Tallmadge Health & Rehab Center
619 Northwest Avenue, Tallmadge, OH 44278 · For profit - Corporation · 90 certified beds · (216) 292-5706 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has a citation for mishandling residents’ money or property (F0565)
- it has 3 actual-harm citations
- a high number of inspection citations overall (37) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $10,839 in federal fines (most recent 2024-12-19)
- its facility-reported quality-measure score sits well above its independent inspection score
- its independent health-inspection rating is low (1/5)
- its payroll-based staffing rating is low (2/5)
- nursing-staff turnover (56%) runs well above the national median (45%)
- about 25% of its spending goes to commonly-owned related companies
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 1 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 4 of 5 |
Worth a closer look. This home's quality-measure rating runs 3 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.
Location & what’s nearby
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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 | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 2 to 1 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 3.7% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 8.0% | 6.2% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.2% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.8% | 0.4% | 2.0% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 14.2% | 30.1% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 2.7% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 4.6% | 6.1% | 16.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 22.8% | 25.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 87.8% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 6.2% | 3.4% | 4.7% | worse |
| Long-stay residents with worsening bladder/bowel control | 27.1% | 21.4% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 6.4% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 3.5% | 1.2% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 47.1% | 75.6% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 24.0% | 24.9% | 22.6% | typical |
| Short-stay residents with an outpatient ER visit | 10.3% | 12.9% | 12.0% | better |
‡ 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.
52.5% 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 130 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 55.9% 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 34 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 0.28 therapist hours per resident per day in 2026Q1 — more than 44% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 11% 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
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 52.5%CMS range 44.4–60.3 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.9%CMS range 7.1–14.8 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 55.9% | 56.6% | Oct 2024–Sep 2025 | CMS 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 discharge | 44.1% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 52.9% | 50.0% | Oct 2024–Sep 2025 | CMS 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 identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 setting | 91.7% | 100.0% | Oct 2024–Sep 2025 | CMS 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 discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 5.3% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 7.2%CMS range 4.3–12.3 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.86 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 90 beds and averages 82.3 residents a day — about 91% occupied, or roughly 8 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 3.90 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.69 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.08 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 3.47 hrs/resident/day on weekends vs 4.07 on weekdays — 15% thinner on weekends. RN hours go from 0.87 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 56% is well above 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
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
37 citations, most serious first. The 13 most serious are shown; the remaining 24 are one tap away and print in full.
- Actual harm · Gcited before2025-10-09 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on closed record review, policy review and interview the facility failed to develop and implement a comprehensive and individualized pressure ulcer program to ensure necessary and timely interventions were initiated for Resident #96 who was identified to have skin breakdown in the hospital just prior to admission. The facility also failed to timely identify changes in skin integrity and implement necessary wound care to promote wound healing and prevent infection.Actual harm occurred on 07/31/25 when Resident #96, who was dependent on staff for activities of daily living, was transferred to the hospital due to a change in condition. The resident was subsequently assessed by hospital staff to have an unstageable sacral wound with a significant amount of purulence in the tissue consistent with a necrotizing soft tissue infection. Hospital staff also documented the resident had a pressure injury to the right buttock, a pressure injury to the right heel (assessed to be black), a pressure injury to the upper…
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.
- Actual harm · Gcited before2024-12-19 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management 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 record review, review of hospital documentation, review of staff schedules, staff interview and policy review, the facility failed to develop and implement a comprehensive and effective pain management program for Resident #90, at the time of admission including adequate and accurate assessment and administration of physician ordered pain medication resulting in a re-hospitalization for the resident due to unrelieved pain. Actual harm occurred on 08/16/24 following Resident #90's admission to the facility for post-operative care when the resident experienced excruciating pain, was yelling out in pain and requesting pain medication that was not timely addressed. The resident was subsequently transferred to the hospital and re-admitted due to abdominal pain. This affected one resident (#90) of three residents reviewed for pain management. The facility census was 75. Findings include: Review of the medical record for Resident #90 revealed and admission date of 08/16/24 and a discharge date of 08/17/24.…
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.
