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Springfield Masonic Community

3 Masonic Drive, Springfield, OH 45501 · Non profit - Corporation · 84 certified beds · (937) 525-3000 Medicare & Medicaid certified

Call the home — (937) 525-3000 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
No harm-level citations or fines — but 17 lower-level deficiencies on record (see below)
Insights

This home’s record is mixed — some reassuring signs, some worth asking about.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (5/5)
Worth asking about
  • a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing score sits well above its independent inspection score

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

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

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

Worth a closer look. This home's staffing rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the staffing score rests on the facility's own payroll (PBJ) submissions — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Urgent care / clinic
Pharmacy
1093 Upper Valley Pike · (937) 322-0281 · Call to confirm hours
Grocery
2125 Park Rd · (937) 460-7110 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
2655 W National Rd · (740) 335-2811

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 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 4 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 5 to 4 stars. From monthly CMS archive snapshots.

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

Overall rating4★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased14.2%5.3%15.4%typical
Long-stay residents who lose too much weight8.0%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.8%0.4%2.0%typical
Long-stay residents with depressive symptoms0.5%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury9.8%3.2%3.3%worse
Long-stay residents whose ability to walk worsened22.9%6.1%16.1%worse than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication23.3%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine98.4%94.5%95.3%typical
Long-stay residents with pressure ulcers3.1%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control27.4%21.4%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table8.6%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication1.3%1.2%1.4%typical
Short-stay residents given the seasonal flu vaccine97.1%75.6%79.4%better
Short-stay residents rehospitalized after admission28.1%24.9%22.6%worse
Short-stay residents with an outpatient ER visit10.9%12.9%12.0%typical

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.

59.9% 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 129 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

59.9%U.S. median 51.5%
Got home and stayed home
11.8%U.S. median 10.7%
Went back to hospital
53.5%U.S. median 56.6%
Met the expected recovery
0.47U.S. median 0.31
Therapy hours / resident / day
0.24hours / resident / day
Physical therapy
0.19hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 53.5% 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 86 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 0.47 therapist hours per resident per day in 2026Q1 — more than 79% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 28% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF59.9%CMS range 50.6–67.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.8%CMS range 9.0–15.510.7%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 discharge53.5%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 discharge55.8%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 discharge53.5%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 identified99.1%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 setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge94.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.9%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened0.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.2%CMS range 4.4–11.07.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.931.02Oct 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

1.39
RN hours/ resident / day
0.88
LPN hours/ resident / day
2.48
Aide hours/ resident / day
4.75
Total nurse hours/ resident / day
1.19
RN hoursweekends
39.5%
Total nursing turnover
35.5%
RN turnover

How full it usually is: this home is certified for 84 beds and averages 79.1 residents a day — about 94% occupied, or roughly 5 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 4.75 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.39 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.48 is at or above 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 4.49 hrs/resident/day on weekends vs 4.85 on weekdays — 7% thinner on weekends. RN hours go from 1.48 to 1.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 40% 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

11
deficiencies at the latest standard inspection (2026-03-05)
3
at the previous standard inspection (2023-02-09)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

  • Potential for harm · F2026-03-05 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, interview with dishwasher technician, and review of facility policy, the facility filed to ensure dishwashers reached proper sanitation levels and ensure dietary staff were knowledgeable on checking dishwasher sanitation. This had the potential to affect all 74 residents who receive food from the kitchen. The census was 74.Findings include:Review of dishwasher logs form December 2025, January 2026, and February 2026 revealed wash and rinse temperatures were documented. Wash temperature varied form 140 F to 174 F. Rinse temperatures varied form 120 F to 185 F. Sanitizer levels were not documented on any of the logs.Observation of the dishwasher on 03/02/26 at 8:55 A.M. revealed the wash temperature reached 140 degrees Fahrenheit (F) and the rinse temperature reached 115 F. There was a bottle of sodium hypochlorite (bleach) sanitizer on top of the machine with tube running from it into the machine.Interview with Assistant Director of Dining Services (ADDS) #699 on 03/02/26 at 8:857 A.M. revealed the dishwasher was high temperature sanitizing and…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-03-05 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make 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 — an excerpt from the official record, may be distressing

