Cycle 1
Health 2025-09-25 · Fire 2025-09-25
3 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Youngstown, OH
Briarfield At Ashley Circle
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
5291 Ashley Circle, Youngstown, OH
(330) 793-3010
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
74
Certified beds
Average residents
62
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1981-01-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.40
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.05
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
3.51
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
2.81
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.37
CMS adjusted RN staffing hours
Adjusted total hours
3.22
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,040
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.57
Composite VBP score used to determine payment impact.
Payment multiplier
0.9945
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.5
Performance 19.35% · Measure score 4.5 · Achievement 4.5 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
1.65
Baseline 6.19% · Performance 7.34% · Measure score 1.65 · Achievement 1.65 · Improvement 0
Total nurse turnover
9.14
Baseline 38.46% · Performance 26.32% · Measure score 9.14 · Achievement 9.14 · Improvement 8.42
Adjusted total nurse staffing
1.33
Baseline 2.84 hours · Performance 3.38 hours · Measure score 1.33 · Achievement 1.06 · Improvement 1.33
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.72% |
10.72%
About the same
|
No Different than the National Rate · Eligible stays 80 · Observed rate 11.25% · Lower 95% interval 7.58% |
| Discharge to community | 53.4% |
50.57%
2.8 pts better
|
No Different than the National Rate · Eligible stays 70 · Observed rate 50% · Lower 95% interval 43.75% |
| Medicare spending per beneficiary | 0.76 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 64 · Denominator 64 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 64 |
| Discharge self-care score | 58.7% |
53.69%
5 pts better
|
Numerator 27 · Denominator 46 |
| Discharge mobility score | 32.61% |
50.94%
18.3 pts worse
|
Numerator 15 · Denominator 46 |
| Pressure ulcers or injuries, new or worsened | 1.56% |
2.29%
0.7 pts better
|
Numerator 1 · Denominator 64 · Adjusted rate 2.14% |
| Healthcare-associated infections requiring hospitalization | 7.34% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 54 · Observed rate 7.41% · Lower 95% interval 3.85% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 80 |
| Staff flu vaccination coverage | 4.95% |
42%
37 pts worse
|
Numerator 5 · Denominator 101 |
| Discharge function score | 23.91% |
56.45%
32.5 pts worse
|
Numerator 11 · Denominator 46 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 20 · Denominator 20 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 29 · Denominator 29 |
| Resident COVID-19 vaccinations up to date | 8.82% |
25.2%
16.4 pts worse
|
Numerator 3 · Denominator 34 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.2% |
92.4%
5.2 pts worse
|
93.4%
6.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 92.0% · Q2 89.6% · Q3 82.6% · Q4 83.7% · 4Q avg 87.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.2% |
94.5%
1.7 pts better
|
95.5%
0.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.7% |
3.3%
0.4 pts worse
|
3.3%
0.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 6.5% · Q4 7.0% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 81.7% |
26.1%
55.6 pts worse
|
11.4%
70.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 86.0% · Q2 82.5% · Q3 81.0% · Q4 76.9% · 4Q avg 81.7% |
| Percentage of long-stay residents who lose too much weight | 3.6% |
6.2%
2.6 pts better
|
5.4%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 5.9% · Q4 5.7% · 4Q avg 3.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.2% |
25.4%
13.2 pts better
|
19.6%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 12.1% · Q3 8.8% · Q4 11.4% · 4Q avg 12.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.5% |
11.5%
11 pts worse
|
16.7%
5.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q3 29.2% · Q4 22.7% · 4Q avg 22.5% · 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 | 5.7% |
7.7%
2 pts better
|
16.3%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.2% |
6.2%
2 pts worse
|
14.9%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 10.0% · Q3 13.8% · Q4 0.0% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
0.2%
2.4 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 2.1% · Q3 2.0% · Q4 0.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.9% |
0.5%
5.4 pts worse
|
1.7%
4.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 8.3% · Q3 4.3% · Q4 2.3% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.0% |
21.7%
4.7 pts better
|
19.8%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 13.1% · Q3 22.7% · Q4 13.9% · 4Q avg 17.0% |
| Percentage of long-stay residents with pressure ulcers | 7.9% |
3.7%
4.2 pts worse
|
5.1%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 10.9% · Q3 8.9% · Q4 3.8% · 4Q avg 7.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 60.6% |
78.1%
17.5 pts worse
|
81.7%
