Elms Retirement Village INC

Location & what’s nearby

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

Quality measures — how residents actually fare

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.

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.

45.4% 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 34 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 45.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 22 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 0.45 therapist hours per resident per day in 2026Q1 — more than 76% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 13% 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.

Staffing

How full it usually is: this home is certified for 60 beds and averages 49.9 residents a day — about 83% 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 3.67 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.57 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.23 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 3.39 hrs/resident/day on weekends vs 3.78 on weekdays — 10% thinner on weekends. RN hours go from 0.53 to 0.67 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 43% is about the same as the national median of 45%.

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

Inspection trend

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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

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

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

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · Dcited before2025-05-02 · 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 review of the medical record, review of the facility investigation, interview with the staff, and review of facility policy and procedure, the facility failed to ensure the legal representative, physician and Resident #50 were notified of a medication error for Resident #50. This affected one resident (Resident #50) of three reviewed for medication errors. Findings included: Review of the medical record revealed Resident #50 was admitted to the facility on [DATE]. Diagnoses included quadriplegia, stage four sacral wound, stage four right buttock wound, osteomyelitis, severe protein calorie malnutrition, anxiety disorder, depression, and cachexia. She had a Power of Attorney (POA) and was discharged home on [DATE]. Review of the Quarterly Minimum Data Set assessment dated [DATE] revealed Resident #50 had intact cognition. She received scheduled pain medications, as needed pain medications, and non-medication interventions for pain. Review of the physician's orders revealed Resident #50 had an order dated…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-02 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of the medical record, review of the facility investigation, interview with the staff, and review of facility policy and procedure, the facility failed to ensure Resident #50 was free of significant medication errors. This affected one resident (Resident #50) of three reviewed for medication errors. Findings included: Review of the medical record revealed Resident #50 was admitted to the facility on [DATE]. Diagnoses included quadriplegia, stage four sacral wound, stage four right buttock wound, osteomyelitis, severe protein calorie malnutrition, anxiety disorder, depression, and cachexia. She had a Power of Attorney (POA) and was discharged home on [DATE]. Review of the Quarterly Minimum Data Set assessment dated [DATE] revealed Resident #50 had intact cognition. She received scheduled pain medications, as needed pain medications, and non-medication interventions for pain. Review of the physician's orders revealed Resident #50 had an order dated 11/21/24 for Dilaudid (pain medication) 4…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-13 · 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, record review, and interview, the facility failed to ensure the physician was notified of unavailable medications. This affected two residents (#29 and #51) of three residents reviewed for notification. The facility census was 50. Finding include: 1. Review of the medical record for Resident #51 revealed an admission date of 10/08/24 at 11:30 P.M. with diagnoses including osteomyelitis, multiple sclerosis, neuropathy, nicotine dependence. The resident was discharged on 10/09/24. Review of the Medication Administration Record (MAR) revealed an order for oxycodone 10 milligram (mg) was signed as administered on 10/09/24 at 8:00 A.M. and 12:00 P.M. There were no other medications administered. The MAR indicated missing doses for the following. Cefazolin intravenous (IV) antibiotic two doses, Duloxetine (antidepressant) one dose, Robaxin (muscle relaxer) three doses, midodrine (use to increase blood pressure) two doses, oxycodone (for pain) three doses, Metamucil one dose, Miralax one dose,…

  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 · D2024-11-13 · 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 record review and interview the facility failed to ensure on going monitoring of resident status. This affected one (Resident #51) of three reviewed for quality of care. The facility census was 50. Finding include: Review of the medical record for Resident #51 revealed an admission date of 10/08/24 at 11:30 P.M. with diagnoses including osteomyelitis, a bone infection, of the vertebra of the sacral and sacrococcygeal region, the tailbone, multiple sclerosis, neuropathy, nicotine dependence. The resident was discharged on 10/09/24 at approximately 8:00 P.M. The resident did not receive any medications from the pharmacy prior to discharge. Review of the Medication Administration Record (MAR) revealed oxycodone 10 milligram (mg) was signed as administered on 10/09/24 at 8:00 A.M. and 12:00 P.M. there were no other medications administered. The MAR indicated missed medications of: Cefazolin intravenous (IV) antibiotic two doses, Duloxetine (antidepressant) one dose, Robaxin (muscle relaxer) three doses,…