    Based on staff interview and observation, the facility failed to ensure the carpet was in safe and comfortable conditions for the residents. This had the potential to affect the 29 residents who resided on the fourth floor of Rickly Commons. The facility census was 74. Findings include: Observation and interview on 03/03/26 between about 2:45 P.M. and 3:00 P.M. revealed the carpet on the fourth floor of Rickly Commons (RC) had multiple tears in carpet seams. The hallway between rooms RC428 to RC415 and the hallway between rooms RC410 to RC402 had multiple tears in carpet seams. Tears in hallway carpet seams were observed outside doorways to rooms RC402, RC404, RC405, RC408, RC407, RC410, RC420, RC422, RC423, and RC424. Torn carpet seams had bunching of carpet material beneath the handrail by electrical panel, outside room RC416 (biohazard storage room), and outside room RC413. Registered Nurse (RN) #773 confirmed tears in carpet seams were between rooms RC428 to RC415 and the hallway between rooms RC410 to RC402 and outside of rooms RC402, RC404, RC405, RC408, RC407, RC410, RC420,…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-05 · 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 staff interview, review of medical records, and review of facility records, the facility failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice of Non-coverage (SNF ABN) to a resident whose Medicare A benefits were ending. This affected one (Resident #24) of three residents reviewed for beneficiary notices. The facility census was 74.Findings include: Medical record review revealed Resident #24 was admitted [DATE]. Diagnoses included congestive heart failure. The Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident was cognitively intact. Review of the Notice of Medicare Non-Coverage revealed Medicare Part A Services ended on 12/15/25 for Resident #24. The facility initiated the discharge from Medicare Part A Services when benefit days were not exhausted and Resident #24 remained in the facility. There was no documentation the facility provided the SNF ABN to Resident #24 and/or legal guardian. Interview with Social Services Director (SSD) #692 on 03/05/26 at 11:38…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-05 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of medical records, observation, staff interview, laboratory services staff interview, and review of facility policy, the facility failed to residents were provided privacy during medical procedures. This affected #7 and #82 of residents observed dining in the memory care units. The facility census was 74.Findings include:1.Review of Resident #7's medical record revealed an admission date of 10/19/25. Diagnoses included Parkinson's disease, psychotic disturbance, bipolar disorder, and dementia.Review of a quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #7 had moderate cognitive impairment.Observation on 03/06/26 at 7:33 A.M. revealed Laboratory Technician (LT) #800 drawing blood from Resident #7's left arm while he was sitting at a table in the dining room. A female resident was sitting across the table from Resident #7. There were other residents sitting at a table behind Resident #7.Interview with LT #800 on 03/05/26 at 7:36 A.M. confirmed she had obtained a blood…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-05 · tag F0679 — failed to provide activities — isolated
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, policy review, and staff interview, facility failed to provide activities of interest and encourage participation to the residents. This affected three (#10, #34, and #78) of three residents reviewed for activities. The facility census was 74.Findings include1. Review of the medical record for Resident #78 revealed an admission date of 12/28/23. Diagnoses included Alzheimer's disease, epilepsy, diabetes, blindness in one eye, muscle weakness and cerebrovascular disease, vascular dementia, and history of traumatic brain injury. The Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #78 had cognitive impairment and was dependent on staff for bed mobility and transfers.The undated care plan revealed Resident #78 was dependent on staff for meeting emotional, intellectual, physical and social needs with interventions to introduce the resident to other residents with similar backgrounds, invite residents to scheduled activities, and provide a program of activities…

