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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G6 | H· | I· |
| Potential harm | D54 | E24 | F10 |
| Minimal | A· | B· | C1 |
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.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 13, 2026 | Health | Health Complaint | 1 | Potential harm | 1 | Open → |
| Jun 11, 2026 | Health | Health Complaint | 6 | Potential harm | — | Open → |
| Feb 18, 2026 | Health | Health Complaint | 10 | Potential harm | — | Open → |
| Sep 17, 2025 | Health | Health Complaint | 8 | Actual harm | — | Open → |
| Jul 21, 2025 | Fire safety | Fire Safety Standard | 8 | Potential harm | — | Open → |
| Jul 21, 2025 | Health | Health Complaint, Health Standard | 9 | Actual harm | — | Open → |
| May 29, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Apr 3, 2025 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Sep 19, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 19, 2024 | Health | Health Complaint, Health Standard | 4 | Actual harm | — | Open → |
| Aug 18, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jun 27, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| May 3, 2024 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Feb 27, 2024 | Health | Health Complaint | 6 | Immediate jeopardy | — | Open → |
| Jan 10, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 9, 2023 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Jun 29, 2023 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jun 29, 2023 | Health | Health Standard | 17 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jul 21, 2025 | Denial of payment for new admissions | — | Aug 9, 2025 · 68 days | 165448|Payment Denial|2025-08-09 |
| Jul 21, 2025 | Civil money penalty (fine) | $127,088 | — | 165448|Fine|134294 |
| Apr 3, 2025 | Denial of payment for new admissions | — | Apr 29, 2025 · 43 days | 165448|Payment Denial|2025-04-29 |
| Sep 19, 2024 | Civil money penalty (fine) | $22,588 | — | 165448|Fine|80888 |
| Jun 27, 2024 | Denial of payment for new admissions | — | Jul 24, 2024 · 42 days | 165448|Payment Denial|2024-07-24 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G6 | H· | I· |
| Potential harm | D54 | E24 | F10 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 13, 2026 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | No plan of correction | Complaint |
| Jun 11, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 3 facilities.
18 facilities in 9 states. CMS chain ID 151.
Chain average overall rating (CMS): 2.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sylvania Franciscan Health | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2016 |
| Commonspirit Health | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2016 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Sylvania Franciscan Health | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2016 |
| Commonspirit Health | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Jul 1, 2016 |
| Prentice Lipsey | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Sep 17, 2021 |
| Terika Mbanu | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 5, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| The Gardens of St. Francis 930 South Wynn Road, Oregon, OH 43616 CCN 366312 | 60 | Mar 26, 2026 | 532 harm | $45k | |
| Chi Franciscan Villa 3601 S Chicago Ave, South Milwaukee, WI 53172 CCN 525526 | 90 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Childserve Habilitation Center 5900 Pioneer Parkway, Johnston, IA 50131 CCN 16A001 | 0.8 km | 74 | Jun 18, 2026 | 27 | — | |
| Royal Oaks Nursing and Rehabilitation Center 4614 NW 84th Street, Urbandale, IA 50322 CCN 165580SFF Candidate | 3.9 km | 115 | Aug 6, 2026 | 1002 IJ6 harm | $325k | |
| Brio of Johnston, LLC 6901 Peckham Street, Johnston, IA 50131 CCN 165624 | 4.2 km | 36 | Apr 9, 2026 | 30 | — | |
| Karen Acres Care Center 3605 Elm Drive, Urbandale, IA 50322 CCN 165460 | 5 km | 35 | Jun 22, 2026 | 20 | — | |
| Calvin Community 4210 Hickman Road, Des Moines, IA 50310 CCN 165479 | 6.3 km | 59 | Dec 18, 2025 | 33 | — | |
| Ramsey Village 1611 27th Street, Des Moines, IA 50310 CCN 165514 | 7.7 km | 78 | Apr 23, 2026 | 601 harm | — | |
| On With Life 715 SW Ankeny Road, Ankeny, IA 50023 CCN 165163 | 8.3 km | 28 | Jun 11, 2026 | 41 harm | — | |
| Iowa Jewish Senior Life Center 900 Polk Boulevard, Des Moines, IA 50312 CCN 165006 | 8.5 km | 46 | Apr 2, 2026 | 39 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165448 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165448 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Jun 27, 2024 | Civil money penalty (fine) | $55,424 | — | 165448|Fine|79449 |
| Feb 27, 2024 | Civil money penalty (fine) | $53,077 | — | 165448|Fine|79419 |
| Corrected Jul 1, 2026 |
| Complaint |
| Jun 11, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 1, 2026 | Complaint |
| Jun 11, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 1, 2026 | Complaint |
| Jun 11, 2026 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 1, 2026 | Complaint |
| Jun 11, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 1, 2026 | Complaint |
| Jun 11, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 1, 2026 | Complaint |
| Feb 18, 2026 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 20, 2026 | Complaint |
| Feb 18, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 20, 2026 | Complaint |
| Feb 18, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2026 | Complaint |
| Feb 18, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2026 | Complaint |
| Feb 18, 2026 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 20, 2026 | Complaint |
| Feb 18, 2026 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 20, 2026 | Complaint |
| Feb 18, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 20, 2026 | Complaint |
| Feb 18, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 20, 2026 | Complaint |
| Feb 18, 2026 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Apr 20, 2026 | Complaint |
