{"schema_version":"1.0.0","facility":{"id":"cms-366331","ccn":"366331","name":"Sienna Skilled Nursing & Rehabilitation","source_name":"SIENNA SKILLED NURSING & REHABILITATION","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":"250 Cadiz Road","city":"Wintersville","state":"OH","zip":"43953","county_name":"Jefferson County","county_fips":"39081","county_method":"name_match","ssa_county_code":"420","urban":true},"location":{"lat":40.3759,"lon":-80.707,"method":"cms_published_coordinates"},"phone":"7402645245","certification":{"authority":"CMS","ccn":"366331","program":"Medicare and Medicaid","medicare":true,"medicaid":true,"first_approved":"2006-10-10","certified_beds":88,"resides_in_hospital":false,"evidence_class":"VERIFIED","care_compare_url":"https://www.medicare.gov/care-compare/details/nursing-home/366331"},"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":88,"avg_residents_per_day":80.8},"ownership_type":"For profit - Corporation","ownership_class":"for_profit","legal_business_name":"SIENNA SKILLED NURSING & REHABILITATION, INC.","flags":{"ccrc":false,"abuse_icon":false,"high_performing":false,"inspection_over_2y":false,"changed_ownership_12mo":false,"resident_family_council":"Both","sprinklers_all_areas":"Yes"},"ratings":{"overall":{"value":1},"health_inspection":{"value":1},"quality_measures":{"value":4},"long_stay_qm":{"value":5},"short_stay_qm":{"value":2},"staffing":{"value":1},"universe":"cms_certified_nursing_homes"},"staffing":{"nurse_aide_hprd":1.7606,"lpn_hprd":0.58681,"rn_hprd":0.59892,"licensed_hprd":1.18573,"total_nurse_hprd":2.94633,"weekend_total_nurse_hprd":2.61166,"weekend_rn_hprd":0.42125,"pt_hprd":0.06593,"nursing_turnover_pct":59.4,"rn_turnover_pct":71.4,"administrators_left":1,"case_mix_index":1.62819,"case_mix_index_ratio":1.15454,"case_mix_total_nurse_hprd":4.50368,"adjusted_total_nurse_hprd":2.53193,"source":"Payroll-Based Journal (PBJ), as published by CMS"},"health_survey_score":{"cycle1_date":"2025-08-11","cycle1_deficiencies":22,"cycle1_score":132,"cycle2_date":"2023-11-30","cycle23_deficiencies":16,"cycle23_score":136,"total_weighted_score":133},"cms_penalty_counts":{"fines":0,"fine_total":0,"payment_denials":0,"total":0},"chain":{"id":"cms-chain-159","cms_chain_id":"159","name":"CONTINUING HEALTHCARE SOLUTIONS"},"operator_id":"op-sienna-skilled-nursing-and-rehabilitation-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/366331","provenance":[{"source_id":"cms_provider_info","source_record_id":"366331","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=366331&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":"366331","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=366331&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":12,"health_count":9,"fire_count":3,"complaint_count":6,"latest_date":"2026-08-18","latest_standard_health":"2025-08-11","earliest_date":"2022-02-24","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":55,"health_count":42,"fire_count":13,"open_count":0,"actual_harm_count":1,"immediate_jeopardy_count":0,"serious_count":1,"complaint_count":17,"by_severity":{"potential":54,"actual_harm":1},"by_scope_severity":{"D":28,"F":12,"E":14,"G":1},"by_concept":{"resident_rights":11,"food_nutrition":6,"medication":3,"clinical_care":19,"environment_life_safety":14,"infection_prevention":2},"type_ids":["cms-f0627","cms-f0628","cms-f0804","cms-f0761","cms-f0573","cms-f0655","cms-f0684","cms-f0842","cms-f0686","cms-k0345","cms-k0353","cms-k0500","cms-k0372","cms-f0812","cms-f0550","cms-f0570","cms-f0756","cms-f0880","cms-f0569","cms-f0584","cms-f0677","cms-f0688","cms-f0689","cms-f0695","cms-f0697","cms-f0690","cms-f0921","cms-f0687","cms-f0757","cms-k0761","cms-k0222","cms-k0781","cms-f0803","cms-f0582","cms-f0623","cms-f0625","cms-f0644","cms-k0511","cms-k0321","cms-k0741","cms-k0920"],"evidence_class":"VERIFIED"},"penalty_summary":{"count":0,"fines":0,"fine_total":0,"payment_denials":0},"ownership_summary":{"disclosures":20,"organizations":1,"individuals":17,"not_available":false}},"row":{"id":"cms-366331","ccn":"366331","name":"Sienna Skilled Nursing & Rehabilitation","types":["skilled_nursing_facility","nursing_home"],"status":"active","state":"OH","city":"Wintersville","zip":"43953","county_fips":"39081","county_name":"Jefferson County","address":"250 Cadiz Road","beds":88,"residents":80.8,"ownership":"for_profit","operator_id":"op-sienna-skilled-nursing-and-rehabilitation-inc","operator_name":"Sienna Skilled Nursing & Rehabilitation, Inc","chain_id":"cms-chain-159","chain_name":"Continuing