Cadiz, OH

Carriage Inn Of Cadiz Inc

2-star overall rating with 2-star inspections with $14,991 in total fines with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

308 West Warren Street, Cadiz, OH

(740) 942-8084

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1976-06-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.79

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.52

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.11

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.42

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.31

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.93

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.55

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.76

CMS adjusted RN staffing hours

Adjusted total hours

3.27

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

33%

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

8,867

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

25.43

Composite VBP score used to determine payment impact.

Payment multiplier

0.9838

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.55

Baseline 63.08% · Performance 49.15% · Measure score 3.55 · Achievement 3.55 · Improvement 3.14

Adjusted total nurse staffing

1.53

Baseline 3.15 hours · Performance 3.51 hours · Measure score 1.53 · Achievement 1.53 · Improvement 0.87

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.5%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 13.89% · Lower 95% interval 7.22%
Discharge to community	41.64%	50.57% 8.9 pts worse	No Different than the National Rate · Eligible stays 25 · Observed rate 28% · Lower 95% interval 28.48%
Medicare spending per beneficiary	1.35	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 35 · Denominator 35
Falls with major injury	2.86%	0.77% 2.1 pts worse	Numerator 1 · Denominator 35
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	2.86%	2.29% 0.6 pts worse	Numerator 1 · Denominator 35 · Adjusted rate 2.57%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 19 · 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 100
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
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	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	1.8 0.3 pts worse	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.4 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.7	1.8 0.9 pts worse	1.8 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.7 · Observed 2.4 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	92.4% 6.6 pts better	93.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 96.0% · Q4 100.0% · 4Q avg 99.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.4%	94.5% 0.1 pts worse	95.5% 1.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.4%
Percentage of long-stay residents experiencing one or more falls with major injury	9.9%	3.3% 6.6 pts worse	3.3% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 6.0% · Q3 12.0% · Q4 14.0% · 4Q avg 9.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.0%	26.1% 23.1 pts better	11.4% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.3% · Q4 8.5% · 4Q avg 3.0%
Percentage of long-stay residents who lose too much weight	5.1%	6.2% 1.1 pts better	5.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 6.5% · Q3 4.7% · Q4 7.1% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	34.4%	25.4% 9 pts worse	19.6% 14.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.4% · Q2 42.6% · Q3 31.1% · Q4 27.9% · 4Q avg 34.4%
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 11.1% · Q2 8.6% · Q3 12.8% · Q4 10.3% · 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	5.7%	7.7% 2 pts better	16.3% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 0.0% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.3%	6.2% 1.9 pts better	14.9% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 7.1% · Q3 0.0% · Q4 5.3% · 4Q avg 4.3% · 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 · 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	0.5%	0.5% About the same	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.1% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.0%	21.7% 6.3 pts worse	19.8% 8.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.0% · Q2 22.8% · Q3 30.1% · Q4 39.0% · 4Q avg 28.0%
Percentage of long-stay residents with pressure ulcers	1.9%	3.7% 1.8 pts better	5.1% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 2.1% · Q3 1.9% · Q4 0.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	85.6%	78.1% 7.5 pts better	81.7% 3.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 73.9% · Q2 82.8% · Q3 83.3% · Q4 97.2% · 4Q avg 85.6%
Percentage of short-stay residents who had an outpatient emergency department visit	16.1%	12.5% 3.6 pts worse	12.0% 4.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 16.7% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.9%	1.2% 1.7 pts worse	1.6% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	60.0%	75.6% 15.6 pts worse	79.7% 19.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 60.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	39.2%	25.1% 14.1 pts worse	23.9% 15.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 39.2% · Observed 30.6% · Expected 18.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-08 · Fire 2024-02-08

7 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2022-04-14 · Fire 2022-04-14

9 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-08-15 · Fire 2019-08-15

20 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-05-30

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-06-19

F · Potential for more than minimal harm 2024-02-08

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-06

F · Potential for more than minimal harm 2024-02-08

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-03-06

F · Potential for more than minimal harm 2024-02-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-03-06

E · Potential for more than minimal harm 2024-02-08

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-03-06

E · Potential for more than minimal harm 2024-02-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-06

E · Potential for more than minimal harm 2024-02-08

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-06

E · Potential for more than minimal harm 2024-02-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-06

E · Potential for more than minimal harm 2024-02-08

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-03-06

F · Potential for more than minimal harm 2022-04-14

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-05-05

F · Potential for more than minimal harm 2022-04-14

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-05-05

F · Potential for more than minimal harm 2022-04-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-05-05

E · Potential for more than minimal harm 2022-04-14

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-05-05

E · Potential for more than minimal harm 2022-04-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-05-05

F · Potential for more than minimal harm 2019-08-15

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 2019-10-11

F · Potential for more than minimal harm 2019-08-15

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-10-11

F · Potential for more than minimal harm 2019-08-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-11

F · Potential for more than minimal harm 2019-08-15

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2019-10-11

E · Potential for more than minimal harm 2019-08-15

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2019-10-11

E · Potential for more than minimal harm 2019-08-15

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2019-10-11

E · Potential for more than minimal harm 2019-08-15

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-10-11

E · Potential for more than minimal harm 2019-08-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-10-11

E · Potential for more than minimal harm 2019-08-15

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-10-11

E · Potential for more than minimal harm 2019-08-15

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2019-10-11

E · Potential for more than minimal harm 2019-08-15

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2019-10-11

C · Minimal harm 2019-08-15

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2019-09-13

C · Minimal harm 2019-08-15

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2019-09-13

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-23

F761 · Pharmacy Service Deficiencies

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 2026-01-23

F · Potential for more than minimal harm 2024-06-17

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-06-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-19

E · Potential for more than minimal harm 2024-02-08

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2024-03-06

E · Potential for more than minimal harm 2024-02-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-06

E · Potential for more than minimal harm 2024-02-08

F725 · Nursing and Physician Services Deficiencies

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 2024-03-06

D · Potential for more than minimal harm 2024-02-08

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-03-06

D · Potential for more than minimal harm 2024-02-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-03-06

D · Potential for more than minimal harm 2024-02-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-03-06

G · Actual harm 2023-11-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-12-14

F · Potential for more than minimal harm 2023-11-22

F926 · Environmental Deficiencies

Health

Have policies on smoking.

Corrected 2023-12-14

G · Actual harm 2023-06-13

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-13

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-13

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-13

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 2023-06-30

D · Potential for more than minimal harm 2023-06-13

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-13

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2023-06-30

E · Potential for more than minimal harm 2022-04-14

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 2022-05-05

D · Potential for more than minimal harm 2022-04-14

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2022-05-05

D · Potential for more than minimal harm 2022-04-14

F646 · Resident Assessment and Care Planning Deficiencies

Health

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2022-05-05

D · Potential for more than minimal harm 2022-04-14

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-05-05

D · Potential for more than minimal harm 2022-04-14

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2022-05-05

D · Potential for more than minimal harm 2022-04-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-05-05

D · Potential for more than minimal harm 2022-04-14