- Actual harm · Gcited before2024-04-16 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management 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 observation, interview, medical record review and policy review the facility failed to provide Resident #83 requested pain medication prior to pressure ulcer/injury wound care. Actual harm occurred on 04/12/24 at 10:11 A.M. when Registered Nurse #100 was observed to provide Stage IV (full thickness tissue loss with exposed bone, tendon, or muscle) pressure ulcer/injury wound care to Resident #83, who had a physician order for narcotic pain medication as needed, despite the resident reporting pain and inquiring if she received pain medication prior to the wound care. Resident #83 voiced multiple complaints of pain during the procedure, rated her pain a level eight on a scale of one to 10, and was observed to have facial grimacing (due to the increased pain). This affected one resident (#83) of three residents reviewed for pain management. The facility census was 85. Findings include: Review of Resident #83's medical record revealed an admission date of 08/17/2023 with diagnoses including a pressure ulcer…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-19 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide 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, interview, record review and review of facility policy, the facility failed to maintain accurate and timely medication records of controlled substances and other medications according to acceptable standards of practice. This affected three residents (#1, #17 and #20) of eight residents reviewed for medication administration. The facility census was 86.Findings include:1. Review of the medical record revealed Resident #20 was admitted to the facility on [DATE] with diagnoses including arthritis, shoulder pain, and need for assistance with personal care.Review of the care plan dated 09/18/25 revealed Resident #20 had chronic pain related to arthritis with a goal of pain reduction. Interventions included administering medications as needed, monitoring complaints of pain, and record alleviating factors. Review of the physician orders revealed an order dated 06/05/25 for tramadol tablet (an opioid pain reliever) 50 milligrams (mg) as needed (prn) for moderate to severe pain every eight…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2026-01-08 · tag F0761 — failed to label and store drugs safely — patternEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, photograph review, and facility policy, the facility failed to ensure medications were stored, prepared, and administrated properly. This had the potential to affect all 47 residents residing on the 100 and 200 hall in the facility. Findings include:Review of the two photographs revealed the first photo dated 11/03/25, at 8:50 P.M. had fourteen (14) medication cups with pills in them and stacked on top of each other unlabeled, and the second photo dated 10/09/25 at 8:12 P.M. had nine (9) empty medication cups, unlabeled on the medication cart. Interview on 12/22/25 at 7:57 A.M. with Resident #22 revealed Licensed Practical Nurse (LPN) #215 is preparing medications on night shift ahead of time without labeling them and stacking them. Interview on 12/24/25 at 8:48 A.M. with Resident #23 revealed a nurse on night shift is preparing medications on ahead of time without labeling them and stacking them. Interview on 12/30/25 at 8:12 A.M. with Confidential Individual #400 confirmed the first photo with the fourteen (14) medication cups with pills in them and stacked on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-10-16 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure Resident #2's gastric tube was properly assessed, monitored, and cared for. This affected one resident (Resident #2) out three residents reviewed for feeding tubes. Review of medical record for Resident #2 revealed an admission date of 08/28/25 with diagnosis included but not limited to, chronic respiratory failure, other artificial openings of gastrointestinal tract status, type 2 diabetes mellitus with diabetic neuropathy, severe protein-calorie malnutrition, gastrostomy infection, end stage renal disease, dependence on renal dialysis, dependence on respirator, and tracheostomy status.Review of the care plan dated 09/02/25 and last revised 09/11/25 revealed Resident #2 was at nutrition risk related to gastric tube related to chronic respiratory failure on ventilator, tracheostomy, and end stage renal disease (ESRD) on dialysis. Goal to include Resident #2 will be free of complications related to presence of feeding tube daily.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-10-09 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide 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, interview, record review, hospital record review, and interview, the facility failed to ensure Resident #39 received proper care and assistance in managing his ostomy and tube feed needs. This affected one resident (Resident #39) of three residents reviewed for dependent resident care.Findings include:Review of Resident #39's medical record revealed an admission date of 03/31/25 and a return date of 08/31/25. Resident #39's diagnoses included acute and chronic respiratory failure with hypoxia, Rett's syndrome, Todd's paralysis (post epileptic), and epileptic seizures related to external causes, not intractable, with status epilepticus.Review of Resident #39's Quarterly Minimum Data Set assessment dated [DATE] revealed a Brief Interview for Mental Status was not completed because he was rarely or never understood. Resident #39 was dependent for activity of daily living (ADL), the ability to roll from lying on his back to the left and right side and return to lying on back on the bed, 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.
