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St Catherines Manor Of Washington Court House

250 Glenn Avenue, Washington Court Hou, OH 43160 · For profit - Corporation · 55 certified beds · (740) 335-6391 Medicare & Medicaid certified

Call the home — (740) 335-6391 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0603) — cited Dec 2025
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • a middle-of-the-pack inspection score (3/5)
  • no federal fines or payment denials on record
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0603), cited Dec 2025
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0605) — 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 (20) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its payroll-based staffing 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 3 of 5
StaffingFrom payroll records (PBJ) 2 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
1510 Columbus Ave · (740) 335-1210 · Call to confirm hours
Pharmacy
CVS Beauty<0.1 mi
1795 Columbus Ave · (800) 746-7287 · Call to confirm hours
Grocery
1151 Columbus Ave · (740) 335-8220 · Call to confirm hours
Park
Typically dawn to dusk
Place of worship
525 Glenn Ave · (740) 333-3230

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

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5

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 increased3.4%5.3%15.4%better than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight10.4%6.2%5.4%worse
Long-stay residents with a catheter left in their bladder0.0%0.2%0.9%better than state — see note marked double-dagger below the table
Long-stay residents with a urinary tract infection1.3%0.4%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms1.5%30.1%6.5%better than state — see note marked double-dagger below the table
Long-stay residents who were physically restrained0.0%0.1%0.1%better
Long-stay residents with falls causing major injury1.9%3.2%3.3%better
Long-stay residents whose ability to walk worsened12.6%6.1%16.1%worse than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication40.9%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine96.0%94.5%95.3%typical
Long-stay residents with pressure ulcers0.3%3.4%4.7%better
Long-stay residents with worsening bladder/bowel control19.6%21.4%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table8.1%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication1.2%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine65.0%75.6%79.4%worse

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.

43.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 35 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

43.4%U.S. median 51.5%
Got home and stayed home
11.5%U.S. median 10.7%
Went back to hospital
0.31U.S. median 0.31
Therapy hours / resident / day
0.17hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.01hours / resident / day
Speech therapy

Therapy staffing: this home’s payroll records show 0.31 therapist hours per resident per day in 2026Q1 — more than 49% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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 SNF43.4%CMS range 29.8–55.551.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.5%CMS range 7.8–17.910.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identifiednot 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 next providerPercentage of residents where the SNF provided a current medication list to the next health care settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF staynot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsenednot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalizationnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.291.02Oct 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

0.60
RN hours/ resident / day
1.11
LPN hours/ resident / day
2.22
Aide hours/ resident / day
3.93
Total nurse hours/ resident / day
0.31
RN hoursweekends
44.9%
Total nursing turnover
60.0%
RN turnover

How full it usually is: this home is certified for 55 beds and averages 45.0 residents a day — about 82% occupied, or roughly 10 beds typically open. It usually has some room. 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 3.93 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.60 is at or above 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 3.57 hrs/resident/day on weekends vs 4.07 on weekdays — 12% thinner on weekends. RN hours go from 0.72 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

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

Inspection trend

12
deficiencies at the latest standard inspection (2025-12-18)
5
at the previous standard inspection (2023-03-09)

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

Inspection deficiencies

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

ABCDEFGHIJKL

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

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

  • Potential for harm · F2025-12-18 · tag F0812 — failed to store, cook, and serve food safely — widespread
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interview, and policy review, the facility failed to ensure food was stored in a manner to protect against potential contamination and spoilage. This had the potential to affect all 43 residents in the facility that receive food from the kitchen. The facility identified three (#9, #36, and #55) residents with active orders for nothing by mouth. The facility census was 46. Findings include:Observation on 12/15/25 at 8:57 A.M. revealed four opened containers of food items with no date marking in the walk-in refrigerator including one bag of yellow cheese slices, one bag of white cheese, one bag of pepperoni slices, and one package of bacon. Observation on 12/15/25 at 8:59 A.M. revealed two opened and undated bags of egg patties, one of the bags of egg patties was stored with the bag open allowing exposure to air in the freezer. Further observation of the walk-in freezer at this time revealed three bags of opened and undated vegetables, including zucchini, corn, and sweet potato fries. Interview on 12/15/25 at 9:10 A.M. with [NAME] #150 revealed opened…

