14 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Wheelersburg, OH
2-star overall rating with 2-star inspections with $13,309 in total fines with 14 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
2159 Dogwood Ridge Road, Wheelersburg, OH
(740) 574-2558
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
110
Certified beds
Average residents
83
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Exceptional Living Centers
Operator or chain grouping
Approved since
1978-07-31
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
10 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.54
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.91
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.60
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.05
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.45
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.73
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.30
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
0.53
CMS adjusted RN staffing hours
Adjusted total hours
3.98
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
58%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
12,001
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.36
Composite VBP score used to determine payment impact.
Payment multiplier
0.9813
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.03% · Performance 21.22% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.37
Baseline 7.61% · Performance 7.13% · Measure score 2.37 · Achievement 2.37 · Improvement 1.34
Total nurse turnover
2.84
Baseline 48.53% · Performance 52.05% · Measure score 2.84 · Achievement 2.84 · Improvement 0
Adjusted total nurse staffing
0.53
Baseline 3.04 hours · Performance 3.23 hours · Measure score 0.53 · Achievement 0.53 · Improvement 0.18
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.01% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 154 · Observed rate 11.69% · Lower 95% interval 8.31% |
| Discharge to community | 54.89% |
50.57%
4.3 pts better
|
No Different than the National Rate · Eligible stays 107 · Observed rate 49.53% · Lower 95% interval 46.11% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.89% |
95.27%
3.6 pts better
|
Numerator 89 · Denominator 90 |
| Falls with major injury | 2.22% |
0.77%
1.5 pts worse
|
Numerator 2 · Denominator 90 |
| Discharge self-care score | 40% |
53.69%
13.7 pts worse
|
Numerator 16 · Denominator 40 |
| Discharge mobility score | 47.5% |
50.94%
3.4 pts worse
|
Numerator 19 · Denominator 40 |
| Pressure ulcers or injuries, new or worsened | 6.67% |
2.29%
4.4 pts worse
|
Numerator 6 · Denominator 90 · Adjusted rate 6.2% |
| Healthcare-associated infections requiring hospitalization | 7.13% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 86 · Observed rate 6.98% · Lower 95% interval 4.2% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 84 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 40% |
56.45%
16.5 pts worse
|
Numerator 16 · Denominator 40 |
| Transfer of health information to provider | 98.36% |
95.95%
2.4 pts better
|
Numerator 60 · Denominator 61 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 4.17% |
25.2%
21 pts worse
|
Numerator 2 · Denominator 48 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.8
0.6 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.8 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.6 |
1.8
0.2 pts better
|
1.8
0.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.8 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.7% |
92.4%
3.3 pts better
|
93.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 84.9% · Q2 98.1% · Q3 98.3% · Q4 100.0% · 4Q avg 95.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.5% |
94.5%
7 pts worse
|
95.5%
8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.0% |
3.3%
0.3 pts better
|
3.3%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 3.8% · Q3 0.0% · Q4 1.4% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 7.4% |
26.1%
18.7 pts better
|
11.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.1% · Q3 0.0% · Q4 20.3% · 4Q avg 7.4% |
| Percentage of long-stay residents who lose too much weight | 10.0% |
6.2%
3.8 pts worse
|
5.4%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 11.8% · Q3 4.4% · Q4 12.7% · 4Q avg 10.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.2% |
25.4%
0.8 pts worse
|
19.6%
6.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.6% · Q2 20.0% · Q3 28.9% · Q4 30.9% · 4Q avg 26.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.9% |
11.5%
7.6 pts better
|
16.7%
12.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 0.0% · Q3 5.6% · Q4 2.3% · 4Q avg 3.9% · 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 | 17.6% |
7.7%
9.9 pts worse
|
16.3%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 14.9% · Q4 7.8% · 4Q avg 17.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.1% |
6.2%
5.9 pts worse
|
14.9%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 23.5% · Q3 13.6% · Q4 3.9% · 4Q avg 12.1% · 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 | 0.4% |
0.5%
0.1 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 21.3% |
21.7%
0.4 pts better
|
19.8%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 29.6% · Q3 16.7% · Q4 19.1% · 4Q avg 21.3% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
3.7%
1.1 pts worse
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 4.5% · Q3 5.8% · Q4 5.4% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.3% |
78.1%
8.2 pts better
|
81.7%
4.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 67.4% · Q2 86.8% · Q3 92.3% · Q4 94.8% · 4Q avg 86.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.4% |
12.5%
1.1 pts better
|
12.0%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 13.0% · Expected 12.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.2%
0.3 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.4% · Q3 0.0% · Q4 1.2% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.7% |
75.6%
11.9 pts worse
|
79.7%
16 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.3% |
25.1%
1.8 pts better
|
23.9%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.3% · Observed 27.3% · Expected 27.9% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-11-18
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-11-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-18
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 2024-11-18
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-11-18
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-11-18
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 2023-05-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-09-29
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-09-29
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-09-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-09-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2019-12-19
Fire Safety
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
Corrected 2019-12-19
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 2019-12-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-12-19
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2019-12-19
Inspection history
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-24
Health
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected 2025-10-24
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-10-24
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-11-18
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 2024-11-18
Health
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.
Corrected 2024-11-18
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-11-18
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-11-18
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-18
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-11-18
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-11-18
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-11-18
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-11-18
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-18
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 2024-02-23
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-02-23
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-23
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-02-23
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-23
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-02-23
Health
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.
Corrected 2024-02-23
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-02-23
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-05-15
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2022-09-29
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-09-29
Health
Keep residents' personal and medical records private and confidential.
Corrected 2022-09-29
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-09-29
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-09-29
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2022-09-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-09-29
Health
Provide activities to meet all resident's needs.
Corrected 2022-09-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-09-29
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-09-29
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 2022-09-29
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2022-09-29
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-12-19
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2019-12-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-12-19
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2019-12-19
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-12-19
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2019-12-19
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-12-19
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-12-19
Penalties and ownership
Fine · fine $13,309
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Corporate Officer · Individual
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South Shore, KY
3-star overall rating with 4-star inspections with 2 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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