Federal inspection record · CMS data as of October 1, 2026
Continuing Healthcare At Cedar Hill
1136 Adair Avenue, Zanesville, OH · (740) 454-6823
- Certified beds
- 90
- Residents per day
- 78
- Ownership
- For-Profit
- Chain
- Certus Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 19, 2004
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.
-
Staffing
★★★★★no change
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.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Continuing Healthcare At Cedar Hill carries 94.75 inspection points. That is fewer than 29% 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
35 health citations on record since 2023. 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 (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care11E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- 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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
Resident Assessment and Care Planning6D
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Rights5E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
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.
- E
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.
- D
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary4F
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service2E
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Implement a program that monitors antibiotic use.
Environmental2F
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Administration1D
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspection history
2026-07-01
16 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2025-01-23
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-07-13
12 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 14 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 14 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 58% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$30,227 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-30 | Fine | $13,076 |
| 2024-01-05 | Fine | $17,151 |
6
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 days0.6 pts better | 1.1 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better | 99.6% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 4.7% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms18.4 pts better | 13.2% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts worse | 7.2% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.4 pts worse | 27.9% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.6 pts worse | 10.1% | 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 worsened3.6 pts better | 1.7% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.6 pts better | 2.4% | 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 infection1.6 pts worse | 2.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.4 pts better | 17.5% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.1 pts worse | 3.3% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.1 pts better | 93.5% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.3 pts better | 5.3% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 2.4% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.2 pts better | 88.6% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.4 pts worse | 28.8% | 24.4% | 23.4% |
·
Who owns and runs it
5 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 |
|---|---|---|---|
| Chm Oh West Opco Holdco LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| Ohio Care Skld LLC | 5% Or Greater Indirect Ownership Interest · Organization | 50% | 6 facilities |
| Dipasqua, Jason | W-2 Managing Employee · Individual | 0% | 14 facilities |
| Dipasqua, Jason | Corporate Officer · Individual | 0% | 14 facilities |
| Fishman, Shmuel | Corporate Officer · Individual | 0% | 14 facilities |
·
Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems4F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
·
Other homes nearby
-
Adams Lane Healthcare and Rehabilitation Center
Zanesville, OH · Certus Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 50 min
- Fines
- $17,610
-
Continuing Healthcare At Willow Haven
Zanesville, OH · Certus Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 17 min
- Fines
- $0
-
Oaks At Bethesda The
Zanesville, OH · Trilogy Health Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 51 min
- Fines
- $0