No sales calls · nothing personal collected unless you ask us to · no facility pays to be here
Text size
Contrast

Lutheran Home

2116 Dover Center Rd, Westlake, OH 44145 · Non profit - Corporation · 40 certified beds · (440) 871-0090 Medicare & Medicaid certified

Call the home — (440) 871-0090 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse-prevention, restraint, or reporting citations — no harm found (F0604, F0609, F0610) — most recent Aug 2023Behavioral-health or dementia-care citation — no harm found (F0758)
Insights

On the public record, this home looks stronger than most — but visit before you decide.

In its favor
  • a strong health-inspection score (4/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
  • no federal fines or payment denials on record
  • a high payroll-based staffing rating (4/5)
Worth asking about
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • a high number of inspection citations overall (15) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its last standard health inspection was over 3 years ago — the star rating may not reflect current conditions

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 4 of 5
StaffingFrom payroll records (PBJ) 4 of 5
Quality measuresSelf-reported by the facility 4 of 5

Location & what’s nearby

Hospital
★★★★ 4/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
26908 Detroit Rd · (440) 250-8660 · Call to confirm hours
Pharmacy
27121 Center Ridge Rd · (440) 777-6200 · Call to confirm hours
Grocery
Rimi's0.5 mi
26531 Center Ridge Rd · (440) 777-0116 · Call to confirm hours
Park
2929 Northglen Dr · (440) 342-0895 · Typically dawn to dusk
Place of worship
2239 Dover Center Rd · (440) 871-1050

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

Quality measures — how residents actually fare

Overall quality measures 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 4 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 improved from 4 to 5 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 rating5★
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 increased12.3%5.3%15.4%worse than state — see note marked double-dagger below the table
Long-stay residents who lose too much weight9.5%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 infection1.2%0.4%2.0%worse than state — see note marked double-dagger below the table
Long-stay residents with depressive symptoms2.5%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 injury4.6%3.2%3.3%worse
Long-stay residents whose ability to walk worsened20.1%6.1%16.1%worse than state — see note marked double-dagger below the table
Long-stay residents on antianxiety or hypnotic medication26.2%25.5%18.9%worse
Long-stay residents given the seasonal flu vaccine100.0%94.5%95.3%typical
Long-stay residents with pressure ulcers6.1%3.4%4.7%worse
Long-stay residents with worsening bladder/bowel control28.7%21.4%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table5.7%8.8%17.1%better
Short-stay residents who newly got an antipsychotic medication0.0%1.2%1.4%better
Short-stay residents given the seasonal flu vaccine99.3%75.6%79.4%better
Short-stay residents rehospitalized after admission19.7%24.9%22.6%better
Short-stay residents with an outpatient ER visit7.7%12.9%12.0%better
Long-stay hospitalizations per 1,000 resident days1.291.731.67better
Long-stay outpatient ER visits per 1,000 resident days1.441.801.80better

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.

56.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 121 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

56.5%U.S. median 51.5%
Got home and stayed home
11.8%U.S. median 10.7%
Went back to hospital
39.4%U.S. median 56.6%
Met the expected recovery
0.50U.S. median 0.31
Therapy hours / resident / day
0.26hours / resident / day
Physical therapy
0.16hours / resident / day
Occupational therapy
0.08hours / resident / day
Speech therapy

Met the expected recovery: 39.4% 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 66 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 0.50 therapist hours per resident per day in 2026Q1 — more than 81% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 6% 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 SNF56.5%CMS range 47.8–65.651.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.8%CMS range 8.2–16.410.7%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 discharge39.4%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge74.2%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge21.2%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified98.9%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge90.5%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay1.1%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.3%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization5.5%CMS range 3.2–9.57.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.881.02Oct 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

0.65
RN hours/ resident / day
1.54
LPN hours/ resident / day
3.17
Aide hours/ resident / day
5.37
Total nurse hours/ resident / day
0.42
RN hoursweekends
51.6%
Total nursing turnover
38.5%
RN turnover

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 5.37 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.65 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.17 is at or above 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 5.08 hrs/resident/day on weekends vs 5.48 on weekdays — 7% thinner on weekends. RN hours go from 0.75 to 0.42 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 52% is about the same as the national median of 45%.

