Willoughby Post Acute
37603 Euclid Ave, Willoughby, OH 44094 · For profit - Corporation · 157 certified beds · (440) 951-5551 Medicare & Medicaid certified
The public record raises real questions here. Weigh the concerns below carefully.
- a middle-of-the-pack inspection score (3/5)
- it has 1 actual-harm citation
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (21) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $39,840 in federal fines (most recent 2025-10-22)
- its facility-reported quality-measure score sits well above its independent inspection score
- its payroll-based staffing rating is low (2/5)
- 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.
| 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
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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 2 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 2 to 4 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 3.2% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 3.1% | 6.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.2% | 0.2% | 0.9% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 35.2% | 30.1% | 6.5% | worse than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 0.0% | 3.2% | 3.3% | check this* — see note marked star below the table |
| Long-stay residents whose ability to walk worsened | 4.0% | 6.1% | 16.1% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 22.4% | 25.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 95.8% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 5.0% | 3.4% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 24.7% | 21.4% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 3.2% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 1.4% | 1.2% | 1.4% | typical |
| Short-stay residents given the seasonal flu vaccine | 50.2% | 75.6% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 29.3% | 24.9% | 22.6% | worse |
| Short-stay residents with an outpatient ER visit | 10.1% | 12.9% | 12.0% | better |
* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.
‡ 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.
54.8% 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 183 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 29.3% 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 58 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 0.22 therapist hours per resident per day in 2026Q1 — more than 26% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 7% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 54.8%CMS range 48.3–62.3 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 9.9%CMS range 7.2–13.2 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 29.3% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 27.6% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 31.0% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 93.8% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS 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 stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.8%CMS range 4.0–10.4 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 0.80 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 157 beds and averages 132.4 residents a day — about 84% occupied, or roughly 25 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 2.99 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.52 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.67 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 2.68 hrs/resident/day on weekends vs 3.12 on weekdays — 14% thinner on weekends. RN hours go from 0.58 to 0.36 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 44% 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 unchanged from the previous inspection. 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.
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.
21 citations, most serious first. The 12 most serious are shown; the remaining 9 are one tap away and print in full.
- Actual harm · G2025-10-22 · tag F0697 — failed to manage pain — isolatedProvide safe, appropriate pain management for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on closed record review, policy review and interview, the facility failed to provide adequate and timely pain assessment and interventions following a fall with acute injury. This affected one resident (#148) of three residents reviewed for pain. The facility census was 146. Actual Harm occurred on 09/25/25 when Resident #148 was diagnosed with displaced fractures of the left lower leg bones (tibia and fibula) from a fall that had occurred on 09/24/25. Resident #148, who was admitted to the facility on [DATE] for respite care with hospice services was not adequately assessed or provided timely pain interventions following the fall on 09/24/25. During the morning of 09/25/25 it was noted Resident #148 had been up all night the previous night screaming, crying loudly and being aggressive. Resident #148's pain escalated throughout the day on 09/25/25 until an x-ray was ordered. On 09/25/25 at 7:04 P.M. (almost 24 hours after the fall) the radiology report identified the resident's fractures, and the 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.
