Federal inspection record · CMS data as of October 1, 2026
Arcadia Valley Skilled Nursing And Rehabilitation
25675 East Main Street, Coolville, OH · (740) 667-3156
- Certified beds
- 50
- Residents per day
- 39
- Ownership
- For-Profit
- Chain
- Continuing Healthcare Solutions
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 23, 1982
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
Arcadia Valley Skilled Nursing And Rehabilitation carries 95 inspection points. That is fewer than 29% 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
50 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 (1)
-
J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Everything else, by area of care
Resident Rights13E
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Keep residents' personal and medical records private and confidential.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Quality of Life and Care13D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide or obtain dental services for each resident.
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- C
Ensure the activities program is directed by a qualified professional.
- 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 appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Pharmacy Service9E
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Resident Assessment and Care Planning5D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- C
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Respond appropriately to all alleged violations.
Environmental1D
- D
Keep all essential equipment working safely.
Inspection history
2026-03-26
17 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
2024-05-20
14 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2022-05-12
19 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h of nursing staff time a day, 39 min of it from a registered nurse.
This home
3 h
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 47% of nursing staff and 44% 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
$13,627 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-18 | Fine | $13,627 |
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts worse | 3.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 100.0% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 0.6% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms27.5 pts better | 4.1% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.6 pts worse | 8.7% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.8 pts worse | 33.3% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.1 pts better | 6.4% | 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 worsened3.6 pts better | 1.7% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts better | 1.9% | 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 infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.2 pts worse | 24.1% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 2.9% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.6 pts better | 100.0% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.8 pts better | 11.8% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2 pts worse | 3.2% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.6 pts better | 100.0% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.3 pts better | 17.1% | 24.4% | 23.4% |
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Who owns and runs it
16 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 |
|---|---|---|---|
| Boyer Miller, Kayle | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Boyer Miller, Kayle | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bunner, Michael | Corporate Director · Individual | 0% | 13 facilities |
| Hughey, Tracy | Corporate Officer · Individual | 0% | 11 facilities |
| Hughey, Tracy | Adp Of The SNF · Individual | 0% | 11 facilities |
| Kauffman, Kevin | Corporate Officer · Individual | 0% | 11 facilities |
| Kauffman, Kevin | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Kauffman, Kevin | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 11 facilities |
| Mallett, Christopher | Corporate Director · Individual | 0% | 13 facilities |
| Miller, Michael | Indirect Ownership Interest · Individual | 0% | 11 facilities |
| Miller, Michael | Trustee Of The SNF · Individual | 0% | 11 facilities |
| Montgomery, David | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Montgomery, David | Adp Of The SNF · Individual | 0% | 5 facilities |
| Parsons, Benjamin | Corporate Director · Individual | 0% | 13 facilities |
| Sprenger, Mark | Corporate Director · Individual | 0% | 13 facilities |
| Sprenger, Timothy | Corporate Director · Individual | 0% | 14 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Provide properly protected cooking facilities.
- E
Install an approved automatic sprinkler system.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install an approved automatic sprinkler system.
Gas, Vacuum, and Electrical Systems2F
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Rockland Ridge Nursing & Rehabilitation Center
Belpre, OH · Foundations Health Solutions
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 35 min
- Fines
- $0
-
Belpre Landing Nursing And Rehabilitation
Belpre, OH · Continuing Healthcare Solutions
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 48 min
- Fines
- $0
-
Arbors At Pomeroy
Pomeroy, OH · Arbors At Ohio
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 28 min
- Fines
- $52,231