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

Inspection trend

6
deficiencies at the latest standard inspection (2023-08-24)
1
at the previous standard inspection (2020-01-16)

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.

This trend is not current. The most recent of these two inspections was over 3 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.

ABCDEFGHIJKL

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

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

  • Potential for harm · D2025-11-24 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, review of facility policy, review of facility education in-service, review of a disciplinary action form, and staff interview, the facility failed to ensure care and services for a peripherally inserted central catheter (PICC) line site were completed as ordered. This affected one resident (#70) of three residents reviewed for intravenous (IV) access. The facility census was 66.Findings include: Review of the medical record for Resident #70 revealed an admission date of 08/21/25 and discharge date of 09/13/25. Diagnoses included Evan's syndrome (an autoimmune disorder where the immune system destroys its own blood cells), systemic lupus erythematosus, hereditary hemolytic anemia, long term use of antibiotics, and drug or chemical induced diabetes mellitus with hyperglycemia.Review of the admission assessment dated [DATE] revealed Resident #70 admitted to the facility from the hospital for urinary tract infection (UTI) and was being treated with antibiotics (ATB). It was noted…

    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 · D2023-08-24 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and policy review the facility failed to ensure Resident #64 was free from physical restraints. This affected one resident (#64) of one resident reviewed for restraints. The facility census was 104. Findings include: Review of the medical record for Resident #64 revealed an admission date of 05/07/22. Diagnoses included Parkinson's disease, dementia, and type two diabetes. Review of the annual, Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #64 had a short-and long-term memory problem, was severely impaired for tasks of daily life, and required two-person total dependence for activities of daily living (ADL). Further review of the MDS assessment, section P, revealed physical restraints were any manual method or physical or mechanical device, material or equipment attached or adjacent to the resident's body that the individual cannot remove easily which restricts freedom of movement or normal access to one's body. Review of section P revealed…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-08-24 · 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, interview, review of the fall investigations, and facility policy review the facility failed to ensure fall prevention interventions were in place to prevent falls for Resident #78 and failed to ensure falls were thoroughly investigated. This affected one resident (#78) of three residents reviewed for accidents. The facility census was 104. Findings include: Review of the medical record for Resident #78 revealed an admission date of 08/22/22. Diagnoses included Alzheimer's, muscle weakness, repeated falls, anxiety, pain, and insomnia. Review of the fall risk assessment dated [DATE] revealed Resident #78 was at high risk for falls. Review of the fall risk plan of care dated 02/20/23 revealed Resident #78 was at risk for falls due to limited mobility, muscle weakness, and a history of a right hip fracture. Interventions included anti-rollbacks to her wheelchair, Dycem (non-skid material) under her wheelchair seat cushion, non-skid footwear when out of bed, a night light in her room,…

    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 before2023-08-24 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and facility policy review the facility failed to ensure a prescribed antibiotic was not given for more than 14 days without a rationale. This affected one resident (#15) of five residents reviewed for unnecessary medications. The facility census was 104. Findings include: Review of the medical record for Resident #15 revealed an admission date of 12/11/20. Diagnoses included dry eye syndrome, anxiety, paraplegia, and corneal ulcer to the right eye. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #15 was cognitively intact. She required extensive assistance of one person for transfers, bed mobility, dressing, toilet use, and hygiene. Review of the physician's orders for August 2023 revealed an order for Refresh Plus Solution one drop in both eyes four times a day (QID), Restasis 0.05 % one drop in both eyes one time a day (QD) and Moxifloxacin HCl ophthalmic drop (used to treat infections of the membrane that covers the outside of the…