Healthcare Solutions","lat":40.3759,"lon":-80.707,"overall":1,"health_rating":1,"staffing_rating":1,"qm_rating":4,"nurse_hprd":2.95,"turnover":59.4,"inspections":12,"last_inspection":"2026-08-18","deficiencies":55,"serious":1,"ij":0,"open":0,"penalties":0,"fines_total":0,"deficiency_type_ids":["cms-f0627","cms-f0628","cms-f0804","cms-f0761","cms-f0573","cms-f0655","cms-f0684","cms-f0842","cms-f0686","cms-k0345","cms-k0353","cms-k0500","cms-k0372","cms-f0812","cms-f0550","cms-f0570","cms-f0756","cms-f0880","cms-f0569","cms-f0584","cms-f0677","cms-f0688","cms-f0689","cms-f0695","cms-f0697","cms-f0690","cms-f0921","cms-f0687","cms-f0757","cms-k0761","cms-k0222","cms-k0781","cms-f0803","cms-f0582","cms-f0623","cms-f0625","cms-f0644","cms-k0511","cms-k0321","cms-k0741","cms-k0920"],"universe":"cms","state_actions":0,"state_serious":0,"last_changed":"2026-11-07T00:15:24.640Z"},"operator":{"id":"op-sienna-skilled-nursing-and-rehabilitation-inc","name":"Sienna Skilled Nursing & Rehabilitation, Inc","legal_name":"SIENNA SKILLED NURSING & REHABILITATION, INC","facility_count":1,"states":["OH"],"match_method":"exact_normalized_legal_name","evidence_class":"CORROBORATED"},"chain":{"id":"cms-chain-159","name":"Continuing Healthcare Solutions","cms_chain_id":"159","facility_count":12,"states":["OH"],"cms_reported":{"facility_count":12,"avg_overall_rating":2.3,"avg_health_inspection_rating":1.9,"avg_staffing_rating":2.5,"avg_qm_rating":4.1}},"ownership":[{"owner_id":"org-continuing-healthcare-solutions-inc","owner_type":"organization","owner_name":"Continuing Healthcare Solutions Inc","role":"direct_owner","role_raw":"DIRECT OWNERSHIP INTEREST","percentage_raw":"NOT APPLICABLE","association_date":"2012-08-23"},{"owner_id":"org-continuing-healthcare-solutions-inc","owner_type":"organization","owner_name":"Continuing Healthcare Solutions Inc","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2012-08-23"},{"owner_type":"individual","owner_name":"Kevin Kauffman","role":"managing_control","role_raw":"OPERATIONAL/MANAGERIAL CONTROL","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"KAUFFMAN, KEVIN"},{"owner_type":"individual","owner_name":"Michael Bunner","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2012-08-01","owner_name_raw":"BUNNER, MICHAEL"},{"owner_type":"individual","owner_name":"Christopher Mallett","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2012-08-01","owner_name_raw":"MALLETT, CHRISTOPHER"},{"owner_type":"individual","owner_name":"Benjamin Parsons","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2012-08-01","owner_name_raw":"PARSONS, BENJAMIN"},{"owner_type":"individual","owner_name":"Mark Sprenger","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2012-08-01","owner_name_raw":"SPRENGER, MARK"},{"owner_type":"individual","owner_name":"Timothy Sprenger","role":"officer_director","role_raw":"CORPORATE DIRECTOR","percentage_raw":"NOT APPLICABLE","association_date":"2012-08-01","owner_name_raw":"SPRENGER, TIMOTHY"},{"owner_type":"individual","owner_name":"Tracy Hughey","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2026-01-01","owner_name_raw":"HUGHEY, TRACY"},{"owner_type":"individual","owner_name":"Kevin Kauffman","role":"officer_director","role_raw":"CORPORATE OFFICER","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"KAUFFMAN, KEVIN"},{"owner_type":"individual","owner_name":"Michael Miller","role":"trustee","role_raw":"TRUSTEE OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2026-01-01","owner_name_raw":"MILLER, MICHAEL"},{"owner_id":"org-continuing-healthcare-solutions-inc","owner_type":"organization","owner_name":"Continuing Healthcare Solutions Inc","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2026-02-17"},{"owner_type":"individual","owner_name":"Michael Bunner","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-20","owner_name_raw":"BUNNER, MICHAEL"},{"owner_type":"individual","owner_name":"Tracy Hughey","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2013-04-15","owner_name_raw":"HUGHEY, TRACY"},{"owner_type":"individual","owner_name":"Kevin Kauffman","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2024-08-01","owner_name_raw":"KAUFFMAN, KEVIN"},{"owner_type":"individual","owner_name":"Christopher Mallett","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-20","owner_name_raw":"MALLETT, CHRISTOPHER"},{"owner_type":"individual","owner_name":"Amy Palmer","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2025-05-15","owner_name_raw":"PALMER, AMY"},{"owner_type":"individual","owner_name":"Benjamin