- Actual harm · Gcited before2023-08-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, record review and interview the facility failed to ensure Resident #49 was transferred safely between the bed and the wheelchair. Actual harm occurred on 07/02/23 when Resident #49 began complaining of pain in her right leg after her leg got caught between her bed and wheelchair during a staff assisted transfer. X-ray results dated 07/04/23 indicated Resident #49 had a right tibia and fibula fracture. The facility investigation determined this injury was caused from the staff assisted transfer. This affected one resident (#49) of six residents reviewed for accident hazards. The total census was 143. Findings include: Record review for Resident #49 revealed the resident was admitted to the facility on [DATE] and had diagnoses including diabetes, spinal stenosis, and venous insufficiency. A plan of care, dated 11/04/22 revealed staff were to provide assistance with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-04-23 · tag F0740 — failed to provide behavioral / mental-health care — isolatedEnsure each resident must receive and the facility must provide necessary behavioral health care and services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, interview and review of facility policy, the facility failed to ensure behavioral health services were appropriately provided for one resident (#122) of three reviewed for behavioral health services. The facility census was 121.Findings include:Review of the closed medical record for Resident #122 revealed an admission date of 10/14/25 and discharge date of 04/04/26. Diagnoses included but were not limited to Raynaud's syndrome, liver disease, history of transient ischemic attack (TIA), osteoarthritis, obstructive uropathy, major depressive disorder, generalized anxiety disorder, peripheral vascular disease (PVD), obesity, alcohol abuse, and nicotine dependence. Review of the facility supplemental admission agreement dated 10/15/25 for Resident #122 revealed the resident had signed the form granting permission to receive psych services while at the facility.Review of the physician order dated 10/15/25 for Resident #122 revealed an order for staff to record behavior monitoring each shift . The scale indicated to record zero (0) if no behaviors, record…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2025-08-05 · tag F0921 — failed to keep a safe, functional, sanitary building — widespreadMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and facility policy review, the facility did not ensure the carpeting in the hallways of all units was maintained in a clean manner. This had the potential to affect all 136 residents residing in the facility. Findings include: Observation on 07/30/25 from 8:23 A.M. to 9:23 A.M. revealed the carpeting in the hallways of all units were discolored and contained multiple black, brown stains throughout. Interview on 07/31/25 at 9:13 A.M. with Environmental Service Manager #613 revealed she was aware there were multiple stains on the carpeting on all the units. She revealed the facility had a floor technician who cleaned the carpeting routinely, but the carpeting was old, and the stains did not come up even after cleaned. She stated, the carpeting needs to be replaced. She revealed she was unsure if there were any quotes on getting the carpeting replaced or where the facility was at regarding replacing the carpeting. Environmental tour on 07/31/25 from 9:30 A.M. to 9:44 A.M. with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-08-05 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, review of the medical record, Employee Counseling Form review and review of the facility policy, the facility did not ensure fall interventions were implemented including proper staff assistance with bed mobility and toileting per the Kardex (summary of resident's information for reference) and the care plan. This affected one (Resident #12) out of three residents reviewed for falls. The facility census was 136. Findings include: Review of the medical record for Resident #12 revealed an admission date of 06/27/24 with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting right dominant side, congestive heart failure, chronic obstructive pulmonary disease, aphasic (a language disorder affecting resident's ability to communicate), and anxiety disorder. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #12 had impaired cognition and had impairment on one side to her upper and lower extremities. She was dependent…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-08-05 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure 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, interview, medical record review, review of manufacture guidelines and facility policy review, the facility failed to ensure residents were free from significant medication error. This affected two (Residents #133, and #137) out of seven residents observed and/or reviewed for medication administration. The facility census was 136. Findings include: 1. Review of the closed medical record for Resident #137 revealed an admission date of 06/28/25, and he was discharged home on [DATE]. His diagnoses included motor-vehicle accident with multiple fractures, diabetes and hypertension. Review of the After Visit Summary revealed on 06/28/25 Resident #137 was discharged from the hospital to the facility with the following medication orders: lispro insulin 100 units per milliliter (ml) inject zero to ten units subcutaneously (SQ) three times a day before meals as directed per insulin instructions. The last dose given at the hospital per the discharge instructions was on 06/28/25 at 1:24 P.M. The orders…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-08-05 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, review of medical record and review of facility policy revealed the facility did ensure proper infection control during incontinence care. This affected one Resident (#12) out of five residents reviewed for incontinence care. This had the potential to affect 70 residents (#1, #2, #4, #7. #9, #10, #12, #13, #15, #19, #20, #22, #25, #27, #29, #30, #31, #33, #37, #38, #39, #40, #41, #45, #46, #47, #48, #53, #54, #56, #57, #58, #60, #61, #62, #71, #57, #77, #80, #81, #83, #84, #89, #90, #91, #93, #95, #96, #97, #98, #100, #101, #102, #104, #106, #107, #111, #112, #114, #115, #116, #119, #122, #124, #129, #131, #132, #133, #134, and #125) identified by the facility as incontinent.Review of the medical record for Resident #12 revealed an admission date of 06/27/24 with diagnoses including hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, congestive heart failure, and anxiety disorder. Review of the quarterly Minimum Data Set (MDS) assessment…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2024-11-20 · tag F0725 — failed to have enough nursing staff — widespreadProvide 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 review of the Payroll-Based Journal (PBJ) Staffing Data Report, interview with residents and staff and review of the facility assessment, the facility failed to assure sufficient staff to care for residents needs. This had the potential to affect all residents residing at the facility. The facility census was 132. Findings include: Record review of the PBJ Staffing Data Report 1705D Fiscal Year Quarter 3 2024 (April 1 - June 30) revealed Facility ID: OH00603 triggered a one star staffing rating and excessively low weekend staffing. Record review of the Facility assessment dated [DATE] revealed a Certified Bed Capacity of 157. The average daily census the last assessment revealed short stay average census of 19.4 and long stay average census was 105.4; This assessment will inform the facility's staffing decision to ensure that there are a sufficient number of staff with appropriate competencies and skill sets necessary to care for residents needs as identified through resident assessments and plans of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-11-20 · tag F0921 — failed to keep a safe, functional, sanitary building — patternMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of the facility policy, the facility failed to assure rooms were appropriately cleaned and sanitized prior to admitting a new resident to the room. This had the potential to affect all new admissions. The facility census was 132. Findings include: Interview on 11/19/24 at 12:59 P.M. with Housekeeping Supervisor #221 revealed when a resident is discharged , the room the resident resided in is deep cleaned within 24 hours of the discharge. The deep cleaning included all trash would be pulled, all the contents in the room that belonged to the former resident would be removed and packed, all the drawers and closets would be emptied and cleaned and all surfaces would be cleaned. Observation and interview on 11/19/24 at 1:03 P.M. with Housekeeping Supervisor #221 of room [ROOM NUMBER] bed two revealed the portion of the room was unoccupied. Housekeeping Supervisor #221 confirmed the room had been deep cleaned and ready for a new admission. Observation with Housekeeping…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-11-20 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on closed record review and interview, the facility failed to collect a urinalysis for one resident, Resident #136 per the physicians orders. This affected one resident (Resident #136) of three residents reviewed for physician orders/labs. The facility census was 132. Findings include: Closed record review for Resident #136 revealed an admission date of 07/17/24 and a discharge date of 10/04/24. Diagnosis included type two diabetes mellitus, hydronephrosis, weakness, and retention of urine. Record review of the Medicare five-day Minimum Data Set (MDS) dated [DATE] revealed Resident #136 was cognitively intact. Resident #136 was dependent for toileting and was frequently incontinent of urine. Record review of