gastrostomy tube with a nocturnal enteral feeding. Resident #70 was assessed as being severely cognitively impaired.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2024-03-12 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, staff interview, and review of the facility policy, the facility did not ensure frozen foods in the reach-in freezer were labeled and dated appropriately to prevent food spoilage. This had the potential to affect 70 residents who received food from the kitchen. The facility identified three residents (#19, #22, and #30) as receiving nothing by mouth (NPO). The facility census was 73. Findings include: Observation of the kitchen on 03/12/24 from 8:35 A.M. to 8:55 A.M. with Dietary Director (DD) #320 revealed the reach in freezer in the dry storage room had multiple items in original manufacturer packaging bags that had been opened, resealed and were undated. These items included: one bag which was one fourth full of unbaked dinner rolls, one half-full bag of crinkle cut French fries, a one-fourth full bag of cauliflower, two half-full bags of broccoli florets, one one-fourth full bag of ravioli, and one bag with four pancakes in it. In addition, there was a one gallon storage bag of two unidentifiable round patties unlabeled and undated, and one undated, large…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 10 citations
- Potential for harm · Fcited before2022-12-22 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and interview the facility failed to maintain sanitary conditions during observations of meal preparations . This affected all residents except for Resident #18 and Resident #21 who do not receive food prepared in the kitchen. The facility census was 57. Findings include: Observation on 12/20/22 at 11:55 A.M. of [NAME] #809 preparing to purée Swedish meatballs. She placed the meatballs into the RoboCoup blender which was setting on the sink counter. The sink was observed to have water and food particles present. [NAME] #809 used a large spatula to stir the meatballs and laid it directly on the sink counter. She then continued to purée the meatballs, stop the blender, sir the meatballs with the same spatula and then laid it directly on the counter. [NAME] #809 then used the spatula to scoop the meatballs into a tray on the steam table. [NAME] #809 then scooped noodles into a clean RoboCoup blender. Some of the noodles were observed protruding from the top. She used an unwashed and ungloved hand to push the noodles into the blender. She then blended the noodles,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2022-12-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure 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
Based on observation, interview, and record review, the facility failed to ensure Resident #60's fall interventions were in place to help prevent falls. This affected one Resident (#60) out of one Resident reviewed for accidents. The facility census was 57. Findings include: Review of Resident #60's medical record revealed an admission date of 11/23/22. Diagnoses included psychotic disorder with delusions, delusional disorders, cognitive communication deficit, difficulty in walking, and weakness. Review of Resident #60's admission Minimum Data Set 3.0 assessment, dated 11/30/22, revealed the resident had impaired cognition and needed physical extensive assistance of two persons for bed mobility, transfers, and walking. Review of Resident #60's initial fall risk evaluation, dated 11/30/22, revealed the resident had a moderate risk for falls. Review of Resident #60's 48-hour admission care plan, dated 11/23/22, revealed the resident was at risk for falls. Interventions included place call bell within reach and keep the bed in the lowest position. Observation on 12/19/22 at 10:52 A.M.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-22 · tag F0693 — failed to provide proper feeding-tube care — isolatedEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observation and staff interview, the facility failed to follow physician's orders for tube feed formula infusion time and proper labeling of tube feed formula. This affected one Res(Resident #18) of one Resident reviewed for tube feedings. The facility census was 57. Findings include: Review of Resident #18's medical record revealed an admission date of 03/05/21 with diagnoses including Alzheimer's disease with dementia, adult failure to thrive, cerebrovascular accident and percutaneous endoscopic gastrostomy tube. Further review of the medical record revealed a physician's order on 12/22/21 to label feeding tube formula with resident name, date and time and nurse's initials. A physician's order on 12/07/22 indicated Resident #18 was to receive Jevity 1.2 (nutritional supplement formula) at 65 milliliters per hour (ml/h) per feeding tube for 18 hours from 5:00 P.M. to 9:00 A.M. and disconnect resident from feeding tube at 9:00 A.M. every day. Observation of Resident #18 on 12/19/22 at 11:16 A.M. revealed a tube feeding pole, tube feed pump and bag of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2022-12-22 · tag F0881 — failed to use antibiotics responsibly — isolatedImplement a program that monitors antibiotic use.