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Roselawn Manor

420 East Fourth Street, Spencerville, OH 45887 · For profit - Corporation · 49 certified beds · (419) 647-4115 Medicare & Medicaid certified

Call the home — (419) 647-4115 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

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

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • a high number of inspection citations overall (18) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)

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

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

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

Worth a closer look. This home's quality-measure rating runs 3 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

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
424 E 4th St · (419) 647-4188 · Call to confirm hours
Pharmacy
102 S Broadway St · (419) 647-4584 · Call to confirm hours
Grocery
120 S Canal St · (419) 647-4772 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
123 Broadway St

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

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 2 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 4 to 5 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 rating5★
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 increased4.1%5.3%15.4%better than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight2.3%6.2%5.4%better
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection0.0%0.4%2.0%better than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms8.2%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 injury2.0%3.2%3.3%better
Long-stay residents whose ability to walk worsened4.0%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication25.9%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine97.4%94.5%95.3%typical
Long-stay residents with pressure ulcers3.2%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control12.2%21.4%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table2.6%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication2.0%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine84.2%75.6%79.4%typical
Short-stay residents rehospitalized after admission20.7%24.9%22.6%typical
Short-stay residents with an outpatient ER visit7.3%12.9%12.0%better
Long-stay hospitalizations per 1,000 resident days1.121.731.67better
Long-stay outpatient ER visits per 1,000 resident days1.091.801.80better

‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

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

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

44.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

44.3%U.S. median 51.5%
Got home and stayed home
10.6%U.S. median 10.7%
Went back to hospital
35.0%U.S. median 56.6%
Met the expected recovery
0.43U.S. median 0.30
Therapy hours / resident / day
0.23hours / resident / day
Physical therapy
0.15hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 35.0% 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 20 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.43 therapist hours per resident per day in 2025Q4 — more than 74% of the 13,714 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 14% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF44.3%CMS range 32.2–57.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.6%CMS range 7.4–15.510.7%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 discharge35.0%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 discharge50.0%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 discharge35.0%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 identified79.2%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.—
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.—
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened4.2%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 hospitalization6.7%CMS range 3.3–12.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.221.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.59
RN hours/ resident / day
0.74
LPN hours/ resident / day
2.15
Aide hours/ resident / day
3.48
Total nurse hours/ resident / day
0.29
RN hoursweekends
44.7%
Total nursing turnover
44.4%
RN turnover

How full it usually is: this home is certified for 49 beds and averages 44.7 residents a day — about 91% occupied, or roughly 4 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.482 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.59 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 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 2.94 hrs/resident/day on weekends vs 3.53 on weekdays — 17% thinner on weekends. RN hours go from 0.86 to 0.37 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% is about the same as the national median of 45%.

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

Inspection trend

13 ↑
deficiencies at the latest standard inspection (2026-05-28)
5
at the previous standard inspection (2023-07-27)

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.

18 citations, most serious first. The 10 most serious are shown; the remaining 8 are one tap away and print in full.

