Federal inspection record · CMS data as of October 1, 2026

Autumnwood Care Center

670 E Sr 18, Tiffin, OH · (419) 447-7151

CMS overall rating

2 of 5

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Certified beds
93
Residents per day
85
Ownership
For-Profit
Chain
Garden Springs Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 16, 1979

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Ohio homes

Autumnwood Care Center carries 101 inspection points. That is fewer than 27% of Ohio's 913 rated homes.

5★4★3★2★1★+28 homes above 24805102550100200inspection points → fewer is better on the leftThis home · 101 pts · 2★

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

47 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 30 4 pts
E 8 8 pts
F 6 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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 (3)

  1. G

    Ensure that residents are free from significant medication errors.

    April 22, 2026 · Complaint inspection · Pharmacy Service · F760 · Corrected May 15, 2026

  2. G

    Ensure that residents are free from significant medication errors.

    January 21, 2025 · Complaint inspection · Pharmacy Service · F760 · Corrected February 7, 2025

  3. G

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

    October 4, 2022 · Standard inspection · Quality of Life and Care · F684 · Corrected November 2, 2022

Everything else, by area of care

Resident Rights13F
  1. F

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    April 22, 2026 · Standard · F577 · Corrected May 15, 2026

  2. D

    Allow residents to self-administer drugs if determined clinically appropriate.

    April 22, 2026 · Standard · F554 · Corrected May 15, 2026

  3. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    April 22, 2026 · Complaint · F580 · Corrected May 15, 2026

  4. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    July 8, 2025 · Complaint · F628 · Corrected July 11, 2025

  5. D

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    December 12, 2024 · Standard · F561 · Corrected January 3, 2025

  6. D

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    December 12, 2024 · Standard · F568 · Corrected January 3, 2025

  7. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    December 12, 2024 · Standard · F580 · Corrected January 3, 2025

  8. 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.

    December 12, 2024 · Standard · F584 · Corrected January 3, 2025

  9. D

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    June 25, 2024 · Complaint · F622 · Corrected July 19, 2024

  10. D

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

    June 25, 2024 · Complaint · F623 · Corrected July 19, 2024

  11. D

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    June 25, 2024 · Complaint · F626 · Corrected July 19, 2024

  12. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 4, 2022 · Standard · F580 · Corrected November 2, 2022

  13. D

    Keep residents' personal and medical records private and confidential.

    October 4, 2022 · Standard · F583 · Corrected November 2, 2022

Quality of Life and Care10D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 29, 2026 · Complaint · F689 · Corrected August 19, 2026

  2. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    April 22, 2026 · Standard · F677 · Corrected May 15, 2026

  3. D

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

    December 12, 2024 · Standard · F684 · Corrected January 3, 2025

  4. 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.

    December 12, 2024 · Standard · F693 · Corrected January 3, 2025

  5. D

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

    September 10, 2024 · Complaint · F684 · Corrected August 30, 2024

  6. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 21, 2023 · Complaint · F689 · Corrected January 5, 2024

  7. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    October 4, 2022 · Standard · F677 · Corrected November 2, 2022

  8. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    October 4, 2022 · Standard · F689 · Corrected November 2, 2022

  9. D

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

    October 4, 2022 · Standard · F692 · Corrected November 2, 2022

  10. D

    Provide safe and appropriate respiratory care for a resident when needed.

    October 4, 2022 · Standard · F695 · Corrected November 2, 2022

Nutrition and Dietary6F
  1. D

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    July 29, 2026 · Complaint · F808 · Corrected August 19, 2026

  2. E

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    April 22, 2026 · Standard · F806 · Corrected May 12, 2026

  3. E

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    April 22, 2026 · Standard · F809 · Corrected May 12, 2026

  4. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 22, 2026 · Standard · F812 · Corrected May 12, 2026

  5. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 12, 2024 · Standard · F812 · Corrected January 3, 2025

  6. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 4, 2022 · Standard · F812 · Corrected November 2, 2022

Resident Assessment and Care Planning6F
  1. F

    Ensure each resident receives an accurate assessment.

