{"schema_version":"1.0.0","facility":{"id":"cms-366118","ccn":"366118","name":"Elms Retirement Village Inc","source_name":"ELMS RETIREMENT VILLAGE INC","facility_types":["skilled_nursing_facility","nursing_home"],"primary_type":"skilled_nursing_facility","universe":"cms_certified_nursing_homes","source_type_label":"Medicare and Medicaid","status":"active","status_label":"Active CMS certification","status_evidence":"VERIFIED","state":"OH","address":{"line1":"136 S Main St","city":"Wellington","state":"OH","zip":"44090","county_name":"Lorain County","county_fips":"39093","county_method":"name_match","ssa_county_code":"480","urban":true},"location":{"lat":41.1673,"lon":-82.218,"method":"cms_published_coordinates"},"phone":"4406472414","certification":{"authority":"CMS","ccn":"366118","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"1997-04-03","certified_beds":60,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/366118"},"licenses":[],"license_note":"State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.","capacity":{"certified_beds":60,"avg_residents_per_day":50.9},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"ELMS RETIREMENT VILLAGE, INC.","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Resident","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":5},"health_inspection":{"value":5},"quality_measures":{"value":5},"long_stay_qm":{"value":5},"short_stay_qm":{"value":4},"staffing":{"value":2},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":2.22524,"lpn_hprd":0.91274,"rn_hprd":0.51051,"licensed_hprd":1.42326,"total_nurse_hprd":3.6485,"weekend_total_nurse_hprd":3.26628,"weekend_rn_hprd":0.53011,"pt_hprd":0.04772,"nursing_turnover_pct":44.6,"rn_turnover_pct":54.5,"administrators_left":0,"case_mix_index":1.54803,"case_mix_index_ratio":1.0977,"case_mix_total_nurse_hprd":4.28195,"adjusted_total_nurse_hprd":3.2977,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2026-08-06","cycle1_deficiencies":2,"cycle1_score":8,"cycle2_date":"2024-03-28","cycle23_deficiencies":8,"cycle23_score":32,"total_weighted_score":14,"infection_control_citations":0},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-484","cms_chain_id":"484","name":"SPRENGER HEALTH CARE SYSTEMS"},"operator_id":"op-elms-retirement-village-inc","first_seen":"2026-11-07T00:15:24.640Z","last_changed":"2026-11-07T00:15:24.640Z","profile_url":"https://www.medicare.gov/care-compare/details/nursing-home/366118","provenance":[{"source_id":"cms_provider_info","source_record_id":"366118","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366118&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["name","address","phone","certification","certified_beds","ownership_type","legal_business_name","chain"],"evidence_class":"VERIFIED","status":"current"},{"source_id":"cms_provider_info","source_record_id":"366118","url":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366118&conditions%5B0%5D%5Boperator%5D=%3D","retrieved_at":"2026-11-07T00:15:24.640Z","source_updated_at":"2026-10-01","effective_date":"2026-10-01","jurisdiction":"US-CMS","fields":["ratings","staffing","health_survey_score"],"evidence_class":"VERIFIED","status":"current","note":"Five-Star ratings and PBJ staffing apply to the CMS-certified universe only."}],"inspection_summary":{"count":10,"health_count":7,"fire_count":3,"complaint_count":3,"latest_date":"2026-08-06","latest_standard_health":"2026-08-06","earliest_date":"2021-08-26","window_note":"CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.","evidence_class":"VERIFIED"},"deficiency_summary":{"count":18,"health_count":13,"fire_count":5,"open_count":0,"actual_harm_count":0,"immediate_jeopardy_count":0,"serious_count":0,"complaint_count":7,"by_severity":{"potential":18},"by_scope_severity":{"F":4,"D":12,"E":2},"by_concept":{"environment_life_safety":5,"resident_rights":6,"medication":3,"clinical_care":4},"type_ids":["cms-k0321","cms-k0712","cms-f0578","cms-f0600","cms-f0580","cms-f0760","cms-f0684","cms-f0755","cms-k0324","cms-k0511","cms-f0582","cms-f0677","cms-k0761","cms-f0570","cms-f0690","cms-f0695"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":39,"organizations":5,"individuals":33,"not_available":false}},"row":{"id":"cms-366118","ccn":"366118","name":"Elms Retirement Village Inc","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"OH","city":"Wellington","zip":"44090","county_fips":"39093","county_name":"Lorain County","address":"136 S Main St","beds":60,"residents":50.9,"ownership":"for_profit","operator_id":"op-elms-retirement-village-inc","operator_name":"Elms Retirement Village, Inc","chain_id":"cms-chain-484","chain_name":"Sprenger