- Potential for harm · F2025-04-01 · tag F0804 — failed to serve food at safe, palatable temperature — widespreadEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, tasting of meal test tray, and facility policy review, the facility failed to ensure meals provided were palatable and served at an appetizing temperature. This affected seven residents (Resident #10, #21, #26, #28, #30, #41, and #69) and had the potential to affect all 82 residents receiving meals from the facility. The facility identified three residents (#25, #65, and #281) who received nothing by mouth and did not receive food from the facility kitchen. The facility census was 85. Findings include: Interview on 03/17/25 at 10:44 A.M. with Resident #21 revealed the food is frequently cold and the coffee is cold. Interview on 03/17/25 at 1:16 P.M. with Resident #10 revealed the food tasted horrible and stated other residents have said they can't eat it as the food made them nauseous. Interview on 03/17/25 at 1:37 P.M. with Resident #28 revealed the facility frequently served cold food, especially on the weekends, and the food tasted terrible. Resident #28 stated staff do not use the plate warmer, instead they place food on the plate and cover it.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2025-04-01 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview and facility policy review, the facility failed to ensure resident refrigerators were maintained in a safe and sanitary condition, free from expired food. This affected one (Resident #10) of three resident refrigerators observed. The facility identified 29 residents with refrigerators in their rooms. The facility census was 85. Findings include: Review of the facility resident council meeting minutes dated 01/23/25 revealed a concern related to resident refrigerator having items that are not being labeled or dated and should only be kept for three days and then discarded. Observation and interview on 03/19/25 at 12:36 P.M. with the Administrator of Resident #10's room refrigerator revealed the following concerns: - A 16-ounce (oz.) bottle of Italian dressing with an expiration date of 02/11/25. - A 16-oz. bottle of honey mustard dressing with an expiration date of 02/13/25. - A 16-oz. bottle of ranch dressing with an expiration date of 12/14/24. - A 32-oz. bottle of strawberry jam with an expiration date of 06/20/24. -A 16-oz. opened bag of mild…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-04-01 · tag F0550 — failed to protect resident dignity and rights — patternHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, medical record review, observation of resident council, review of resident rights, and review of the formal complaint from residents at the facility, the facility failed to ensure residents were treated with dignity and respect. This affected four residents (#3, #69, #285, #28) of four residents reviewed for dignity. The facility census was 85. Findings include: Review of the formal complaint filed by several residents on 11/24/24 revealed the residents felt like staff members were immature, untrained, lacked common sense, and were not compassionate, yet were hired to care for the elderly. The resident questioned why can't staff be friendly or smile, and noted small talk would be nice. The residents further noted they wanted staff to quit being uncaring and unfriendly, and wanted staff to stop talking down to residents and family members. The written complaint revealed some residents in wheelchairs feel belittled by staff. The complaint went on to say the facility staff, especially nursing and Certified Nursing Assistants (CNA), were very…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-01 · tag F0565 — failed to support the resident council — isolatedHonor the resident's right to organize and participate in resident/family groups in the facility.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, and review of email correspondence, the facility failed to ensure resident concerns were addressed in manner that provided a resolution to their concerns. This affected two residents (#10 and #21) of four residents reviewed for concerns. The facility census was 85. Findings include: Interview on 03/20/25 at 9:23 A.M. with Resident #21 revealed he was the president of resident council and stated he had many residents who had expressed concerns related to their care. Resident #21 stated he had shared those concerns with the Administrator and the Director of Nursing (DON), however, their concerns had not been addressed and they had not seen any changes. Resident #21 stated he had sent his letter of concerns to the corporate office, and stated he had not received or seen any resolution or effort to address the residents' numerous concerns. Resident #21 further stated when he had brought issues to the Administrator, she would then go to the staff members he had complained about and then those staff members would ignore him and not assist him with 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.
- Potential for harm · D2025-04-01 · tag F0607 — failed to have anti-abuse policies — isolatedDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews, medical record review, personnel file review, and policy review, the facility failed to implement their abuse policy by failing to immediately remove a staff member accused of emotional abuse during the investigation. This affected one resident (#3) of four residents reviewed for abuse and neglect. A second example of no actual harm with the potential for minimal harm occurred when the facility failed to ensure reference checks were completed on new employees upon hire. This had the potential to affect all residents residing in the facility. The facility census was 85. Findings include: 1. Review of the medical record for Resident #3 revealed an admission date of 11/13/24. Diagnoses included type one diabetes mellitus with diabetic polyneuropathy, obesity, Aspergers syndrome, and post-traumatic stress disorder, and needs assistance with personal care. Continued review revealed she was cognitively intact. Review of Resident #3's nursing progress note dated 02/23/25 at 8:30 P.M. revealed Licensed Practical Nurse (LPN) #543 stated Resident #3's brother came to 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.
