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Gillette Nursing Home

3310 Elm Rd, Warren, OH 44483 · For profit - Corporation · 99 certified beds · (330) 372-1960 Medicare & Medicaid certified

Call the home — (330) 372-1960 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citation — no harm found (F0609) — cited Apr 2025
Insights

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

In its favor
  • a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0609) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its payroll-based staffing rating is low (1/5)
  • its facility-reported quality-measure rating is low (2/5)

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

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

4/5
CMS overall
4 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 5 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 2 of 5

Location & what’s nearby

Hospital
★★ 2/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
2048 North River Road NE · (330) 892-9443 · Call to confirm hours
Pharmacy
3390 Elm Rd NE · (330) 372-4622 · Call to confirm hours
Grocery
Aldi0.9 mi
2120 OH-5 · (855) 955-2534 · Call to confirm hours
Park
2300 Weir Rd NE · Typically dawn to dusk
Place of worship
2609 Weir Rd NE · (330) 372-4297

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

Quality measures — how residents actually fare

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

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

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 3 stars. From monthly CMS archive snapshots.

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

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased10.8%5.3%15.4%worse than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight8.1%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.3%0.2%0.9%worse than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.0%0.4%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms1.7%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury4.1%3.2%3.3%worse
Long-stay residents whose ability to walk worsened10.5%6.1%16.1%worse than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication31.2%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine92.9%94.5%95.3%typical
Long-stay residents with pressure ulcers5.4%3.4%4.7%worse
Long-stay residents with worsening bladder/bowel control16.7%21.4%21.2%better
Long-stay residents who got an antipsychotic medication — see the note below the table6.9%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication1.3%1.2%1.4%typical
Short-stay residents given the seasonal flu vaccine58.0%75.6%79.4%worse
Short-stay residents rehospitalized after admission26.5%24.9%22.6%worse
Short-stay residents with an outpatient ER visit27.6%12.9%12.0%worse
Long-stay hospitalizations per 1,000 resident days2.901.731.67worse
Long-stay outpatient ER visits per 1,000 resident days3.221.801.80worse

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

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

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

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

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

55.7% 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 75 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

55.7%U.S. median 51.5%
Got home and stayed home
10.8%U.S. median 10.7%
Went back to hospital
20.8%U.S. median 56.6%
Met the expected recovery
0.41U.S. median 0.31
Therapy hours / resident / day
0.22hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.06hours / resident / day
Speech therapy

Met the expected recovery: 20.8% 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 48 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 0.41 therapist hours per resident per day in 2026Q1 — more than 70% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 17% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

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

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF55.7%CMS range 44.5–65.851.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF10.8%CMS range 7.0–14.610.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge20.8%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge29.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge29.2%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified96.9%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay7.7%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened6.2%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.9%CMS range 5.0–12.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.921.02Oct 2022–Sep 2024CMS makes no comparison for this measure

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

Staffing

0.36
RN hours/ resident / day
1.19
LPN hours/ resident / day
2.22
Aide hours/ resident / day
3.77
Total nurse hours/ resident / day
0.16
RN hoursweekends
Total nursing turnover
RN turnover

How full it usually is: this home is certified for 99 beds and averages 90.4 residents a day — about 91% occupied, or roughly 9 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 3.77 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.36 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.22 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 3.62 hrs/resident/day on weekends vs 3.83 on weekdays — 5% thinner on weekends. RN hours go from 0.44 to 0.16 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

0
deficiencies at the latest standard inspection (2026-03-26)
5
at the previous standard inspection (2024-08-08)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

15 citations, most serious first. The 10 most serious are shown; the remaining 5 are one tap away and print in full.