Health Care Systems","lat":41.1673,"lon":-82.218,"overall":5,"health_rating":5,"staffing_rating":2,"qm_rating":5,"nurse_hprd":3.65,"turnover":44.6,"inspections":10,"last_inspection":"2026-08-06","deficiencies":18,"serious":0,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-k0321","cms-k0712","cms-f0578","cms-f0600","cms-f0580","cms-f0760","cms-f0684","cms-f0755","cms-k0324","cms-k0511","cms-f0582","cms-f0677","cms-k0761","cms-f0570","cms-f0690","cms-f0695"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-elms-retirement-village-inc","name":"Elms Retirement Village, Inc","legal_name":"ELMS RETIREMENT VILLAGE, INC","facility_count":1,"states":["OH"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-484","name":"Sprenger Health Care Systems","cms_chain_id":"484","facility_count":12,"states":["OH","SC"],"cms_reported":{"facility_count":12,"avg_overall_rating":3.6,"avg_health_inspection_rating":3.3,"avg_staffing_rating":2.6,"avg_qm_rating":4.6}},"ownership":[{"owner_id":"org-sprenger-enterprises-inc","owner_type":"organization","owner_name":"Sprenger Enterprises, Inc","role":"direct_owner","role_raw":"5% OR GREATER DIRECT OWNERSHIP INTEREST","percentage":100,"percentage_raw":"100%","association_date":"1996-12-01"},{"owner_id":"org-bluesky-healthcare-inc","owner_type":"organization","owner_name":"Bluesky Healthcare Inc","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2001-01-22"},{"owner_type":"individual","owner_name":"Wendie Hutsenpiller","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2008-07-01","owner_name_raw":"HUTSENPILLER, WENDIE"},{"owner_type":"individual","owner_name":"Kenneth Malanowski","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2008-07-01","owner_name_raw":"MALANOWSKI, KENNETH"},{"owner_type":"individual","owner_name":"Nicole Sprenger","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2002-06-01","owner_name_raw":"SPRENGER, NICOLE"},{"owner_type":"individual","owner_name":"Tracey Sprenger","role":"indirect_owner","role_raw":"5% OR GREATER INDIRECT OWNERSHIP INTEREST","percentage_raw":"NO PERCENTAGE PROVIDED","association_date":"2008-07-01","owner_name_raw":"SPRENGER, TRACEY"},{"owner_id":"org-cms-and-co-management-services-inc","owner_type":"organization","owner_name":"CMS & Co. Management Services, Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2001-01-22"},{"owner_type":"individual","owner_name":"Melissa Courtock","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2002-12-02","owner_name_raw":"COURTOCK, MELISSA"},{"owner_type":"individual","owner_name":"Robert Epperly","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-20","owner_name_raw":"EPPERLY, ROBERT"},{"owner_type":"individual","owner_name":"Itri Eren","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"1999-12-31","owner_name_raw":"EREN, ITRI"},{"owner_type":"individual","owner_name":"Emily Fox","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-31","owner_name_raw":"FOX, EMILY"},{"owner_type":"individual","owner_name":"Kristen Gollinger","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2000-11-13","owner_name_raw":"GOLLINGER, KRISTEN"},{"owner_type":"individual","owner_name":"Janeal Hardoby","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-21","owner_name_raw":"HARDOBY, JANEAL"},{"owner_type":"individual","owner_name":"Shannon Kuhn","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-31","owner_name_raw":"KUHN, SHANNON"},{"owner_type":"individual","owner_name":"Brandon Malanowki","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-31","owner_name_raw":"MALANOWKI, BRANDON"},{"owner_type":"individual","owner_name":"Jaime Marino-Freetage","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2011-03-01","owner_name_raw":"MARINO-FREETAGE, JAIME"},{"owner_type":"individual","owner_name":"Jacob Micale","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-02-20","owner_name_raw":"MICALE, JACOB"},{"owner_type":"individual","owner_name":"Cheryl Yost","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2023-03-20","owner_name_raw":"YOST, CHERYL"},{"owner_type":"individual","owner_name":"Emily Fox","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-31","owner_name_raw":"FOX, EMILY"},{"owner_type":"individual","owner_name":"Shannon Kuhn","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-31","owner_name_raw":"KUHN, SHANNON"},{"owner_type":"individual","owner_name":"Brandon Malanowki","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-31","owner_name_raw":"MALANOWKI, BRANDON"},{"owner_id":"org-bsh-investments-llc","owner_type":"organization","owner_name":"Bsh Investments