Cycle 1
Health 2024-09-26 · Fire 2024-09-26
15 health deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Canal Winchester, OH
Altercare Of Canal Winchester Post-Acute Rc
3-star overall rating with 2-star inspections with $66,791 in total fines with 15 recent health deficiencies
6725 Thrush Drive, Canal Winchester, OH
(614) 834-2500
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
72
Certified beds
Average residents
63
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Altercare
Operator or chain grouping
Approved since
2008-11-07
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
Hours and turnover
RN hours / resident day
0.74
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.67
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.80
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.40
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.45
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
3.40
CMS adjusted total nurse staffing hours
Case-mix index
1.53
Higher values indicate more complex resident acuity
RN turnover
72%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,119
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.93
Composite VBP score used to determine payment impact.
Payment multiplier
0.9880
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
6.80
Baseline 19.42% · Performance 18.28% · Measure score 6.80 · Achievement 6.80 · Improvement 4.27
Healthcare-associated infections
4.54
Baseline 5.26% · Performance 6.48% · Measure score 4.54 · Achievement 4.54 · Improvement 0
Total nurse turnover
0
Baseline 66.67% · Performance 70.12% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.23
Baseline 3.23 hours · Performance 3.71 hours · Measure score 2.23 · Achievement 2.23 · Improvement 1.39
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.92% |
10.72%
2.2 pts worse
|
No Different than the National Rate · Eligible stays 207 · Observed rate 14.98% · Lower 95% interval 9.81% |
| Discharge to community | 64.63% |
50.57%
14.1 pts better
|
Better than the National Rate · Eligible stays 198 · Observed rate 60.61% · Lower 95% interval 57.74% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 121 · Denominator 121 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 121 |
| Discharge self-care score | 54.26% |
53.69%
0.6 pts better
|
Numerator 51 · Denominator 94 |
| Discharge mobility score | 71.28% |
50.94%
20.3 pts better
|
Numerator 67 · Denominator 94 |
| Pressure ulcers or injuries, new or worsened | 0.83% |
2.29%
1.5 pts better
|
Numerator 1 · Denominator 121 · Adjusted rate 0.8% |
| Healthcare-associated infections requiring hospitalization | 6.48% |
7.12%
0.6 pts better
|
No Different than the National Rate · Eligible stays 126 · Observed rate 5.56% · Lower 95% interval 4.1% |
| Staff COVID-19 vaccination coverage | 22.22% |
8.2%
14 pts better
|
Numerator 22 · Denominator 99 |
| Staff flu vaccination coverage | 6.62% |
42%
35.4 pts worse
|
Numerator 10 · Denominator 151 |
| Discharge function score | 76.6% |
56.45%
20.1 pts better
|
Numerator 72 · Denominator 94 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 23 · Denominator 23 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 84 · Denominator 84 |
| Resident COVID-19 vaccinations up to date | 29.31% |
25.2%
4.1 pts better
|
Numerator 17 · Denominator 58 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.9% |
92.4%
5.5 pts better
|
93.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 100.0% · Q3 100.0% · Q4 95.2% · 4Q avg 97.9% |
| 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 | 9.0% |
3.3%
5.7 pts worse
|
3.3%
5.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 11.4% · Q3 7.3% · Q4 9.5% · 4Q avg 9.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 12.3% |
26.1%
13.8 pts better
|
11.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 6.2% · Q3 22.9% · Q4 10.3% · 4Q avg 12.3% |
| Percentage of long-stay residents who lose too much weight | 9.2% |
6.2%
3 pts worse
|
5.4%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.9% · Q3 8.6% · Q4 17.1% · 4Q avg 9.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.9% |
25.4%
12.5 pts better
|
19.6%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 16.7% · Q3 13.9% · Q4 10.8% · 4Q avg 12.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.0% |
11.5%
8.5 pts better
|
16.7%
13.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 7.1% · Q4 3.6% · 4Q avg 3.0% · 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 | 5.5% |
7.7%
2.2 pts better
|
16.3%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.7% |
6.2%
3.5 pts better
|
14.9%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 3.8% · Q3 0.0% · Q4 5.9% · 4Q avg 2.7% · 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 | 21.3% |
21.7%
0.4 pts better
|
19.8%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 14.0% · Q3 33.1% · Q4 16.9% · 4Q avg 21.3% |
| Percentage of long-stay residents with pressure ulcers | 2.7% |
3.7%
1 pts better
|
5.1%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.9% · Q3 0.0% · Q4 4.9% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.3% |
78.1%
5.2 pts better
|
81.7%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 93.4% · Q3 85.4% · Q4 54.1% · 4Q avg 83.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
12.5%
0.2 pts worse
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 12.3% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.2%
0.8 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.0% |
75.6%
18.4 pts better
|
79.7%
14.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| 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 15.1% · Expected 22.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-05-27 · Fire 2022-05-27
12 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2019-10-17 · Fire 2019-10-17
9 health deficiencies
Top issue: Resident Rights (4 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2022-05-27
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2022-07-28
E · Potential for more than minimal harm
2022-05-27
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-07-28
E · Potential for more than minimal harm
2022-05-27
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-07-28
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-17
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-11-25
E · Potential for more than minimal harm
2025-07-31
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-09-12
E · Potential for more than minimal harm
2025-07-31
F803 · Nutrition and Dietary Deficiencies
Health
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.