  • Potential for harm · F2026-05-28 · tag F0727 — failed to provide required RN coverage — widespread
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on facility staffing review and staff interview, the facility failed to ensure at least eight hours of consecutive Registered Nurse (RN) coverage per day for seven days. This had the potential to affect all residents who reside in the facility. The facility census was 40.Findings include:Review of the nursing staff schedule from 05/19/26 to 05/25/26 revealed no documentation to support the facility had eight hours of consecutive RN coverage on 05/23/26 and 05/24/26.Interview on 05/28/26 at 11:00 A.M., the Administrator verified the facility did not have eight hours of consecutive RN coverage on 05/23/26 and 05/24/26.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-05-28 · tag F0838 — failed to assess facility resources and resident needs — widespread
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    What the surveyor found here — the official record, unedited, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility document review and staff interview, the facility failed to ensure the Facility Assessment included the overall number of facility staff needed to ensure sufficient number of qualified staff are available to meet the residents' needs. This had the potential to affect all the residents. The facility census was 40.Findings include:Review of the Facility assessment dated [DATE], which was reviewed on 03/12/26 revealed no documentation to support the facility determined the number of qualified staff needed to provide care for the residents. During an interview on 05/27/26 at 2:43 P.M., the Administrator confirmed the Facility Assessment did not contain documentation to support the facility determining the number of staff that would be needed to provide care for the residents.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · F2026-05-28 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation, staff interview, and policy review the facility failed to ensure Enhanced Barrier Precautions (EBP) were followed. This affected one (#48) of four residents reviewed for EBP. The facility failed to ensure glucometers were sanitized following accuchecks. This had the potential to affect seven (#8, #9, #11, #20, #28, #32, and #41) who the facility identified as receiving accuchecks testing on the E and D-halls. The facility also failed to ensure the measures to prevent the growth of Legionella were completed. This had the potential to affect all residents who reside in the facility. The facility census was 40. Findings include: 1) Review of medical record for Resident #48 revealed an admission date of 01/02/26 with diagnoses including but not limited to acute on chronic respiratory failure with hypoxia, malignant neoplasm of tonsil, tracheostomy status, and gastrostomy status. Review of care plan dated 01/06/26, revealed Resident #48 had an indwelling medical device and may be in EBP while residing at the facility. Interventions included educating…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-05-28 · tag F0761 — failed to label and store drugs safely — pattern
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, staff interview, and policy review the facility failed to ensure medications were not left at the bedside. This affected one (#33) of four residents observed during med pass. The facility identified 10 residents (#9, #14, #16, #22, #27, #31, #32, #33, #38 and #41) who were independently mobile whether ambulatory or wheelchair on D-hall. The facility census was 40. Findings include: Review of medical record for Resident #33 revealed an admission date of 11/15/24 with diagnoses including but not limited to epilepsy, nonrheumatic aortic (valve) stenosis, hypertension, and cognitive communication deficit.Review of Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #33 had moderate cognitive impairment. The resident was dependent on staff for medication administration. Review of Active physician orders for Resident #33 revealed the following medications to be given upon rising: bee pollen (dietary supplement) 500 milligrams (mg) daily, docusate (stool softener)…

    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 · Ecited before2026-05-28 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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, staff interview and facility policy, the facility failed to ensure the kitchen stored, prepared, distributed and served food in accordance with professional standards for food service safety. This had the potential to affect 36 out of 40 residents who received food from the kitchen. Four Residents (#23, 26,37, and 48) do not receive food from the kitchen. The facility census was 40.Findings include:Observation of the kitchen on 05/26/26 at 7:47 A.M., with [NAME] #265, revealed one six pound eleven ounce can of crushed pineapple, approximately half full, and one seven pound empty chocolate pudding can being stored under the three compartment sink with the lids left open and positioned upright. Both cans contained black residue on the interior and exterior surfaces. The findings were verified at the time of observation with [NAME] #265.Continued observation of the kitchen on 05/26/26 at 8:00 A.M., with [NAME] #265, revealed black, loose residue around the gas burners of the stove, along with crumbled food debris. Multiple dried streaks of an unidentified…

    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 · D2026-05-28 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and policy review, the facility failed to ensure a Notice of Medicare Non-Coverage (NOMNC) was provided to a resident timely. This affected one (Resident #17) out of three residents reviewed for beneficiary notices. The facility census was 40.Findings include:Review of the medical record for Resident #17 revealed an admission date of 10/16/25 with medical diagnoses of traumatic subdural hemorrhage, cerebrovascular accident (CVA), hypertension and epilepsy. Resident #17 discharged to the hospital on [DATE] and readmitted to the facility on [DATE].Review of the end of Prospective Payment System (PPS) Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #17 was cognitively intact and required partial/moderate staff assistance with bathing, bed mobility, and transfers and supervision with eating and toilet hygiene. Review of the MDS revealed Resident #17's last day of Medicare A coverage was 12/23/25.Review of Resident #17's NOMNC revealed Medicare last…