the Certified Nurse Practitioner (CNP) #369 progress note for Resident #136 dated 09/27/24 at 10:19 A.M. revealed worsening confusion and anxiety, ordered to send urine stat. Record review of the physician orders for Resident #136 revealed an order dated 09/27/24 to collect urine for urinalysis. Record…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-11-20 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review ,interview, and policy review, the facility failed to administer the correct medication to the resident. This affected one resident (Resident #136) of one resident reviewed for medication errors. The facility census was 132. Findings include: Record review for Resident #136 revealed an admission date of 07/17/24 and a discharge date of 10/04/24. Diagnosis included endocarditis, heart failure, hypertension, vascular dementia, and weakness. Record review of the Medicare five-day Minimum Data Set (MDS) dated [DATE] revealed Resident #136 was cognitively intact. Review of the medical record for September 2024 for Resident #136 revealed there was no documentation of a medication error that occurred or the physician being notified of a medication error. Review of the form titled, Investigative Data Sheet Medication/Treatment Error and Omission Form dated 09/24/24, untimed revealed Resident #136 received an incorrect blood pressure medication. The administration error was the wrong drug. The…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-11-20 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to document a medication error, the name of the medication, and follow up in one resident, Resident #136's medical record. This affected one resident (Resident #136) of one resident reviewed for medication errors. The facility census was 132. Findings include: Record review for Resident #136 revealed an admission date of 07/17/24 and a discharge date of 10/04/24. Diagnosis included endocarditis, heart failure, hypertension, vascular dementia, and weakness. Record review of the Medicare five-day Minimum Data Set (MDS) dated [DATE] revealed Resident #136 was cognitively intact. Review of the medical record for September 2024 for Resident #136 revealed there was no documentation of a medication error that occurred or the physician being notified of a medication error. Review of the form titled, Investigative Data Sheet Medication/Treatment Error and Omission Form dated 09/24/24, untimed revealed Resident #136 received an incorrect blood pressure medication.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 9 citations
- Potential for harm · Dcited before2024-09-16 · tag F0760 — failed to prevent significant medication errors — isolatedEnsure that residents are free from significant medication errors.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on interview, record review, and facility policy review, the facility failed to administer an antiparkinsonian medication as ordered by the prescriber to ensure Resident #118 was free from significant medication error. This affected one resident (#118) out of three residents reviewed for medication administration. Findings include: Review of the medical record for Resident #118 revealed an admission date of 05/11/17. Diagnoses included hereditary spastic paraplegia, secondary parkinsonism, degenerative disease of nervous system, contracture of muscle multiple sites, and idiopathic progressive neuropathy. The Quarterly Minimum Data Set (MDS) assessment completed 08/16/24 indicated no cognitive impairment. Review of Resident #118's physician orders effective September 2024 revealed Rytary (antiparkinsonian medication) 48.75-195 milligrams, two capsules four times daily. Review of Resident #118's medication administration record for August 2024 to September 2024 revealed Rytary was scheduled four times daily at 8:00 A.M., 12:00 P.M., 5:00 P.M. and 10:00 P.M. Review of Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-08-07 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to maintain a clean, comfortable, homelike environment for Resident #134 and Resident #109. This affected two residents (#134 and #109) of three residents reviewed for physical environment. The facility census was 128. Findings include: Review of the closed record for Resident #134 revealed an admission date of 12/28/23 with diagnoses including congestive heart failure, anemia, hypertension, hyperlipidemia and glaucoma. Review of the Minimum Data Set 3.0 assessment dated [DATE] revealed Resident #134 had intact cognition. Review of Resident Grievance Concern Log dated 01/15/24 revealed the family of Resident #134 had concerns about a window in Resident #134's room. Interview on 07/23/24 at 3:05 P.M. with Resident #134's family member revealed when the resident was residing in the facility during February 2024 the family member felt the room was not being cleaned thoroughly because there were spider webs formed up the entire right side 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.
