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Rosary Care Center

6832 Convent Boulevard, Sylvania, OH 43560 · Non profit - Church related · 76 certified beds · (419) 824-3600 Medicare & Medicaid certified

Call the home — (419) 824-3600 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Resident-funds citation (F0569)
Insights

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

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for mishandling residents’ money or property (F0569)
  • a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure 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 3 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Urgent care / clinic
1 Callaway Grn · (419) 704-5252 · Call to confirm hours
Pharmacy
5645 Main St · (419) 882-7143 · Call to confirm hours
Grocery
4900 N McCord Rd · (419) 885-8770 · Call to confirm hours
Park
5500 Main St · Typically dawn to dusk
Place of worship
6832 Convent Blvd · (419) 882-2016

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 2 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 1 of 5

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating held steady at 3 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 rating3★
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 increased6.8%5.3%15.4%worse than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight9.1%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.8%0.2%0.9%typical
Long-stay residents with a urinary tract infection0.8%0.4%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms1.3%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 injury4.7%3.2%3.3%worse
Long-stay residents whose ability to walk worsened4.4%6.1%16.1%better than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication10.9%25.5%18.9%better
Long-stay residents given the seasonal flu vaccine97.2%94.5%95.3%typical
Long-stay residents with pressure ulcers4.1%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control30.0%21.4%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table15.9%8.8%17.1%typical
Short-stay residents who newly got an antipsychotic medication3.5%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine92.0%75.6%79.4%better
Short-stay residents rehospitalized after admission28.6%24.9%22.6%worse
Short-stay residents with an outpatient ER visit15.7%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.981.731.67worse
Long-stay outpatient ER visits per 1,000 resident days3.121.801.80worse

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.

41.1% 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 35 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

41.1%U.S. median 51.5%
Got home and stayed home
10.4%U.S. median 10.7%
Went back to hospital
0.39U.S. median 0.31
Therapy hours / resident / day
0.20hours / resident / day
Physical therapy
0.16hours / resident / day
Occupational therapy
0.03hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.39 therapist hours per resident per day in 2026Q1 — more than 67% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 12% 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 SNF41.1%CMS range 29.3–56.151.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.4%CMS range 6.7–16.210.7%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 dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified95.7%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 worsened0.0%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 hospitalization7.6%CMS range 4.1–14.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.271.02Oct 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

0.48
RN hours/ resident / day
1.56
LPN hours/ resident / day
1.87
Aide hours/ resident / day
3.92
Total nurse hours/ resident / day
0.35
RN hoursweekends
43.1%
Total nursing turnover
12.5%
RN turnover

How full it usually is: this home is certified for 76 beds and averages 68.9 residents a day — about 91% occupied, or roughly 7 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 3.92 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.48 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.87 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.58 hrs/resident/day on weekends vs 4.05 on weekdays — 12% thinner on weekends. RN hours go from 0.53 to 0.35 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% 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

6
deficiencies at the latest standard inspection (2025-01-09)
11
at the previous standard inspection (2022-10-06)

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

Inspection deficiencies

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

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

  • Potential for harm · Fcited before2025-01-09 · 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, and review of policy, the facility failed to ensure staff practiced appropriate hand hygiene during meal service and ensured food was free from contamination. This had the potential to affect all residents in the facility except Resident #1 who was identified to not eat food by mouth. The facility census was 71. Findings include: Observations on 01/07/25, beginning at 3:56 P.M., revealed [NAME] #182 taking temperatures of food items before meal service. [NAME] #182 wore disposable gloves while touching the thermometer, serving utensils, a pen and paperwork, lids covering food items, and then picked up a pork chop with his left hand and inserted the thermometer into the pork chop. [NAME] #182 determined the temperature was not adequate and touched three additional pork chops before determining the food temperature was adequate. Interview on 01/07/25 at 4:05 P.M., with [NAME] #182 confirmed he touched multiple surfaces with his disposable gloves before touching ready-to-eat pork chops. Observation and interview on 01/07/25 at approximately 4:07…

    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 · Ecited before2025-01-09 · tag F0760 — failed to prevent significant medication errors — pattern
    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 observation, medical record review, staff interview, and policy review, the facility failed to ensure medications were administered as ordered by the physician and within prescribed time frames, resulting in delay in administration of anticonvulsant medication, anti-diabetic medication, anti-dementia medication and anti-psychotic medication. This affected four (#12, #36 #40, #66 ) of eight residents reviewed for medication administration. The facility census was 71. Findings include: 1. Observation on 01/07/25 at 7:27 A.M., noted Licensed Practical Nurse (LPN) #130 to obtain Resident #12 medications from the medication cart. LPN #130 stated Lamotrigine 200 milligrams (mg) was not available in the facility or in the contingency box supply. The medication would have to be omitted and ordered from the pharmacy. LPN #130 proceeded to Resident #12 room and administered the available medications. Review of the medical record revealed a physician order dated 04/05/22 for the administration of Lamotrigine one…