    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 · D2026-05-28 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    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, family and staff interview, and policy review, the facility failed to ensure interdisciplinary team (IDT) members attended care conferences as per facility policy. This affected one (Resident #26) out of one resident reviewed for care conferences. The facility census was 40.Findings include:Review of the medical record for Resident #26 revealed an admission date of 11/16/18 with medical diagnoses of Parkinson's disease, dementia, chronic kidney stage III, gastrostomy tube, essential tremor, and moderate Intellectual Disabilities.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #26 had severe cognitive impairment and was dependent upon staff for all activities of daily living.Review of Resident #26's care conference documentation revealed care conferences were held on 10/10/25 and 01/02/26 and the staff attendees included nursing and Social Service designee only. Review of the care conference note on 04/04/26 revealed staff attendees included…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-28 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and policy review, the facility failed to provide activities to meet residents' physical, mental, and psychosocial needs. In addition, the facility failed to document individual participation in activities as per policy. This affected one (Resident #26) out of one resident reviewed for activities. The facility census was 40.Findings include:Review of the medical record for Resident #26 revealed an admission date of 11/16/18 with medical diagnoses of Parkinson's disease, dementia, chronic kidney stage III, gastrostomy tube, essential tremor, and moderate Intellectual Disabilities.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #26 had severe cognitive impairment and was dependent upon staff for all activities of daily living.Review of the Resident Preference Evaluation dated 06/25/25 revealed it was important to Resident #26 to listen to music, do things with groups of people, and participate with religious activities.Review…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-28 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, observation, interview, and policy review, the facility failed to ensure splints were applied per physician order. This affected one (Resident #37) of one resident reviewed for splints. The facility census was 40.Findings include:Review of the medical record for Resident #37 revealed an admission date of 10/12/23. Diagnoses included contracture of muscle right hand, contracture of left hand, contracture of right elbow, and contracture of left elbow.Review of the physician orders revealed a left blue palm protector and a right hand small tan hand roll if able (or washcloth) on in the morning at breakfast time and remove at lunch time approximately for four hours and monitor skin.Review of the care plan dated 09/05/24 revealed assist with bilateral hand splints apply after morning care or hand hygiene and remove at end of first shift or as tolerated. Small tan hand roll to right, blue soft hand splint to left. Provide skin checks before applying and after removal. Interventions included assess skin for redness, irritation, open areas and report to 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-28 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide 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 medical record review, resident and staff interviews, and policy review, the facility failed to address a resident's significant loss. This affected one (Resident #05) out of two residents reviewed for nutrition. The facility census was 40.Findings include:Review of the medical record for Resident #05 revealed an admission date of 03/04/25 with medical diagnoses of anemia, anxiety, arthritis, and depressive disorder.Review of Resident #05's significant change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #05 was cognitively intact and was dependent upon staff for toilet hygiene, required substantial/maximum staff assistance for bathing and bed mobility, and partial/moderate assist with transfers. The MDS revealed Resident #05 had a significant weight gain, was edentulous, and received a mechanically altered diet.Review of Resident #05's physician order dated 03/04/25 for bumetanide (a diuretic) 2 milligram one tablet by mouth daily and an order 12/02/25 for a regular mechanical soft…

    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 8 citations
  • Potential for harm · Dcited before2026-05-28 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure 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, interview, and skills demonstration/evaluation review, the facility failed to ensure enteral nutrition (tube feed) was labeled, dated, and timed. This affected one (Resident #48) out of three residents reviewed for tube feed. The facility census was 40.Findings include:Review of medical record for Resident #48 revealed an admission date of 01/02/26. Diagnoses included acute/chronic respiratory failure with hypoxia, malignant neoplasm of tonsil, tracheostomy status, and gastrostomy status.Review of physician orders revealed Nutren 2.0 at 45 milliliters (ml) per hour every shift, change syringe daily, and document total intake of enteral feed and water flushes three times daily.Observation on 05/27/26 at 8:26 A.M. of Resident #48 revealed the resident resting in bed. Nutren tube feeding hanging on pole running at 45 ml per hour. The Nutren bag was not labeled, dated, or timed as to when it was hung.Interview on 05/27/26 at 8:38 A.M. with the Minimum Data Set (MDS) Staff #237 verified the Nutren tube feed hanging for Resident #48 was not…

    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 · D2026-05-28 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview and facility policy, the facility failed to ensure staff followed physician orders for medication administration. This affected one (#21) out of five residents reviewed for medication errors. The facility census was 40.Findings include: Review of the medical record for Resident #21 revealed an admission date on 11/14/23. Diagnosis included displaced simple supracondylar fracture without intercondylar fracture of right humerus, hypertension, subsequent encounter for fracture with routine healing and Parkinson's disease.Review of the physician orders dated 03/19/24 for Resident #21 revealed the resident was ordered to receive metoprolol (beta blocker/blood pressure) succinate extended release (ER) 24 hour, 25 milligrams daily for essential hypertension and hold if the resident's blood pressure was less than 110 millimeters of mercury (mmHg).Review of the Medication Administration Record (MAR) for Resident #21 revealed on 04/11/26, the resident's blood pressure was documented…

    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 · D2026-05-28 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    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, review of the pharmacy recommendations, and staff interview, the facility failed to ensure pharmacy recommendations were acted upon. This affected one (Resident #01) out of five residents reviewed for pharmacy recommendations. The facility census was 40.Findings Included:Review of the medical record revealed Resident #01 admitted to the facility on [DATE] and discharged on 05/26/26 with the following diagnoses: Hemophilus meningitis and pneumoniaReview of the Minimum Data Set (MDS) quarterly assessment dated [DATE] revealed Resident #01 had impaired cognition evidenced by a Brief Interview for Mental Status (BIMS) score of 09. Resident #01 was taking an antipsychotic medications.Review of the care plan dated 04/12/26 revealed Resident #01 had an alteration in neurological status related to Hemophilus meningitis. Risk for high falls related to psychoactive drug use.Review of a pharmacy recommendation dated 03/30/26 revealed an Abnormal Involuntary Movement Scale (AIMS) evaluation…

    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 · Ecited before2023-07-27 · tag F0812 — failed to store, cook, and serve food safely — pattern
    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, resident interview, staff interview, and review of the facility policy, the facility failed to ensure staff performed proper hand hygiene when preparing meals. This specifically affected one (Resident #16) and had the potential to affect all residents in the facility except seven residents (#22, #31, #32, #33, #34, #36, and #193) identified to receive no meals from the kitchen. The facility census was 35. Findings include: Review of the medical record for Resident #16 revealed an admission date of 08/16/18 with diagnoses of anemia and diabetes. Review of the physician order dated 06/21/23 revealed Resident #16 received a Consistent Carbohydrate Diet (CCD) with mechanical soft textures and thin liquids. Review of the quarterly Minimum Data Set assessment dated [DATE] revealed Resident #16 had moderate cognitive impaired and required supervision with setup assistance for eating. No swallowing or weight loss concerns were identified. Observations on 07/26/23 beginning at 11:02 A.M. revealed…

    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 · D2023-07-27 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and policy review, the facility failed to ensure treatments for a pressure ulcer were provided as ordered. This affected one (Resident #8) of one resident reviewed for pressure ulcers. The facility census was 35. Findings include: Review of the medical record for Resident #8 revealed an admission date of 01/25/23, with medical diagnoses of chronic respiratory failure, chronic obstructive pulmonary disease, congestive heart failure, hypertension, and atherosclerotic heart disease. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #8 was cognitively intact and required extensive staff assistance with bed mobility, transfers, incontinence cares, and bathing. Resident #8 was frequently incontinent of bowel, and had an indwelling catheter. Further review of the medical record revealed Resident #8 had a Stage IV pressure ulcer to the sacrum. Review of the Resident #8's physician's orders revealed an order dated 03/15/23 to cleanse sacrum,…

    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 before2023-07-27 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure enteral nutrition (tube feeding) was provided as ordered by the physician. This affected one (Resident #193) of two residents reviewed for enteral nutrition. The facility census was 35. Findings include: Review of the medical record for Resident #193 revealed an admission date of 06/27/23 with diagnoses of seizures, gastrostomy (an opening in the stomach for a feeding tube) status, and anoxic brain damage. Review of the comprehensive Minimum Data Set assessment dated [DATE] revealed Resident #193 was in a comatose state and was totally dependent on staff for receiving nutrition. Review of the physician order dated 06/27/23 revealed Resident #193 received tube feeding formula Impact Peptide 1.5, 225 milliliters (ml) every four hours via bolus feeding, scheduled at 12:00 A.M., 4:00 A.M., 8:00 A.M., 12:00 P.M., 4:00 P.M., and 8:00 P.M. daily. Review of the administration times of the tube feeding formula from 07/12/23 to 07/25/23 revealed…