- Potential for harm · D2025-04-01 · tag F0645 — isolatedPASARR screening for Mental disorders or Intellectual Disabilities
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview and record review the facility failed to ensure a Preadmission Screening and Resident Review (PASARR) for Resident #56 was accurately completed upon the resident's admission to the facility. This affected one resident (#56) of one resident reviewed for PASARR. The facility census was 85. Findings include: Review of the medical record for Resident #56 revealed an admission date of 12/12/24. Diagnoses included traumatic subdural hemorrhage without loss of consciousness, Post Traumatic Stress Disorder (PTSD), anxiety, and dementia. The record indicated the residents had moderate cognitive impairment. Review of Resident #56's PASARR dated 12/13/24, the day after admission to the facility, revealed the PASARR was completed due to no previous PASARR records. The PASARR did not include the residents' diagnoses of PTSD, anxiety, or dementia. Interview on 03/19/25 at 1:25 P.M. Social Service Designee #579 verified when Resident #56 was admitted to the facility she did not have a PASARR. She stated she completed the PASARR but not include the resident diagnoses of PTSD,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 24 citations
- Potential for harm · Dcited before2025-04-01 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, interview, and facility policy review, the facility failed to ensure Resident #23's Thrombo-Embolic Deterrent (TED) hose (compression stockings) were in place as ordered and failed to ensure monitoring was completed for Resident #63's biliary drain. This affected two residents (#23 and #63) out of six residents reviewed for skin conditions. The facility census was 85. Findings include: 1. Review of the medical record for Resident #63 revealed an admission date of 01/11/25. Diagnoses included metabolic encephalopathy, acute kidney failure with tubular necrosis, dependence on renal dialysis, and hypertensive heart and chronic kidney disease without heart failure. The resident was admitted with a right biliary drain (a medical device used to drain bile from the liver or gallbladder. It consists of a thin, flexible tube that is inserted into the bile duct to collect and remove bile). Review of Resident #63's care plan dated 02/05/25 revealed she did not have a care plan…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-04-01 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, interview, record review, and policy review, the facility failed to ensure Resident #7 was safely transferred using a mechanical lift. This affected one resident (#7) of three residents reviewed for accidents. The facility census was 85. Findings include: Review of the medical record for Resident #7 revealed an admission date of 08/11/2022. Diagnoses included chronic obstructive pulmonary disease (COPD), Alzheimer's disease, unspecified, and type two diabetes mellitus with hyperglycemia. The resident was noted to have a severe cognitive impairment. Review of Resident #7's March 2025 physician orders revealed an order dated 05/15/24 for Hoyer (mechanical) lift (a mobile, wheeled device used to safely lift and transfer individuals with limited mobility) with assist of two staff for all transfers. Review of Resident #7's comprehensive care plan date 02/27/25 revealed the resident had self care deficits related to COPD, Alzheimer's, dementia, diabetics, atherosclerotic heart disease, and cognitive communication deficit. One intervention stated the resident 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.
- Potential for harm · D2025-04-01 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, medical record review, and policy review, the facility failed to establish a baseline weight for Resident #73. This affected one resident (#73) of four residents reviewed for nutrition. The facility census was 85. Findings include: Review of the medical record for Resident #73 revealed an admission date of 11/29/24. Diagnoses included hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, unspecified fracture of third thoracic vertebra, subsequent encounter for fracture with routine healing, and dysphagia following cerebral infarction. Review of Resident #73's physician orders revealed an order dated 11/30/24 to 01/03/25 to obtain weight upon admission, then weekly for four weeks. Additional orders dated 03/03/25 called for Resident #73 to receive a magic cup (fortified ice-cream type supplement) four ounces (oz) daily with lunch and dinner, and for a regular diet, pureed texture, with a 1500 milliliter (ml) daily fluid restriction. Review of Resident #73's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-01 · tag F0694 — isolatedProvide for the safe, appropriate administration of IV fluids for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, and interview, the facility failed to ensure Resident #287's midline intravenous access site dressing changes were completed per physician order. This affected one resident (#287) out of one residents reviewed for intravenous therapy. The facility identified four residents receiving intravenous therapy. The facility census was 85. Findings include: Review of Resident #287's medical record revealed an admission date of 06/28/23. Diagnoses included osteomyelitis (bone infection), respiratory failure and quadriplegia. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #287 had intact cognition. Resident #287 was dependent for toileting, bathing and personal hygiene. Review of physician orders for March 2025 revealed orders dated 03/07/25 to observe Resident #287's midline intravenous access site every shift and change the transparent dressing and securement device every seven days and also as needed (PRN). Review of Resident #287's care plan…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-01 · tag F0698 — failed to provide proper dialysis care — isolatedProvide 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 interview and record review the facility failed to ensure dialysis communication forms had been completed before and after dialysis treatments. This affected one resident (#10) of two residents reviewed for dialysis communication. The facility census was 85. Findings include: Review of Resident #10's medical records revealed an admission date of 09/14/22. Diagnoses included end stage renal disease (ESRD) and dialysis dependent. Review of Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #10 had intact cognition. Review of Resident #10's care plan dated 01/30/25 had ESRD and required dialysis Monday through Friday. Review of Resident #10's physician orders for March 2025 revealed to obtain Resident #10's weight post-dialysis and notify the physician of weight or losses of three pounds. Review of Resident #10's dialysis communication forms for February 2025 and March 2025 revealed dialysis communication forms were only completed for 02/04/25, 02/07/25, 02/10/25, 02/13/25, 02/20/25,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-04-01 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide 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 interviews, observation, record review, facility policy review, review of pharmacy destruction logs, review of facility policy, and review of Ohio Revised Code, the facility failed to ensure medications were returned to the pharmacy timely following discharge and narcotics were destroyed in a timely manner. In addition, the facility failed to ensure Resident #21 received routine medications per physician orders. This affected Resident #21 and had the potential to affect all residents residing in the facility. The facility census was 85. Findings include: 1. Review of Resident #800's closed medical records revealed an admission date of [DATE] and a deceased date of [DATE]. Review of Resident #801's closed medical records revealed an admission date of [DATE] and a deceased date of [DATE]. Review of Resident #802's closed medical records revealed an admission date of [DATE] and deceased date of [DATE]. Review of Resident #803's closed medical records revealed an admission date of [DATE] and a discharge…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-01 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview, the facility failed to ensure pharmacy recommendations were timely reviewed and addressed by the provider. This affected two residents (#30 and #67) of five residents reviewed for unnecessary medications. The facility census was 85. Findings include: Review of Resident #67's medical records revealed an admission date of 09/16/24. Diagnoses included diabetes and congestive heart failure. Review of Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #67 had impaired cognition. Review of physician orders for March 2025 revealed Resident #67 was ordered metformin (oral diabetic medication) 500 milligrams (mg) once daily. Review of pharmacy recommendation dated 01/23/25 revealed a recommendation to monitor blood work to assess for kidney function on the next convenient lab day, and every six months thereafter. Review of Resident #67's medical records revealed lab work was not completed until 03/11/25. Interview on 03/26/25 at 3:08 P.M. with the Director of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-01 · tag F0757 — failed to avoid unnecessary drugs — isolatedEnsure each resident’s drug regimen must be free from unnecessary drugs.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ensure appropriate follow up with a specialty physician related to an antibiotic medication. This affected one resident (#296) out of two residents reviewed for death. The facility census was 85. Findings include: Review of Resident #296's closed medical records revealed an admission date of 01/31/25 and a discharge date of 02/24/25, with the diagnosis of bladder cancer. Review of the care plan dated 01/31/25 revealed Resident #296 had a diagnoses of cancer and was receiving chemotherapy. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #296 had impaired cognition. It also noted that Resident #296 was independent with self care and had received antibiotics in the previous seven days. Review of Resident #296's physician orders for February 2025 revealed to follow up with infectious disease regarding antibiotic orders and to fax laboratory results every week, Cefazolin (intravenous antibiotic) 2 grams every…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-01 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard 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 observation, interview and record review, the facility failed to ensure accurate documentation was recorded regarding Resident #287's midline intravenous (IV) dressing changes. This affected one resident (#287) of four residents reviewed for documentation. The facility census was 85. Findings include: Review of Resident #287's medical records revealed an admission date of 06/28/23. Diagnoses included osteomyelitis (bone infection), respiratory failure, and quadriplegia. Review of Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #287 had intact cognition. Resident #287 was dependent for toileting, bathing and personal hygiene. Review of physician orders for March 2025 revealed to observe Resident #287's IV site every shift and to change the mideline IV site dressing and securement device every seven days and as needed (PRN). Review of Medication Administration Record (MAR) for March 2025 revealed documentation Resident #287's IV dressing change had been completed on 03/09/25, 03/10/25,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-04-01 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, medical record review, and review of facility policy, the facility failed to ensure effective infection control measures were maintained during wound dressing changes. This affected one resident (#287) of six residents reviewed for skin conditions. The facility census was 85. Findings include: Review of Resident #287's medical records revealed an admission date of 06/28/23. Diagnoses included osteomyelitis (bone infection), respiratory failure and quadriplegia. Review of Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #287 had intact cognition. Resident #287 was dependent for toileting, bathing and personal hygiene. Review of physician orders for March 2025 revealed Resident #287 had an order to cleanse the right and left ischium (hip) and sacrum (tailbone) wounds with Dakins (antiseptic solution) and apply calcium alginate (wound dressing) and cover with a foam dressing daily and as needed and cleanse right calf with wound cleaner, apply xeroform (wound…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-04-01 · tag F0881 — failed to use antibiotics responsibly — isolatedImplement a program that monitors antibiotic use.