    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 · E2025-01-09 · tag F0880 — failed to prevent and control infections — pattern
    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 observation, staff interview, and review of policy, the facility failed to doff and appropriately store soiled personal protective equipment (PPE). This had the potential to affect all 23 residents on the second floor (#2, #3, #5, #10, #14, #15, #19, #22, #23, #24, #27, #29, #35, #36, #44, #51, #56, #62, #64, #66, #67, #70, and #71). The facility census was 71. Findings include: Observation on 01/06/25 at approximately 10:45 A.M., revealed Certified Nursing Aide (CNA) #116 removing PPE in the doorway of Resident #10's room and placing it in a trash can located in the hallway outside Resident #10's room. Concurrent interview with CNA #116 confirmed Resident #10 was on Enhanced Barrier Precautions (EBP) and required staff to wear PPE while providing personal care. CNA #116 further confirmed the process was to remove PPE in the doorway and place in a trash can located in the hallway outside of the room. Observation on 01/06/25 at 2:48 P.M., revealed a trash can outside Resident #36's room. Concurrent interview with Licensed Practical Nurse (LPN) #160 confirmed Resident #36 was…

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

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-09 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and review of policy, the facility failed to notify the family when a resident experienced a change in condition requiring a medication change. This affected one (#62) of one resident reviewed for notification of changes. The facility census was 71. Findings include: Review of the electronic medical record for Resident #62 revealed an admission date of 05/31/24, with diagnoses including chronic respiratory failure with hypoxia, hypertension (HTN), other post-traumatic urethral stricture, chronic kidney disease (CKD), hyperkalemia, heart failure, diverticulum of bladder, acidosis, anxiety, atherosclerotic heart disease of native coronary artery without angina pectoris, atrial fibrillation (a. fib), hypothyroidism, neuromuscular dysfunction of bladder, generalized muscle weakness, need for assistance with personal care, cognitive communication deficit, oral dysphagia, and difficulty in walking. Review of the most recent quarterly Minimum Data Set (MDS) assessment dated…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-09 · 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 observation, medical record review, resident interview, staff interview, and policy review, the facility failed to ensure medications were taken as self-administration assessments and according to policy. This affected two (#18 and #38) of two residents reviewed for self medication administration. The facility identified four residents participating in self medication administration in a facility census of 71. Findings include: 1. Review of the medical record revealed Resident #18 was admitted to the facility on [DATE], with the diagnoses including: transient cerebral ischemic attack, atrial fibrillation, hypertension, osteoporosis, atrial flutter, chronic rhinitis and low back pain. Review of the most current Minimum Data Set (MDS) assessment dated [DATE], assessed Resident #18 with minimal hearing difficulty, highly impaired vision, intact cognition, utilized a walker for mobility, independent with activities of daily living, received scheduled pain medications, and received an anti-platelet…

