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

70

Certified beds

Average residents

59

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

Staffing

Hours and turnover

RN hours / resident day

0.79

Registered nurse staffing

LPN hours / resident day

0.52

Licensed practical nurse staffing

Aide hours / resident day

2.11

Nurse aide staffing

Weekend hours

2.93

Weekend nurse staffing

RN turnover

33%

Annual RN turnover

Total nurse turnover

37%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-05-05

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

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2019-10-11

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

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 2019-10-11

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

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-10-11

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

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2019-10-11

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

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 2019-10-11

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

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2019-10-11

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

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2019-10-11

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

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2019-10-11

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

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 2019-10-11

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

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2019-10-11

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

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2019-10-11

B · Minimal harm 2019-08-15

F582 · Resident Rights Deficiencies

Health

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

Corrected 2019-09-13

Penalties and ownership

What sits behind the stars

$0 2024-03-13

Payment Denial

Payment Denial · denial start 2024-06-13 · 6 days

6 day denial

$14,991 2023-11-22

Fine

Fine · fine $14,991

Fine

Ownership

Bernsen, Kara

5% Or Greater Direct Ownership Interest · Individual

0% 4 facilities 2004-12-31
Bernsen, Kara

Corporate Director · Individual

0% 4 facilities 2005-12-03
Bernsen, Kenneth

5% Or Greater Direct Ownership Interest · Individual

0% 4 facilities 2004-12-31
Bernsen, Kenneth

Corporate Director · Individual

0% 4 facilities 2005-12-03
Bernsen, Kenneth

W-2 Managing Employee · Individual

0% 4 facilities 2005-12-03
Brown & Murphy Holding Company Inc

5% Or Greater Direct Ownership Interest · Organization

0% 2 facilities 2004-12-31
Huff, Joshua

5% Or Greater Direct Ownership Interest · Individual

0% 4 facilities 2004-12-31
Huff, Joshua

Corporate Director · Individual

0% 4 facilities 2005-12-03
Manning, Sarah

5% Or Greater Direct Ownership Interest · Individual

0% 4 facilities 2004-12-31
Manning, Sarah

Corporate Director · Individual

0% 4 facilities 2005-12-03

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