Parsons","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-20","owner_name_raw":"PARSONS, BENJAMIN"},{"owner_type":"individual","owner_name":"Mark Sprenger","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-20","owner_name_raw":"SPRENGER, MARK"},{"owner_type":"individual","owner_name":"Timothy Sprenger","role":"additional_disclosable_party","role_raw":"ADP OF THE SNF","percentage_raw":"NOT APPLICABLE","association_date":"2022-05-20","owner_name_raw":"SPRENGER, TIMOTHY"}],"inspections":[{"id":"cms-366331-20260818-health","ccn":"366331","date":"2026-08-18","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"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-f0627","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-16","cmp":1},{"t":"cms-f0628","ss":"D","sl":2,"cs":"corrected","cd":"2026-09-16","cmp":1}]},{"id":"cms-366331-20260209-health","ccn":"366331","date":"2026-02-09","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0573","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-13","cmp":1},{"t":"cms-f0655","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-13","cmp":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-13","cmp":1},{"t":"cms-f0761","ss":"E","sl":2,"cs":"corrected","cd":"2026-03-13","cmp":1},{"t":"cms-f0804","ss":"F","sl":2,"cs":"corrected","cd":"2026-03-13","cmp":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2026-03-13","cmp":1}]},{"id":"cms-366331-20251117-health","ccn":"366331","date":"2025-11-17","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-f0686","ss":"D","sl":2,"cs":"corrected","cd":"2025-11-18","cmp":1}]},{"id":"cms-366331-20250811-fire","ccn":"366331","date":"2025-08-11","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0345","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-10","std":1,"tv":"New"},{"t":"cms-k0353","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-10","std":1,"tv":"New"},{"t":"cms-k0372","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-10","std":1,"tv":"New"},{"t":"cms-k0500","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-10","std":1,"tv":"New"}]},{"id":"cms-366331-20250811-health","ccn":"366331","date":"2025-08-11","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[1],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":13,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0550","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-10","std":1},{"t":"cms-f0569","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-10","std":1},{"t":"cms-f0570","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-10","std":1},{"t":"cms-f0584","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-10","std":1},{"t":"cms-f0677","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-10","std":1},{"t":"cms-f0684","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-10","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-10","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-10","std":1},{"t":"cms-f0695","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-10","std":1},{"t":"cms-f0697","ss":"D","sl":2,"cs":"corrected","cd":"2025-09-10","std":1},{"t":"cms-f0756","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-10","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-09-10","std":1},{"t":"cms-f0880","ss":"E","sl":2,"cs":"corrected","cd":"2025-09-10","std":1}]},{"id":"cms-366331-20250428-health","ccn":"366331","date":"2025-04-28","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"complaint","deficiency_count":5,"max_severity_level":3,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0690","ss":"G","sl":3,"cs":"corrected","cd":"2025-05-06","cmp":1},{"t":"cms-f0687","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-06","cmp":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-06","cmp":1},{"t":"cms-f0757","ss":"D","sl":2,"cs":"corrected","cd":"2025-05-06","cmp":1},{"t":"cms-f0921","ss":"E","sl":2,"cs":"corrected","cd":"2025-05-06","cmp":1}]},{"id":"cms-366331-20250320-health","ccn":"366331","date":"2025-03-20","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-f0804","ss":"F","sl":2,"cs":"corrected","cd":"2025-04-07","cmp":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2025-04-07","cmp":1}]},{"id":"cms-366331-20240221-health","ccn":"366331","date":"2024-02-21","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Complaint"],"cycles":[3],"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-f0880","ss":"F","sl":2,"cs":"corrected