| Feb 18, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 20, 2026 | Complaint |
| Sep 17, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 16, 2025 | Complaint |
| Sep 17, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 16, 2025 | Complaint |
| Sep 17, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 16, 2025 | Complaint |
| Sep 17, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 16, 2025 | Complaint |
| Sep 17, 2025 | F-0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 16, 2025 | Complaint |
| Sep 17, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 16, 2025 | Complaint |
| Sep 17, 2025 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Oct 16, 2025 | Complaint |
| Sep 17, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 16, 2025 | Complaint |
| Jul 21, 2025 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 30, 2025 |
| Jul 21, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 28, 2025 |
| Jul 21, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 28, 2025 |
| Jul 21, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 28, 2025 |
| Jul 21, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 28, 2025 |
| Jul 21, 2025 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 28, 2025 |
| Jul 21, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 28, 2025 |
| Jul 21, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 25, 2025 |
| Jul 21, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 25, 2025 |
| Jul 21, 2025 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 30, 2025 |
| Jul 21, 2025 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 30, 2025 | Complaint |
| Jul 21, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 30, 2025 |
| Jul 21, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 30, 2025 |
| Jul 21, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 30, 2025 |
| Jul 21, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 30, 2025 | Complaint |
| Jul 21, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jul 30, 2025 | Complaint |
| Jul 21, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 30, 2025 | Complaint |
| May 29, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 11, 2025 | Complaint |
| May 29, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 11, 2025 | Complaint |
| Apr 3, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 11, 2025 | Complaint |
| Apr 3, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 11, 2025 | Complaint |
| Apr 3, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Apr 22, 2025 | Complaint |
| Apr 3, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 22, 2025 | Complaint |
| Sep 19, 2024 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Oct 9, 2024 |
| Sep 19, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 11, 2024 |
| Sep 19, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 25, 2024 |
| Sep 19, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 9, 2024 |
| Sep 19, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 9, 2024 | Complaint |
| Sep 19, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Oct 9, 2024 |
| Aug 18, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Sep 4, 2024 | Complaint |
| Jun 27, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 4, 2024 | Complaint |
| Jun 27, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Jul 24, 2024 | Complaint |
| Jun 27, 2024 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Jul 24, 2024 | Complaint |
| May 3, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 17, 2024 | Complaint |
| May 3, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 17, 2024 | Complaint |
| May 3, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 17, 2024 | Complaint |
| Feb 27, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Mar 20, 2024 | Complaint |
| Feb 27, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2024 | Complaint |
| Feb 27, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2024 | Complaint |
| Feb 27, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2024 | Complaint |
| Feb 27, 2024 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 20, 2024 | Complaint |
| Feb 27, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 20, 2024 | Complaint |
| Jan 10, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 18, 2024 | Complaint |
| Oct 9, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 25, 2023 | Complaint |
| Oct 9, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Past non-compliance Oct 9, 2023 | Complaint |
| Oct 9, 2023 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Oct 25, 2023 | Complaint |
| Oct 9, 2023 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Oct 25, 2023 | Complaint |
| Oct 9, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Past non-compliance Oct 9, 2023 | Complaint |
| Jun 29, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 11, 2023 |
| Jun 29, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 29, 2023 |
| Jun 29, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted Aug 31, 2023 |
| Jun 29, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 11, 2023 |
| Jun 29, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 11, 2023 |
| Jun 29, 2023 | K-0911 | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 11, 2023 |
| Jun 29, 2023 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 14, 2023 |
| Jun 29, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 29, 2023 |
| Jun 29, 2023 | F-0578 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 29, 2023 |
| Jun 29, 2023 | F-0584 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 29, 2023 |
| Jun 29, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 29, 2023 |
| Jun 29, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 29, 2023 |
| Jun 29, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 29, 2023 |
| Jun 29, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 29, 2023 |
| Jun 29, 2023 | F-0688 | 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. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 29, 2023 |
