11 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cambridge, OH
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
66731 Old Twenty-One Road, Cambridge, OH
(740) 432-7717
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
50
Certified beds
Average residents
48
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Altercare
Operator or chain grouping
Approved since
1997-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 facilities
Chain averages 3 overall / 3 health / 2 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.73
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.74
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.96
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.43
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.47
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.02
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.51
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.59
CMS adjusted RN staffing hours
Adjusted total hours
2.77
CMS adjusted total nurse staffing hours
Case-mix index
1.70
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
41%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
9,057
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.87
Composite VBP score used to determine payment impact.
Payment multiplier
0.9836
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 18.86% · Performance 22.01% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.05
Baseline 5.67% · Performance 6.62% · Measure score 4.05 · Achievement 4.05 · Improvement 0
Total nurse turnover
5.90
Baseline 62.22% · Performance 39.58% · Measure score 5.90 · Achievement 5.90 · Improvement 5.56
Adjusted total nurse staffing
0
Baseline 3.15 hours · Performance 3.05 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 15.52% |
10.72%
4.8 pts worse
|
Worse than the National Rate · Eligible stays 134 · Observed rate 22.39% · Lower 95% interval 11.95% |
| Discharge to community | 50.74% |
50.57%
0.2 pts better
|
No Different than the National Rate · Eligible stays 121 · Observed rate 46.28% · Lower 95% interval 41.02% |
| Medicare spending per beneficiary | 0.91 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 78 · Denominator 78 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 78 |
| Discharge self-care score | 70% |
53.69%
16.3 pts better
|
Numerator 35 · Denominator 50 |
| Discharge mobility score | 68% |
50.94%
17.1 pts better
|
Numerator 34 · Denominator 50 |
| Pressure ulcers or injuries, new or worsened | 1.28% |
2.29%
1 pts better
|
Numerator 1 · Denominator 78 · Adjusted rate 1.26% |
| Healthcare-associated infections requiring hospitalization | 6.62% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 78 · Observed rate 5.13% · Lower 95% interval 3.34% |
| Staff COVID-19 vaccination coverage | 1.32% |
8.2%
6.9 pts worse
|
Numerator 1 · Denominator 76 |
| Staff flu vaccination coverage | 29.33% |
42%
12.7 pts worse
|
Numerator 22 · Denominator 75 |
| Discharge function score | 70% |
56.45%
13.5 pts better
|
Numerator 35 · Denominator 50 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 46 · Denominator 46 |
| Resident COVID-19 vaccinations up to date | 32.5% |
25.2%
7.3 pts better
|
Numerator 13 · Denominator 40 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
92.4%
7.6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.5%
5.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.0% |
3.3%
0.7 pts worse
|
3.3%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.1% · Q3 2.6% · Q4 2.8% · 4Q avg 4.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 76.6% |
26.1%
50.5 pts worse
|
11.4%
65.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 68.6% · Q2 71.8% · Q3 82.9% · Q4 83.3% · 4Q avg 76.6% |
| Percentage of long-stay residents who lose too much weight | 5.2% |
6.2%
1 pts better
|
5.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 5.9% · Q4 9.7% · 4Q avg 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.1% |
25.4%
9.7 pts worse
|
19.6%
15.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 34.3% · Q3 35.3% · Q4 35.5% · 4Q avg 35.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 0.0% |
11.5%
11.5 pts better
|
16.7%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.4% |
7.7%
2.3 pts better
|
16.3%
10.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 0.8% |
6.2%
5.4 pts better
|
14.9%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.2%
0.2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.5%
0.5 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 13.1% |
21.7%
8.6 pts better
|
19.8%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 11.4% · Q3 5.3% · Q4 13.7% · 4Q avg 13.1% |
| Percentage of long-stay residents with pressure ulcers | 2.0% |
3.7%
1.7 pts better
|
5.1%
3.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.7% · Q3 2.3% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
78.1%
19.7 pts better
|
81.7%
16.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 97.0% · Q3 100.0% · Q4 97.1% · 4Q avg 97.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.3% |
12.5%
0.8 pts worse
|
12.0%
1.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 12.7% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.0% |
75.6%
21.4 pts better
|
79.7%
17.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.8% |
25.1%
9.3 pts better
|
23.9%
8.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.8% · Observed 15.9% · Expected 23.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Infection Control (2 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Top issue: Quality of Life and Care (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-01-26
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2026-01-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-01
Fire Safety
Have an externally vented heating system.
Corrected 2024-12-05
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-09-09
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-09-09
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-09-09
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-26
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-26
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-26
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-01-26
Health
Respond appropriately to all alleged violations.
Corrected 2026-01-26
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-01-26
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-26
Health
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.
Corrected 2026-01-26
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-26
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-09-19
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-09-19
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-01-14
Health
Post nurse staffing information every day.
Corrected 2025-01-14
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-10-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-01
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-10-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-01
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-04-24
Health
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.
Corrected 2024-04-24
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-24
Health
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.
Corrected 2024-02-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-09-09
Health
Provide and implement an infection prevention and control program.
Corrected 2022-09-09
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2022-09-09
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-09
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-09-09
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-09-09
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-09-09
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-09-09
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Cambridge, OH
2-star overall rating with 1-star inspections with $131,018 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Cambridge, OH
1-star overall rating with 1-star inspections with $194,587 in total fines with 15 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
New Concord, OH
3-star overall rating with 3-star inspections with $44,060 in total fines with 10 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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