","cd":"2024-03-14","cmp":1}]},{"id":"cms-366331-20231130-fire","ccn":"366331","date":"2023-11-30","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[2],"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-k0222","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-19","std":1,"tv":"New"},{"t":"cms-k0761","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-19","std":1,"tv":"New"},{"t":"cms-k0781","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-19","std":1,"tv":"New"}]},{"id":"cms-366331-20231130-health","ccn":"366331","date":"2023-11-30","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[2],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":8,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0582","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-19","std":1},{"t":"cms-f0623","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-19","std":1},{"t":"cms-f0625","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-19","std":1},{"t":"cms-f0644","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-19","std":1},{"t":"cms-f0689","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-19","std":1},{"t":"cms-f0803","ss":"E","sl":2,"cs":"corrected","cd":"2024-01-19","std":1},{"t":"cms-f0812","ss":"F","sl":2,"cs":"corrected","cd":"2024-01-19","std":1},{"t":"cms-f0842","ss":"D","sl":2,"cs":"corrected","cd":"2024-01-19","std":1}]},{"id":"cms-366331-20220224-fire","ccn":"366331","date":"2022-02-24","domain":"fire","authority":"CMS / state survey agency","survey_types":["Fire Safety Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":6,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-k0321","ss":"E","sl":2,"cs":"corrected","cd":"2022-03-18","std":1,"tv":"New"},{"t":"cms-k0353","ss":"E","sl":2,"cs":"corrected","cd":"2022-03-18","std":1,"tv":"New"},{"t":"cms-k0372","ss":"F","sl":2,"cs":"corrected","cd":"2022-03-18","std":1,"tv":"New"},{"t":"cms-k0511","ss":"F","sl":2,"cs":"corrected","cd":"2022-03-18","std":1,"tv":"New"},{"t":"cms-k0741","ss":"E","sl":2,"cs":"corrected","cd":"2022-03-18","std":1,"tv":"New"},{"t":"cms-k0920","ss":"E","sl":2,"cs":"corrected","cd":"2022-03-18","std":1,"tv":"New"}]},{"id":"cms-366331-20220224-health","ccn":"366331","date":"2022-02-24","domain":"health","authority":"CMS / state survey agency","survey_types":["Health Standard"],"cycles":[3],"footnotes":[],"derived_from_citations":false,"kind":"standard","deficiency_count":4,"max_severity_level":2,"open_count":0,"provenance_source_ids":["cms_inspection_dates"],"occurrences":[{"t":"cms-f0582","ss":"D","sl":2,"cs":"corrected","cd":"2022-03-18","std":1},{"t":"cms-f0644","ss":"D","sl":2,"cs":"corrected","cd":"2022-03-18","std":1},{"t":"cms-f0688","ss":"D","sl":2,"cs":"corrected","cd":"2022-03-18","std":1},{"t":"cms-f0690","ss":"D","sl":2,"cs":"corrected","cd":"2022-03-18","std":1}]}],"deficiency_types":{"cms-f0627":{"code":"F-0627","title":"Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0628":{"code":"F-0628","title":"Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0804":{"code":"F-0804","title":"Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0761":{"code":"F-0761","title":"Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0573":{"code":"F-0573","title":"Let each resident or the resident's legal representative access or purchase copies of all the resident's records.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0655":{"code":"F-0655","title":"Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-f0842":{"code":"F-0842","title":"Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0686":{"code":"F-0686","title":"Provide appropriate pressure ulcer care and prevent new ulcers from developing.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-k0345":{"code":"K-0345","title":"Have approved installation, maintenance and testing program for fire alarm systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0353":{"code":"K-0353","title":"Inspect, test, and maintain automatic sprinkler systems.