  • Potential for harm · Dcited before2025-07-31 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and review of facility policy, the facility failed to conduct complete and thorough post-fall investigations to mitigate risk of falls . This affected one resident (Resident #94) of four residents reviewed for falls. The facility census was 93.Findings include: Record review for Resident #94 revealed an admission date of 05/23/25 with diagnoses including unspecified dementia, anxiety, difficulty walking, malnutrition and right femur fracture. Pertinent physician orders included non-skid pad to wheelchair, body pillow to open side of bed, non-skid pad to wheelchair cushion, floor mat to open side of bed, non-skid socks on at all times, brake sentry to wheelchair, and physical therapy evaluate and treat.Review of the Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #94 had moderate cognitive impairment, had a fall with fracture prior to admission and had a fall since admission. Resident #94 was incontinent bladder.Review of Resident #94's plan of care, date…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-04-07 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    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 did not ensure all shower rooms used by residents were maintained at comfortable temperatures. This affected four residents (Residents #4, #9, #23 and #26) and had the potential to affect all residents in the facility excluding 37 residents ( #1, #2, #3,#8, #10, #12, #13, #15, #16, #17, #21, #24, #25, #27, #34, #35, #38, #42, #43, #46, #50, #51, #54, #56, #58, #59, #61, #62, #64, #66, #70, #72, #73, #77, #78, #80, and #84) the facility identified as having personal showers in their resident rooms. The facility census was 87. Findings include: 1. A facility tour was conducted on 03/24/25 at 10:30 A.M. with Maintanence Director (MD) #257 and revealed the facility had two shower rooms for resident use. The first shower room observed was between the 400 and 500 unit hallways. MD #257 took the ambient temperature in the shower room and stated it was 64.8 degrees Fahrenheit (F). The second shower room observed was between 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-04-07 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and facility policy review, the facility failed to timely report an allegation of misappropriation of narcotic medications to the appropriate state agency. This affected two residents (#33 and #65) of three residents reviewed for misappropriation. The facility identified an additional 21 residents (#7, #14, #17, #18, #24, #26, #28, #31, #32, #59,#60, #68, #69, #74, #75, #76, #77, #80, #81, #83 and #85) as having physician orders for narcotic medications. The facility census was 87. Findings include: 1. A review of medical records for Resident #33 revealed a date of initial admission of 01/29/24, and a readmission date of 01/12/25 with diagnoses including cirrhosis of the liver, chronic obstructive pulmonary disease (COPD), chronic viral hepatitis, hepatomegaly (liver enlargement) and cognitive communication deficit. Review of physician orders revealed orders for Norco oral tablet 5-325 milligrams (a synthetic opioid and painkiller), give one tablet by mouth every six…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and review of facility policy the facility did not ensure Resident #26 received adequate supervision and assistance by staff when being transferred with a mechanical lift, and did not ensure adequate supervision was provided, fall interventions were in place at all times, and complete and thorough post-fall investigations including root cause analysis were done to prevent falls for Resident #77. This affected two residents (Residents #26 and #77) of three residents reviewed for falls. The facility census was 87. Findings include: 1. Record review was conducted for Resident #26 who was admitted to the facility on [DATE] with diagnoses including non-traumatic extradural hemorrhage, atrial fibrillation, anxiety, depression, neuromuscular dysfunction of bladder, fracture of unspecified part of neck of left femur dated 10/31/24, panic disorder, obesity, muscle wasting, need for assistance with personal care, encounter for surgical aftercare following surgery on the nervous system,…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-04-07 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and policy review, the facility failed to ensure medications remained in original packaging. This affected one resident (Resident #77) of three residents reviewed for medication administration. The facility census was 87. Findings include: A review of medical records for Resident #77 revealed a date of admission of 12/19/24 with diagnoses including Parkinson's disease, repeated falls and dementia with mild psychotic disturbance. Review of physician orders dated 12/19/24 revealed an order for nuplazid (a medication used to treat hallucinations and delusions associated with Parkinson's disease psychosis) 34 milligrams one capsule by mouth daily to start on 12/20/24. Review of the significant change Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #77 had severe cognitive impairment. There were no hallucinations, delusions or behaviors noted. On 03/24/25 at 12:02 P.M. an interview with the daughter of Resident #77 revealed she obtained the nuplazid from 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-20 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and facility policy review, the facility failed to ensure showers were provided on a consistent basis for Residents #51 and #51. This affected one resident (#51) of three residents reviewed for showers. The facility census was 90. Findings include: Review of the medical record for Resident #51 revealed an admission date of 02/10/22 with diagnoses including heart failure, diabetes, kidney disease, unsteadiness on feet, and need for assistance with personal care. Review of the comprehensive Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #51 was cognitively intact. He was independent in eating, required setup help for eating, substantial assistance for toileting, partial assistance for showering and supervision for personal hygiene. Review of the care plan dated 12/13/24 revealed Resident #51 had a self-care performance deficit due to functional mobility, and lower extremity weakness. Interventions included assistance with bathing. Resident #51 preferred to…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-20 · tag F0712 — isolated
