4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Zanesville, OH
1-star overall rating with 1-star inspections with $198,156 in total fines with 4 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
4200 Harrington Drive, Zanesville, OH
(740) 452-4351
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
92
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Altercare
Operator or chain grouping
Approved since
2015-11-04
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
0.63
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.68
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.26
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.57
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.31
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.21
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.39
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
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.05
CMS adjusted total nurse staffing hours
Case-mix index
1.60
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
6,975
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
31.14
Composite VBP score used to determine payment impact.
Payment multiplier
0.9863
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.15
Baseline 20.70% · Performance 19.51% · Measure score 4.15 · Achievement 4.15 · Improvement 2.74
Healthcare-associated infections
4.03
Baseline 7.81% · Performance 6.63% · Measure score 4.03 · Achievement 4.03 · Improvement 3.70
Total nurse turnover
2.56
Baseline 63.72% · Performance 53.21% · Measure score 2.56 · Achievement 2.56 · Improvement 2.20
Adjusted total nurse staffing
1.71
Baseline 3.54 hours · Performance 3.57 hours · Measure score 1.71 · Achievement 1.71 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.98% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 141 · Observed rate 11.35% · Lower 95% interval 7.84% |
| Discharge to community | 57.86% |
50.57%
7.3 pts better
|
No Different than the National Rate · Eligible stays 111 · Observed rate 53.15% · Lower 95% interval 48.58% |
| Medicare spending per beneficiary | 0.99 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 77 · Denominator 77 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 77 |
| Discharge self-care score | 44.9% |
53.69%
8.8 pts worse
|
Numerator 22 · Denominator 49 |
| Discharge mobility score | 34.69% |
50.94%
16.2 pts worse
|
Numerator 17 · Denominator 49 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 77 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.63% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 64 · Observed rate 4.69% · Lower 95% interval 3.85% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 105 |
| Staff flu vaccination coverage | 65.38% |
42%
23.4 pts better
|
Numerator 68 · Denominator 104 |
| Discharge function score | 46.94% |
56.45%
9.5 pts worse
|
Numerator 23 · Denominator 49 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 22 · Denominator 22 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 36 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 58.33% |
25.2%
33.1 pts better
|
Numerator 21 · Denominator 36 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5% |
92.4%
3.1 pts better
|
93.4%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 94.5% · Q3 98.6% · Q4 94.4% · 4Q avg 95.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.3% |
94.5%
1.8 pts better
|
95.5%
0.8 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.2% |
3.3%
0.9 pts worse
|
3.3%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 4.1% · Q3 2.9% · Q4 4.2% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 16.3% |
26.1%
9.8 pts better
|
11.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 20.3% · Q3 13.8% · Q4 15.6% · 4Q avg 16.3% |
| Percentage of long-stay residents who lose too much weight | 6.3% |
6.2%
0.1 pts worse
|
5.4%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.2% · Q3 10.9% · Q4 6.3% · 4Q avg 6.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 24.3% |
25.4%
1.1 pts better
|
19.6%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 21.9% · Q3 25.0% · Q4 28.1% · 4Q avg 24.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 1.4% |
11.5%
10.1 pts better
|
16.7%
15.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 1.4% · 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 | 4.2% |
7.7%
3.5 pts better
|
16.3%
12.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 7.3% · Q3 3.2% · Q4 0.0% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.1% |
6.2%
2.1 pts better
|
14.9%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 6.6% · Q3 0.0% · Q4 4.9% · 4Q avg 4.1% · 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 | 1.4% |
0.5%
0.9 pts worse
|
1.7%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 2.9% · Q4 1.4% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.6% |
21.7%
5.1 pts better
|
19.8%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 11.2% · Q3 15.4% · Q4 21.7% · 4Q avg 16.6% |
| Percentage of long-stay residents with pressure ulcers | 2.8% |
3.7%
0.9 pts better
|
5.1%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.9% · Q3 2.1% · Q4 3.6% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 79.9% |
78.1%
1.8 pts better
|
81.7%
1.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 79.7% · Q2 83.9% · Q3 80.7% · Q4 75.0% · 4Q avg 79.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.5% |
12.5%
About the same
|
12.0%
0.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 11.9% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.2%
0.9 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.7% |
75.6%
9.1 pts better
|
79.7%
5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 84.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 34.3% |
25.1%
9.2 pts worse
|
23.9%
10.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 34.3% · Observed 34.3% · Expected 23.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (10 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (12 deficiencies)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Fire safety
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-05-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-05-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-15
Fire Safety
Meet other general requirements.
Corrected 2022-02-21
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-02-21
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-30
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 2025-04-03
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-04-03
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 2025-04-03
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-03-20
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-02-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-18
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-02-18
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-27
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 2024-11-27
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2024-11-27
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-10-03
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-03
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-03
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-03
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2024-10-03
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-10-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-03
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-29
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-29
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2024-02-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-02-29
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-02-29
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-02-29
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2024-02-29
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2023-12-27
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-12-27
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-12-27
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-12-27
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-12-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-12-27
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 2023-12-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-27
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-02
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-02
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-02
Health
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2023-08-02
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-08-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-02
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-04-07
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-04-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-02-21
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-02-21
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 2022-02-21
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2022-02-21
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 2022-02-21
Health
Provide and implement an infection prevention and control program.
Corrected 2022-02-21
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2022-02-21
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-02-21
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 2022-02-21
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-02-21
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-02-21
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 2022-02-21
Penalties and ownership
Fine · fine $163,836
Fine
Payment Denial · denial start 2025-02-14 · 45 days
45 day denial
Fine · fine $34,320
Fine
Payment Denial · denial start 2023-07-12 · 21 days
21 day denial
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 Director · 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
Zanesville, OH
2-star overall rating with 1-star inspections with $100,538 in total fines with 21 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Zanesville, OH
4-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Zanesville, OH
1-star overall rating with 1-star inspections with $40,000 in total fines with 29 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Jump out