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0500":{"code":"K-0500","title":"Meet other general requirements that are deficient.","category":"Services Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0372":{"code":"K-0372","title":"Ensure smoke barriers are constructed to a 1 hour fire resistance rating.","category":"Smoke Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0812":{"code":"F-0812","title":"Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"cms-f0550":{"code":"F-0550","title":"Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"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-f0756":{"code":"F-0756","title":"Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"cms-f0880":{"code":"F-0880","title":"Provide and implement an infection prevention and control program.","category":"Infection Control Deficiencies","concept":"infection_prevention","concept_label":"Infection prevention"},"cms-f0569":{"code":"F-0569","title":"Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0584":{"code":"F-0584","title":"Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.","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-f0688":{"code":"F-0688","title":"Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0689":{"code":"F-0689","title":"Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.","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"},"cms-f0697":{"code":"F-0697","title":"Provide safe, appropriate pain management for a resident who requires such services.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-f0921":{"code":"F-0921","title":"Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.","category":"Environmental Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0687":{"code":"F-0687","title":"Provide appropriate foot care.","category":"Quality of Life and Care Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"cms-f0757":{"code":"F-0757","title":"Ensure each resident’s drug regimen must be free from unnecessary drugs.","category":"Pharmacy Service Deficiencies","concept":"medication","concept_label":"Medication management"},"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-k0222":{"code":"K-0222","title":"Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.","category":"Egress Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0781":{"code":"K-0781","title":"Have restrictions on the use of portable space heaters.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-f0803":{"code":"F-0803","title":"Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.","category":"Nutrition and Dietary Deficiencies","concept":"food_nutrition","concept_label":"Food, nutrition & hydration"},"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-f0623":{"code":"F-0623","title":"Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0625":{"code":"F-0625","title":"Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.","category":"Resident Rights Deficiencies","concept":"resident_rights","concept_label":"Resident rights & abuse/neglect"},"cms-f0644":{"code":"F-0644","title":"Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.","category":"Resident Assessment and Care Planning Deficiencies","concept":"clinical_care","concept_label":"Clinical care"},"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-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-k0741":{"code":"K-0741","title":"Have posted \"No-smoking\" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.","category":"Miscellaneous Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"},"cms-k0920":{"code":"K-0920","title":"Ensure proper usage of power strips and extension cords.","category":"Gas, Vacuum, and Electrical Systems Deficiencies","concept":"environment_life_safety","concept_label":"Environment & life safety"}},"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=366331&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=366331&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=366331&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=366331&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=366331&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=366331&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":"39081","name":"Jefferson County"},"zip":"43953","city":"Wintersville"},"related":{"same_operator":[],"same_operator_total":0,"same_chain":[{"id":"cms-365461","ccn":"365461","name":"Muskingum Skilled Nursing & Rehabilitation","address":"501 Pinecrest Drive","city":"Beverly","state":"OH","zip":"45715","beds":50,"overall":1,"inspections":11,"last_inspection":"2026-07-29","deficiencies":70,"serious":6,"ij":2,"open":0,"fines_total":317702,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365588","ccn":"365588","name":"Arcadia Valley Skilled Nursing and Rehabilitation","address":"25675 East Main Street","city":"Coolville","state":"OH","zip":"45723","beds":50,"overall":2,"inspections":10,"last_inspection":"2026-03-26","deficiencies":58,"serious":1,"ij":1,"open":0,"fines_total":13627,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365672","ccn":"365672","name":"Autumn