    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 · F2025-12-18 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of a facility Legionella plan and testing and monitoring documents, medical record review, and staff interview, the facility failed to ensure measures to address and prevent Legionella growth within the facility were maintained and conducted as required and failed to ensure infection control measures were maintained following urinary catheter care for a resident (#6). This had the potential to affect all 46 residents residing in the facility. The census was 46. Findings include: 1. Review of the document titled, Legionella Policy - Environmental, revealed Legionella prevention control measures of quarterly testing of chlorine levels, weekly testing of water temperatures, monitor and flushing pipes in rooms and areas that were not in use, monitor kitchen ice machines, eye wash stations, water filters, sinks and showers in resident rooms and central showers, circulation tubs and drinking fountains, water filters to be changed bi-annually, and kitchen appliances to be maintained 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-18 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
    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, medical record review, staff interview, and policy review, facility failed to ensure a resident room was set to a comfortable temperature. This affected one (#9) of 16 residents reviewed for environmental issues during the initial sample. The facility census was 46. Findings include: Review of the medical record for Resident #9 revealed an admission date of 06/28/21. Diagnoses included quadriplegia, chronic respiratory failure, diabetes, heart embolism, tracheostomy, contracture of multiple sites, dependence on ventilator status, anoxic brain injury, epilepsy, and heart disease.Review of the plan of care dated 11/18/25 revealed Resident #9 had a tracheostomy (trach) with interventions to ensure trach ties were secured at all times, give humidified oxygen as prescribed, elevate head of the bed, provide oral care, monitor and document for restlessness and agitation, suction as necessary, and universal precautions.Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident…

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

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-18 · tag F0603 — failed to not confine residents against their will — isolated
    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
    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 policy review, the facility failed to ensure residents were properly assessed for appropriateness before being placed on the secured memory care unit. This affected one (#49) of one resident reviewed for restraints. The facility census was 46. Findings include: Review of the medical record for Resident #49 revealed an admission date of 07/15/25. Diagnoses included fibromyalgia, malnutrition, dementia with mood disturbance, and kidney disease.Review of hospital discharge paperwork dated 07/15/25 revealed Resident #49 had been living at home, was hospitalized , and found to have a urinary tract infection (UTI). The hospital documentation revealed the resident had a dementia/Alzheimer's diagnosis and had wandered while in the hospital.Review of the elopement assessment dated [DATE] revealed Resident #49 was not a risk of elopement.Review of the care plan dated 07/16/25 revealed Resident #49 was at risk for elopement with interventions to reside 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-18 · tag F0605 — failed to not use drugs as a restraint — isolated
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and policy review, the facility failed to monitor behaviors with psychotropic medication use. This affected two (#2 and #56) of five residents reviewed for psychotropic medications. The facility census was 46.Findings include:1. Review of the medical record for Resident #2 revealed an admission date of 09/04/18. Diagnoses included type II diabetes mellitus, heart failure, dementia, Parkinson's disease, and atrial fibrillation.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #2 had moderate cognitive impairment as evidenced by a Brief Interview for Mental Status (BIMS) score of 11. The resident was assessed to require supervision with eating, and was dependent with toileting, bathing, dressing, and transfers.Review of the care plan dated 03/04/25 revealed Resident #2 was at risk for complications related to psychotropic medication use related to a diagnosis of depression. Interventions included educate on risks, benefits, 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-12-18 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident and staff interview, and policy review, the facility failed to ensure care conferences were completed in a timely manner. This affected two (#2 and #35) of four residents reviewed for care conferences. The facility census was 46. 1. Review of the medical record for Resident #2 revealed an admission date of 09/04/18. Diagnoses included type II diabetes mellitus, heart failure, dementia, Parkinson's disease, and atrial fibrillation. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #2 had moderate cognitive impairment as evidenced by a Brief Interview for Mental Status (BIMS) score of 11. The resident was assessed to require supervision with eating, and was dependent with toileting, bathing, dressing, and transfers. Review of the care conferences for the last 12 months for Resident #2 revealed care conferences were only completed on 04/21/25 and 09/19/25. Interview on 12/17/25 at 10:16 A.M. with Social Service Director (SSD) #156…