LLC","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2003-11-04"},{"owner_id":"org-cms-and-co-management-services-inc","owner_type":"organization","owner_name":"CMS & Co. Management Services, Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-07-03"},{"owner_id":"org-elms-limited-co","owner_type":"organization","owner_name":"Elms Limited Co","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"1996-05-15"},{"owner_type":"individual","owner_name":"Melissa Courtock","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2002-12-02","owner_name_raw":"COURTOCK, MELISSA"},{"owner_type":"individual","owner_name":"Robert Epperly","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-20","owner_name_raw":"EPPERLY, ROBERT"},{"owner_type":"individual","owner_name":"Itri Eren","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2006-01-28","owner_name_raw":"EREN, ITRI"},{"owner_type":"individual","owner_name":"Emily Fox","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-31","owner_name_raw":"FOX, EMILY"},{"owner_type":"individual","owner_name":"Kristen Gollinger","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2000-11-13","owner_name_raw":"GOLLINGER, KRISTEN"},{"owner_type":"individual","owner_name":"Janeal Hardoby","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-01-21","owner_name_raw":"HARDOBY, JANEAL"},{"owner_type":"individual","owner_name":"Wendie Hutsenpiller","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2008-07-01","owner_name_raw":"HUTSENPILLER, WENDIE"},{"owner_type":"individual","owner_name":"Shannon Kuhn","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-31","owner_name_raw":"KUHN, SHANNON"},{"owner_type":"individual","owner_name":"Brandon Malanowki","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-12-31","owner_name_raw":"MALANOWKI, BRANDON"},{"owner_type":"individual","owner_name":"Kenneth Malanowski","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2008-07-01","owner_name_raw":"MALANOWSKI, KENNETH"},{"owner_type":"individual","owner_name":"Jaime Marino-Freetage","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2011-03-01","owner_name_raw":"MARINO-FREETAGE, JAIME"},{"owner_type":"individual","owner_name":"Jacob Micale","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-02-20","owner_name_raw":"MICALE, JACOB"},{"owner_type":"individual","owner_name":"Nicole Sprenger","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2002-06-01","owner_name_raw":"SPRENGER, NICOLE"},{"owner_type":"individual","owner_name":"Tracey Sprenger","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2008-07-01","owner_name_raw":"SPRENGER, TRACEY"},{"owner_type":"individual","owner_name":"Cheryl Yost","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2023-03-20","owner_name_raw":"YOST, CHERYL"}],"inspections":[{"id":"cms-366118-20260806-fire","ccn":"366118","date":"2026-08-06","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"F","sl":2,"cs":"corrected","cd":"2026-08-20","std":1,"tv":"New"},{"t":"cms-k0712","ss":"F","sl":2,"cs":"corrected","cd":"2026-08-20","std":1,"tv":"New"}]},{"id":"cms-366118-20260806-health","ccn":"366118","date":"2026-08-06","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0578","ss":"D","sl":2,"cs":"corrected","cd":"2026-08-20","std":1}]},{"id":"cms-366118-20260708-health","ccn":"366118","date":"2026-07-08","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0600","ss":"D","sl":2,"cs":"past_noncompliance","cmp":1}]},{"id":"cms-366118-20250502-health","ccn":"366118","date":"2025-05-02","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-20","cmp":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-20","cmp":1}]},{"id":"cms-366118-20241113-health","ccn":"366118","date":"2024-11-13","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0580","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-25","cmp":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-25","cmp":1},{"t":"cms-f0755","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-25","cmp":1},{"t":"cms-f0760","ss":"D","sl":2,"cs":"corrected","cd":"2024-11-25","cmp":1}]},{"id":"cms-366118-20240328-fire","ccn":"366118","date":"2024-03-28","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0324","ss":"F","sl":2,"cs":"corrected","cd":"2024-04-12","std":1,"tv":"New"},{"t":"cms-k0511","ss":"F","sl":2,"cs":"corrected","cd":"2024-04-12","std":1,"tv":"New"}]},{"id":"cms-366118-20240328-health","ccn":"366118","date":"2024-03-28","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":2,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0582","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-12","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2024-04-12","std":1}]},{"id":"cms-366118-20231129-health","ccn":"366118","date":"2023-11-29","domain":"health","authority":"CMS / state survey agency","survey_types":["Infection Control"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"infection_control","deficiency_count":0,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[]},{"id":"cms-366118-20210826-fire","ccn":"366118","date":"2021-08-26","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":1,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0761","ss":"E","sl":2,"cs":"corrected","cd":"2021-09-09","std":1,"tv":"New"}]},{"id":"cms-366118-20210826-health","ccn":"366118","date":"2021-08-26","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":3,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0570","ss":"E","sl":2,"cs":"corrected","cd":"2021-09-09","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2021-09-09","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2021-09-09","std":1}]}],"deficiency_types":{"cms-k0321":{"code":"K-0321","title":"Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0712":{"code":"K-0712","title":"Have simulated fire drills held at unexpected times.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0578":{"code":"F-0578","title":"Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0600":{"code":"F-0600","title":"Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.","category":"Freedom from Abuse, Neglect, and Exploitation Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0580":{"code":"F-0580","title":"Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.)  that affect the resident.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0760":{"code":"F-0760","title":"Ensure that residents are free from significant medication errors.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0684":{"code":"F-0684","title":"Provide appropriate treatment and care according to orders, resident’s preferences and goals.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0755":{"code":"F-0755","title":"Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-k0324":{"code":"K-0324","title":"Provide properly protected cooking facilities.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0511":{"code":"K-0511","title":"Have properly installed electrical wiring and gas equipment.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0582":{"code":"F-0582","title":"Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0677":{"code":"F-0677","title":"Provide care and assistance to perform activities of daily living for any resident who is unable.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0761":{"code":"K-0761","title":"To conduct inspection, testing and maintenance of fire doors by qualified individuals.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0570":{"code":"F-0570","title":"Assure the security of all personal funds of residents deposited with the facility.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0690":{"code":"F-0690","title":"Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care,  and appropriate care  to prevent urinary tract infections.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0695":{"code":"F-0695","title":"Provide safe and appropriate respiratory care for a resident when needed.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"}},"penalties":[],"state_actions":[],"record_urls":{"cms_provider_info":"https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366118&conditions%5B0%5D%5Boperator%5D=%3D","cms_ownership":"https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366118&conditions%5B0%5D%5Boperator%5D=%3D","cms_health_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366118&conditions%5B0%5D%5Boperator%5D=%3D","cms_fire_safety_deficiencies":"https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366118&conditions%5B0%5D%5Boperator%5D=%3D","cms_penalties":"https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366118&conditions%5B0%5D%5Boperator%5D=%3D","cms_inspection_dates":"https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=366118&conditions%5B0%5D%5Boperator%5D=%3D"},"compact_keys":{"t":"deficiency_type_id","ss":"scope_severity_code","sl":"severity_level (1–4)","cs":"correction_status","cd":"correction_date","cmp":"complaint","std":"standard survey","ic":"infection control","idr":"under IDR","iidr":"under IIDR","tv":"tag