Federal inspection record · CMS data as of October 1, 2026
Adams County Manor
10856 State Route 41, West Union, OH · (937) 544-2205
- Certified beds
- 74
- Residents per day
- 66
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 1, 1997
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Adams County Manor carries 48 inspection points. That is fewer than 60% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care5D
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning5D
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure each resident receives an accurate assessment.
Resident Rights3E
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-03-26
11 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-03-21
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2021-07-01
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 27 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 63% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1 pts worse | 2.7 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5 pts better | 97.7% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts better | 98.3% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse | 5.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms17.6 pts worse | 49.2% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight3 pts worse | 9.1% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.6 pts better | 21.9% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.1 pts worse | 17.6% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened12.3 pts worse | 17.6% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.2 pts worse | 15.2% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 0.8% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts worse | 0.9% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts worse | 22.6% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.4 pts worse | 4.6% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better | 80.6% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit15.5 pts worse | 28.1% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse | 1.5% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.2 pts better | 81.6% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5 pts worse | 29.4% | 24.4% | 23.4% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Houser, Ann | Corporate Officer · Individual | 0% | 2 facilities |
| Houser, Ann | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Houser, Ann | Adp Of The SNF · Individual | 0% | 2 facilities |
| Houser, John | Corporate Officer · Individual | 0% | 2 facilities |
| Houser, John | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Houser, John | Adp Of The SNF · Individual | 0% | 2 facilities |
| Jbh Land Co | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Jbh Land Co | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
21 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- E
Install properly constructed windows in hallway walls or doors.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness3F
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
Services2F
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems2F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Egress1F
- F
Install emergency lighting that can last at least 1 1/2 hours.
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Other homes nearby
-
Eagle Creek Nursing Center
West Union, OH · Saber Healthcare Group
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 15 min
- Fines
- $0
-
Monarch Meadows Nursing And Rehabilitation
Seaman, OH · Continuing Healthcare Solutions
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 58 min
- Fines
- $0
-
Ohio Valley Manor Care Center
Ripley, OH · Lionstone Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 34 min
- Fines
- $0