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review and staff interview, the facility failed to ensure laboratory testing was obtained prior to initiating antibiotic therapy for a resident with a possible infection. This affected one (Resident #32) of five residents reviewed for infections. The facility census was 57. Findings include: Review of Resident #32's medical record revealed an admission date of 09/23/22 with admission diagnoses that included chronic obstructive pulmonary disease, diabetes mellitus and hypertension. Further review of the medical record including physician's orders revealed on 09/30/22 Resident #32 was initiated on Cipro (antibiotic) 500 milligrams (mg) twice daily until 10/05/22 for bacteremia (infection). Review of the Antibiotic Assessment completed on 09/30/22 indicated Resident #32 had pain with urination, a urinalysis was positive for infection and the resident was initiated on Cipro for a urinary tract infection (UTI). The antibiotic assessment indicated the resident met criteria for antibiotic use for a UTI. Review of the resident's laboratory results found no evidence…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2020-03-05 · tag F0804 — failed to serve food at safe, palatable temperature — widespreadEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review and policy review, the facility failed to ensure palatable meals for Residents #53, #67, #43, #30 and #42. This had the potential to affect the 72 residents who received meals from the facility. Findings include: On 03/02/20 at 9:23 A.M., interview with Resident #53 revealed the food was not palatable. On 03/02/20 at 10:18 A.M., interview with Resident #67 revealed the food was not palatable. On 03/02/20 at 10:32 A.M., interview with Resident #43 revealed the food was not palatable. On 03/02/20 at 1:56 P.M., interview with Resident #30's family revealed the food was not palatable. On 03/0/20 at 2:23 P.M., interview with Resident #42 revealed the food was not palatable. On 03/05/20 during the tray line observation between 4:30 P.M. and 5:02 P.M. revealed the temperature of the milk that was held in a tub with a small amount of ice was tested with the facility thermometer by Dietary Manager (DM) #390 which read 42 degrees Fahrenheit (F). Interview with DM #390 revealed he wanted the temperature of the milk to be below 45 degrees F on tray…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2020-03-05 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, personnel record, medical records, policy review and staff interview, the facility failed to ensure sanitary procedures during a pressure ulcer dressing change, post incontinence care and the handling of laundry/ personals and employee tuberculin testing per protocol. This affected one resident (Resident #11) of the 11 residents the facility identified as having pressure ulcers and had the potential to affected all 74 residents in the facility. Findings include: 1. Observation of the dressing change the pressure ulcer dressing change on Resident #11 took place 03/04/20 at 1:38 P.M. Resident #11 had a Stage IV (the pressure injury is very deep, reaching into muscle and bone and causing extensive damage. Damage to deeper tissues, tendons, and joints may occur) pressure ulcer to the coccyx. While in the hall at the treatment cart, Licensed Practical Nurse (LPN) #343 placed gauze in a cup with Dakins solution (antiseptic solution). Upon entering the resident room she put supplies on a towel on the overbed table, washed her hands and gloved. State Tested Nurse Aide…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2020-03-05 · tag F0676 — failed to keep up residents' daily-living abilities — isolatedEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview, the facility failed to ensure a resident received restorative nursing programs in accordance with therapy recommendations. This affected one (Resident #45) of three residents reviewed for activities of daily living. Findings include: Review of Resident #45's medical record revealed diagnoses including heart failure, hypertension, dementia, osteoarthritis, depression, anemia, left femur fracture and anxiety disorder. A Physical Therapy (PT) evaluation dated 10/11/19 indicated Resident #45 was referred to therapy due to a recent surgery of the left hip for a femur fracture. Resident #45's ambulation, strength, transfers and balance were all impaired. An Occupational Therapy (OT) evaluation dated 10/11/19 indicated Resident #45 was referred to OT due to a hospitalization from 10/06/19 to 10/10/19 with a left femur fracture after a fall. Resident #45 had a decrease in strength, functional mobility, transfers, range of motion, ability to safely ambulate, balance,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2020-03-05 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide 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 observations, medical record review and interview, the facility failed to ensure physician's orders and recommendations for pressure ulcer interventions were implemented. This affected one (Resident #45) of five residents reviewed for pressure ulcers. The facility identified 11 residents with pressure ulcers, excluding stage I ulcers (nonblanchable redness of a localized area, usually over a bony prominence). Findings include: Review of Resident #45's medical record revealed diagnoses including heart failure, hypertension, dementia, osteoarthritis, depression, anemia, dysphagia, and left femur fracture. A nursing note dated 01/04/2020 at 4:30 P.M. indicated Resident #45 complained of left heel pain. A black area was noted on the left heel. A Braden scale assessment dated [DATE] indicated Resident #45 was at moderate risk for pressure ulcers with risk factors including slightly limited sensory perception, occasionally moist skin, chairfast, slightly limited mobility, very poor nutrition, and potential…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2020-03-05 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure Resident #37 had interventions in place for significant weight loss. This affected one of one residents reviewed for weight loss. Findings include: Resident #37 was admitted to the facility on [DATE] with diagnoses which included congestive heart failure and diabetes mellitus. Review of the admission physician orders revealed the resident received Lasix (a diuretic) 40 milligrams (mg) a day. Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident was severely cognitively impaired and needed assistance with set-up of his meals for eating. Review of the admission nutrition assessment dated [DATE] revealed the resident was started on protstat (a high protein liquid supplement) 30 cubic centimeters (cc) twice a day and a health shake high calorie liquid supplement twice a day due to a pressure ulcer. The resident's admission weight was 204.4 pounds. The assessment did not indicate how many…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2020-03-05 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
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 monitor therapeutic levels for thyroid medication. This affected one (Resident #31) of five residents reviewed for unnecessary medications. Findings include: Review of Resident #31's medical record revealed the resident was admitted to the facility 09/05/19 with diagnoses including Alzheimer's disease, traumatic brain injury, type 2 diabetes, and depression. Review of a 10/10/19 laboratory report included thyroid levels. The Thyroid Stimulating Hormone (TSH) was 6.467, a high level with the normal 0.340-5.60 milliunits per liter (mU/L) and a T3 total low at 0.41 with normal 0.60-1.80 nanograms per deciliter (ng/dl). Physician orders 10/11/19 included starting Synthroid 25 milligrams (mg) every morning. Laboratory testing for Serum Triiodothyronine (T3), Free Thyroxine (FT4), and TSH in eight weeks. Review of the Medication administration record (MAR) revealed the Synthroid was not administered until 10/17/19. A pharmacy review 11/29/19 included the resident was on Synthroid with no supporting diagnosis. The diagnosis…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$23,163 in federal fines across 1 penalty.
- $23,163 — penalty dated 2024-10-15
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to COMMUNICARE HEALTH — 110 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 3.2 | +0.8 vs chain |
| Health inspection | 3 of 5 | 2.7 | +0.3 vs chain |
| Staffing | 2 of 5 | 2.6 | -0.6 vs chain |
| Quality measures | 5 of 5 | 4.5 | +0.5 vs chain |
The other 109 homes this chain runs (chain average 3.2★, per CMS)
Showing 40 of 109; 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 / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| SXCY MSTR LSCO, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 03/01/2018 |
| HEALTH CARE LEASE FACILITIES, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 03/01/2018 |
| SXCY HOLDINGS, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 03/01/2018 |
| STOLTZ, CHARLES | Individual | CORPORATE OFFICER | — | since 03/01/2018 |
| WILHEIM, RONALD | Individual | CORPORATE OFFICER | — | since 03/01/2018 |
| CONTINENTAL I MGT CO., LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 03/01/2018 |
| BARNHART, CAILEY | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 04/30/2025 |
| DEMIDOVICH, JAMES | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 01/01/2023 |
| GROVES, DONNA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 04/14/2023 |
| ROMEO, DOMINIC | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 04/01/2023 |
| ODENTHAL, RICHARD | Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | — | since 04/30/2025 |
| C.R. STOLTZ FAMILY INVESTMENT COMPANY INC | Organization | ADP OF THE SNF | — | since 03/01/2018 |
| C.R. STOLTZ IRREVOCABLE TRUST | Organization | ADP OF THE SNF | — | since 03/01/2018 |
| I. ROSEDALE IRREVOCABLE TRUST | Organization | ADP OF THE SNF | — | since 03/01/2018 |
| R.S. WILHEIM IRREVOCABLE TRUST | Organization | ADP OF THE SNF | — | since 03/01/2018 |
| RONALD S WILHEIM 2012 SPOUSAL TRUST | Organization | ADP OF THE SNF | — | since 03/01/2018 |
| ROSEDALE FAMILY INVESTMENT COMPANY, INC | Organization | ADP OF THE SNF | — | since 03/01/2018 |
| RRW, LLC | Organization | ADP OF THE SNF | — | since 03/01/2018 |
| S.L. ROSEDALE IRREVOCABLE TRUST | Organization | ADP OF THE SNF | — | since 03/01/2018 |
| SKILLED HC HOLDINGS, LLC | Organization | ADP OF THE SNF | — | since 03/01/2018 |
| WILHEIM FAMILY INVESTMENT COMPANY, INC. | Organization | ADP OF THE SNF | — | since 03/01/2018 |
CMS files one row per role, so the 26 rows in the source record cover these 21 parties — each is shown once here with every role it holds. Nothing is omitted.
14 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.7M paid to related parties — landlords or management companies under common ownership — equal to about 24% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OH
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366104. 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.