12 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Coldwater, OH
2-star overall rating with 1-star inspections with $26,685 in total fines with 12 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
100 Don Desch Drive, Coldwater, OH
(419) 678-2311
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
112
Certified beds
Average residents
96
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Hcf Management
Operator or chain grouping
Approved since
1976-12-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
0.63
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.03
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.30
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
2.74
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
3.26
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
74%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
9,183
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.55
Composite VBP score used to determine payment impact.
Payment multiplier
0.9835
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.67
Baseline 19.25% · Performance 19.73% · Measure score 3.67 · Achievement 3.67 · Improvement 0
Healthcare-associated infections
2.56
Baseline 6.39% · Performance 7.07% · Measure score 2.56 · Achievement 2.56 · Improvement 0
Total nurse turnover
2.47
Baseline 63.89% · Performance 53.57% · Measure score 2.47 · Achievement 2.47 · Improvement 2.14
Adjusted total nurse staffing
1.12
Baseline 3.30 hours · Performance 3.40 hours · Measure score 1.12 · Achievement 1.12 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.12% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 163 · Observed rate 6.13% · Lower 95% interval 6.54% |
| Discharge to community | 55.5% |
50.57%
4.9 pts better
|
No Different than the National Rate · Eligible stays 144 · Observed rate 54.86% · Lower 95% interval 48.43% |
| Medicare spending per beneficiary | 1.11 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 98.55% |
95.27%
3.3 pts better
|
Numerator 68 · Denominator 69 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 69 |
| Discharge self-care score | 71.93% |
53.69%
18.2 pts better
|
Numerator 41 · Denominator 57 |
| Discharge mobility score | 49.12% |
50.94%
1.8 pts worse
|
Numerator 28 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 7.25% |
2.29%
5 pts worse
|
Numerator 5 · Denominator 69 · Adjusted rate 9.62% |
| Healthcare-associated infections requiring hospitalization | 7.07% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 93 · Observed rate 5.38% · Lower 95% interval 4.27% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 132 |
| Staff flu vaccination coverage | 8.81% |
42%
33.2 pts worse
|
Numerator 20 · Denominator 227 |
| Discharge function score | 64.91% |
56.45%
8.5 pts better
|
Numerator 37 · Denominator 57 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 42 · Denominator 42 |
| Resident COVID-19 vaccinations up to date | 16.67% |
25.2%
8.5 pts worse
|
Numerator 5 · Denominator 30 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.0 |
1.8
0.8 pts better
|
1.9
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.8
0.9 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 68.8% |
92.4%
23.6 pts worse
|
93.4%
24.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 90.5% · Q2 88.0% · Q3 55.0% · Q4 41.0% · 4Q avg 68.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.3% |
94.5%
1.2 pts worse
|
95.5%
2.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.3% |
3.3%
4 pts worse
|
3.3%
4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 6.0% · Q3 6.2% · Q4 9.6% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.5% |
26.1%
23.6 pts better
|
11.4%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 0.0% · Q3 6.8% · Q4 1.3% · 4Q avg 2.5% |
| Percentage of long-stay residents who lose too much weight | 4.8% |
6.2%
1.4 pts better
|
5.4%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 2.9% · Q3 6.1% · Q4 5.9% · 4Q avg 4.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.2% |
25.4%
4.2 pts better
|
19.6%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 22.1% · Q3 16.7% · Q4 20.3% · 4Q avg 21.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.7% |
11.5%
0.8 pts better
|
16.7%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.0% · Q2 8.2% · Q3 10.2% · Q4 10.0% · 4Q avg 10.7% · 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 | 12.7% |
7.7%
5 pts worse
|
16.3%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.1% · Q2 10.9% · Q3 8.0% · Q4 15.1% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.2% |
6.2%
7 pts worse
|
14.9%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 15.8% · Q3 10.2% · Q4 10.9% · 4Q avg 13.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.2%
0.1 pts worse
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.1% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
0.5%
0.1 pts worse
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.9% |
21.7%
3.2 pts worse
|
19.8%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.0% · Q2 26.5% · Q3 36.8% · Q4 20.7% · 4Q avg 24.9% |
| Percentage of long-stay residents with pressure ulcers | 5.7% |
3.7%
2 pts worse
|
5.1%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 5.2% · Q3 3.3% · Q4 4.7% · 4Q avg 5.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 36.3% |
78.1%
41.8 pts worse
|
81.7%
45.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 39.7% · Q2 29.7% · Q3 40.5% · Q4 35.1% · 4Q avg 36.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
12.5%
0.9 pts better
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 10.8% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.1% |
1.2%
1.9 pts worse
|
1.6%
1.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 2.2% · Q3 1.8% · Q4 4.2% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 28.4% |
75.6%
47.2 pts worse
|
79.7%
51.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 28.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.4% |
25.1%
8.7 pts better
|
23.9%
7.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 13.8% · Expected 20.2% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
13 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Nutrition and Dietary (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-09-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-30
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-09-30
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-09-30
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-09-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-30
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 2024-09-30
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-09-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-30
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-09-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-30
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-08-28
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-11-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-11-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-11-15
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 2022-11-15
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2022-11-15
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-11-15
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-11-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-02-14
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2020-02-14
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 2020-02-14
Inspection history
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-09-26
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-09-26
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-26
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-15
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-18
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-18
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-10-15
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2024-09-28
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 2024-09-28
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-09-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-28
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 2024-09-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-11-15
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 2022-11-15
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 2022-11-15
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 2022-11-15
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2022-11-15
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2022-11-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-11-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-11-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-11-15
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 2022-11-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-02-14
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 2020-02-14
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2020-02-14
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2020-02-14
Health
Provide or obtain dental services for each resident.
Corrected 2020-02-14
Penalties and ownership
Fine · fine $26,685
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Director · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
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