    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 · D2025-01-09 · tag F0759 — failed to keep medication error rate low — isolated
    Ensure medication error rates are not 5 percent or greater.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, medical record review, staff interview, and policy review, the facility failed to ensure medications were administered as ordered by the physician, and within prescribed time frames, resulting in a medication error rate above five percent (%). A total of 2 medication errors were observed out of 32 opportunities for a medication administrations calculating an error rate of 6.25%. This affected two (#12, #40) of three residents observed during medication administration. The facility census was 71. Findings include: 1. Observation on 01/07/25 at 7:27 A.M., noted Licensed Practical Nurse (LPN) #130 to obtain Resident #12 medications from the medication cart. LPN #130 stated Lamotrigine 200 milligrams (mg) was not available in the facility or in the contingency box supply. The medication would have to be omitted and ordered from the pharmacy. LPN #130 proceeded to Resident #12 room and administered the available medications. Review of the medical record revealed a physician order dated 04/05/22 for the administration of Lamotrigine one 200 mg tablet twice daily for…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-02-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, fall investigation review, staff interview, and policy review, the facility failed to ensure staff members exercised care and caution around residents following a fall incident and failed to ensure fall incidents were thoroughly and accurately investigated. This affected one (#1) of three residents reviewed for falls. The facility census was 69. Findings Included: Review of Resident #1's medical record revealed an admission date of 10/26/23. Diagnoses included cellulitis of the left lower limb, sepsis with septic shock, non-pressure chronic ulcer of the left calf with fat layer exposed, contusion of left lower limb, acute kidney failure, coronary artery disease and respiratory failure. Review of Resident #1's admission Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was assessed with intact cognition, required a substantial/maximum assist for all transfers, and required oxygen therapy at all times. Review of Resident #1's most recent care plan revealed the…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2022-10-06 · tag F0569 — pattern
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    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 account list review and business office file review and staff interviews, the facility failed to notify a resident when their personal funds account balance was within two hundred dollars of the state allowed limit. This affected five (#15, #23, #26, #39 and #47) of five residents reviewed for personal funds. The facility census was 66. Findings include: 1. Review of the medical record revealed Resident #15 was admitted to the facility on [DATE]. Diagnoses included Parkinson's disease, depressive disorder, diabetes mellitus, type II and hypertension. Review of the resident account list revealed a balance of $2,348.08. Review of the business office file revealed no evidence a spend down letter was issued to Resident #15, or their representative as required. 2. Review of the medical record revealed Resident #23 was admitted to the facility on [DATE]. Diagnoses included heart failure, mitral valve insufficiency, osteoarthritis, hypertension, muscle weakness, 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 Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2022-10-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, review of safety data sheets, review of facility list, staff interviews, and policy review, the facility failed to ensure potentially hazardous chemicals were securely stored in the second floor kitchen area. This had the potential to affect four (#12, #14, #15 and #40) residents identified by the facility as cognitively impaired and independently mobile residing on the second floor. Additionally, the facility failed to fall interventions were in place as care planned for fall precautions. This affected one (#32) of three residents reviewed for falls. The facility census was 66. Findings include: 1. Observation on 10/05/22 at 11:10 A.M., of the second floor kitchenette revealed, in the unlocked cabinet under the kitchen sink, germicidal cleaner and disinfectant spray bottle containing approximately 15 ounces of the cleaner. The bottle had a warning label to avoid contact with eyes; in case of contact, immediately flush with plenty of water; if irritation develops, get…

    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 · Ecited before2022-10-06 · 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 interviews and review of facility policies, the facility failed to ensure foods were labeled, dated and stored in accordance with professional standards for food services safety. This had the potential to affect all residents in the facility except two (#61 and #65) residents who were identified as receiving no food by mouth. The facility census was 66. Findings include: 1. Observations and concurrent interview with Dietary Director #484 on 10/03/22 at 8:42 A.M., revealed an open box of hamburgers in the freezer with the plastic bag open to air. Further observations revealed a bag of salami dated 09/01/22, a bag of turkey lunch meat dated 09/14/22, a bag of hot dogs dated 09/22/22, and a bag of sliced ham lunch meat dated 09/26/22. Interview at that time, with the Dietary Director #484 confirmed the lunch meat and hot dogs had been opened and should have been discarded within seven days of the date written on the bag. 2. Observation and concurrent interview on 10/05/22 at 11:05 A.M., with Licensed Practical Nurse (LPN) #429 revealed the refrigerator on…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 11 citations
  • Potential for harm · Dcited before2022-10-06 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, physician communication binder review, physician office staff review, staff interviews and review of facility policy, the facility failed to notify the physician and dietitian of a residents significant weight loss. This affected one (#29) of two residents reviewed for notification of change. The facility census was 66. Findings include: Review of the medical record for Resident #29 revealed an admission date of 07/14/17 and readmission date of 10/18/20. Diagnoses included multiple sclerosis (MS), flaccid hemiplegia affecting right dominant side, dysphagia, conversion disorder with seizures or convulsions, neuromuscular dysfunction of bladder, major depressive disorder, hypertensive heart disease, diverticulosis of large intestine, personal history of transient ischemic attack and cerebral infarction without residual deficits, contracture right hand, chronic migraine and legal blindness. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #29 was…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-10-06 · 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

    Based on review of beneficiary notices and staff interview, the facility failed to ensure advance beneficiary notification of non-coverage (ABN) was provided to residents who remained in the facility following the end of covered Medicare Part A services. This affected two (#29 and #66) of three residents reviewed for beneficiary protection notification. The facility census was 66. Findings include: 1. Review of the beneficiary notice provided to Resident #29 revealed the resident had a facility initiated discharge from Medicare Part A covered services effective 05/20/22. Resident #29 remained in the facility following the end of Medicare Part A coverage. Resident #29 was provided the notice of medicare non-coverage, signed 05/18/22, but was not provided the advance beneficiary notification of non-coverage (ABN). 2. Review of the beneficiary notices provided to Resident #66 revealed the resident had a facility initiated discharge from Medicare Part A covered services effective 03/03/22. Resident #66 remained in the facility following the end of Medicare Part A coverage. Resident #66…