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and interview, the facility failed to ensure Resident #56 received appropriate treatment following an Urinary Tract Infection (UTI). This affected one resident (#56) of two residents reviewed for treatment of UTIs. The facility census was 85. Findings include: Review of the medical record for Resident #56 revealed an admission date of 12/12/24. Diagnoses included traumatic subdural hemorrhage without loss of consciousness, type two diabetes mellitus without complications, urinary tract infection, and chronic kidney disease, stage three unspecified. The record indicated the resident had moderately impaired cognition. Review of Resident #56's January 2025 progress notes revealed the resident was hospitalized from [DATE] to 01/28/25. Review of Resident #56's hospital After Visit Summary (AVS) dated 01/28/25 revealed the resident was ordered Macrobid (an antibiotic) 100 milligram (mg) capsule with instructions to take one capsule by mouth two times a day with meals for one day for…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-10-15 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, resident representative interview, review of video footage,staff interview, observation, and review of the facility policy, the facility failed to ensure staff performed proper hand hygiene and follow appropriate infection control practices for discarding soiled items when providing incontinence care. This affected two (Residents #51 and #81) of three residents reviewed for incontinence care. The facility census was 85 residents. Findings include: 1.Review of the medical record for Resident #81 revealed an admission date of 11/22 with diagnoses including chronic obstructive pulmonary disease, Alzheimer's disease, diabetes mellitus, obstructive uropathy, and hypertension. Review of the Minimum Data Set (MDS) assessment for Resident #81 dated 08/16/24 revealed the resident had severely impaired cognition, had an indwelling urinary catheter, was incontinent of bowel, and needed assistance with toileting. Interview on 10/15/24 at 8:05 A.M. with Resident #81's representative confirmed she had installed a camera in the resident's room to ensure 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.
- Potential for harm · D2024-08-05 · tag F0791 — failed to provide routine dental services — isolatedProvide or obtain dental services for each 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, resident and staff interview, and review of a facility policy, the facility failed to timely refer a resident for dental services when dentures went missing. This affected one (#51) of 16 residents identified by the facility who wore dentures. The census was 82. Findings include: Review of Resident #51's medical record revealed the resident was admitted on [DATE]. Diagnoses include morbid (severe) obesity due to excess calories, Alzheimer's disease, and gastro-esophageal reflux disease without esophagitis. Review of the annual Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #51 was severely impaired cognitively and was assessed with no natural teeth or tooth fragments and was edentulous. Review of a nursing progress note dated 07/21/24 revealed Resident #51 indicated her teeth (dentures) were missing. The resident stated she had them in a plastic cup in her chair last night. The room was searched by several staff and family, and the teeth were not found. A…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-05-16 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, review of a self-reported incident (SRI) investigation and staff interviews, the facility failed to ensure Resident #81 was appropriately secured during a wheelchair transport resulting an unsafe transfer of the resident. This finding affected one (Resident #81) of three residents reviewed for falls. Findings include: Review of Resident #81's closed medical record revealed the resident was admitted on [DATE] with diagnoses including muscle weakness, essential hypertension and acute kidney failure. Review of Resident #81's quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident exhibited intact cognition. Review of Resident #81's Neglect SRI tracking #241553 dated 11/27/23 revealed the resident was transported to her dentist appointment via a facility van and hit her head during the transport. She denied injuries. The SRI 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.
- Potential for harm · D2024-04-16 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolatedProvide 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 closed medical record review and interview the facility failed to timely treat a urinary tract infection (UTI). This affected one resident (Resident #86) of three residents reviewed for timely care and treatment. The facility census was 85. Findings include: Review of Resident #86's closed medical record revealed an admission date on 02/09/2024. Diagnosis included severe sepsis with septic shock, bacteremia, diabetes mellitus type two, and stage four chronic kidney disease. Review of Resident #86's admission [NAME] Data Set assessment dated [DATE] revealed the resident was cognitively intact. Review of Resident #86 care plan dated 02/19/24 revealed the resident was at risk for dehydration related to the use of intravenous antibiotics, a diagnoses of UTI, bacteremia, and kidney failure. Interventions included monitoring lab work as ordered. Review of Resident #86's lab work revealed he received a urinalysis on 03/12/24. On 03/16/24 the culture was reported to the facility. The culture 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.
- Potential for harm · D2024-01-03 · tag F0774 — isolatedHelp the resident with transportation to and from laboratory services outside of the facility.