  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 · D2024-11-13 · 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, record review, and interview, the facility failed to ensure medications were available for administration. This affected two residents (Resident #29 and Resident #51) of three reviewed for medication administration. The facility census was 50. Finding include: 1. Review of the medical record for Resident #51 revealed an admission date of 10/08/24 at 11:30 P.M. with diagnoses including osteomyelitis, multiple sclerosis, neuropathy, nicotine dependence. The resident was discharged on 10/09/24. Review of the admission medication orders revealed the following: Cefazolin 2000 milligrams (mg) infused morning, noon and evening, duloxetine (antidepressant) 20 mg daily, hydroxyzine (antihistamine) 25 mg daily, Robaxin (muscle relaxant) 750 mg four times daily, midodrine (used for hypotension) 20 mg three times daily, oxycodone 10 mg every four hours as needed for pain, trazodone 150 mg at night for sleep, Metamucil daily, MiraLAX daily, prednisone (steroid) 10 mg, trazodone 150 mg used for sleep 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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-13 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure the residents were free of significant medication errors. This affected two residents (Resident #29 and Resident #51) of three reviewed for medication administration. The facility census was 50. Finding include: 1. Review of the medical record for Resident #51 revealed an admission date of 10/08/24 with diagnoses including osteomyelitis, multiple sclerosis, and neuropathy. The resident was discharged on 10/09/24. Review of the October 2024 physician orders revealed an order for Cefazolin intravenous (IV) infusion, an antibiotic three times daily for osteomyelitis and an order for midodrine used to increase blood pressure, three times daily. Review of the Medication Administration Record (MAR) for October 2024 revealed on 10/09/24, two doses of Cefazolin IV were signed off as not available upon rise and at lunchtime. On 10/09/24, two doses of midodrine were signed off as not available prior to breakfast and prior to lunch. Review of…

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

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-28 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ensure all required notices were provided to residents when skilled services were discontinued. This affected two (#2 and #11) of three residents review for beneficiary notices. The facility census was 41. Findings include: 1. Review of Resident #2's medical record revealed the resident was admitted to the facility on [DATE]. Diagnoses included anemia, chronic kidney disease, and dislocation of the right knee. Further review of the medical record revealed Resident #2 was discharged from skilled services while using her Medicare Part A benefit on 10/02/23 and chose to remain in the facility. Review of the notices given to Resident #2 revealed the resident received a Notice of Medicare Non-Coverage (NOMNC) as required; however, the additional required Skilled Nursing Facility Advanced Beneficiary Notice of Non-Coverage (SNF ABN) was not given to Resident #2. 2. Review of Resident #11's medical record revealed the resident was admitted 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-03-28 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, and resident and staff interview, the facility failed to ensure dependent residents received appropriate nail care. This affected one (#22) of two residents reviewed for activities of daily living. The facility census was 41. Findings include: Review of Resident #22's medical record revealed admission to the facility occurred on 10/19/23. Diagnoses included major depression, Parkinson's disease, chronic kidney disease, pressure ulcers, and anxiety. Review of Resident #22's Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #22 was assessed with intact cognition and required substantial assistance with showers and activities of daily living (ADLs). Observation and interview with Resident #22 on 03/25/24 at 9:27 A.M. revealed Resident #22 was observed with have long finger nails on both hands. Interview with Resident #22 stated she did not like long finger nails, and stated no staff offered to cut them and she really wanted them cut. Observation 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2021-08-26 · tag F0570 — pattern
  Assure the security of all personal funds of residents deposited with the facility.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on review of the surety bond, trial balance funds sheet and staff interview the facility failed to provide a surety bond large enough to cover the total amount of money in all resident personal funds accounts. This affected 26 residents who currently had a resident funds account with the facility. The facility census was 39. Findings include: Review of this facility's surety bond revealed it was in the amount of $35,000.00. Review of the resident trial balance funds documented the total money in the resident funds account totaled $46,104.68. Interview on 08/25/21 at 10:30 A.M. the Administrator verified the amount of monies in the resident funds account exceeded the amount of the surety bond.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2021-08-26 · 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 record review, interview and policy review, the facility failed to ensure the bowel regimen protocol was followed to prevent constipation. This affected one resident (Resident #7) of the three residents reviewed for incontinence care. The facility census was 39. Findings include: Review of the medical record for Resident #7 revealed an admission date of 10/25/18. Diagnosis included dementia with Lewy bodies, adult failure to thrive, insomnia, and encounter for palliative care. Review of the care plan dated 10/29/18 revealed she had potential for alteration in bowel elimination, constipation related to process and impaired mobility. Interventions included to assist with toileting as needed, record all stools, report irregularities to charge nurse, encourage fluid intakes as appropriate, note any signs or symptoms of constipation, monitor stool frequency, and follow bowel regimen protocol as needed. Review of the significant change minimum data set (MDS) assessment dated [DATE] revealed the resident was…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

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

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to SPRENGER HEALTH CARE SYSTEMS — 12 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 →

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

CMS files one row per role, so the 39 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

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

Follow the money — this home’s finances

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

This home reported $629K paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

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

Cost & finances

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

What families pay in OH