Kingsville, OH

Ashtabula County Nursing Home

4-star overall rating with 4-star inspections with 1 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

5740 Dibble Road, Kingsville, OH

(440) 224-2161

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

133

Certified beds

Average residents

114

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1989-06-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.30

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.48

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.09

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.86

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.78

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.54

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.15

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

3.87

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,590

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

29.34

Composite VBP score used to determine payment impact.

Payment multiplier

0.9854

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 19.47% · Performance 21.49% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

3.58

Baseline 5.77% · Performance 6.77% · Measure score 3.58 · Achievement 3.58 · Improvement 0

Total nurse turnover

6.62

Baseline 46.08% · Performance 36.61% · Measure score 6.62 · Achievement 6.62 · Improvement 3.96

Adjusted total nurse staffing

1.54

Baseline 3.02 hours · Performance 3.51 hours · Measure score 1.54 · Achievement 1.54 · Improvement 1.30

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.05%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 215 · Observed rate 12.56% · Lower 95% interval 8.21%
Discharge to community	58.04%	50.57% 7.5 pts better	Better than the National Rate · Eligible stays 212 · Observed rate 51.42% · Lower 95% interval 50.83%
Medicare spending per beneficiary	0.98	1.02 About the same
Drug regimen review with follow-up	96.95%	95.27% 1.7 pts better	Numerator 127 · Denominator 131
Falls with major injury	0.76%	0.77% About the same	Numerator 1 · Denominator 131
Discharge self-care score	48.45%	53.69% 5.2 pts worse	Numerator 47 · Denominator 97
Discharge mobility score	65.98%	50.94% 15 pts better	Numerator 64 · Denominator 97
Pressure ulcers or injuries, new or worsened	4.58%	2.29% 2.3 pts worse	Numerator 6 · Denominator 131 · Adjusted rate 4.99%
Healthcare-associated infections requiring hospitalization	6.77%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 122 · Observed rate 5.74% · Lower 95% interval 3.86%
Staff COVID-19 vaccination coverage	5.44%	8.2% 2.8 pts worse	Numerator 8 · Denominator 147
Staff flu vaccination coverage	26.84%	42% 15.2 pts worse	Numerator 51 · Denominator 190
Discharge function score	65.98%	56.45% 9.5 pts better	Numerator 64 · Denominator 97
Transfer of health information to provider	97.7%	95.95% 1.8 pts better	Numerator 85 · Denominator 87
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	34.72%	25.2% 9.5 pts better	Numerator 25 · Denominator 72

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	1.8 0.6 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.8 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.3	1.8 0.5 pts worse	1.8 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.9 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	92.4% 7.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	4.0%	3.3% 0.7 pts worse	3.3% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.2% · Q3 2.3% · Q4 3.3% · 4Q avg 4.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	15.1%	26.1% 11 pts better	11.4% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 17.3% · Q3 9.5% · Q4 10.5% · 4Q avg 15.1%
Percentage of long-stay residents who lose too much weight	4.5%	6.2% 1.7 pts better	5.4% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 8.2% · Q3 5.8% · Q4 1.4% · 4Q avg 4.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.9%	25.4% 0.5 pts worse	19.6% 6.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.7% · Q2 28.4% · Q3 24.3% · Q4 24.3% · 4Q avg 25.9%
Percentage of long-stay residents who received an antipsychotic medication	14.5%	11.5% 3 pts worse	16.7% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 16.7% · Q3 13.6% · Q4 14.8% · 4Q avg 14.5% · 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	11.6%	7.7% 3.9 pts worse	16.3% 4.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.0% · Q2 5.7% · Q3 14.2% · Q4 7.4% · 4Q avg 11.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.8%	6.2% 5.6 pts worse	14.9% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 12.7% · Q3 22.4% · Q4 4.3% · 4Q avg 11.8% · 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	4.1%	0.5% 3.6 pts worse	1.7% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 4.3% · Q3 5.7% · Q4 3.3% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	10.8%	21.7% 10.9 pts better	19.8% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 12.2% · Q3 15.1% · Q4 8.9% · 4Q avg 10.8%
Percentage of long-stay residents with pressure ulcers	5.4%	3.7% 1.7 pts worse	5.1% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 7.5% · Q3 5.6% · Q4 5.6% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.5%	78.1% 14.4 pts better	81.7% 10.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 100.0% · Q3 92.7% · Q4 81.8% · 4Q avg 92.5%
Percentage of short-stay residents who had an outpatient emergency department visit	13.7%	12.5% 1.2 pts worse	12.0% 1.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 13.7% · Observed 14.6% · Expected 11.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	1.2% 0.8 pts worse	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · Q3 2.5% · Q4 2.5% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.2%	75.6% 21.6 pts better	79.7% 17.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	35.1%	25.1% 10 pts worse	23.9% 11.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 35.1% · Observed 36.2% · Expected 24.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-08-31 · Fire 2023-08-31