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview and facility policy review, the facility failed to ensure the physician visited Resident #36 as required. This affected one resident (#36) of three residents reviewed for physician services. The facility census was 90. Findings include: Review of the medical record for Resident #36 revealed an admission date of 10/28/24 with diagnoses including congestive heart failure, diabetes, anxiety, hypertension, and cancer of the head, neck and face. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] reveal Resident #36 was cognitively intact. He was independent and eating, required setup help for oral hygiene, partial to moderate assistance for personal hygiene, and was dependent on staff for toileting and showering. Review of the physicians' notes revealed Resident #36 was last seen by his physician on 11/06/24. Interview on 02/19/24 at 7:54 A.M. with Resident #36 revealed he had not been seen by the physician since he was admitted to the facility. (The medical…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-02-20 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview and facility policy review, the facility failed to ensure [NAME] #204 washed her hands after leaving Resident #45's room and entering Resident #23's room. This affected two residents (#23 and #45) out of four residents reviewed for infection control and had the potential to affect 23 residents (#6, #7, #9, #10, #14, #18, #19, #22, #23, #30, #32, #36, #37, #38, #41, #45, #56, #66, #71, #72, #74, #76 and #78) identified by the facility that were on EBP. The facility census was 90. Findings include: Observation on 02/19/25 at 1:46 P.M. of the 500-hall revealed [NAME] #204 was in Resident #45's room talking with her. [NAME] #204 exited resident #45's room and walked down the hall and into Resident #23's room. There was a sign indicating EBP on the outside of Resident #23's room. An interview with [NAME] #204, upon exiting Resident #23's room, revealed she did see the sign indicating Resident #23 was on EBP; however, she did not wash her hands before or when entering 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-08 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and review of facility policy, the facility failed to ensure Resident #80 was fed in a dignified manner. This affected one resident (#80) out of 20 residents reviewed for dignity. The facility census was 94. Findings include: Review of the medical record for Resident #80 revealed an admission date of 06/06/23 and diagnoses including Alzheimer's disease, Bell's Palsy (a neurological disorder that causes paralysis or weakness on one side of the face), unspecified dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, other specified depressive episodes, other idiopathic peripheral autonomic neuropathy (condition that affects the nerves in the hands and feet causing pain, numbness, and weakness), unspecified protein calorie malnutrition, and need for assistance with personal care. Review of annual Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #80 was severely impaired cognitively and was dependent on staff…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-08 · tag F0583 — failed to protect personal privacy — isolated
    Keep residents' personal and medical records private and confidential.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, record review, interview, and review of facility policy, the facility failed to maintain resident records in a manner that would protect their confidentiality. This affected one resident (Resident #7) of the 94 residents observed for privacy. The facility census was 94. Findings include: Review of the medical record for Resident #7 revealed an admission date of 10/17/07 and a re-entry date of 03/08/24 with diagnoses including type two diabetes mellitus, schizophrenia, recurrent depressive disorder, osteoporosis, hypertension, diverticulitis, unspecified phobia, and unsteadiness on feet. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment completed on 07/26/24 revealed Resident #7 had intact cognition. Further review of the MDS revealed Resident #7 required supervision or touching assistance for toileting hygiene, bathing, dressing her lower body and transfers to the toilet or from the toilet. Resident #7 used a walker and required supervision or touching assistance for toileting hygiene, bathing, dressing her lower body, and transfers to the toilet or…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
Show the remaining 5 citations
  • Potential for harm · D2024-08-08 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, medical record review, and review of facility policy, the facility failed to ensure care plan interventions were implemented as directed for one resident (Resident #5) and failed to ensure comprehensive care plans were developed for two residents (Resident #51 and Resident #67). This affected three residents (Residents #5, #51, and #67) out of 22 residents reviewed for care plans. The facility census was 94. Findings include: 1. Review of the medical record reviewed Resident #5 was admitted on [DATE] with diagnoses including Alzheimer's Disease, systolic congestive heart failure (COPD), and need for assistance with personal care. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment revealed Resident #5 had moderately impaired cognition, had an impairment to his bilateral upper and lower extremities, and dependent for toileting hygiene and bathing. Further review of the MDS revealed Resident #5 had last received occupational therapy (OT) services from 04/01/24 through…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-08 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and facility policy, the facility failed to hold an initial care plan meeting in a timely manner for Resident #91. This affected one resident (#91) out of 22 residents reviewed for care plans. The facility census was 94. Findings include: Review of medical record for Resident #91 revealed an admission date of 07/05/24. The resident was discharged to the hospital on [DATE] and returned on 08/04/24. Diagnoses included unspecified sequelae (an after effect) of other nontraumatic intracranial (within the brain) hemorrhage (heavy discharge of blood), essential hypertension (high blood pressure), atherosclerotic heart disease of native coronary artery without angina pectoris (chest pain), obstructive sleep apnea, chronic combined systolic and diastolic (congestive) heart failure, oropharyngeal phase dysphagia (difficulty swallowing), hemiplegia (total or partial paralysis) and hemiparesis (muscular weakness or partial paralysis) following nontraumatic subarachnoid (below the thin…