    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 · D2026-03-05 · 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 accurately assess the resident's wound upon admission. This affected one (#100) out of three residents reviewed for pressure ulcers. The facility census was 74.Findings include:Review of the medical record for Resident #100 revealed an admission date of 02/20/26. Diagnoses included left hip fracture, diabetes mellitus, and Alzheimer's disease.Review of the hospital documentation dated 02/17/26 revealed Resident #100 had a unstageable pressure ulcer (slough and/or eschar, known but not stageable due to coverage of wound bed by slough and/or eschar) to coccyx which measured 1.5 centimeters (cm) in length, 2.0 cm in width, and 0.1 cm in depth and a deep tissue injury (purple or maroon area of discolored intact skin due to damage of underlying soft tissue) to right hip which measured 4.0 cm in length, 3.5 cm in width, and 0.1 cm in depth.Review of the admission assessment dated [DATE] revealed Resident #100 had severely…

    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 · D2026-03-05 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interviews, and policy review, the facility failed to ensure insulin vials/pen-injectors were dated after opened. This affected two of three medication carts reviewed for medication storage and the facility identified there were six medication carts. This affected two residents (#59 and #105) reviewed for medication storage. The facility census was 74.Findings include:Observation and interview on 03/04/26 at 9:20 A.M. of medication cart two on the 400 Hall revealed Resident #59's Lantus pen-injector (insulin) was opened and did not have a date to indicate when it was opened. Interview with Registered Nurse (RN) #643 confirmed the insulin was in the medication cart, was opened, and did not have a date indicating when it was opened. Observation and interview on 03/04/26 at 9:55 A.M. of medication cart two on 300 hall revealed Resident #105's Toujeo pen-injector (insulin) was opened and did not have a date to indicate when it was opened. Interview with RN #557 confirmed Resident #105's Toujeo was in the medication cart, was opened, and did not have a date…

    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 · D2026-03-05 · tag F0849 — isolated
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interviews, and policy review, the facility failed to establish a communication system with hospice and ensure the hospice plan of care was readily available for staff to review. This affected one (Resident #78) of one resident reviewed for hospice services. The facility census was 74.Findings include:Review of the medical record for Resident #78 revealed an admission date of 12/28/23. Diagnoses included Alzheimer's disease, epilepsy, diabetes mellitus, cerebrovascular disease, and vascular dementia. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #78 had cognitive impairment and was dependent on staff for bed mobility and transfers.Review of the physician order dated 02/11/26 revealed Resident #78 was admitted to hospice on 02/11/26 for a diagnosis of cerebrovascular disease. Review of hospice communication binder on 03/04/26 revealed it only included the provider names for the hospice medical director, nurse and aide and the off hours contact…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-05 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, observation, staff interview, review of Centers for Disease Control and Prevention (CDC) guidance, and review of facility policy, the facility ailed to ensure therapy staff followed the physician orders for enhance barrier precautions (EBP) for residents who receive therapies while in the therapy room. This affected one resident (#45) and the facility identified eight residents who were on EBP and receiving therapy services. The facility census was 74. Findings include: Review of the medical record for Resident #45 revealed an admission date of 02/12/26. Diagnoses included sepsis, multiple myeloma, congestive heart failure, and other bacterial infections. The admission Minimum Data Set (MDS) assessment, dated 02/19/26, revealed Resident #45 was cognitively intact and required substantial/maximum staff assistance with transfers and bed mobility and was dependent upon staff for toilet hygiene and bathing. The physician order dated 02/23/26 revealed an order for EBP. Observation on 03/05/26 at 7:53 A.M. revealed Physical Therapy Assistant (PTA) #801…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-03-05 · tag F0919 — failed to provide a working call system — isolated
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    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 staff interview, medical record review, observations, and policy review, the facility failed to ensure the the resident's call system was within the reach of the resident when lying in bed. The affected one (Resident #79) of 20 residents reviewed in the initial pool of the survey process. The facility had a census of 74 residents.Findings include: Review of the medical record for Resident #79 revealed an admission date of 10/03/24. Diagnoses included vascular dementia, metabolic encephalopathy, and cognitive communication deficit. The Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #79 had severe cognitive impairment. The care plan dated 01/12/26 revealed Resident #79 was dependent on staff for toileting and personal hygiene, and required substantial assistance from staff to reposition from lying to sitting on side of bed, reposition from sit to stand, and reposition from bed-to-chair transfer. Interventions included to ensure the resident's call light was within reach, encourage…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
Show the remaining 7 citations
  • Potential for harm · D2023-02-09 · tag F0644 — isolated
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 staff interview, review of the facility policy, and record review, the facility failed to ensure pre-admission screening and resident review (PASARR) were updated after changes in diagnosis. This affected two (Residents #20 and #32) of two residents reviewed for PASARR. The facility census was 73. Findings include 1. Review of the medical record for Resident #20 revealed an admission date of 03/08/19. Diagnoses included anxiety and psychosis. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #20 was cognitively intact. Review of the PASARR dated 11/28/22 revealed Resident #20 had no mental health diagnoses. This PASARR was completed after a hospital admission. Interview on 02/07/23 at 4:20 P.M. with Administrator revealed the PASARR assessment was completed upon admission and should be updated after a significant change in condition. The Administrator confirmed the PASARR for Resident #20 did not include diagnosis of anxiety or psychotic disorder. The Administrator later…