    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 · D2025-12-18 · 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 medical record review, resident representative interview, and staff interview, the facility failed to provide showers to residents who were dependent on staff for assistance. This affected one (#8) of four residents reviewed for activities of daily living. The facility census was 46.Findings included:Review of the medical record revealed Resident #8 was admitted to the facility on [DATE]. Diagnoses included osteoarthritis, atrial fibrillation, acute respiratory failure with hypoxia, chronic kidney disease (stage II), candidiasis, acute embolism and thrombosis of a deep vein of a lower extremity, hypo-osmolality and hyponatremia, congestive heart failure, atrial fibrillation, hypertension, and traumatic brain injury. Review of Resident #8's Minimum Data Set (MDS) assessment, dated 11/06/25, revealed he had mild cognitive impairment. Review of section GG revealed the resident was assessed to needed substantial/maximum physical assistance from staff for showers/bathing.Review of Resident #8's current care…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-18 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, medical record review, and policy review, the facility failed to ensure timely implementation of a therapy recommended splint and failed to ensure orders were followed regarding contractures. This affected one (#9) of one residents reviewed for range of motion. The facility census was 46.Findings include: Review of the medical record for Resident #9 revealed an admission date of 06/28/21. Diagnoses included quadriplegia, chronic respiratory failure, diabetes, heart embolism, tracheostomy, contracture of multiple sites, dependence on ventilator status, anoxic brain injury, epilepsy, and heart disease.Review of the plan of care dated 02/28/24 revealed Resident #9 had an alteration in musculoskeletal status related to extremity contractures with interventions to anticipate needs, use supportive devices, hand roll or equivalent in the right palm as ordered, and treatment per orders to fingers, elbows, and wrists. The care plan dated 10/16/24 revealed the resident was unable 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 · D2025-12-18 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, medical record review, and policy review, the facility failed to check for placement of a gastronomy tube prior to administering medications through the tube. This affected one (#36) of six residents reviewed for medication administration. The facility census was 46.Findings include:Review of the medical record for Resident #36 revealed an admission date of 03/27/25. Diagnoses included cerebral infarction, chronic obstructive pulmonary disease (COPD), and peripheral vascular disease (PVD).Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #36 had severe cognitive impairment as evidenced by a Brief Interview for Mental Status (BIMS) score of zero. The resident was assessed to require substantial assistance with toileting, bathing, dressing, and transfers.Observation on 12/16/25 at 7:58 A.M. revealed Licensed Practical Nurse (LPN) #163 did not check verify placement or check for residual tube feeding prior to administering medications…

    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 · D2025-12-18 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, medical record review, and policy review, the facility failed to ensure medications were ingested during medication administration prior to leaving the resident's room. This affected one (#14) of six residents reviewed for medication administration. The facility census was 46.Findings include:Review of the medical record for Resident #14 revealed an admission date of 05/02/24. Diagnoses included type II diabetes mellitus, chronic kidney disease, and myocardial infarction.Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #14 had intact cognition as evidenced by a Brief Interview for Mental Status (BIMS) score of 14. The resident was assessed to require setup with eating, supervision with toileting and bathing, and substantial assistance with dressing and transfers.Observation on 12/16/25 at 8:26 A.M. revealed Licensed Practical Nurse (LPN) #133 administered medications to Resident #14 and left the room before Resident #14 took her…

    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
Show the remaining 10 citations
  • Potential for harm · D2025-12-18 · tag F0756 — failed to review each resident's drug regimen — isolated
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, staff interview, and policy review, the facility failed to ensure timely follow-up on pharmacy recommendations during monthly medication reviews. This affected one (#24) of five residents reviewed for unnecessary medications. The facility census was 46.Findings include:Review of Resident #24's medical record revealed an admission dated of 04/24/17. Diagnoses included heart failure, unspecified dementia with other behavioral disturbances, type II diabetes, atrial fibrillation (A-fib), major depressive disorder, anxiety disorder, unspecified psychosis disorder, hypertension, insomnia, and history of transient ischemic attack (TIA).Review of a note to the attending physician/prescriber dated 01/16/25 revealed Resident #24 was continued on the anticoagulant medication rivaroxaban (Xarelto) 15 milligrams (mg) by mouth once daily with supper upon her readmission. Further review revealed the anticoagulant Eliquis five (5) mg by mouth twice daily would be the new recommended dose if feasible. Review of the physician/prescriber response signed and dated 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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-12-18 · 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 observation, medical record review, staff interview, review of food preparation menu and instructions, and policy review, the facility failed to prepare pureed food to a form that was safe and appropriate. This affected three (#20, #29, and #30) of three residents who had puree diet ordered. The facility census was 46.Findings include:Observation on 12/17/25 from 10:30 A.M. to 10:45 A.M. revealed [NAME] #150 placed cooked chicken, broccoli, and rice casserole into the blending canister to be pureed. She blended it, then used the spatula in which she scooped the unpureed casserole into the canister into a clean pan for the pureed food. While pouring the pureed casserole into the clean pan, two full pieces of rice were noticed by the surveyor in the puree. [NAME] #150 stated she was happy with how the food form looked, but then was told about the two full pieces of rice. She scooped them out at that time. Then, she began to puree a second batch of casserole. After pureeing the casserole and placing that batch into the existing pan of pureed casserole, the surveyor requested 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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-09 · tag F0580 — failed to tell family and doctor about changes — isolated
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident representative interview, and medical record review, the facility failed to timely notify a physician or nurse practioner when a change in a resident's condition was identified. This affected one (#23) of three residents reviewed for skin conditions and one (#23) of two residents reviewed for bowel function. The facility census was 47. Findings included: 1. Medical record review for Resident #23 revealed an admission date of 08/30/22. Medical diagnoses included pneumonia, heart failure, septicemia, Alzheimer's disease, and diabetes. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #23 was severely cognitively impaired. Resident #23 required extensive assistance with two person assistance for bed mobility, transfers and toilet use. Resident #23 required supervision for eating with setup help only and was assessed frequently incontinent for bowel and bladder. Interview with Resident #23's Power of Attorney (POA) on 03/06/23 at 10:52 A.M. stated…