- Potential for harm · D2019-11-21 · tag F0582 — isolatedGive 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 record review, interview and review of facility policy the facility failed to provided Notice of Medicare Non-Coverage (NOMNC) to Resident #220 and Resident #221 with a minimum of two days notice before the end of covered services as required by Medicare guidelines. This affected two residents (Resident #220 and #221) of the three residents (Resident #104, #220, and #221) reviewed for liability notices. The facility census was 113. Findings include: 1. Resident #220 was initially admitted to the facility on [DATE], with diagnoses including: urinary tract infection, acute kidney failure, primary hypertension, anemia, and osteoarthritis. The facility initiated a last covered Medicare day of 10/17/18 and issued a Notice of Medicare Non-Coverage (NOMNC) form and a Skilled Nursing Facility Advanced Beneficiary Notice of Non- Coverage (SNF ABN) on 10/16/18. 2. Resident #221 was admitted to the facility on [DATE] with diagnoses including: sepsis, chronic obstructive pulmonary disease (COPD), primary…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2018-10-04 · tag F0555 — isolatedHonor the resident's right to choose his or her attending physician.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure Resident #373 was provided with the right to change physicians per his request. This affected one of four residents reviewed for choices. The facility census was 123. Findings include: Resident #373 was admitted to the facility on [DATE] at 3:40 P.M. with diagnoses including seizures, chronic pain, depression and, a history of an intracranial hemorrhage (bleed) and post traumatic stress disorder related to military service in Iraq. He was seen in the hospital prior to admission for seizures, a migraine headache and disequilibrium (unsteadiness) and was admitted to the facility for ataxia (neurological problems including lack of coordination of muscular and eye movements, speech changes, and gait abnormality) and nausea, thought to be related to post concussive syndrome. Review of a progress note dated 09/17/18 at 4:35 P.M. revealed the resident requested pain medication and was ordered Tylenol as needed. A note on 09/19/18 by the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2018-10-04 · tag F0583 — failed to protect personal privacy — isolatedKeep residents' personal and medical records private and confidential.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure personal privacy was provided during a dressing change for Resident #6. This affected one (Resident #6) of two residents observed for personal care. The facility census was 123. Findings include: Resident #6 was admitted to the facility on [DATE] with diagnoses including Parkinson's disease and major depression. Review of the quarterly minimum data set assessment dated [DATE] revealed he was cognitively intact. Review of physicians' orders dated 02/05/18, revealed an order for an ointment to his left lateral foot to be applied daily. The ointment was to be applied to the reddened area, then cover and wrap the foot with gauze. On 10/04/18 at 10:10 A.M. observation was made of a dressing change for Resident #6 with unit manager Registered Nurse (RN) #406 and Licensed Practical Nurse (LPN) #410. A cart was positioned in the doorway with dressing supplies on the top of the cart. The resident was in the bed next to the door. Resident #6…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2018-10-04 · tag F0657 — failed to keep the care plan current — isolatedDevelop 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 observation, interview and record review, the facility failed to ensure a care plan was updated for Resident #6 regarding skin impairment. This affected one resident (Resident # 6) of two residents reviewed for skin impairment. The facility census was 123. Findings include: Resident #6 was admitted to the facility on [DATE] with diagnoses including Parkinson's disease and major depression. Review of the quarterly minimum data set assessment dated [DATE] indicated the resident was cognitively intact, his skin was free from impairments, and he received a treatment to his skin. Review of his care plan dated updated on 12/09/18 revealed the resident was at risk for alteration in skin integrity related to impaired mobility. Interventions included to apply barrier cream as needed, encourage fluids and repositioning, float heels as able, observe skin conditions with care daily and report abnormalities. He also had a care plan for risk of loss of range of motion due to Parkinson's disease with contractures 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.
- Potential for harm · D2018-10-04 · tag F0676 — failed to keep up residents' daily-living abilities — isolatedEnsure residents do not lose the ability to perform activities of daily living unless there is 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 interview, observation and record review the facility failed to ensure Resident #77's electric wheelchair was repaired. This affected one resident (Resident #77) of three residents with electric wheelchairs. The facility census was 123. Findings include: Resident #77 was admitted to the facility on [DATE] with diagnoses that included paraplegia (partial paralysis). Review of a care conference progress note dated 07/12/18 revealed the battery for Resident #77's electric wheelchair was dead again. Resident #77's sister inquired about eligibility for a new chair. The sister was to provide documentation for the current wheelchair and, the Licensed Social