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

Staffing

Hours and turnover

RN hours / resident day

0.28

Registered nurse staffing

LPN hours / resident day

1.01

Licensed practical nurse staffing

Aide hours / resident day

1.89

Nurse aide staffing

Weekend hours

2.75

Weekend nurse staffing

RN turnover

88%

Annual RN turnover

Total nurse turnover

43%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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