    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 · D2023-03-09 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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, medical record review, staff and Power of Attorney (POA) interview, the facility failed to ensure a skin condition was assessed and a treatment was put into place. This affected one (#23) of three residents reviewed for skin conditions. The census was 47. Findings included: Medical record review for Resident #23 revealed an admission date of 08/30/22. Medical diagnoses included pneumonia, heart failure, septicemia, Alzheimer's disease, and diabetes. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #23 was severely cognitively impaired. Resident #23 required extensive assistance with two person assistance for bed mobility, transfers and toilet use. Resident #23 required supervision for eating with setup help only and was assessed frequently incontinent for bowel and bladder. Interview with Resident #23's POA on 03/06/23 at 10:52 A.M. stated Resident #23 had a black spot on his toe, but was not able to identify which toe. Observation on 03/07/23 at 10:51 A.M.…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-09 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, resident and staff interview, fall investigation review, and policy review, the facility failed to complete a root cause analysis as part of their fall investigations and implement resident appropriate fall interventions. This affected three (#16, #23, and #200) of seven residents reviewed for falls. The facility census was 47. Findings include: 1. Review of Resident #16's medical record revealed an admission date of 11/08/2022. Diagnoses included unspecified fracture of the lower right femur (12/09/2022), fracture of the left pubis (11/09/2022), displaced simple supracondylar fracture without intercondylar fracture of the left humerus (11/09/2022), repeated falls, diabetes mellitus type II, unspecified depression, adult failure to thrive, and stage III chronic kidney disease. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #16 required a two-person total assistance with bed mobility, dressing, toileting, and personal hygiene, 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident representative interviews, and medical record review, the facility failed to contact the physician and implement an order for bowel function. This affected one (#23) of two residents reviewed for bowel function. The facility census was 47. Findings included: Review of Resident #23's medical record revealed an admission date of 08/30/22. Medical diagnoses included pneumonia, heart failure, septicemia, Alzheimer's disease, and diabetes. Review of a Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #23 was severely cognitively impaired. Resident #23 was assessed to require an extensive two person assistance for bed mobility, transfers and toilet use. Resident #23 was assessed as frequently incontinent of bowel and bladder. Interview with the Resident #23's Power of Attorney (POA) on 03/06/23 at 11:02 A.M. stated Resident #23 had been having explosive diarrhea. Review of Resident #23's bowel tracker from 02/07/23 through 03/07/23 revealed there were 30 episodes…

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

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-03-09 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
    Provide enough food/fluids to maintain a resident's health.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on medical record review, staff interview, and facility policy review, the facility failed to obtain resident weights as ordered and failed to provide alternates when meal intakes were below desired levels. This affected one (#300) of four residents reviewed for nutrition. The census was 47. Findings include: Review of Resident #300's medical record revealed an admission date of 09/27/22. Diagnoses included diabetes mellitus type II, atherosclerotic heart disease, hypertension, cervicalgia, muscle weakness, colostomy status, fusion of the spine, dysphagia, hyperlipidemia, ischemic cardiomyopathy, and bradycardia. Review of his Minimum Data Set (MDS) assessment, dated 01/06/23, revealed Resident #300 was cognitively intact. Review of Resident #300's orders revealed he was to have weekly weights taken, for the first four weeks, which was dated from 09/28/22 to 10/24/22. Further review of the orders revealed, beginning on 10/19/22, the order was continued for weekly weights. The was to continue until 01/19/23. Review of Resident #300's weights, dated 09/28/22 to 02/01/23,…