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2019-12-05 · Fire 2019-12-05

7 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Construction (2 deficiencies)

Cycle 3 Health 2018-10-23 · Fire 2018-10-23

11 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-08-31

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-10-06

F · Potential for more than minimal harm 2023-08-31

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-10-06

E · Potential for more than minimal harm 2023-08-31

K361 · Smoke Deficiencies

Fire Safety

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2023-10-06

E · Potential for more than minimal harm 2023-08-31

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-10-06

E · Potential for more than minimal harm 2023-08-31

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-10-06

E · Potential for more than minimal harm 2023-08-31

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2023-10-06

F · Potential for more than minimal harm 2019-12-05

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2020-01-23

E · Potential for more than minimal harm 2019-12-05

K132 · Construction Deficiencies

Fire Safety

Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.

Corrected 2020-01-24

E · Potential for more than minimal harm 2019-12-05

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2020-01-23

E · Potential for more than minimal harm 2019-12-05

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2020-01-24

E · Potential for more than minimal harm 2019-12-05

K361 · Smoke Deficiencies

Fire Safety

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2020-01-24

F · Potential for more than minimal harm 2018-10-23

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2018-11-05

F · Potential for more than minimal harm 2018-10-23

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2018-11-05

F · Potential for more than minimal harm 2018-10-23

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2018-11-05

E · Potential for more than minimal harm 2018-10-23

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2018-11-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-11-04

F624 · Resident Rights Deficiencies

Health

Prepare residents for a safe transfer or discharge from the nursing home.

Corrected 2024-11-30

F · Potential for more than minimal harm 2023-08-31

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-10-06

G · Actual harm 2019-12-05

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2020-01-23

E · Potential for more than minimal harm 2019-12-05

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2020-01-23

E · Potential for more than minimal harm 2019-12-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-23

D · Potential for more than minimal harm 2019-12-05

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2020-01-23

D · Potential for more than minimal harm 2019-12-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-01-23

D · Potential for more than minimal harm 2019-12-05

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 2020-01-23

J · Immediate jeopardy 2018-10-23

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2018-11-05

G · Actual harm 2018-10-23

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 2018-11-05

E · Potential for more than minimal harm 2018-10-23

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2018-11-05

D · Potential for more than minimal harm 2018-10-23

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2018-11-05

D · Potential for more than minimal harm 2018-10-23

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2018-11-05

D · Potential for more than minimal harm 2018-10-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2018-11-05

D · Potential for more than minimal harm 2018-10-23

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2018-11-05

D · Potential for more than minimal harm 2018-10-23

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 2018-11-05

D · Potential for more than minimal harm 2018-10-23

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 2018-11-05

D · Potential for more than minimal harm 2018-10-23

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2018-11-05

D · Potential for more than minimal harm 2018-10-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-11-05

Penalties and ownership

What sits behind the stars

Ownership

County Of Ashtabula

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 1989-06-21

Cadovec, Regina