Ayden Healthcare of Jackson — nursing home in Jackson, OH

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 82 CMS-certified beds (not state-licensed beds)
Licensed beds: 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.
Average residents per day: 64.1 CMS, MDS-derived
CMS Certification Number: 365393
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Sep 26, 1978
Ownership type: For profit - Corporation
Operator (legal business name): Buckeye Forest at Jackson LLC
CMS chain: Ayden Healthcare 11 facilities
Phone: (740) 286-5026
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest May 29, 2025

Citations

40

28 health · 12 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D23	E6	F9
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.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 365393
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 82
First approved: Sep 26, 1978
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

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. State coverage for Ohio.

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.

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.

Date	Domain	Survey types	Citations	Most severe	Open
May 29, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
May 29, 2025	Health	Health Standard	7	Potential harm	—	Open →
Aug 1, 2024	Health	Infection Control	0	No citations	—	Open →
May 7, 2024	Health	Health Complaint	3	Potential harm	—	Open →
Aug 31, 2023	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Aug 31, 2023	Health	Health Standard	8	Potential harm	—	Open →
Oct 7, 2021	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Oct 7, 2021	Health	Health Standard	10	Actual harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D23	E6	F9
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 29, 2025	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jul 7, 2025
May 29, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 7, 2025
May 29, 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 Jul 7, 2025
May 29, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 7, 2025
May 29, 2025	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 7, 2025
May 29, 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 7, 2025
May 29, 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	E · Potential harm Pattern	Corrected Jul 7, 2025
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 Jul 7, 2025
May 29, 2025	F-0699	Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 7, 2025
May 7, 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 30, 2024	Complaint
May 7, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected May 30, 2024	Complaint
May 7, 2024	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 30, 2024	Complaint
Aug 31, 2023	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Oct 20, 2023
Aug 31, 2023	K-0222	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. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 20, 2023
Aug 31, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 20, 2023
Aug 31, 2023	K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 20, 2023
Aug 31, 2023	K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 20, 2023
Aug 31, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 20, 2023
Aug 31, 2023	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 20, 2023
Aug 31, 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 Oct 20, 2023
Aug 31, 2023	F-0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 20, 2023
Aug 31, 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 Oct 20, 2023
Aug 31, 2023	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 20, 2023
Aug 31, 2023	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Oct 20, 2023
Aug 31, 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 Oct 20, 2023
Aug 31, 2023	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 20, 2023
Aug 31, 2023	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Oct 20, 2023
Aug 31, 2023	E-0006	Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Oct 20, 2023
Oct 7, 2021	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 Nov 2, 2021
Oct 7, 2021	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 2, 2021
Oct 7, 2021	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 2, 2021
Oct 7, 2021	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	E · Potential harm Pattern	Corrected Nov 2, 2021
Oct 7, 2021	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 Nov 2, 2021
Oct 7, 2021	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 Nov 2, 2021
Oct 7, 2021	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 Nov 2, 2021
Oct 7, 2021	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 Nov 2, 2021
Oct 7, 2021	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 2, 2021
Oct 7, 2021	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 Nov 2, 2021
Oct 7, 2021	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 2, 2021
Oct 7, 2021	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Nov 2, 2021

“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.

Five-Star ratings

Federal · CMS

Overallstate 3.2

Health inspectionsstate 2.8

Staffingstate 2.4

Quality measuresstate 4.5

Long-stay QM

Short-stay QM

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.

Nurse staffing · hours per resident per day

Total nurse staffing2.94

State avg 3.71US avg 3.90

Registered nurse (RN)0.53

State avg 0.64US avg 0.69

Licensed practical nurse0.49

State avg 0.95US avg 0.86

Nurse aide1.91

State avg 2.12US avg 2.35

Weekend total nurse2.77

State avg 3.29US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.69 (case-mix index 1.53).

Staff turnover

Total nursing staff turnover48.4%

State avg 49.0%US avg 45.3%

Registered nurse turnover33.3%

State avg 44.4%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: May 29, 2025
Cycle 1 health score: 32
Total weighted score: 37
Infection-control citations: 0

Operating entity

Buckeye Forest at Jackson LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Ayden Healthcare

11 facilities in 1 states. CMS chain ID 63.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.4

Ownership disclosures

Disclosures

16

Organizations

0

Individuals

16

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Solomon Kazarnovsky	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Dec 31, 2021
Abba Stein	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Dec 31, 2021

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Solomon Kazarnovsky	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Dec 31, 2021
Abba Stein	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	50%	Dec 31, 2021
Adam Cusner	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 27, 2025
Jeffrey Degyansky	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2020
Eliezer Goldish	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 9, 2023
Solomon Kazarnovsky	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 31, 2021
Abba Stein	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 31, 2021
Adam Cusner	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 27, 2025
Jeffrey Degyansky	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2020
Eliezer Goldish	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Oct 9, 2023
Solomon Kazarnovsky	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 31, 2021
Adam Cusner	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 27, 2025
Jeffrey Degyansky	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2020
Eliezer Goldish	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 9, 2023
Solomon Kazarnovsky	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 31, 2021
Abba Stein	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 31, 2021

Same chain in Ohio

All 10 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Ayden Healthcare of Madeira 5970 Kenwood Road, Cincinnati, OH 45243 CCN 365186	115	Aug 14, 2026	1002 open	—
Ayden Healthcare of Wauseon 303 W Leggett St, Wauseon, OH 43567 CCN 365330	50	May 28, 2026	591 harm4 open	—
Ayden Healthcare of Oregon 3953 Navarre Ave, Oregon, OH 43616 CCN 365453	99	Aug 24, 2026	833 open	—
Ayden Healthcare of Greenville 243 Marion Drive, Greenville, OH 45331 CCN 365532	92	Aug 5, 2026	501 IJ	$16k
Ayden Healthcare of Rosemount Pavilion 20 Easter Drive, Portsmouth, OH 45662 CCN 365584	117	May 5, 2026	571 harm	—
Ayden Healthcare of Piqua 275 Kienle Drive, Piqua, OH 45356 CCN 365607	99	Jun 26, 2025	492 harm	$20k
Ayden Healthcare of Belle Springs. 221 North School Street, Bellefontaine, OH 43311 CCN 365615	99	May 21, 2026	371 harm	—
Ayden Healthcare of Waterville 8885 Browning Drive, Waterville, OH 43566 CCN 365617	99	May 14, 2026	70	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 8668 State Route 93, Jackson, OH 45640
ZIP: 45640
County: Jackson County FIPS 39079
State: Ohio
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Four Winds Nursing Facility 215 Seth Avenue, Jackson, OH 45640 CCN 365669	13.2 km	86		Aug 6, 2026	29	—
Jenkins Care Community 142 Jenkins Memorial Road, Wellston, OH 45692 CCN 365431	15.6 km	57		Sep 19, 2025	321 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	365393	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	365393	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

Record-level source links for CCN 365393

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction