Ottawa, OH

Autumn Court

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

1925 E Fourth St, Ottawa, OH

(419) 523-4370

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

50

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lionstone Care

Operator or chain grouping

Approved since

2001-05-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

22 facilities

Chain averages 3 overall / 2 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

0.28

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.01

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.89

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.17

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.75

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.34

CMS adjusted RN staffing hours

Adjusted total hours

3.91

CMS adjusted total nurse staffing hours

Case-mix index

1.11

Higher values indicate more complex resident acuity

RN turnover

88%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,414

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

Performance score

32.94

Composite VBP score used to determine payment impact.

Payment multiplier

0.9874

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

3.70

Baseline 41.03% · Performance 48.57% · Measure score 3.70 · Achievement 3.70 · Improvement 0

Adjusted total nurse staffing

2.89

Baseline 3.94 hours · Performance 3.90 hours · Measure score 2.89 · Achievement 2.89 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 12 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 5 · 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 53
Staff flu vaccination coverage	26.67%	42% 15.3 pts worse	Numerator 20 · Denominator 75
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.8 0.1 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.8 0.9 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 1.1 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	84.9%	92.4% 7.5 pts worse	93.4% 8.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 72.9% · Q2 83.3% · Q3 91.5% · Q4 91.8% · 4Q avg 84.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.0%	94.5% 0.5 pts worse	95.5% 1.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.6%	3.3% 0.3 pts worse	3.3% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 2.1% · Q3 2.1% · Q4 4.1% · 4Q avg 3.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	85.1%	26.1% 59 pts worse	11.4% 73.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 78.0% · Q2 76.6% · Q3 91.5% · Q4 93.5% · 4Q avg 85.1%
Percentage of long-stay residents who lose too much weight	4.3%	6.2% 1.9 pts better	5.4% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.4% · Q3 0.0% · Q4 6.2% · 4Q avg 4.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	32.1%	25.4% 6.7 pts worse	19.6% 12.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 34.0% · Q3 34.1% · Q4 27.1% · 4Q avg 32.1%
Percentage of long-stay residents who received an antipsychotic medication	67.2%	11.5% 55.7 pts worse	16.7% 50.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 67.2% · 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	4.5%	7.7% 3.2 pts better	16.3% 11.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.4% · Q2 0.0% · Q3 6.5% · Q4 3.3% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	1.1%	6.2% 5.1 pts better	14.9% 13.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.3% · Q4 2.1% · 4Q avg 1.1% · 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	0.5%	0.5% About the same	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.0%	21.7% 1.7 pts better	19.8% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 19.6% · Q3 18.0% · Q4 19.1% · 4Q avg 20.0%
Percentage of long-stay residents with pressure ulcers	2.9%	3.7% 0.8 pts better	5.1% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.7% · Q3 3.8% · Q4 4.0% · 4Q avg 2.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-17 · Fire 2024-10-17

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2022-07-07 · Fire 2022-07-07

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-06-13 · Fire 2019-06-13

3 health deficiencies

Top issue: Resident Rights (2 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-17

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-10-30

F · Potential for more than minimal harm 2024-10-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-30

F · Potential for more than minimal harm 2024-10-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-10-30

F · Potential for more than minimal harm 2024-10-17

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-10-30

F · Potential for more than minimal harm 2022-07-07

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 2022-09-04

E · Potential for more than minimal harm 2019-06-13

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2019-07-01

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-10-17

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 2024-10-30

E · Potential for more than minimal harm 2024-10-17

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-10-30

E · Potential for more than minimal harm 2024-10-17

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-10-17

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-10-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-30

C · Minimal harm 2024-10-17

F949 · Administration Deficiencies

Health

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Corrected 2024-10-23

F · Potential for more than minimal harm 2022-07-07

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 2022-09-04

D · Potential for more than minimal harm 2022-07-07

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2022-09-04

D · Potential for more than minimal harm 2022-07-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-09-04

D · Potential for more than minimal harm 2022-07-07

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 2022-09-04

D · Potential for more than minimal harm 2019-06-13

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2019-07-01

D · Potential for more than minimal harm 2019-06-13

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2019-07-01

D · Potential for more than minimal harm 2019-06-13

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 2019-07-01

Penalties and ownership

What sits behind the stars

Ownership

Lionstone Hz Opco Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 11 facilities 2023-01-01

Kazarnovsky, Solomon

5% Or Greater Indirect Ownership Interest · Individual

50% 30 facilities 2023-01-01

Stein, Abba

5% Or Greater Indirect Ownership Interest · Individual

50% 30 facilities 2023-01-01

Cusner, Adam

Operational/Managerial Control · Individual

0% 27 facilities 2025-01-27

Cusner, Adam