21.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 54.4% · Q2 55.2% · Q3 62.6% · Q4 67.3% · 4Q avg 60.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.6% |
12.5%
1.9 pts better
|
12.0%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 11.3% · Expected 11.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.2%
0.5 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 1.5% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 58.5% |
75.6%
17.1 pts worse
|
79.7%
21.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 58.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 47.0% |
25.1%
21.9 pts worse
|
23.9%
23.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 47.0% · Observed 50.0% · Expected 25.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-02 · Fire 2023-03-02
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2020-02-06 · Fire 2020-02-06
6 health deficiencies
Top issue: Resident Rights (3 deficiencies)
6 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-09-25
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-10-03
F · Potential for more than minimal harm
2025-09-25
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-10-03
E · Potential for more than minimal harm
2025-09-25
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-10-03
F · Potential for more than minimal harm
2023-03-02
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-28
F · Potential for more than minimal harm
2023-03-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-28
F · Potential for more than minimal harm
2023-03-02
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-03-28
F · Potential for more than minimal harm
2023-03-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-28
F · Potential for more than minimal harm
2020-02-06
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 2020-03-19
F · Potential for more than minimal harm
2020-02-06
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2020-03-19
F · Potential for more than minimal harm
2020-02-06
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-03-19
F · Potential for more than minimal harm
2020-02-06
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-03-19
F · Potential for more than minimal harm
2020-02-06
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2020-03-19
F · Potential for more than minimal harm
2020-02-06
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2020-03-19
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-09-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-03
D · Potential for more than minimal harm
2025-09-25
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-10-03
D · Potential for more than minimal harm
2025-09-25
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-10-03
F · Potential for more than minimal harm
2023-12-09
F837 · Administration Deficiencies
Health
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-07-21
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-08-01
D · Potential for more than minimal harm
2023-03-02
F690 · Quality of Life and Care Deficiencies
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 2023-03-28
D · Potential for more than minimal harm
2020-02-06
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 2020-03-19
D · Potential for more than minimal harm
2020-02-06
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2020-03-19
D · Potential for more than minimal harm
2020-02-06
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2020-03-19
B · Minimal harm
2020-02-06
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2020-02-14
Penalties and ownership
What sits behind the stars
Ownership
Reese, Diane
5% Or Greater Direct Ownership Interest · Individual
Reese, Edward
5% Or Greater Direct Ownership Interest · Individual
Anderson, Allison
Operational/Managerial Control · Individual
Brown, Cheryl
Operational/Managerial Control · Individual
Collins, Patricia
Operational/Managerial Control · Individual
Cox, Jennifer
Operational/Managerial Control · Individual
Edm Management, Inc
Operational/Managerial Control · Organization
Hackney, Dana
Operational/Managerial Control · Individual
Jordan, Khaliliah
Operational/Managerial Control · Individual
Mackie, Amanda
Operational/Managerial Control · Individual
Pearch, Benjamin
Operational/Managerial Control · Individual
Reese, Diane
Operational/Managerial Control · Individual
Reese, Edward
Operational/Managerial Control · Individual
Rivera, Amanda
Operational/Managerial Control · Individual
Rupeka, Robert
Operational/Managerial Control · Individual
Rupeka, Robert
Corporate Officer · Individual
The Pnc Financial Services Group, Inc.
5% Or Greater Security Interest · Organization
The Pnc Financial Services Group, Inc.
5% Or Greater Mortgage Interest · Organization
White, Joseph
Operational/Managerial Control · Individual
Young, Shannon
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Aventura At Humility House
Austintown, OH
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Briarfield Manor
Youngstown, OH
2-star overall rating with 2-star inspections with 13 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Vista Center At The Ridge
Mineral Ridge, OH
2-star overall rating with 2-star inspections with 17 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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