Worker was going to contact the resident's insurance company. Review of the Minimum Data Set (MDS) 3.0 dated 08/23/18 revealed Resident #77's Brief Interview for Mental Status (BIMS) score was a 14 which indicated she was cognitively intact. Resident #77's functional locomotion (moving about in his wheelchair) status on and off the unit revealed the…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2018-10-04 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure accurate and on-going assessments for Resident #6 regarding skin impairment. This affected one resident (Resident #6) of two reviewed for skin impairment. The facility census was 123. Findings include: Resident #6 was admitted to the facility on [DATE] with diagnoses including Parkinson's disease and major depression. Review of his care plan dated updated on 12/09/18 revealed the resident was at risk for alteration in skin integrity related to impaired mobility. Interventions included to observe skin conditions with care daily and report abnormalities. Another care plan was reviewed related to risk of loss of range of motion due to Parkinson's disease with contractures to the left leg and left upper extremities updated on 12/09/18. Interventions included routine assessment of the skin. The care plans did not indicate any current skin impairment. Review of the quarterly minimum data set assessment dated [DATE] indicated the resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2018-10-04 · tag F0756 — failed to review each resident's drug regimen — isolatedEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review the facility failed to ensure pharmacy recommendations for Resident #29 were addressed by the physician. This affected one resident (Resident #29) of five residents reviewed for unnecessary medication use. The facility census was 123. Findings included: Resident #29 was admitted to the facility on [DATE] with diagnoses including vascular dementia with behavioral disturbances, psychosis, hypertension, diabetes mellitus, congestive heart failure and hyperlipidemia (high blood cholesterol). Review of Resident #29's pharmacist medication review dated 05/17/18 revealed physician orders included Aripiprazole five milligrams (mg) to be given by mouth at bedtime for psychosis, and Quetiapine Fumarate 100 mg by mouth at bedtime for psychosis. The pharmacist recommended to re-evaluate the benefit versus risk of continuing both atypical anti-psychotics and consider discontinuing one and increasing the dose of the other. Record review revealed Primary Care Physician #422 did not follow…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$39,840 in federal fines across 1 penalty.
- $39,840 — penalty dated 2025-10-22
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Part of a chain
This home belongs to PACS GROUP — 274 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 4 of 5 | 2.9 | +1.1 vs chain |
| Health inspection | 3 of 5 | 2.5 | +0.5 vs chain |
| Staffing | 2 of 5 | 2.5 | -0.5 vs chain |
| Quality measures | 5 of 5 | 4.4 | +0.6 vs chain |
The other 273 homes this chain runs (chain average 2.9★, per CMS)
Showing 40 of 273; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
CMS ownership filings flag an owner of this facility as an investment firm. That’s a fact worth knowing about who ultimately profits from the home. Read the inspection and staffing record above on its own merits.
- PROVIDENCE GROUP NH, LLC — investment firm · 100.00% share · 5% Or Greater Direct Ownership Interest
Source: CMS SNF ownership filings (PECOS). These flags are self-reported and undercount — federal auditors (GAO) and researchers find CMS captures only a fraction of true private-equity and REIT ties, so the absence of a flag on other homes is not proof they lack investor owners. How investor ownership affects care →
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| 37603 EUCLID AVE OH OWNER LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 12/01/2024 |
| SNF OH HOLDCO LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 12/01/2024 |
| WELL INTEGRA MASTER JV LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 12/01/2024 |
| WELL PM HOLDCO JV LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 12/01/2024 |
| APT, FREDERICK | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER | — | since 12/01/2024 |
| JERGENSEN, JOSHUA | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER | — | since 12/01/2024 |
| MITCHELL, JOHN | Individual | MANAGING CONTROL - GOVERNING BODY; CORPORATE OFFICER | — | since 12/01/2024 |
| PACS GROUP, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2024 |
| PACS HOLDINGS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2024 |
| PROVIDENCE GROUP NH, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 12/01/2024 |
| RAMACCIATO, AMARILYS | Individual | OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | — | since 12/01/2024 |
| WELLTOWER INC | Organization | ADP OF THE SNF | — | since 12/01/2024 |
| WELLTOWER OP, LLC | Organization | ADP OF THE SNF | — | since 12/01/2024 |
| MEHTA, DHARMESH | Individual | ADP OF THE SNF | — | since 12/01/2024 |
CMS files one row per role, so the 18 rows in the source record cover these 14 parties — each is shown once here with every role it holds. Nothing is omitted.
9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $595K 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
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OH
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 365305. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2023-08-03, 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.