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, hospital record review and interview the facility failed to ensure Resident #74 was provided transportation services to attend a follow-up urology consultation appointment as necessary to meet the resident's total care needs and as scheduled. This affected one resident (#74) of three residents reviewed for medical appointments. The facility census was 84. Findings include: Review of Resident #74's Hospital After Care Summary, dated 11/16/23 through 11/22/23, revealed the resident was in the hospital for a complicated urinary tract infection (UTI) prior to his admission to the facility. The resident was treated with intravenous antibiotics during his hospitalization and had discharge orders to follow-up with the university urology department on 11/28/23 at 9:00 A.M. Review of Resident #74's medical record revealed a facility admission date of 11/22/23 with diagnoses including cervical spinal cord injury, functional quadriplegia, neuromuscular dysfunction of the bladder…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2024-01-03 · tag F0880 — failed to prevent and control infections — isolatedProvide 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, record review, facility policy review and interview the facility failed to maintain adequate infection control practices to prevent the spread of infection during incontinence care for Resident #30. This affected one resident (#30) of one resident observed for incontinence care. The facility census was 84. Findings include: Review of Resident #30's medical record revealed an admission date of 05/06/22. Diagnoses included Alzheimer's Disease, polyarthritis, benign prostatic hyperplasia (enlarged prostate), and diabetes mellitus type two. The record indicated the resident was cognitively impaired and required physical assistance from staff for toileting and personal hygiene. On 01/02/24 at 2:55 P.M. State Tested Nursing Assistant (STNA) #169 was observed performing incontinence care for Resident #30. The STNA gathered supplies and prepared to complete care. STNA #165 also entered the room and assisted with positioning the resident. STNA #165 and STNA #169 washed their hands and applied gloves. The resident was wearing a brief that was soiled. The soiled brief 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.
- Potential for harm · Dcited before2023-12-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure Resident #27's and Resident #9's wound treatments were maintained for Resident #27's perineal pressure ulcer and Resident #9's unstageable coccyx pressure ulcer. This affected one out of three residents reviewed for pressure ulcers. The facility census was 82. Findings include: 1. Resident #27 was admitted on [DATE] with diagnoses including Alzheimer's disease, cognitive communication deficit, diabetes mellitus, malnutrition, bipolar disorder, anxiety, depression, schizophrenia with schizoeffective disorder, heart disease, high blood pressure, and venous insufficiency. Resident #27 had medical conditions including the need for assistance with personal care, muscle weakness, insomnia, and abnormal gait and mobility requiring a wheelchair for mobility. Resident #27 required two staff members to assist him out of bed using a mechanical lift (Hoyer lift). Resident #27 was able to propel himself in the wheelchair. Resident #27's Minimum…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-12-12 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide 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
Based on medical record review, review of audit forms, and interview, the facility failed to ensure medications were available for administration in accordance with physician orders. This affected two (Residents #54 and #83) of three residents reviewed for pharmaceutical services. Findings include: 1. Review of Resident #83's closed medical record revealed diagnoses including acute kidney failure, chronic kidney disease, hypertensive heart disease, congestive heart failure, and depression. Resident #83 was admitted with orders to start lyrica 25 milligrams (mg) every morning for pain to be started 11/10/23. Review of the November Medication Administration Records (MARs) and electronic MAR Medication Administration Notes revealed lyrica was not administered the mornings of 11/10/23, 11/11/23, 11/12/23 or 11/15/23 but it was on order. During an interview of the Director of Nursing (DON) on 12/07/23 at 9:33 A.M., she indicated lyrica 25 mg was not available in the facility's drug dispensing system and the ordered lyrica had never been sent from pharmacy. The DON verified she was unable…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-12-12 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of the facility Hand Hygiene/Handwashing policy and interview the facility failed to ensure staff performed hand hygiene during Resident #27's incontinence care and Resident #9's wound treatment procedure to prevent cross contamination of germs and failed to ensure staff sanitized/disinfected scissors before use during the wound treatment for Resident #9. This affected one out of three residents reviewed for incontinence care and two out of three residents reviewed for wounds. The facility census was 82. Findings include: 1. Resident #27 was admitted on [DATE] with diagnoses including Alzheimer's disease, cognitive communication deficit, diabetes mellitus, malnutrition, bipolar disorder, anxiety, depression, schizophrenia with schizoeffective disorder, heart disease, high blood pressure, and venous insufficiency. Resident #27 had medical conditions including the need for assistance with personal care, muscle weakness, insomnia, and abnormal gait and mobility requiring a wheelchair…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2023-11-08 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interviews and review of manufacturer instructions the facility failed to ensure staff were educated on proper use of the Sani-Cloth Bleach wipes used to sanitize multi use items including the pulse oximeter. This had the potential to affect all 86 residents residing in the facility. Findings included: Interview