Bowerston, OH

Bowerston Hills Nursing & Rehabilitation

5-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

9076 Cumberland Road, Bowerston, OH

(740) 269-4000

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

25

Certified beds

Average residents

19

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hillstone Healthcare

Operator or chain grouping

Approved since

1996-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 3 overall / 3 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

Hours and turnover

RN hours / resident day

0.61

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.10

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.78

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.71

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.64

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.52

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

0.49

CMS adjusted RN staffing hours

Adjusted total hours

3.02

CMS adjusted total nurse staffing hours

Case-mix index

1.71

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

24%

Annual nurse turnover · state 50% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 9 · 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 4 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 33
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 35
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	71.2%	92.4% 21.2 pts worse	93.4% 22.2 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 71.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.0%	94.5% 0.5 pts better	95.5% 0.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.3% 0.6 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	30.2%	26.1% 4.1 pts worse	11.4% 18.8 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 30.2%
Percentage of long-stay residents who lose too much weight	6.2%	6.2% About the same	5.4% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 6.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	61.2%	25.4% 35.8 pts worse	19.6% 41.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 61.2%
Percentage of long-stay residents who received an antipsychotic medication	0.0%	11.5% 11.5 pts better	16.7% 16.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.1%	7.7% 0.6 pts better	16.3% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.3%	6.2% 2.9 pts better	14.9% 11.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.3% · 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 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.5% 0.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.3%	21.7% 1.4 pts better	19.8% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 20.3%
Percentage of long-stay residents with pressure ulcers	4.5%	3.7% 0.8 pts worse	5.1% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	32.0%	78.1% 46.1 pts worse	81.7% 49.7 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 32.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

5 health deficiencies

Top issue: Infection Control (3 deficiencies)

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2023-02-23 · Fire 2023-02-23

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2021-04-26 · Fire 2021-04-26

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-10

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-01

F · Potential for more than minimal harm 2025-04-10

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-10

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-05-01

F · Potential for more than minimal harm 2023-02-23

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-03-31

F · Potential for more than minimal harm 2023-02-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-03-31

E · Potential for more than minimal harm 2023-02-23

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-03-31

F · Potential for more than minimal harm 2021-04-26

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 2021-06-09

F · Potential for more than minimal harm 2021-04-26

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-06-09

F · Potential for more than minimal harm 2021-04-26

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-06-09

E · Potential for more than minimal harm 2021-04-26

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2021-06-09

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-10

F561 · Resident Rights Deficiencies

Health

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

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-10

F657 · Resident Assessment and Care Planning Deficiencies

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 2025-05-01

D · Potential for more than minimal harm 2025-04-10

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-10

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-05-01

F · Potential for more than minimal harm 2023-02-23

F572 · Resident Rights Deficiencies

Health

Give residents a notice of rights, rules, services and charges.

Corrected 2023-03-31

F · Potential for more than minimal harm 2023-02-23

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-03-31

E · Potential for more than minimal harm 2023-02-23