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

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-08-08 · tag F0805 — failed to prepare food in a form residents can eat — isolated
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review, observation and interview, the facility did not ensure food at the appropriate consistency for a mechanical soft diet was served to Resident #39. This affected one resident (#39) of four residents reviewed for food and nutrition. The facility identified 23 residents ordered a mechanical soft diet (#1, #3, #6, #13, #15, #17, #30, #24, #28, #32, #39, #43, #47, #48, #50, #65, #66, #68, #75, #77, #81, #83, and #197). The facility census was 94. Findings include: Review of medical record for Resident #39 revealed a readmission date of 08/02/24. Diagnoses included Alzheimer's disease, unspecified dementia without behavioral disturbance, psychotic disturbance, mood disturbance, and anxiety, chronic diastolic (congestive) heart failure, type two diabetes, oropharyngeal phase dysphagia (difficulty swallowing), and generalized anxiety. Review of physician orders for Resident #39 revealed a diet order dated 07/27/24 for a No Added Salt (NAS) No Concentrated Sweets (NCS) mechanical soft, thin (liquid)consistency diet. Review of 08/03/24 quarterly Minimum Data Set (MDS)…

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

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2022-05-05 · tag F0578 — failed to honor advance directives / code status — isolated
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    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 facility policy review, the facility failed to ensure a resident's code status (level of medical interventions a patient wishes to have started if their heart or breathing stops) matched the State of Ohio DNR (Do Not Resuscitate) document for Resident #48. This affected one of four residents reviewed for advance directives. The facility census was 83. Findings include: Review of the medical record for Resident #48 revealed an admission date of [DATE]. Diagnoses included sepsis, urinary tract infection, obstructive and reflux uropathy, type two diabetes, chronic atrial fibrillation, old myocardial infarction, abdominal aortic aneurysm, unspecified dementia, diverticulitis, cognitive communication deficit, and dysphagia. Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident had a brief interview for mental status (BIMS) of 11 indicating moderate cognitive impairment. She required the extensive assistance of two staff members…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2022-05-05 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and facility policy review, the facility failed to ensure medications stored in medication carts and medication storage areas were not expired. This affected two residents (#44 and #68) on one of two medication carts observed. The facility census was 83. Findings include: Observation on [DATE] at 3:56 P.M. of the medication cart in the 600 hall revealed the following findings: 1. Benzonatate 100 milligram (mg) ER capsules for Resident #68 expired on [DATE]. 2. Torsemide 20 mg tablets for Resident #68 expired on [DATE]. Interview on [DATE] at 3:56 P.M. during observation of the medication cart for the 600 hall with Licensed Practical Nurse #832 verified the above medications were expired. Observation on [DATE] at 4:18 P.M. of the medication storage room in the 600 hall revealed the following findings: 1. Promethazine 25 mg suppositories in the medication refrigerator for Resident #44, eight total in the bag, expired on [DATE]. 2. Potassium Chloride 20 milliequivalents (meq) Micro…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

Owner / managerTypeRoleShareSince
STEIN, DOUGLASIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; GENERAL PARTNERSHIP INTEREST; ADP OF THE SNF49%since 01/01/2019
STEIN, TODDIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST; CORPORATE DIRECTOR; CORPORATE OFFICER; ADP OF THE SNF49%since 01/01/2019
GILLETTE ASSOCIATES LIMITED PARTNERSHIPOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 01/01/1990
HOUSING AND HEALTHCARE FINANCE LLCOrganization5% OR GREATER SECURITY INTERESTsince 09/28/2011
BIDWELL, MARGARETIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/30/2020
ZIGMONT, PAULAIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/02/2010
PSYCHO SOCIAL THERAPIES,LTDOrganizationLIMITED PARTNERSHIP INTEREST; ADP OF THE SNFsince 01/01/2020
TWOMAGNETS LLCOrganizationLIMITED PARTNERSHIP INTEREST; ADP OF THE SNFsince 01/01/2020
INTELYCARE INCOrganizationADP OF THE SNFsince 01/01/2020
MOBILE MEDICAL INCOrganizationADP OF THE SNFsince 01/01/2020
NORTHEAST SURGICAL WOUND CARE INCOrganizationADP OF THE SNFsince 01/01/2020
RW CORWIN & COMPANY INCOrganizationADP OF THE SNFsince 01/01/2020
WSB REHABILITATION SERVICES INCOrganizationADP OF THE SNFsince 01/01/2020
KWATRA, KAPILIndividualADP OF THE SNFsince 01/01/2020
STEIN, NATALIEIndividualADP OF THE SNFsince 12/01/1996

CMS files one row per role, so the 27 rows in the source record cover these 15 parties — each is shown once here with every role it holds. Nothing is omitted.

9 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.

$9.4M
Net patient revenuemost recent cost report
-0.7%
Operating marginrevenue minus expenses
$840K
Related-party expense9% of expenses
Who pays — share of resident-days
Medicaid 65%Medicare 6%Other / private 29%

This home reported $840K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

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

Cost & finances

$284per resident / day
operating cost
$8,645per month
≈ monthly operating cost
$282per day
avg. revenue, all payers

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

What families pay in OH

Paying with Medicaid

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

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

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

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366129. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-03-26, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

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

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

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