version"},"benchmarks":{"state":{"key":"OH","overall_rating":3.2,"health_inspection_rating":2.8,"qm_rating":4.5,"staffing_rating":2.4,"avg_residents_per_day":73.1,"cycle1_health_deficiencies":10.5,"cycle1_fire_deficiencies":5.5,"nurse_aide_hprd":2.12,"lpn_hprd":0.95,"rn_hprd":0.64459,"licensed_hprd":1.6,"total_nurse_hprd":3.71117,"weekend_total_nurse_hprd":3.29264,"weekend_rn_hprd":0.43,"pt_hprd":0.05,"nursing_turnover_pct":49,"rn_turnover_pct":44.4,"administrators_left":0.6,"case_mix_index":1.51114,"fines":0.6,"fine_amount":25699,"processing_note":"CMS State and US Averages"},"nation":{"key":"NATION","overall_rating":3,"health_inspection_rating":2.8,"qm_rating":3.7,"staffing_rating":3,"avg_residents_per_day":85.7,"cycle1_health_deficiencies":9.2,"cycle1_fire_deficiencies":4.4,"nurse_aide_hprd":2.35,"lpn_hprd":0.86,"rn_hprd":0.69164,"licensed_hprd":1.55,"total_nurse_hprd":3.90085,"weekend_total_nurse_hprd":3.43303,"weekend_rn_hprd":0.48,"pt_hprd":0.07,"nursing_turnover_pct":45.3,"rn_turnover_pct":42.5,"administrators_left":0.5,"case_mix_index":1.41025,"fines":0.9,"fine_amount":30351,"processing_note":"CMS State and US Averages"}},"geo":{"state":{"code":"OH","name":"Ohio"},"county":{"fips":"39093","name":"Lorain County"},"zip":"44090","city":"Wellington"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-365289","ccn":"365289","name":"Rose Lane Nursing and Rehabilitation","address":"5425 High Mill Avenue NW","city":"Massillon","state":"OH","zip":"44646","beds":171,"overall":4,"inspections":9,"last_inspection":"2026-03-27","deficiencies":54,"serious":2,"ij":1,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365317","ccn":"365317","name":"Smithville Western Care Center","address":"4110 East Smithville Western Road","city":"Wooster","state":"OH","zip":"44691","beds":127,"overall":2,"inspections":12,"last_inspection":"2026-08-07","deficiencies":63,"serious":1,"ij":1,"open":1,"fines_total":42777,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365739","ccn":"365739","name":"Heather Knoll Retirement Village","address":"1134 North Ave","city":"Tallmadge","state":"OH","zip":"44278","beds":115,"overall":5,"inspections":10,"last_inspection":"2026-01-29","deficiencies":25,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365865","ccn":"365865","name":"Main Street Care Center","address":"500 Community Drive","city":"Avon Lake","state":"OH","zip":"44012","beds":120,"overall":3,"inspections":9,"last_inspection":"2026-04-24","deficiencies":46,"serious":4,"ij":0,"open":2,"fines_total":49501,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365924","ccn":"365924","name":"Amherst Manor Nursing Home","address":"175 N Lake Street","city":"Amherst","state":"OH","zip":"44001","beds":114,"overall":2,"inspections":7,"last_inspection":"2025-03-06","deficiencies":46,"serious":0,"ij":0,"open":3,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365940","ccn":"365940","name":"Autumn Aegis Nursing Home","address":"1130 Tower Blvd","city":"Lorain","state":"OH","zip":"44052","beds":99,"overall":4,"inspections":6,"last_inspection":"2024-05-02","deficiencies":29,"serious":0,"ij":0,"open":2,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365969","ccn":"365969","name":"Anchor Lodge Nursing Home Inc","address":"3756 W Erie Ave","city":"Lorain","state":"OH","zip":"44053","beds":110,"overall":3,"inspections":7,"last_inspection":"2025-12-04","deficiencies":40,"serious":2,"ij":1,"open":1,"fines_total":20678,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-366346","ccn":"366346","name":"Manor of Grande Village","address":"2610 East Aurora Road","city":"Twinsburg","state":"OH","zip":"44087","beds":88,"overall":3,"inspections":8,"last_inspection":"2024-07-02","deficiencies":48,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]}],"same_chain_total":11,"same_site_review":[],"nearby":[{"id":"cms-366372","ccn":"366372","name":"Keystone Pointe Health and Rehabilitation","address":"383 Opportunity Way","city":"Lagrange","state":"OH","zip":"44050","beds":121,"overall":5,"inspections":6,"last_inspection":"2024-04-18","deficiencies":23,"serious":0,"ij":0,"open":1,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":11.6},{"id":"cms-365508","ccn":"365508","name":"Welcome Nursing Home","address":"417 South Main Street","city":"Oberlin","state":"OH","zip":"44074","beds":99,"overall":2,"inspections":7,"last_inspection":"2026-03-05","deficiencies":44,"serious":0,"ij":0,"open":0,"fines_total":0,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":12.6},{"id":"cms-365656","ccn":"365656","name":"Laurels of New London the","address":"204 W Main St","city":"New London","state":"OH","zip":"44851","beds":50,"overall":5,"inspections":7,"last_inspection":"2026-04-07","deficiencies":18,"serious":0,"ij":0,"open":2,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":18.4}]}}