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

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-08-24 · tag F0758 — failed to limit and justify psychotropic drugs — isolated
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, interview, and facility policy review the facility failed to ensure non-pharmacological interventions were utilized, failed to ensure anti-anxiety medications were used for the intended purpose and not used for longer than 14 days without a rationale. This affected three residents (#48, #71, and #94) of five residents reviewed for unnecessary medications. The facility census was 104. Findings include: 1. Review of the medical record for Resident #48 revealed an admission date of 09/26/22. Diagnoses included Lupus, psychosis, anxiety, fibromyalgia, chronic kidney disease, and arthritis. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #48 was cognitively intact. She was totally dependent on two people for transfers, required extensive assistance of two people for bed mobility and toilet use and extensive assistance of one person for dressing and hygiene. Review of the physician's orders for August 2023 revealed Resident #48 was ordered Ativan 0.5…

    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 · Fcited before2020-01-16 · 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, record review and interview the facility failed to develop a comprehensive infection control program to decrease the risk of infections and ensure adequate monitoring of infections was completed. The facility failed to maintain consistent use of isolation precautions for Resident #9 and failed to ensure dressing changes were completed to reduce the risk of infection for Resident #40 and #110. This affected three residents (#9, #40 and #110) and had the potential to affect all 126 residents residing in the facility. Finding include: 1. Review of the facility monthly infection control logs and quarterly infection control summaries revealed the total numbers of residents marked as positive for infections for the last four quarters had increased. The number of residents marked as positive for the first quarter (January to March) of 2019 was 20, the second quarter (April to June) number was 35, and the third quarter (July to September) for 2019 was 37. There was no totaled number for the fourth…

    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 · F2018-11-29 · tag F0725 — failed to have enough nursing staff — widespread
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    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 maintain sufficient levels of nursing staff to ensure call lights were answered timely and to meet the total care needs of all residents. This affected 13 residents (Resident #12, #13, #25, #33, #40, #71, #73, #74, #77, #84, #85, #118 and #120) and had the potential to affect all 134 residents residing in the facility. Findings include: 1. During the annual survey, the following residents identified concerns related to staffing: Interview on 11/26/18 at 10:36 A.M. with Resident #71 revealed the resident felt the facility needed more staff because she had incidents in which she had to to sit on the toilet too long. Interview on 11/26/18 at 10:50 A.M. with Resident #74 revealed sometimes she has to wait 40 minutes for her call light to get answered, more on second shift, and she had been left on the bed pan for two hours a couple months ago. Interview on 11/26/18 at 2:40 P.M. with Resident #84 revealed the facility was short on staff in the…

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

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2018-11-29 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on record review and interview the facility failed to ensure an allegation of neglect involving Resident #186 was reported timely to the State agency as required. This affected one resident (Resident #186) of two residents reviewed for abuse and neglect. Findings include: Review of a facility self reported incident, dated 06/03/18 revealed Resident #186 alleged an incident of neglect when a State tested nursing assistant did not answer the resident's call light within a reasonable time period around 3:00 A.M. Review of the investigation revealed the final report of the incident was not submitted to the State agency until 06/12/18. An interview with the Administrator on 11/28/18 at 2:45 P.M. revealed he had completed the investigation of the incident. He stated he was aware of the five day time frame to report the final results of the investigation to the State agency but verified he had not completed and submitted the final disposition of the investigation to the State agency within five business days as required. Review of the facility Abuse policy, revised January 2018…

    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 · D2018-11-29 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    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 an allegation of neglect, involving Resident #186 was thoroughly investigated. This affected one resident (Resident #186) of two residents reviewed for abuse and neglect. Findings include: Record review revealed Resident #186 was admitted to the facility on [DATE] with diagnoses including obstructive sleep apnea, chronic obstructive pulmonary disease, hypoxemia and anxiety. Review of the admission Minimum Data Set (MDS) 3.0 assessment, dated 05/01/18 revealed the resident was cognitively intact and required the extensive assistance of two staff for her activities of daily living. The resident was discharged from the facility to her home on [DATE]. Review of a facility self reported incident, dated 06/03/18 revealed Resident #186 alleged a State tested nursing assistant did not answer her call light within a reasonable time period around 3:00 A.M. Review of the facility investigation of the incident revealed the investigation did not include an…