    April 22, 2026 · Standard · F641 · Corrected May 15, 2026

  2. D

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

    December 12, 2024 · Standard · F656 · Corrected January 3, 2025

  3. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    December 12, 2024 · Standard · F842 · Corrected January 3, 2025

  4. D

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

    October 4, 2022 · Standard · F656 · Corrected November 2, 2022

  5. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    October 4, 2022 · Standard · F657 · Corrected November 2, 2022

  6. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    October 4, 2022 · Standard · F842 · Corrected November 2, 2022

Environmental5F
  1. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    July 29, 2026 · Complaint · F921 · Corrected August 21, 2026

  2. E

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    April 22, 2026 · Standard · F925 · Corrected May 12, 2026

  3. F

    Keep all essential equipment working safely.

    December 12, 2024 · Standard · F908 · Corrected January 3, 2025

  4. F

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    December 12, 2024 · Standard · F921 · Corrected January 3, 2025

  5. E

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    October 4, 2022 · Standard · F921 · Corrected November 2, 2022

Pharmacy Service2F
  1. F

    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.

    April 22, 2026 · Standard · F761 · Corrected May 15, 2026

  2. D

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    October 4, 2022 · Standard · F756 · Corrected November 2, 2022

Infection Control1D
  1. D

    Provide and implement an infection prevention and control program.

    December 12, 2024 · Standard · F880 · Corrected January 3, 2025

Nursing and Physician Services1E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    October 4, 2022 · Standard · F725 · Corrected November 2, 2022

Inspection history

  1. 2026-04-22

    14 health deficiencies · 10 fire-safety deficiencies

    Top issue: Nutrition and Dietary (4 deficiencies)

  2. 2024-12-12

    14 health deficiencies · 13 fire-safety deficiencies

    Top issue: Resident Rights (5 deficiencies)

  3. 2022-10-04

    19 health deficiencies · 8 fire-safety deficiencies

    Top issue: Quality of Life and Care (7 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 47 min of nursing staff time a day, 45 min of it from a registered nurse.

This home

3 h 47 min

Ohio average

3 h 43 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 42% of nursing staff and 10% 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

$28,340 in federal fines on record over the past three years.

DatePenaltyAmount
2026-04-22Fine$28,340

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same1.71.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse1.91.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.9 pts better98.6%92.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.1 pts better98.8%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury3 pts worse6.1%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms36.7 pts worse68.3%31.6%13.5%
Percentage of long-stay residents who lose too much weight1.4 pts better4.7%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication1.5 pts worse27.0%25.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication5.9 pts better2.6%8.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.1 pts better2.2%5.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better3.3%5.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.0%0.2%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts better0.3%0.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts better19.9%20.9%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts better2.1%3.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.2 pts better94.6%78.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts worse13.1%12.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better0.0%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine22.2 pts better98.6%76.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.7 pts worse31.1%24.4%23.4%

·

Who owns and runs it

19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Oheads Opco Holdings LLC5% Or Greater Direct Ownership Interest · Organization100%2 facilities
Friedman, Matis5% Or Greater Indirect Ownership Interest · Individual50%6 facilities
Mahilnitski, Ilya5% Or Greater Indirect Ownership Interest · Individual15%5 facilities
Rap 118 LLC5% Or Greater Indirect Ownership Interest · Organization15%2 facilities
Yfr Equities LLC5% Or Greater Indirect Ownership Interest · Organization5%4 facilities
Akers, MarkOperational/Managerial Control · Individual0%1 facilities
Akers, MarkAdp Of The SNF · Individual0%1 facilities
Barenbaum, AlyssaIndirect Ownership Interest · Individual0%2 facilities
Franklin, NuelOperational/Managerial Control · Individual0%1 facilities
Franklin, NuelAdp Of The SNF · Individual0%1 facilities
Friedman, GittyIndirect Ownership Interest · Individual0%2 facilities
Friedman, MatisOperational/Managerial Control · Individual0%6 facilities
Friedman, MatisAdp Of The SNF · Individual0%6 facilities
Mahilnitski, IlyaOperational/Managerial Control · Individual0%5 facilities
Mahilnitski, IlyaAdp Of The SNF · Individual0%5 facilities
Oheads Opco Holdings LLCAdp Of The SNF · Organization0%2 facilities
Rap 118 LLCAdp Of The SNF · Organization0%2 facilities
Strauss, Jennifer5% Or Greater Indirect Ownership Interest · Individual0%3 facilities
Yfr Equities LLCAdp Of The SNF · Organization0%4 facilities

·

Fire safety

31 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke12F
  1. F

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

    April 22, 2026 · K321 · Corrected May 15, 2026

  2. F

    Provide properly protected cooking facilities.

    April 22, 2026 · K324 · Corrected May 15, 2026

  3. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 22, 2026 · K353 · Corrected May 15, 2026

  4. F

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

    April 22, 2026 · K372 · Corrected May 15, 2026

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    December 12, 2024 · K353 · Corrected January 3, 2025

  6. F

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

    December 12, 2024 · K372 · Corrected January 3, 2025

  7. E

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

    December 12, 2024 · K321 · Corrected January 3, 2025

  8. E

    Install corridor and hallway doors that block smoke.

    December 12, 2024 · K363 · Corrected January 3, 2025

  9. F

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

    October 4, 2022 · K345 · Corrected November 2, 2022

  10. F

    Inspect, test, and maintain automatic sprinkler systems.

    October 4, 2022 · K353 · Corrected November 2, 2022

  11. E

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

    October 4, 2022 · K321 · Corrected November 2, 2022

  12. E

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

    October 4, 2022 · K372 · Corrected November 2, 2022

Egress6F
  1. F

    Install emergency lighting that can last at least 1 1/2 hours.

    April 22, 2026 · K291 · Corrected May 15, 2026

  2. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    April 22, 2026 · K211 · Corrected May 15, 2026

  3. F

    Install emergency lighting that can last at least 1 1/2 hours.

    December 12, 2024 · K291 · Corrected January 3, 2025

  4. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    December 12, 2024 · K223 · Corrected January 3, 2025

  5. E

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    December 12, 2024 · K232 · Corrected January 3, 2025

  6. D

    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.

    October 4, 2022 · K222 · Corrected November 2, 2022

Miscellaneous5F
  1. E

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

    April 22, 2026 · K761 · Corrected May 15, 2026

  2. F

    Have simulated fire drills held at unexpected times.

    December 12, 2024 · K712 · Corrected January 3, 2025

  3. F

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

    December 12, 2024 · K761 · Corrected January 3, 2025

  4. E

    Have restrictions on the use of highly flammable decorations.

    December 12, 2024 · K753 · Corrected January 3, 2025

  5. F

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

    October 4, 2022 · K761 · Corrected November 2, 2022

Gas, Vacuum, and Electrical Systems4F
  1. F

    Ensure proper usage of power strips and extension cords.

    April 22, 2026 · K920 · Corrected May 15, 2026

  2. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    December 12, 2024 · K914 · Corrected January 3, 2025

  3. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    October 4, 2022 · K914 · Corrected November 2, 2022

  4. E

    Ensure proper usage of power strips and extension cords.

    October 4, 2022 · K920 · Corrected November 2, 2022

Emergency Preparedness2F
  1. F

    Conduct testing and exercise requirements.

    April 22, 2026 · E39 · Corrected May 15, 2026

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    April 22, 2026 · E4 · Corrected May 15, 2026

Services2F
  1. F

    Have properly installed electrical wiring and gas equipment.

    December 12, 2024 · K511 · Corrected January 3, 2025

  2. F

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

    December 12, 2024 · K521 · Corrected January 3, 2025

·

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