    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 · D2022-10-06 · 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 observation, medical record review, and staff interview, the facility failed to ensure a resident's pressure reducing mattress was functioning. This affected one (#65) of one resident reviewed for pressure ulcer prevention. The facility census was 66. Findings include: Review of the medical record for Resident #65 revealed an admission date of 08/20/20 and a readmission date of 01/09/21. Diagnoses included Parkinson's disease, schizoaffective disorder, chronic obstructive pulmonary disease (COPD), hypotension, dysphagia and unspecified symptoms and signs involving cognitive functions and awareness. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #65 was cognitively intact, required extensive two person assistance with bed mobility and transfers, and extensive one person assistance with dressing, toilet use, and personal hygiene. Additionally, Resident #65 was at risk for pressure ulcers and utilized a pressure reducing device for his bed. Review of a plan of care…

    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 · D2022-10-06 · 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, staff interviews and review of facility policy, the facility failed to ensure the dietitian timely assessed a resident following a significant weight loss and failed to monitor weights as ordered by the physician. This affected one (#29) of three residents reviewed for nutrition. The facility census was 66. Findings include: Review of the medical record for Resident #29 revealed an admission date of 07/14/17 and readmission date of 10/18/20. Diagnoses included multiple sclerosis (MS), flaccid hemiplegia affecting right dominant side, dysphagia, conversion disorder with seizures or convulsions, neuromuscular dysfunction of bladder, major depressive disorder, hypertensive heart disease, diverticulosis of large intestine, personal history of transient ischemic attack and cerebral infarction without residual deficits, contracture right hand, chronic migraine and legal blindness. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #29 was cognitively…

    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 before2022-10-06 · 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 medical record review and staff interview, the facility failed to ensure residents received medications as ordered by the physician. This affected two (#56 and #21) of 12 residents reviewed for medication administration. The facility census was 66. Findings include: 1. Review of the medical record for Resident #56 revealed an admission date of 04/04/14 and a readmission date of 03/01/19. Diagnoses included congestive heart failure, type 2 diabetes mellitus, dependence on renal dialysis, and long term use of insulin. Review of the quarterly minimum data set (MDS) assessment dated [DATE] revealed Resident #56 had intact cognition and required extensive assistance of one person for bed mobility, dressing, toileting, and hygiene and required limited assistance of one person for transfers, walking, and eating. Continued review revealed she received insulin, an antidepressant, an anticoagulant, a diuretic, and an opioid during the review period. Review of the current physician orders for Resident #56 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-10-06 · 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 medical record review, staff interview and review of the facility policy, the facility failed to ensure residents received sliding scale insulin injections in accordance with the physician's order. This affected one (#56) of 12 residents reviewed for medication administration. The facility census was 66. Findings include: Review of the medical record for Resident #56 revealed an admission date of 04/04/14 and a readmission date of 03/01/19. Diagnoses included congestive heart failure, type 2 diabetes mellitus, dependence on renal dialysis, and long term use of insulin. Review of the quarterly minimum data set (MDS) dated [DATE] revealed Resident #56 had intact cognition and required extensive assistance of one person for bed mobility, dressing, toileting, and hygiene and required limited assistance of one person for transfers, walking, and eating. Continued review revealed she received insulin, an antidepressant, an anticoagulant, a diuretic, and an opioid during the review period. Review of the current…

    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 · D2022-10-06 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, resident and staff interviews, the facility failed to maintain complete and accurate medical records regarding fall incidents. This affected three residents (#32, #34, and #53) of three residents reviewed for falls. The facility census was 66 residents. Findings include: 1. Review of the medical record for Resident #53 revealed an admission date of 11/01/18 and a readmission date of 08/19/22. Diagnoses included broken internal right hip prosthesis (08/19/22), need for assistance with personal care, unspecified dementia, and muscle weakness. Review of the 5-day minimum data set (MDS) dated [DATE] revealed Resident #53 had intact cognition, required extensive of two people for bed mobility, transfers, dressing, toilet and hygiene, and required supervision with setup help only for eating. Further review revealed she used a wheelchair for mobility, and she had a fall in the month prior to reentry. Review of Resident #53's Fall Risk Assessment revealed it was created on 08/16/22…

