17 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Oregon, OH
2-star overall rating with 2-star inspections with 17 recent health deficiencies with 16 fire-safety deficiencies in the latest cycle
3953 Navarre Ave, Oregon, OH
(419) 698-4521
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
77
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ayden Healthcare
Operator or chain grouping
Approved since
1980-01-04
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 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
RN hours / resident day
0.35
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.31
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
1.96
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.63
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.66
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.04
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.19
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.34
CMS adjusted RN staffing hours
Adjusted total hours
3.55
CMS adjusted total nurse staffing hours
Case-mix index
1.40
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
64%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
12,155
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.66
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
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
0
Baseline 53.33% · Performance 70.93% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.73
Baseline 2.74 hours · Performance 3.72 hours · Measure score 2.73 · Achievement 2.27 · Improvement 2.73
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.13% |
10.72%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 45 · Observed rate 28.89% · Lower 95% interval 9.13% |
| Discharge to community | 51.51% |
50.57%
0.9 pts better
|
No Different than the National Rate · Eligible stays 42 · Observed rate 42.86% · Lower 95% interval 35.99% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 18 · 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 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 17.5% |
8.2%
9.3 pts better
|
Numerator 28 · Denominator 160 |
| Staff flu vaccination coverage | 19.63% |
42%
22.4 pts worse
|
Numerator 32 · Denominator 163 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.4% |
92.4%
2 pts better
|
93.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 100.0% · Q3 89.7% · Q4 91.9% · 4Q avg 94.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.6% |
94.5%
3.9 pts worse
|
95.5%
4.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.2% |
3.3%
1.1 pts better
|
3.3%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.7% · Q3 1.7% · Q4 3.2% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.6% |
26.1%
15.5 pts better
|
11.4%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 13.7% · Q3 8.9% · Q4 12.7% · 4Q avg 10.6% |
| Percentage of long-stay residents who lose too much weight | 8.5% |
6.2%
2.3 pts worse
|
5.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 9.4% · Q3 6.0% · Q4 5.9% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.4% |
25.4%
4 pts worse
|
19.6%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 29.6% · Q3 28.0% · Q4 33.3% · 4Q avg 29.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.0% |
11.5%
2.5 pts better
|
16.7%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 7.9% · Q3 12.5% · Q4 4.8% · 4Q avg 9.0% · 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 | 7.6% |
7.7%
0.1 pts better
|
16.3%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 17.6% · Q3 9.0% · Q4 4.4% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.1% |
6.2%
2.1 pts better
|
14.9%
10.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.0% · Q3 10.4% · Q4 0.0% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.2%
0.3 pts worse
|
1.0%
0.5 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 a urinary tract infection | 0.4% |
0.5%
0.1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.7% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.3% |
21.7%
2.6 pts worse
|
19.8%
4.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.9% · Q2 29.0% · Q3 11.1% · Q4 20.8% · 4Q avg 24.3% |
| Percentage of long-stay residents with pressure ulcers | 3.9% |
3.7%
0.2 pts worse
|
5.1%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 2.1% · Q3 1.8% · Q4 1.8% · 4Q avg 3.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 45.0% |
78.1%
33.1 pts worse
|
81.7%
36.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 43.1% · Q2 58.2% · Q3 38.7% · Q4 38.8% · 4Q avg 45.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.5% |
12.5%
5 pts better
|
12.0%
4.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.5% · Observed 8.7% · Expected 12.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.2%
0.7 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 34.7% |
75.6%
40.9 pts worse
|
79.7%
45 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 34.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.6% |
25.1%
5.5 pts better
|
23.9%
4.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.6% · Observed 21.7% · Expected 26.4% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
9 fire-safety deficiencies
Top issue: Miscellaneous (4 deficiencies)
Top issue: Nutrition and Dietary (5 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-05-31
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 2024-05-31
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-05-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-31
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-05-31
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-05-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-31
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 2024-05-31
Fire Safety
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2024-05-31
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-31
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-31
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-05-31
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-05-31
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-05-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-31
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 2023-10-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-18
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-08-18
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2023-08-18
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-18
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-08-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-18
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-08-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-08-18
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2020-04-20
Fire Safety
Provide properly protected cooking facilities.
Corrected 2020-04-20
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2020-04-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-04-20
Fire Safety
Have exits that are accessible at all times.
Corrected 2020-04-20
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 2020-04-20
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2020-04-20
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-04-20
Inspection history
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 2026-01-14
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 2026-01-14
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-01-14
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-01
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-18
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-07-31
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-31
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-05-31
Health
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.
Corrected 2024-05-31
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-31
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-31
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-05-31
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-05-31
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-05-31
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 2024-05-31
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-05-31
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-05-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-31
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-05-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-02
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-27
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-01
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 2023-08-18
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-18
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-08-18
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 2023-08-18
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-18
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2023-08-18
Health
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Corrected 2023-08-18
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-05-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-04-20
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2020-04-20
Health
Provide and implement an infection prevention and control program.
Corrected 2020-04-20
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2020-04-20
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2020-04-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2020-04-20
Health
Ensure that residents are free from significant medication errors.
Corrected 2020-04-20
Health
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.
Corrected 2020-04-20
Penalties and ownership
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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3-star overall rating with 2-star inspections with $45,250 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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4-star overall rating with 3-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Oregon, OH
1-star overall rating with 1-star inspections with $20,881 in total fines with 19 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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