Kensington at Anna Maria — nursing home in Aurora, OH

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 99 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: 91.5 CMS, MDS-derived
CMS Certification Number: 366004
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 18, 1995
Ownership type: For profit - Corporation
Operator (legal business name): R & G Nursing Care, Inc
CMS chain: Not part of a CMS-reported chain
Phone: (330) 562-3120
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Dec 18, 2025

Citations

30

4 health · 26 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D2	E11	F16
Minimal	A·	B·	C·

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: 366004
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 99
First approved: Apr 18, 1995
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
Dec 18, 2025	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Dec 18, 2025	Health	Health Standard	1	Potential harm	—	Open →
Apr 4, 2024	Fire safety	Fire Safety Standard	11	Potential harm	—	Open →
Apr 4, 2024	Health	Health Standard	3	Actual harm	—	Open →
May 24, 2023	Fire safety	Fire Safety Standard	7	Potential harm	—	Open →
May 24, 2023	Health	Health Standard	0	No citations	—	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	D2	E11	F16
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Dec 18, 2025	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 15, 2026
Dec 18, 2025	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 15, 2026
Dec 18, 2025	K-0500	Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 15, 2026
Dec 18, 2025	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 15, 2026
Dec 18, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 15, 2026
Dec 18, 2025	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 Jan 15, 2026
Dec 18, 2025	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 15, 2026
Dec 18, 2025	K-0926	Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 15, 2026
Dec 18, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jan 15, 2026
Apr 4, 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	G · Actual harm Isolated	Corrected Apr 29, 2024
Apr 4, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 29, 2024
Apr 4, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 29, 2024
Apr 4, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 29, 2024
Apr 4, 2024	K-0500	Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 29, 2024
Apr 4, 2024	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 29, 2024
Apr 4, 2024	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 Apr 29, 2024
Apr 4, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 29, 2024
Apr 4, 2024	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	E · Potential harm Pattern	Corrected Apr 29, 2024
Apr 4, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 29, 2024
Apr 4, 2024	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 29, 2024
Apr 4, 2024	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 Apr 29, 2024
Apr 4, 2024	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 29, 2024
Apr 4, 2024	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 Apr 29, 2024
May 24, 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	E · Potential harm Pattern	Corrected Jul 7, 2023
May 24, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 7, 2023
May 24, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 7, 2023
May 24, 2023	K-0361	Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 7, 2023
May 24, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 7, 2023
May 24, 2023	K-0500	Meet other general requirements that are deficient. Services Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 7, 2023
May 24, 2023	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 Jul 7, 2023

“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 staffing4.44

State avg 3.71US avg 3.90

Registered nurse (RN)0.57

State avg 0.64US avg 0.69

Licensed practical nurse0.97

State avg 0.95US avg 0.86

Nurse aide2.90

State avg 2.12US avg 2.35

Weekend total nurse3.88

State avg 3.29US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.08 (case-mix index 1.53).

Staff turnover

Total nursing staff turnover42.5%

State avg 49.0%US avg 45.3%

Registered nurse turnover30.8%

State avg 44.4%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Dec 18, 2025
Cycle 1 health score: 4
Total weighted score: 13

Operating entity

R & G Nursing Care, Inc

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

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

9

Organizations

1

Individuals

8

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
Christopher G Norton	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 2016
Robert J Norton	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 17, 2003
Aaron C Baker	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2016
Christopher G Norton	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 2, 2024
Robert J Norton	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 17, 2003
Norton Bros. Holding Company	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Nov 17, 2003
Aaron C Baker	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2016
Christopher G Norton	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 2016
Anil Pai	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2024

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: 849 North Aurora Road, Aurora, OH 44202
ZIP: 44202
County: Portage County FIPS 39133
State: Ohio
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Anna Maria of Aurora 889 North Aurora Road, Aurora, OH 44202 CCN 365072	0.1 km	98	Jun 17, 2026	481 harm	—
Aurora Manor Special Care Cent 101 S Bissell Rd, Aurora, OH 44202 CCN 365844Abuse icon	3.5 km	75	Aug 20, 2026	531 IJ1 harm	$24k
Avenue at Aurora 425 South Chillicothe Road, Aurora, OH 44202 CCN 366431	4.4 km	98	Jan 20, 2026	261 harm	—
Canterbury of Twinsburg 9928 Vail Drive, Twinsburg, OH 44087 CCN 366385	5.8 km	50	Jun 18, 2025	452 harm	—
Twinsburg Post Acute 8551 Darrow Road, Twinsburg, OH 44087 CCN 366419	7.6 km	114	Aug 19, 2026	857 harm	$203k
Manor of Grande Village 2610 East Aurora Road, Twinsburg, OH 44087 CCN 366346	7.8 km	88	Jul 2, 2024	481 open	—
Eliza at Chagrin Falls 16695 Chillicothe Road, Chagrin Falls, OH 44023 CCN 366379	8.5 km	29	Jan 22, 2026	261 open	—
The Laurels of Chagrin Falls 150 Cleveland Street, Chagrin Falls, OH 44022 CCN 366274	10.4 km	82	Dec 9, 2025	552 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	366004	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	366004	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 366004

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