Cycle 1
Health 2025-07-24 · Fire 2025-07-24
12 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Louisville, OH
Altercare Of Louisville Ctr For Rehab & Nsg Care
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
7187 St Francis Street, Ne, Louisville, OH
(330) 875-4224
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
90
Certified beds
Average residents
71
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Altercare
Operator or chain grouping
Approved since
1995-06-01
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
Hours and turnover
RN hours / resident day
0.49
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.18
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.26
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.08
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
2.90
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.33
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.42
CMS adjusted RN staffing hours
Adjusted total hours
2.81
CMS adjusted total nurse staffing hours
Case-mix index
1.59
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,732
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
10.80
Composite VBP score used to determine payment impact.
Payment multiplier
0.9809
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
1.19
Baseline 55.71% · Performance 58.82% · Measure score 1.19 · Achievement 1.19 · Improvement 0
Adjusted total nurse staffing
0.97
Baseline 2.61 hours · Performance 3.08 hours · Measure score 0.97 · Achievement 0 · Improvement 0.97
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.88% |
10.72%
1.8 pts better
|
No Different than the National Rate · Eligible stays 50 · Observed rate 2% · Lower 95% interval 5.23% |
| Discharge to community | 61.06% |
50.57%
10.5 pts better
|
No Different than the National Rate · Eligible stays 50 · Observed rate 56% · Lower 95% interval 49.81% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 27 · Denominator 27 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 27 |
| Discharge self-care score | 55% |
53.69%
1.3 pts better
|
Numerator 11 · Denominator 20 |
| Discharge mobility score | 50% |
50.94%
0.9 pts worse
|
Numerator 10 · Denominator 20 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 27 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 117 |
| Staff flu vaccination coverage | 31.18% |
42%
10.8 pts worse
|
Numerator 53 · Denominator 170 |
| Discharge function score | 60% |
56.45%
3.5 pts better
|
Numerator 12 · Denominator 20 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 48.1% |
92.4%
44.3 pts worse
|
93.4%
45.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 58.5% · Q2 47.1% · Q3 44.0% · Q4 42.3% · 4Q avg 48.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.1% |
94.5%
3.4 pts worse
|
95.5%
4.4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.9% |
3.3%
1.4 pts better
|
3.3%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.9% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.7% |
26.1%
20.4 pts better
|
11.4%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 6.2% · Q3 4.5% · Q4 2.0% · 4Q avg 5.7% |
| Percentage of long-stay residents who lose too much weight | 5.4% |
6.2%
0.8 pts better
|
5.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.9% · Q3 13.9% · Q4 2.6% · 4Q avg 5.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.6% |
25.4%
3.2 pts worse
|
19.6%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.3% · Q2 26.5% · Q3 30.6% · Q4 30.8% · 4Q avg 28.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.8% |
11.5%
7.7 pts better
|
16.7%
12.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 8.3% · Q3 0.0% · Q4 3.6% · 4Q avg 3.8% · 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 | 8.9% |
7.7%
1.2 pts worse
|
16.3%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.9% |
6.2%
2.7 pts worse
|
14.9%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 23.5% · Q3 2.8% · Q4 5.3% · 4Q avg 8.9% · 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 | 17.5% |
21.7%
4.2 pts better
|
19.8%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 12.7% · Q3 19.1% · Q4 18.2% · 4Q avg 17.5% |
| Percentage of long-stay residents with pressure ulcers | 4.1% |
3.7%
0.4 pts worse
|
5.1%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.8% · Q3 5.8% · Q4 5.1% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 31.4% |
78.1%
46.7 pts worse
|
81.7%
50.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 38.2% · Q2 33.0% · Q3 26.2% · Q4 28.9% · 4Q avg 31.4% |
| 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 | 35.2% |
75.6%
40.4 pts worse
|
79.7%
44.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 35.2% |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-12-19 · Fire 2022-12-19
14 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2020-01-04 · Fire 2020-01-04
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-07-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-22
F · Potential for more than minimal harm
2025-07-24
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-08-22
F · Potential for more than minimal harm
2022-12-19
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-10
E · Potential for more than minimal harm
2022-12-19
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2023-01-10
E · Potential for more than minimal harm
2022-12-19
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2023-01-10
F · Potential for more than minimal harm
2020-01-04
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-01-31
F · Potential for more than minimal harm
2020-01-04
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-01-31
F · Potential for more than minimal harm
2020-01-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-01-31
F · Potential for more than minimal harm
2020-01-04
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2020-01-31
F · Potential for more than minimal harm
2020-01-04
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-01-31
D · Potential for more than minimal harm
2020-01-04
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2020-01-31
D · Potential for more than minimal harm
2020-01-04
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-01-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-24
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-24
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 2025-08-22
D · Potential for more than minimal harm
2025-07-24
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-24
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-24
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-24
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 2025-08-22
D · Potential for more than minimal harm
2025-07-24
F693 · Quality of Life and Care Deficiencies
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 2025-08-22
D · Potential for more than minimal harm
2025-07-24
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-24
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-24
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-24
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-07-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-22
D · Potential for more than minimal harm
2025-02-27
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-03-14
D · Potential for more than minimal harm
2024-08-20
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-27
D · Potential for more than minimal harm
2024-08-20
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-26
E · Potential for more than minimal harm
2023-11-29
F926 · Environmental Deficiencies
Health
Have policies on smoking.
Corrected 2023-12-04
G · Actual harm
2023-11-07
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 2023-12-04
D · Potential for more than minimal harm
2023-11-07
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 2023-12-04
D · Potential for more than minimal harm
2023-11-04
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-12-04
D · Potential for more than minimal harm
2023-10-04
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2023-12-04
D · Potential for more than minimal harm
2023-10-04
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2023-12-04
E · Potential for more than minimal harm
2022-12-19
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 2023-01-10
D · Potential for more than minimal harm
2022-12-19
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-19
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-19
F657 · Resident Assessment and Care Planning Deficiencies
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 2023-01-10
D · Potential for more than minimal harm
2022-12-19
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 2023-01-10
D · Potential for more than minimal harm
2022-12-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-19
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-19
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2023-01-10
D · Potential for more than minimal harm
2022-12-19
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 2023-01-10
D · Potential for more than minimal harm
2022-12-19
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2023-01-10
C · Minimal harm
2022-12-19
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-01-10
F · Potential for more than minimal harm
2020-01-04
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-01-31
E · Potential for more than minimal harm
2020-01-04
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 2020-01-31
D · Potential for more than minimal harm
2020-01-04
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 2020-01-31
Penalties and ownership
What sits behind the stars
Ownership
Tsg Nursing Centers, Inc
5% Or Greater Direct Ownership Interest · Organization
Altercare Of Ohio, Inc
Operational/Managerial Control · Organization
Colaner, Gregory
Corporate Director · Individual
Colaner, Gregory
Corporate Officer · Individual
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 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
Saint Joseph Care Center
Louisville, OH
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#2
Green Meadows Skilled Nursing And Rehab
Louisville, OH
3-star overall rating with 2-star inspections with $28,763 in total fines with 19 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Louisville Gardens Care Center
Louisville, OH
2-star overall rating with 1-star inspections with $115,891 in total fines with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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