    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 before2019-12-28 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff and resident interview and policy review, the facility failed to ensure quarterly care conferences were completed. This affected one (#40) of three residents reviewed for care conferences. The census was 54. Findings Include: Review of the medical record for Resident #40 revealed an admission date of 12/11/15 with diagnoses including cerebral infarction, depression, and anxiety. Review of the Nursing Interdisciplinary Meeting dated 08/20/19 revealed a care conference was held on 08/20/19 and the resident attended the care conference. Review of the medical record for Resident #40 revealed no care conference was held since 08/20/19. Further review of the medical record revealed the facility completed a Quarterly Minimum Data Set Assessment (MDS) dated [DATE] revealed Resident #40 is cognitively intact. Interview with Resident #40 on 12/26/19 at 10:01 A.M. revealed he could not remember the last time he had a care conference. Interview with Social Services Designee #96 on 12/27/19 at…

    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 · D2019-12-28 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observations and staff interview, the facility failed to staff implemented Resident #8's skin treatments for a pressure ulcer and pressure ulcer preventative as physician ordered. This affected one (#8) of two residents reviewed for pressure ulcers. The facility census was 54. Findings include: Record review of Resident #8 revealed an admission date of 08/15/19. Diagnoses include atherosclerotic heart disease of native coronary artery, angina pectoris, hyperlipidemia, type 2 diabetes mellitus, transient cerebral ischemic attack, pain, dementia without behavioral disturbance, pressure ulcer of sacral region, pressure ulcer of left heel, and peripheral vascular disease. Review of the modified quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was cognitively intact and required extensive assistance for transfer, locomotion on and off unit, toilet use and bathing. Resident #8 required extensive assistance of two people for bed mobility, dressing 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2019-12-28 · tag F0770 — failed to provide lab services — isolated
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on medical record review and staff interview, the facility failed to obtain laboratory (lab) values as physician ordered. This affected one (#3) out of five residents reviewed for unnecessary medications. The facility census was 54. Findings include: Review of the medical record for Resident #3 revealed an admission date of 01/23/14. Diagnoses include dementia, hypertension, psychosis, hyperlipidemia, and depression. Review of physician telephone order dated 10/28/19 revealed an order to start Depakote for dementia with behavioral disturbance and in ten days obtain a Complete Blood Count (CBC) and a Valproic Acid level. Review of labs in medical record revealed last CBC done was on 07/09/19 and a valproic acid level only was obtained on 11/07/19. Interview was conducted on 12/28/19 at 2:16 P.M. with the Director of Nursing (DON) and she verified that the CBC level was not drawn as ordered.

    Administration Deficiencies · Deficient, Provider has date of correction

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

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

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

RatingThis homeChain avg
Overall 4 of 53.1+0.9 vs chain
Health inspection 3 of 52.9+0.1 vs chain
Staffing 2 of 52.8-0.8 vs chain
Quality measures 5 of 54.1+0.9 vs chain
The other 21 homes this chain runs (chain average 3.1★, per CMS)

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

Who owns this facility

Owner / managerTypeRoleShareSince
CHAD M. UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 12/13/2021
DAVID V. UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 12/13/2021
JEFFREY L. UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 12/13/2021
JOANN C. UNVERFERTH 12-29-04 REVOCABLE TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST5%since 12/13/2021
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KENDRA M. UOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST7%since 12/13/2021
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KERRI A. ROOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST7%since 12/13/2021
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KEVAN R. UNOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST7%since 12/13/2021
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KRISTEN S.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST7%since 12/13/2021
JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KYLE J. UNVOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST7%since 12/13/2021
JOSEPH L. UNVERFERTH 12-15-11 IRRV GRANTOR TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 12/13/2021
LAWRENCE G. UNVERFERTH 12-13-11 IRRV GRANTOR TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 12/13/2021
R. STEVEN UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST6%since 12/13/2021
CREAMER, SUEIndividualW-2 MANAGING EMPLOYEE; CORPORATE DIRECTORsince 11/14/2003
KLAY, CELESTEIndividualW-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; CORPORATE OFFICERsince 01/01/2016
ROMES, KERRIIndividualW-2 MANAGING EMPLOYEE; CORPORATE DIRECTOR; CORPORATE OFFICERsince 03/29/2019
SHAW, ANTHONYIndividualW-2 MANAGING EMPLOYEE; CORPORATE OFFICERsince 06/26/2015
UNVERFERTH, CHADIndividualW-2 MANAGING EMPLOYEE; CORPORATE OFFICERsince 01/01/2004
HCF MANAGEMENT, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROLsince 10/03/2002

CMS files one row per role, so the 25 rows in the source record cover these 18 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

$6.5M
Net patient revenuemost recent cost report
+10.8%
Operating marginrevenue minus expenses
$319K
Related-party expense5% of expenses
Who pays — share of resident-days
Medicaid 70%Medicare 6%Other / private 24%

This home reported $319K 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

$320per resident / day
operating cost
$9,718per month
≈ monthly operating cost
$358per 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 365318. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-12-18, 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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