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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E11 | F16 |
| Minimal | A· | B· | C2 |
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 | |
|---|---|---|---|---|---|---|
| Apr 10, 2025 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Apr 10, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Mar 16, 2023 | Fire safety | Fire Safety Standard | 6 | Potential harm | — | Open → |
| Mar 16, 2023 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Sep 19, 2019 | Fire safety | Fire Safety Standard | 5 | Potential harm | 1 | Open → |
| Sep 19, 2019 | Health | Health Standard | 10 | Potential harm | 1 | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E11 | F16 |
| Minimal | A· | B· | C2 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 10, 2025 | K-0131 | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2025 | |
| Apr 10, 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 May 14, 2025 | |
| Apr 10, 2025 | K-0321 |
“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 this facility only.
2 facilities in 2 states. CMS chain ID 864.
Chain average overall rating (CMS): 4.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Csj Initiatives Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2019 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Csj Initiatives Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 1, 2019 |
| Csj Initiatives Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2019 |
| Sara Aldridge | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2019 |
| Eleanor Anderson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2019 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Autumnwood Care Center 670 E Sr 18, Tiffin, OH 44883 CCN 365380 | 2.7 km | 93 | Jul 29, 2026 | 783 harm | $28k | |
| The Willows at Tiffin 410 Fair Lane, Tiffin, OH 44883 CCN 366473 | 3 km | 67 | Apr 22, 2026 | 13 | — | |
| St Catherine's C C of Fostoria 25 Christopher Dr, Fostoria, OH 44830 CCN 365575 | 19.8 km | 56 | Aug 31, 2026 | 452 IJ | $14k | |
| Good Shepherd Home 725 Columbus Ave, Fostoria, OH 44830 CCN 365963 | 20 km | 95 | May 18, 2026 | 531 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 366102 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 366102 | 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
| 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 |
| F · Potential harm Widespread |
| Corrected May 14, 2025 |
| Apr 10, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2025 |
| Apr 10, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2025 |
| Apr 10, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2025 |
| Apr 10, 2025 | 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 May 14, 2025 |
| Apr 10, 2025 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2025 |
| Apr 10, 2025 | 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 May 14, 2025 |
| Apr 10, 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 May 14, 2025 |
| Apr 10, 2025 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 14, 2025 |
| Apr 10, 2025 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 14, 2025 |
| Mar 16, 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 Apr 17, 2023 |
| Mar 16, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2023 |
| Mar 16, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2023 |
| Mar 16, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 17, 2023 |
| Mar 16, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 17, 2023 |
| Mar 16, 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 Apr 17, 2023 |
| Mar 16, 2023 | 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 17, 2023 |
| Mar 16, 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 Apr 17, 2023 |
| Mar 16, 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 | D · Potential harm Isolated | Corrected Apr 17, 2023 |
| Mar 16, 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 Apr 17, 2023 |
| Mar 16, 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 Apr 17, 2023 |
| Mar 16, 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 Apr 17, 2023 |
| Mar 16, 2023 | 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 17, 2023 |
| Mar 16, 2023 | 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 | E · Potential harm Pattern | Corrected Apr 17, 2023 |
| Mar 16, 2023 | F-0803 | 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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Apr 17, 2023 |
| Mar 16, 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 Apr 17, 2023 |
| Sep 19, 2019 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 1, 2019 |
| Sep 19, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 1, 2019 |
| Sep 19, 2019 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 1, 2019 |
| Sep 19, 2019 | 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 Nov 1, 2019 |
| Sep 19, 2019 | 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 Nov 1, 2019 |
| Sep 19, 2019 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 1, 2019 |
| Sep 19, 2019 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 1, 2019 |
| Sep 19, 2019 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 1, 2019 |
| Sep 19, 2019 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 1, 2019 |
| Sep 19, 2019 | F-0625 | 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 1, 2019 |
| Sep 19, 2019 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 1, 2019 |
| Sep 19, 2019 | 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 1, 2019 |
| Sep 19, 2019 | 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 1, 2019 |
| Sep 19, 2019 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Plan of correction, not yet verified Nov 1, 2019 |
| Sep 19, 2019 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | C · Minimal Widespread | Plan of correction, not yet verified Nov 1, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.73 (case-mix index 1.39).
| Myra Arnone | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2019 |
| Kelli Dariano | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2019 |
| Dominic Fabrizio | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2019 |
| Brian Falter | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2019 |
| Denise Gannon | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2019 |
| Jill Griffin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2019 |
| Jan Kucera | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2019 |
| Shellie Mack | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2019 |
| Marguerite O'brien | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2019 |
| Tyler Webb | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 1, 2019 |
| Dominic Fabrizio | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2019 |
| Marguerite O'brien | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2019 |
| William Slater | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2019 |
| Tyler Webb | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Mar 1, 2019 |
| Gabriel Stoll | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Mar 1, 2019 |