    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 · D2023-02-09 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interview, review of facility policy, and medical record review, the facility failed to ensure residents who were dependent on staff for assistance with bathing and personal hygiene received adequate care and services. This affected one (Resident #23) of one resident reviewed for activities of daily living (ADL) care. The facility identified all 73 residents required assistance from staff for bathing. The facility census was 73. Findings include Review of the medical record for Resident #23 revealed an admission date of 11/28/22. Diagnoses included osteoporosis, macular degeneration, low vision in right and left eye category two, and glaucoma. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #23 was cognitively impaired and required extensive assistance of two staff members for personal hygiene and bathing. Resident #23's vision was severely impaired and did not wear corrective lenses. Review of the care plan dated 01/10/23 revealed Resident…

    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 · D2023-02-09 · tag F0698 — failed to provide proper dialysis care — isolated
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interviews, the facility failed to ensure a resident on dialysis was monitored for signs and symptoms of an infection or bleeding. This affected one (Resident #39) of one resident reviewed for dialysis. The facility identified one resident who resided in the facility and received dialysis services. The facility census was 73. Findings include: Review of the medical record for Resident #39 revealed she was admitted to the facility on [DATE]. Diagnoses included end stage renal disease, type two diabetes mellitus, hypertensive heart disease with heart failure, and chronic kidney disease stage five. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment, dated 01/04/23, revealed Resident #39 had intact cognition. Review of the plan of care initiated on 01/12/21 revealed Resident #39 needed dialysis related to renal failure. Interventions included to encourage the resident to go to scheduled dialysis appointments, monitor for dry skin and apply lotion as needed, monitor…

    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 · D2020-02-27 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on medical record review and staff interview, the facility failed to accurately code Minimum Data Set (MDS) assessments for Resident #4. This affected one (#4) of 20 residents reviewed for accuracy of the MDS assessments. The facility census was 108. Findings include: Review of Resident #4's medical record revealed an admission date of 07/22/14. Diagnoses included hypertension, congestive heart failure, coronary artery disease and depression. Review of the quarterly MDS assessments, dated 02/12/19, 08/14/19, and 11/13/19, revealed Resident #4 was coded for daily restraint use per bed rails. However, there was no documentation of restraint use for those time periods in the resident's medical record Interview with Registered Nurse (RN) #620 on 02/27/20 at 10:45 A.M. verified restraints were not used for Resident #4 during the look-back periods of the quarterly MDS assessments dated 02/12/19, 08/14/19, and 11/13/19. The RN verified the quarterly MDS assessments were coded incorrectly for restraint use on 02/12/19, 08/14/19, and 11/13/19.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2020-02-27 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to develop care plans for a resident receiving wound care for Moisture Associated Skin Damage (MASD) and for the resident's Meibomian eye gland disease. This affected one (Resident #39) of twenty residents reviewed for the development and implementation of care plans. The facility census was 108. Findings include: Record review for Resident #39 revealed the resident was admitted to the facility on [DATE] with diagnoses including ischemic cardiomyopathy, congestive heart failure, cognitive communication deficit, type two diabetes mellitus and dementia. Review of the wound progress note, dated 02/20/20, revealed Wound Nurse Practitioner (NP) #480 documented Resident #39 had MASD bilateral buttocks. Review of the physician orders, dated 02/2020, revealed an order for Minocycline (antibiotic) 50 milligram (mg.) once daily for Meibomian eye gland disease. Review of the resident's care plans revealed the resident did not have a care plan for MASD and…