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

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2018-11-29 · 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 observation, record review and interview the facility failed to ensure Resident #45's fall interventions were in place as ordered. This affected one resident (Resident #45) of one resident reviewed for accident hazards. Findings include: Record review revealed Resident #45 was admitted to the facility on [DATE] with diagnoses including fracture of upper end of left humerus, psychosis, vascular dementia with behavioral disturbance, muscle weakness, and history of falling. Resident #45's quarterly Minimum Data Set (MDS) 3.0 assessment, dated 10/01/18 revealed his cognition was severely impaired and he required extensive two person assistance for bed mobility and transfers. Resident #45's physician's order, dated 04/05/18 revealed the resident's bed should be in low position. Resident #45's active comprehensive care plan for being at risk for falls revealed an intervention of bed in lowest positioning. Observation on 11/27/18 at 9:05 A.M. revealed Resident #45 was in his room by himself. 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
Show the remaining 5 citations
  • Potential for harm · D2018-11-29 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to implement a comprehensive and individualized pain management program to adequately manage Resident #118's pain. This affected one resident (Resident #118) of one resident reviewed for pain. Findings include: Record review revealed Resident #118 was admitted to the facility on [DATE] with diagnoses including quadriplegia, generalized anxiety disorder, major depressive disorder, muscle spasms, constipation, chronic pain due to trauma, and dislocation of C6/C7 vertebrae. Resident #118's quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed his cognition was intact and he was totally dependent on two staff for bed mobility, transfers, toileting, and dressing. Resident #118's medical record revealed on 10/18/18 he was admitted to the hospital for constipation. Resident #118's physician orders prior to being admitted to the hospital revealed he was ordered Morphine sulfate contin 15 milligrams every eight hours as needed for pain and Lyrica…

    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 before2018-11-29 · tag F0757 — failed to avoid unnecessary drugs — isolated
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 2. Record review revealed Resident #45 was admitted to the facility on [DATE] with diagnoses including vascular dementia with behavioral disturbance and hypertensive heart disease with heart failure. Resident #45's quarterly Minimum Data Set (MDS) 3.0 assessment, dated 10/01/18 revealed his cognition was severely impaired and he required extensive two person assistance for bed mobility and transfers. Resident #45's active comprehensive care plan for congestive heart failure revealed an intervention to give cardiac medications as ordered. Resident #45's physician orders dated 08/23/18 revealed he was ordered Isordil titradose, 15 milligrams, by mouth two times a day for heart failure. The order indicated the medication should be held if the resident's systolic blood pressure was less than 110. Review of Resident #45's November 2018 Medication Administration Record (MAR) revealed the Isordil titradose medication was not held on 11/05/18 at 9:00 P.M. with his blood pressure at 102/68, on 11/06/18 with his blood…

    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 before2018-11-29 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview the facility failed to ensure consistent infection control measures were in place to to manage Resident #109's urinary tract infections. This affected one resident (Resident #109) of two residents reviewed for urinary tract infections. Findings include: Record review revealed Resident #109 was re-admitted to the facility on [DATE] with diagnoses including arthropathy, multiple fractures of ribs, difficulty walking and major depressive disorder. Resident #109's Health Status Note, dated 09/20/2017 revealed the resident had increased confusion, and her daughter wanted a urine dip. The following note on 09/21/17 revealed her urine was positive for blood and leukocytes, the urine was cloudy with foul odor, the resident had to urinate more than usual and a urine sample was obtained. On 09/24/17 she was started on an antibiotic for seven days. Resident #109's medical record contained no evidence she her urine was retested or that she was placed on isolation…

    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
  • No harm found · C2023-08-24 · tag F0838 — failed to assess facility resources and resident needs — widespread
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interview the facility failed to ensure its facility assessment contained necessary required information. This had the potential to affect all 104 residents residing in the facility. Findings include: Review of the facility assessment dated [DATE] with a cover letter reading for the year of 2023, revealed it did not contain the following required information: • Information related to facility staffing level needs, evaluation of any contracts, memorandums of understanding including third party agreements for the provision of goods, services, or equipment to the facility during both normal operations and emergencies. • An evaluation of the overall number of facility staff needed to ensure sufficient number of qualified staff available to meet each resident's needs. • Information regarding the facility's resources which include supplies, equipment, or other services necessary to provide for the needs of residents. • Information regarding a competency-based approach to determine the…