    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 · D2022-10-06 · tag F0921 — failed to keep a safe, functional, sanitary building — isolated
    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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and staff interview, the facility failed to ensure resident rooms were maintained in good repair. This affected one (#37) of three residents reviewed for environment. The facility census was 66. Findings include: Review of the medical record revealed Resident #37 had an admission date of 05/19/21. Diagnoses included dementia, major depressive disorder, neuromuscular dysfunction of bladder, osteoporosis, peripheral vascular disease, schizoaffective disorder, hypertension, osteoarthritis, psychotic disorder with delusions and overactive bladder. Further review of the quarterly minimum data set assessment dated [DATE] revealed Resident #37's cognition was not assessed. Observation on 10/03/22 at 10:16 A.M., of Resident #37's room revealed the bed pushed against the wall to the right of the entrance to the room. On the wall, near the foot of the bed, were 12 gouges in the drywall, varying in size, and a hole approximately two and one-half inches in diameter and approximately 1/4…

    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 · Fcited before2019-10-17 · 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, review of facility policy, and review of manufacturer instructions for use, the facility failed to ensure the appropriate concentration of sanitizer was utilized during cleansing of kitchen equipment. This deficient practice had the potential to affect 69 residents identified by the facility to receive food from the facility kitchen in a facility census of 69. Findings include; Observation on 10/15/19 at 8:45 A.M. of the facility kitchen with Food Service Manager (FSM) #1 revealed a bucket of sanitizer next to the steam kettles in the kitchen. FSM #1 obtained solution test strips and proceeded to test the contents contained in the bucket identified as quaternary sanitizer. The result of the test indicated no sanitizer solution was contained in the bucket. Interview with FSM #1 at the time revealed sanitizer solution was to test at 200 parts per million (ppm) to be effective and as indicated by the manufacturer. Additional observation on 10/16/19 at 10:45 A.M. with FSM #1 noted a bucket identified as sanitizer located next to the two steam…

    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 · Dcited before2019-10-17 · 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 and staff interview, the facility failed to issue appropriate notifications of the ending of skilled Medicare Part A services. This affected one (#28) of three residents reviewed for liability notices. The facility identified six residents with Medicare as their primary payer source and discharged from skilled services in the last six months. The total facility census was 69. Findings include: Review of the medical record revealed Resident #28 admitted to the facility on [DATE]. Diagnoses included chronic obstructive pulmonary disease, coronary artery disease, hypertension, chronic kidney disease, atrial fibrillation, morbid obesity, major depression, type II diabetes mellitus, and peripheral autonomic neuropathy. Review of Resident #28's Beneficiary Protection Notification Review revealed Medicare Part A skilled services started on 07/16/19 and last day of covered services was 08/14/19. An Advanced Beneficiary Notice of Non-coverage form was provided and signed 08/14/19. No…

    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 · D2019-10-17 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    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, medical record review, staff interview, and review of facility policy, the facility failed to ensure appropriate interventions to prevent potential for urinary contamination of an indwelling urinary catheter for one (#65) of one residents reviewed for indwelling urinary catheter. The facility identified four residents with an indwelling urinary catheter. The facility census was 69. Findings include; Review of the medical record revealed Resident #65 admitted to the facility on [DATE]. Diagnoses included dementia with behavior disturbance, chronic kidney disease, obstructive and reflux uropathy, neuromuscular bladder dysfunction, urinary retention, benign prostatic hyperplasia (BPH), gross hematuria, and history of urinary tract infections. Review of the Minimum Data Set (MDS) assessment, dated 09/25/19, the resident was identified with severe cognitive impairment and required extensive physical assistance with activities of daily living, including hygiene. The resident utilized an…

    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

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

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
SYLVANIA FRANCISCAN MINISTRIESOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF100%since 01/16/2025
ELLERBROCK, TERESAIndividualMANAGING CONTROL - GOVERNING BODYsince 11/01/2021
BELT, JENIFERIndividualCORPORATE DIRECTORsince 11/01/2014
LAMPKOWSKI, GAYLEIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 11/01/2014
SCHREIN, SHANNONIndividualCORPORATE DIRECTORsince 07/01/2017
PHILLIPS, JASONIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 03/13/2025
BAZELEY, STEPHENIndividualADP OF THE SNFsince 01/01/1995

CMS files one row per role, so the 11 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

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

$7.4M
Net patient revenuemost recent cost report
-8.9%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 11%Medicare 8%Other / private 82%

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

$321per resident / day
operating cost
$9,750per month
≈ monthly operating cost
$295per 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 366279. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-01-09, 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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