Hills Care Center","address":"2565 Niles Vienna Rd","city":"Niles","state":"OH","zip":"44446","beds":120,"overall":1,"inspections":15,"last_inspection":"2026-08-26","deficiencies":65,"serious":1,"ij":0,"open":14,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365760","ccn":"365760","name":"Vista Center of Boardman","address":"830 Boardman Canfield Rd","city":"Boardman","state":"OH","zip":"44512","beds":60,"overall":2,"inspections":11,"last_inspection":"2026-08-26","deficiencies":84,"serious":1,"ij":1,"open":1,"fines_total":45997,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365823","ccn":"365823","name":"Vista Center at the Ridge","address":"3379 Main Street","city":"Mineral Ridge","state":"OH","zip":"44440","beds":155,"overall":2,"inspections":13,"last_inspection":"2025-12-03","deficiencies":63,"serious":2,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365906","ccn":"365906","name":"Monarch Meadows Nursing and Rehabilitation","address":"299 Commerce Dr","city":"Seaman","state":"OH","zip":"45679","beds":50,"overall":3,"inspections":6,"last_inspection":"2025-09-18","deficiencies":34,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-365934","ccn":"365934","name":"Crestwood Ridge Skilled Nursing and Rehab","address":"141 Willettsville Pike","city":"Hillsboro","state":"OH","zip":"45133","beds":50,"overall":5,"inspections":10,"last_inspection":"2026-07-08","deficiencies":32,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"]},{"id":"cms-366067","ccn":"366067","name":"Vista Care Center of Milan","address":"185 S Main St","city":"Milan","state":"OH","zip":"44846","beds":90,"overall":3,"inspections":9,"last_inspection":"2025-09-09","deficiencies":41,"serious":2,"ij":1,"open":1,"fines_total":12834,"abuse":true,"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-365629","ccn":"365629","name":"Dixon Healthcare Center","address":"135 Reichart Avenue","city":"Wintersville","state":"OH","zip":"43953","beds":85,"overall":2,"inspections":19,"last_inspection":"2026-07-16","deficiencies":97,"serious":6,"ij":4,"open":0,"fines_total":250817,"abuse":true,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":1.5},{"id":"cms-366241","ccn":"366241","name":"Steubenville Country Club Manor","address":"575 Lovers Lane","city":"Steubenville","state":"OH","zip":"43953","beds":54,"overall":2,"inspections":9,"last_inspection":"2025-02-13","deficiencies":84,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.1},{"id":"cms-366416","ccn":"366416","name":"Villa Vista Royale LLC","address":"1800 Sinclair Avenue","city":"Steubenville","state":"OH","zip":"43953","beds":54,"overall":5,"inspections":6,"last_inspection":"2026-02-24","deficiencies":27,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":3.4},{"id":"cms-365271","ccn":"365271","name":"Carriage Inn of Steubenville","address":"3102 St Charles Drive","city":"Steubenville","state":"OH","zip":"43952","beds":120,"overall":4,"inspections":10,"last_inspection":"2026-04-06","deficiencies":47,"serious":1,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":4.1},{"id":"cms-366363","ccn":"366363","name":"Laurels of Steubenville the","address":"500 Stanton Boulevard","city":"Steubenville","state":"OH","zip":"43952","beds":98,"overall":3,"inspections":10,"last_inspection":"2026-08-17","deficiencies":61,"serious":2,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":5.8},{"id":"cms-515128","ccn":"515128","name":"Brightwood Center","address":"840 Lee Road","city":"Follansbee","state":"WV","zip":"26037","beds":115,"overall":1,"inspections":6,"last_inspection":"2026-08-20","deficiencies":59,"serious":3,"ij":3,"open":0,"fines_total":65274,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":11.7},{"id":"cms-515037","ccn":"515037","name":"Weirton Geriatric Center","address":"2525 Pennsylvania Avenue","city":"Weirton","state":"WV","zip":"26062","beds":137,"overall":5,"inspections":7,"last_inspection":"2026-08-13","deficiencies":37,"serious":0,"ij":0,"open":0,"fines_total":16350,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":13.4},{"id":"cms-515123","ccn":"515123","name":"Wellsburg Healthcare Center","address":"70 Valley Haven Dr","city":"Wellsburg","state":"WV","zip":"26070","beds":60,"overall":5,"inspections":6,"last_inspection":"2026-06-10","deficiencies":26,"serious":0,"ij":0,"open":0,"fines_total":0,"status":"active","universe":"cms","state_actions":0,"state_serious":0,"types":["skilled_nursing_facility","nursing_home"],"distance_km":15.2}]}}