    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 · D2023-07-27 · 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure a Gradual Dose Reduction (GDR) was attempted on a psychotropic medication in the past year. This affected one (Resident #2) of five residents reviewed for GDRs. The facility census was 35. Findings include: Review of the medical record for Resident #2 revealed an admission date of 01/18/21 with a diagnosis of depression. Review of the quarterly Minimum Data Set assessment dated [DATE] revealed Resident #2 had severely impaired cognition and received an antidepressant. Review of a physician order dated 01/19/21 revealed Resident #2 received Celexa (an anti-depressant) 20 milligrams (mg) by mouth once daily for depression. Review of a Note to Attending Physician/Prescriber form dated 12/30/21 revealed the pharmacist recommended the physician review Resident #2's order for citalopram (generic Celexa) 20 mg. Further review revealed the physician reviewed and signed the form on 01/06/22 and determined Resident #2 was stable on the current dose…

    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 · D2023-07-27 · 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 record review, staff interview, and review of the facility policy, the facility failed to administer anti-convulsant medications per physician order. This affected one (Resident #193) of ten residents reviewed for medication administration. The facility census was 35. Findings include: Review of the medical record for Resident #193 revealed an admission date of 06/27/23 with diagnoses of seizures, gastrostomy (an opening in the stomach for a feeding tube) status, and anoxic brain damage. Review of the comprehensive Minimum Data Set assessment dated [DATE] revealed Resident #193 was in a comatose state and was totally dependent on staff for all activities of daily life. Review of a physician order dated 06/27/23 revealed Resident #193 received phenytoin (an anti-convulsant medication) 125 milligrams (mg) per 5 milliliters (ml) oral suspension, give 10 ml via percutaneous gastrostomy (PEG) tube three times daily for seizures. The doses were scheduled for morning (4:00 A.M. to 6:00 A.M.), lunch (11:00 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.

    Pharmacy Service 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.

Part of a chain

This home belongs to HCF MANAGEMENT — 22 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 3 of 53.0≈ chain avg
Health inspection 2 of 52.8-0.8 vs chain
Staffing 3 of 52.8+0.2 vs chain
Quality measures 5 of 54.1+0.9 vs chain
The other 21 homes this chain runs (chain average 3.0★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
JOANN C. UNVERFERTH 11-29-04 REVOCABLE TRUST FBO KENDRA M. UNVERFERTHOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST7%since 05/01/2025
JOANN C. UNVERFERTH 11-29-04 REVOCABLE TRUST FBO KEVAN R. UNVERFERTHOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST7%since 05/01/2025
JOANN C. UNVERFERTH 12-29-04 REVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST7%since 05/01/2025
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KENDRA M. UOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST9%since 05/01/2025
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KERRI A. ROOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST9%since 05/01/2025
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KEVAN R. UNOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST9%since 05/01/2025
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KRISTEN S.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST9%since 05/01/2025
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KYLE J. UNVOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST9%since 05/01/2025
KERRI A. ROMES 11-28-18 BUSINESS TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 05/01/2025
KRISTEN S. STECHSCHULTE 02-21-20 BUSINESS TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 05/01/2025
KYLE J. UNVERFERTH 02-21-20 BUSINESS TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 05/01/2025
LANGHALS, LUKEIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 10/31/2025
ROMES, KERRIIndividualCORPORATE DIRECTOR; CORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 03/29/2019
SCHWINNEN, SAMANTHAIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 03/16/2020
KIMMEL, LACYIndividualCORPORATE OFFICER; ADP OF THE SNF—since 10/31/2025
SHAW, ANTHONYIndividualCORPORATE OFFICER; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 06/26/2015
HCF MANAGEMENT, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 05/14/2026
RINGWALD, RONALDIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF—since 07/01/2016

CMS files one row per role, so the 31 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

12 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.

$6.6M
Net patient revenuemost recent cost report
+13.4%
Operating marginrevenue minus expenses
$320K
Related-party expense6% of expenses
Who pays — share of resident-days
Medicaid 74%Medicare 9%Other / private 18%

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $320K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

$391per resident / day
operating cost
$11,900per month
≈ monthly operating cost
$452per 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 2026-09-01 — CMS provider number 365744. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-28, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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