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

    Administration Deficiencies · Deficient, Provider has date of correction
  • No harm found · C2023-08-24 · tag F0868 — widespread
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — the official record, unedited, may be distressing

    Based on record review and staff interview, the facility failed to ensure the medical director was an active participant of the Quality Assurance (QA) Committee. This had the potential to affect all residents. The facility census was 104. Findings include: Review of the facilities sign-in sheet for the QA meeting minutes for the meetings held on 10/19/22, 02/27/23, 04/09/23 revealed no documented evidence the medical director attended the meetings. Interview with the Administrator on 08/24/23 at 2:06 P.M. verified the medical director did not attend the QA meetings as required.

    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.

Who owns this facility

Owner / managerTypeRoleSince
ANDERSON, TODDIndividualCORPORATE DIRECTORsince 11/29/2023
BOWERSOX, JAMESIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 09/01/2020
BRUESHABER, LARRYIndividualCORPORATE DIRECTORsince 09/01/2020
BURGESS, DOUGLASIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2026
EAST, SANDRAIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2026
FOWERBAUGH, ANDREWIndividualCORPORATE DIRECTORsince 11/29/2023
HILDAL, ROBYNIndividualCORPORATE DIRECTORsince 11/29/2023
KAHLE, THOMASIndividualCORPORATE DIRECTORsince 09/01/2020
MCQUINN, SCOTTIndividualCORPORATE DIRECTOR; CORPORATE OFFICERsince 09/01/2020
MOLNAR, DAVEIndividualCORPORATE DIRECTORsince 11/29/2023
PALMER, MARKIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2026
PRESENT, PHILIPIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2026
SHORT, MARYIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2026
THORPE, JOSEPHIndividualCORPORATE DIRECTOR; OPERATIONAL/MANAGERIAL CONTROLsince 01/01/2026
LIFE ENRICHING COMMUNITIESOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
LIFE ENRICHING COMMUNITIES FOUNDATIONOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
ALEXANDER, ERINIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
BOURNE, PAULAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
BRITTON, ANGELAIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
CONLON, CELIAIndividualOPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNFsince 01/01/2025
COPE, MICHAELIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
DEBENEDICTIS, LANCEIndividualOPERATIONAL/MANAGERIAL CONTROL; TRUSTEE OF THE SNFsince 01/01/2025
GRIMMETT, DARRELLIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
MCDONNELL, KEVINIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
MCMANUS, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
NICHOLS, CHRISTOPHERIndividualOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2025
AMERICAN MEDICAL PERSONELOrganizationADP OF THE SNFsince 01/01/2025
CARING COMMUNITIES SHARED SERVICES LTD.OrganizationADP OF THE SNFsince 01/01/2025
FRIENDS SERVICES FOR THE AGINGOrganizationADP OF THE SNFsince 05/01/2018
INTELYCARE INCOrganizationADP OF THE SNFsince 01/01/2025
NURSE DASHOrganizationADP OF THE SNFsince 01/01/2025
PLANTE & MORAN PLLCOrganizationADP OF THE SNFsince 01/01/2025
CARMANY, MARGARETIndividualADP OF THE SNFsince 01/01/2025
GRIMES, TIMOTHYIndividualADP OF THE SNFsince 01/01/2025
GROVER, DIANEIndividualADP OF THE SNFsince 01/01/2025
KLAWITTER, CHRISIndividualADP OF THE SNFsince 01/01/2025
LOURENCE, SAMANTHAIndividualADP OF THE SNFsince 01/01/2025
MINIACI, ANTHONYIndividualADP OF THE SNFsince 01/01/2024

CMS files one row per role, so the 48 rows in the source record cover these 38 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

8 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.

$11.1M
Net patient revenuemost recent cost report
-27.4%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 8%Medicare 6%Other / private 86%

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

$377per resident / day
operating cost
$11,463per month
≈ monthly operating cost
$296per 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 365020. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2023-08-24, 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.

What to do next