Federal inspection record · CMS data as of October 1, 2026
Autumn Court
1925 E Fourth St, Ottawa, OH · (419) 523-4370
- Certified beds
- 50
- Residents per day
- 48
- Ownership
- For-Profit
- Chain
- Lionstone Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 3, 2001
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Autumn Court carries 88 inspection points. That is fewer than 32% 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
18 health citations on record since 2019. 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
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Everything else, by area of care
Nutrition and Dietary5F
- F
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- 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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights4E
- 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.
- 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
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
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.
Resident Assessment and Care Planning2D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Environmental1F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pharmacy Service1E
- 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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Administration1C
- C
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspection history
2024-10-17
11 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (5 deficiencies)
2022-07-07
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2019-06-13
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h of nursing staff time a day, 19 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: 61% of nursing staff and 100% 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
$25,495 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-06-25 | Fine | $25,495 |
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 days0.4 pts better | 1.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.2 pts better | 0.5 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts better | 94.9% | 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 injuryAbout the same | 3.1% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms64.5 pts worse | 96.1% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts worse | 6.3% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.1 pts worse | 32.6% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication35.6 pts worse | 44.1% | 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 worsened0.2 pts better | 5.1% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts better | 3.2% | 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 infection0.1 pts worse | 0.5% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.2 pts better | 15.7% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts better | 1.9% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.5 pts worse | 61.9% | 78.4% | 82.3% |
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Who owns and runs it
18 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 |
|---|---|---|---|
| Lionstone Hz Opco Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Kazarnovsky, Solomon | 5% Or Greater Indirect Ownership Interest · Individual | 50% | 35 facilities |
| Stein, Abba | 5% Or Greater Indirect Ownership Interest · Individual | 50% | 35 facilities |
| Cusner, Adam | Corporate Officer · Individual | 0% | 27 facilities |
| Cusner, Adam | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Cusner, Adam | Adp Of The SNF · Individual | 0% | 27 facilities |
| Degyansky, Jeffrey | Corporate Officer · Individual | 0% | 27 facilities |
| Degyansky, Jeffrey | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Degyansky, Jeffrey | Adp Of The SNF · Individual | 0% | 27 facilities |
| Goldish, Eliezer | Corporate Officer · Individual | 0% | 27 facilities |
| Goldish, Eliezer | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Goldish, Eliezer | Adp Of The SNF · Individual | 0% | 27 facilities |
| Kazarnovsky, Solomon | Corporate Officer · Individual | 0% | 35 facilities |
| Kazarnovsky, Solomon | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Kazarnovsky, Solomon | Adp Of The SNF · Individual | 0% | 35 facilities |
| Stein, Abba | Corporate Officer · Individual | 0% | 35 facilities |
| Stein, Abba | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Stein, Abba | Adp Of The SNF · Individual | 0% | 35 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Egress2F
- F
Have exits that are accessible at all times.
- F
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.
Smoke1F
- F
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
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Meadows Of Ottawa The
Ottawa, OH · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0
-
Meadows Of Leipsic
Leipsic, OH · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 18 min
- Fines
- $0
-
Meadows Of Kalida
Kalida, OH · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 12 min
- Fines
- $0