Federal inspection record · CMS data as of October 1, 2026
Altercare Zanesville Inc.
4200 Harrington Drive, Zanesville, OH · (740) 452-4351
- Certified beds
- 99
- Residents per day
- 88
- Ownership
- For-Profit
- Chain
- Altercare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 4, 2015
1
How this home got 2 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
-
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.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Altercare Zanesville Inc. carries 93.5 inspection points. That is fewer than 30% 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
46 health citations on record since 2022. 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.
Harm and immediate-jeopardy citations (4)
-
J
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
J
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care16E
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control6F
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- D
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.
- E
Provide and implement an infection prevention and control program.
Resident Rights5D
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary4F
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
Resident Assessment and Care Planning4E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service3D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Administration2F
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Inspection history
2025-05-01
2 health deficiencies · 2 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-02-05
17 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
2022-01-20
27 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (10 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 39 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
3 h 39 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 45% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$198,156 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-12-10 | Fine | $163,836 |
| 2024-12-10 | Payment Denial · 45 day denial | $0 |
| 2024-02-05 | Fine | $34,320 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.3 pts worse | 92.4% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.7 pts worse | 89.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.4 pts worse | 4.5% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.5 pts better | 20.1% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts worse | 6.2% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts better | 25.4% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.9 pts better | 0.6% | 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 worsened1.9 pts better | 3.4% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2 pts better | 3.0% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts worse | 1.4% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.4 pts worse | 21.3% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 3.9% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.4 pts better | 79.8% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5.1 pts worse | 17.7% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.2% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.1 pts better | 91.5% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.9 pts better | 22.5% | 24.4% | 23.4% |
·
Who owns and runs it
15 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 |
|---|---|---|---|
| Tsg Nursing Centers, Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 22 facilities |
| Altercare Of Ohio, Inc | Operational/Managerial Control · Organization | 0% | 22 facilities |
| Film, George | Corporate Officer · Individual | 0% | 22 facilities |
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Andrew M Schroer | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Gerald F Schroer Jr | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Matthew Schroer | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Gerald F Schroer Dynasty Tr Ua 12312009 Margaret S Goodman | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Goodman, John | Corporate Officer · Individual | 0% | 23 facilities |
| Johnson, Kathy | Corporate Officer · Individual | 0% | 15 facilities |
| Mock, Douglas | W-2 Managing Employee · Individual | 0% | 22 facilities |
| Mock, Douglas | Corporate Director · Individual | 0% | 22 facilities |
| Mock, Douglas | Corporate Officer · Individual | 0% | 22 facilities |
| Nutter, Orian | Corporate Officer · Individual | 0% | 22 facilities |
| Susanne Schroer Dynasty Trust U/A | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 22 facilities |
| The Schroer Group, Inc. | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 22 facilities |
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Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke2F
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Construction1E
- E
Meet other general requirements.
Egress1E
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
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Other homes nearby
-
The Oaks Rehabilitation and Healthcare Center
Zanesville, OH · Citadel Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 51 min
- Fines
- $97,465
-
Oaks At Bethesda The
Zanesville, OH · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 51 min
- Fines
- $0
-
Continuing Healthcare At Willow Haven
Zanesville, OH · Certus Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 17 min
- Fines
- $0