Federal inspection record · CMS data as of October 1, 2026
Brookview Healthcare Center
214 Harding Street, Defiance, OH · (419) 784-1014
- Certified beds
- 89
- Residents per day
- 69
- Ownership
- For-Profit
- Chain
- Lionstone Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 28, 1980
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Brookview Healthcare Center carries 64 inspection points. That is fewer than 46% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care8D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide activities to meet all resident's needs.
Pharmacy Service8E
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure that residents are free from significant medication errors.
- E
Ensure medication error rates are not 5 percent or greater.
- E
Ensure that residents are free from significant medication errors.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control4F
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- C
Implement a program that monitors antibiotic use.
Resident Rights2D
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning1D
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspection history
2025-03-27
11 health deficiencies · 10 fire-safety deficiencies
Top issue: Pharmacy Service (5 deficiencies)
2022-08-01
11 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2019-08-01
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 3 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
3 h 3 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 63% of nursing staff and 71% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.6 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts worse | 3.3 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine39.8 pts worse | 52.9% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.9 pts worse | 86.8% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts worse | 5.4% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms42.1 pts worse | 73.7% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.4 pts worse | 11.5% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication14.3 pts worse | 39.8% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.9 pts better | 0.6% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.8 pts worse | 7.1% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts worse | 7.5% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts worse | 22.3% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 2.8% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine31.3 pts worse | 47.1% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit13.1 pts worse | 25.7% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.6 pts worse | 64.8% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.6 pts better | 14.8% | 24.4% | 23.4% |
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Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Lionstone Hz Opco Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 11 facilities |
| Kazarnovsky, Solomon | 5% Or Greater Indirect Ownership Interest · Individual | 50% | 35 facilities |
| Stein, Abba | 5% Or Greater Indirect Ownership Interest · Individual | 50% | 35 facilities |
| Cusner, Adam | Corporate Officer · Individual | 0% | 27 facilities |
| Cusner, Adam | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Cusner, Adam | Adp Of The SNF · Individual | 0% | 27 facilities |
| Degyansky, Jeffrey | Corporate Officer · Individual | 0% | 27 facilities |
| Degyansky, Jeffrey | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Degyansky, Jeffrey | Adp Of The SNF · Individual | 0% | 27 facilities |
| Goldish, Eliezer | Corporate Officer · Individual | 0% | 27 facilities |
| Goldish, Eliezer | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Goldish, Eliezer | Adp Of The SNF · Individual | 0% | 27 facilities |
| Kazarnovsky, Solomon | Corporate Officer · Individual | 0% | 35 facilities |
| Kazarnovsky, Solomon | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Kazarnovsky, Solomon | Adp Of The SNF · Individual | 0% | 35 facilities |
| Stein, Abba | Corporate Officer · Individual | 0% | 35 facilities |
| Stein, Abba | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Stein, Abba | Adp Of The SNF · Individual | 0% | 35 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress4F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
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.
- E
Install proper backup exit lighting.
- E
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.
Miscellaneous4F
- F
Provide a written emergency evacuation plan.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
Have restrictions on the use of highly flammable decorations.
- D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
Construction1F
- F
Meet requirements for sections of health care facilities separated by fire resistive construction.
Gas, Vacuum, and Electrical Systems1F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
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Other homes nearby
-
Laurels Of Defiance The
Defiance, OH · Ciena Healthcare/Laurel Health Care
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 13 min
- Fines
- $0
-
Vancrest Health Care Ctr Of Ho
Holgate, OH · Vancrest Health Care Centers
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 58 min
- Fines
- $0
-
Lutheran Home
Napoleon, OH
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0