conducted on 11/07/23 at 1:38 P.M. with Licensed Practical Nurse (LPN) #753 revealed she uses her own pulse oximeter to check all the residents oxygen levels, including residents in isolation rooms, she then stated she used the Sani-Cloth bleach wipes to clean the pulse oximeter in between each resident. When asked how long the pulse oximeter needed to remain wet, she stated she lets it sit wrapped in the Sani-cloth for approximately three minutes. This surveyor then showed the packaging information for the Sani-Cloth bleach wipe which states items must remain visibly wet for a full four (4) minutes and to let air dry for adequate cleaning. LPN #753 confirmed she was unaware of this information. Interview conducted on 11/07/23 at 1:47 P.M. with LPN #644 regarding…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-11-08 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide 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, interview, record review and review of the facility policy, the facility failed to provide scheduled showers for three of three residents reviewed, Resident #397, #395, and #392, failed to provide shaving for two of two residents reviewed, Resident #397 and #392, and failed to provide nail care for two of two resident reviewed, Residents #395 and #392. The facility census was 86. Findings include: 1. Record review for Resident #397 revealed an admission date of 10/31/23. Diagnosis included fracture of one rib unspecified side, unilateral primary osteoarthritis, and rhabdomyolysis (a breakdown of skeletal muscle due to direct or indirect muscle injury). Record review of the Functional Abilities admission dated 10/31/23 competed by Licensed Practical Nurse (LPN) #689 revealed Resident #397 required substantial/maximum assistants with personal hygiene and showers. Record review of the Brief Interview of Mental Status (BIMS) for Resident #397 dated 11/01/23 revealed Resident #397 had moderately…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-11-08 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to address and treat a wound timely. This affected one resident (Resident #392) of three residents reviewed for wounds. The facility census was 86. Findings include: Record review of the medical record for Resident #392 revealed an admission date of 10/18/23. Diagnosis included urinary tract infection, unspecified severe protein calorie malnutrition, and muscle weakness. Record review of the care plan dated 10/18/23 revealed Resident #392 had potential for skin breakdown related to a history of skin issues, decreased mobility, and malnutrition. Interventions included to complete a skin assessment per protocol. Assess and document the status of the area (healing vs declining). Monitor, document and report to Physician changes in color, temperature, sensation, pain or presence of drainage and/or odor. Record review of the Medicare five day Minimum Data Set (MDS) dated [DATE] revealed Resident #392 was cognitively intact. Resident #392 required…
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.
- No harm found · C2026-01-08 · tag F0835 — failed to run the facility competently — widespreadAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, and Employee Handbook review, the facility failed to ensure staff were awake at all times to effectively meet the needs of all residents. This had the potential to affect all 81 residents in the facility. Findings include:1. Review of employee personnel file for Dietary Aide (DA) #293 revealed a Disciplinary Action Form dated 12/19/25 for termination for sleeping on the job in the main lobby. Attached to the form was a statement dated 12/19/25 signed by Human Resource (HR) #230 and Administrator. HR #230 found DT #293 sleeping in the lobby and got the Administrator to witness. HR #230 woke DT #293 up and he apologized stating he did not fully intend to fall asleep but had not slept well the night before. Interview on 12/22/25 at 7:57 A.M. with Resident #22 revealed staff sleep on night shift.Interview on 12/22/25 at 1:49 P.M. with Director of Nursing (DON) confirmed DA #293 was found sleeping and was terminated.Interview on 12/24/25 at 8:48 A.M. with Resident #23 revealed staff sleep on night shift.Interview on 12/30/25 at 8:00 A.M. with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$10,839 in federal fines across 1 penalty.
- $10,839 — penalty dated 2024-12-19
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to SABER HEALTHCARE GROUP — 126 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 1 of 5 | 2.9 | -1.9 vs chain |
| Health inspection | 1 of 5 | 2.6 | -1.6 vs chain |
| Staffing | 2 of 5 | 2.2 | -0.2 vs chain |
| Quality measures | 4 of 5 | 4.0 | ≈ chain avg |
The other 125 homes this chain runs (chain average 2.9★, per CMS)
Showing 40 of 125; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| WWBV HOLDINGS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | since 05/03/2021 |
| BURTON, SARA | Individual | W-2 MANAGING EMPLOYEE | — | since 04/29/2022 |
| PONNAM, HARIKRISHNA CHOUDARY | Individual | W-2 MANAGING EMPLOYEE | — | since 07/01/2023 |
| VOLPE, BENJAMIN | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 05/03/2021 |
| WEISBERG, WILLIAM | Individual | CORPORATE DIRECTOR; CORPORATE OFFICER | — | since 05/03/2021 |
| NICOLUZAKIS, GREGORY | Individual | CORPORATE OFFICER | — | since 05/03/2021 |
| SABER GOVERNANCE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 05/03/2021 |
| YOUELL, VALERIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 01/02/2024 |
CMS files one row per role, so the 10 rows in the source record cover these 8 parties — each is shown once here with every role it holds. Nothing is omitted.
2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $2.8M paid to related parties — landlords or management companies under common ownership — equal to about 25% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. 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
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OH
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366487. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-04-01, 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.