    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 · D2020-02-27 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and physician interview, the facility failed to ensure a medication was used for an appropriate diagnosis. This affected one (Resident's #39) of five residents reviewed for unnecessary medications. The facility census was 108. Findings include: Record review for Resident #39 revealed the resident was admitted to the facility on [DATE]. Diagnoses included ischemic cardiomyopathy and unspecified dementia. Review of the quarterly Minimum Data Set (MDS) assessment, dated 01/02/19, revealed the resident had moderate cognitive impairment. Review of the physician orders, dated 02/2020, revealed an order for Minocycline (antibiotic) 50 milligram (mg.) once daily for antibiotic prophylaxis, indefinite treatment. Interview with the Medical Director (MD) #550 on 02/27/20 at 8:52 A.M. revealed Resident #39 was ordered Minocycline (antibiotic) 50 milligram (mg.) once daily for Meibomian eye gland disease, not for antibiotic prophylaxis for recurrent eye infections. MD #550 stated she contacted…

    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
  • No harm found · C2026-03-05 · tag F0576 — widespread
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on resident interview and staff interview, the facility failed to ensure residents received delivered mail on Saturdays. The had the potential to affect all 74 residents residing in the facility. Findings include:Interview with Resident Council Members (#48, #59, #85, and #88) on 03/04/26 at 2:12 P.M. revealed they do not receive any mail on Saturdays. The residents stated the activity staff distribute mail at the facility.Interview with Director of Life Enrichment #776 one 03/04/26 2:28 P.M. revealed activity staff distribute mail at the facility. Mail received on the weekends gets distributed to residents on Monday.Interview with Business Office Manager #663 on 03/04/26 at 2:41 P.M. revealed mail was dropped off by post office staff in the mail room. Mail that is delivered on the weekends is distributed by activity staff on Monday. Resident do not receive any mail delivered on Saturday until the following Monday.

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleSince
DICKERSCHEID, RICHARDIndividualCORPORATE DIRECTORsince 01/01/2025
DUNCAN, STEVENIndividualCORPORATE DIRECTORsince 01/01/2025
EVANS, STANIndividualCORPORATE DIRECTORsince 02/22/2010
FAGANS, MAUREENIndividualCORPORATE DIRECTORsince 01/01/2025
MCDORMAN, MICHAELIndividualCORPORATE DIRECTORsince 01/01/2025
BUCHANAN, SCOTTIndividualCORPORATE OFFICERsince 08/14/2014
HERRING, ADRIENNEIndividualCORPORATE OFFICERsince 05/17/2020
BERARDI, ANTHONYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 06/01/2016
EBERTS-WILSON, DIANAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 11/19/2019
WELLER, CHRISTINEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/01/2017

CMS files one row per role, so the 12 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$8.4M
Net patient revenuemost recent cost report
-53.9%
Operating marginrevenue minus expenses
$1.1M
Related-party expense8% of expenses
Who pays — share of resident-days
Medicaid 10%Medicare 8%Other / private 81%

This home reported $1.1M paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

$492per resident / day
operating cost
$14,971per month
≈ monthly operating cost
$320per day
avg. revenue, all payers

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

What families pay in OH

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366116. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-05, 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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