| Jun 29, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Oct 25, 2023 |
| Jun 29, 2023 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 23, 2023 |
| Jun 29, 2023 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Oct 25, 2023 |
| Jun 29, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 29, 2023 |
| Jun 29, 2023 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 29, 2023 |
| Jun 29, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 23, 2023 |
| Jun 29, 2023 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 29, 2023 |
| Jun 29, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 29, 2023 |
| Jun 29, 2023 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Infection prevention | C · Minimal Widespread | Corrected Jul 29, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.72 (case-mix index 1.34).
| Mitch Melfi | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2016 |
| Commonspirit Health | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Concept Rehab, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Forvis Mazars LLP | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 16, 2019 |
| Ohio Newspapers, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2011 |
| Reliant Care Pharmacy Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2024 |
| The Northern Trust Company | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Ulrichpinciotti Design Group, LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2011 |
| Brenda Ballard | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Carey Boysen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Adam Braden | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 24, 2019 |
| Caitlin Cecil | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Christopher Fazio | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 9, 2024 |
| Christina Finn | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Stacey Grubbs | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Scott Hanson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Ted Hazard | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Angela Herrera | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 2, 2024 |
| Casey Howard | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Alisa Iffland | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Michaela Keller | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 8, 2020 |
| Trestin Lang | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 15, 2024 |
| Joan Longhin-Howard | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Dianne Mcfarland | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 18, 2023 |
| Lori Miller | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Kyle Munroe | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Shelly Murriel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Jennifer Nagel | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Janet Naset-Payne | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 24, 2025 |
| Mary Rebik | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 10, 2018 |
| Heather Rehmer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 5, 2024 |
| Ryan Trosen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 26, 2024 |
| Matthew Wine | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2016 |
| Caitlin Cecil | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Christina Finn | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Stacey Grubbs | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Ted Hazard | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Kyle Munroe | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Shelly Murriel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Jennifer Nagel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Barbara Snodgrass | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Matthew Wine | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2016 |
| Alisa Iffland | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 13, 2016 |
| Prentice Lipsey | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Sep 17, 2021 |
| Heather Rehmer | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 25, 2024 |
| Commonspirit Health | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Concept Rehab, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 24, 2025 |
| Forvis Mazars LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 24, 2025 |
| Ohio Newspapers, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 24, 2025 |
| Reliant Care Pharmacy Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 10, 2025 |
| Sylvania Franciscan Health | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| The Northern Trust Company | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jun 24, 2025 |
| Adam Braden | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 24, 2025 |
| Caitlin Cecil | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Christina Finn | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Stacey Grubbs | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Scott Hanson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Ted Hazard | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Casey Howard | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Alisa Iffland | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Joan Longhin-Howard | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Gina Lucas | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 28, 2024 |
| Dianne Mcfarland | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 18, 2023 |
| Kyle Munroe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Shelly Murriel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Jennifer Nagel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Heather Rehmer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 5, 2024 |
| Barbara Snodgrass | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Cassie Stevenson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| Matthew Wine | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2016 |
| May 29, 2026 |
933 IJ5 harm |
| $323k |