Corrected 2025-09-12
E · Potential for more than minimal harm
2025-07-31
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-07-31
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-12
D · Potential for more than minimal harm
2025-07-31
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-09-12
G · Actual harm
2024-09-26
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-15
E · Potential for more than minimal harm
2024-09-26
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-09-26
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-09-26
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-09-26
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-09-26
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-09-26
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-09-26
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-09-26
F825 · Quality of Life and Care Deficiencies
Health
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2024-11-15
D · Potential for more than minimal harm
2024-07-10
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-06-27
D · Potential for more than minimal harm
2024-07-10
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-07-22
G · Actual harm
2024-03-06
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-03-25
D · Potential for more than minimal harm
2024-03-06
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-03-25
D · Potential for more than minimal harm
2024-03-06
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-25
D · Potential for more than minimal harm
2024-03-06
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-03-25
G · Actual harm
2024-01-17
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-09
D · Potential for more than minimal harm
2024-01-17
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-02-09
E · Potential for more than minimal harm
2022-05-27
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-07-28
E · Potential for more than minimal harm
2022-05-27
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2022-07-28
D · Potential for more than minimal harm
2022-05-27
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-07-28
D · Potential for more than minimal harm
2022-05-27
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-07-28
D · Potential for more than minimal harm
2022-05-27
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-07-28
D · Potential for more than minimal harm
2022-05-27
F745 · Quality of Life and Care Deficiencies
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2022-07-28
E · Potential for more than minimal harm
2019-10-17
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-17
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-17
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-17
F625 · Resident Rights Deficiencies
Health
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.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-17
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-17
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-11-08
D · Potential for more than minimal harm
2019-10-17
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2019-11-08
Penalties and ownership
What sits behind the stars
$44,268
2024-09-26
Fine
Fine · fine $44,268
Fine
$0
2024-09-26
Payment Denial
Payment Denial · denial start 2024-10-25 · 21 days
21 day denial
$22,523
2024-03-06
Fine
Fine · fine $22,523
Fine
Ownership
Tsg Nursing Centers, Inc
5% Or Greater Direct Ownership Interest · Organization
Altercare Of Ohio, Inc
Operational/Managerial Control · Organization
Film, George
Corporate Officer · Individual
Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Andrew M Schroer
5% Or Greater Indirect Ownership Interest · Organization
Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Gerald F Schroer Jr
5% Or Greater Indirect Ownership Interest · Organization
Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Matthew Schroer
5% Or Greater Indirect Ownership Interest · Organization
Gerald F Schroer Dynasty Tr Ua 12312009 Margaret S Goodman
5% Or Greater Indirect Ownership Interest · Organization
Goodman, John
Corporate Officer · Individual
Johnson, Kathy
Corporate Officer · Individual
Mock, Douglas
Corporate Director · Individual
Mock, Douglas
Corporate Officer · Individual
Mock, Douglas
W-2 Managing Employee · Individual
Nutter, Orian
Corporate Officer · Individual
Susanne Schroer Dynasty Trust U/A
5% Or Greater Indirect Ownership Interest · Organization
The Schroer Group, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Other facilities in reach
#1
Canal Winchester Care Center
Canal Winchester, OH
3-star overall rating with 2-star inspections with 15 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Embassy Of Winchester
Canal Winchester, OH
2-star overall rating with 1-star inspections with $198,607 in total fines with 30 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Pickerington Care And Rehabilitation
Pickerington, OH
3-star overall rating with 2-star inspections with 21 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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