Federal inspection record · CMS data as of October 1, 2026
Covington Skilled Nursing & Rehab Center
100 Covington Drive, East Palestine, OH · (330) 426-2920
- Certified beds
- 65
- Residents per day
- 59
- Ownership
- For-Profit
- Chain
- Michael Slyk
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- October 1, 2009
1
How this home got 5 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
★★★★★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.
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Quality measures
★★★★★+1 star
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
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Covington Skilled Nursing & Rehab Center carries 19 inspection points. That is fewer than 87% 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
23 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6D
- 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 safe and appropriate respiratory care for a resident when needed.
- C
Ensure the activities program is directed by a qualified professional.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Resident Assessment and Care Planning6D
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights5E
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation2F
- E
Respond appropriately to all alleged violations.
- F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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.
Administration1C
- C
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Inspection history
2025-05-01
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2022-08-08
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2019-08-29
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 6 min of nursing staff time a day, 31 min of it from a registered nurse.
This home
3 h 6 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 44% of registered nurses left in the past year, along with 1 administrator.
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 100.0% | 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 injury1.4 pts better | 1.7% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms29.9 pts worse | 61.5% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 5.1% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.6 pts better | 14.9% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.4 pts better | 6.1% | 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 worsened6.9 pts worse | 12.2% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.2 pts worse | 9.2% | 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 incontinence3.9 pts worse | 24.8% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 2.1% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine21.3 pts better | 99.7% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.5 pts worse | 14.1% | 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 vaccine23.6 pts better | 100.0% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.8 pts worse | 31.2% | 24.4% | 23.4% |
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Who owns and runs it
13 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 |
|---|---|---|---|
| Michael P. Slyk Revocable Trust | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Slyk, Michael | 5% Or Greater Indirect Ownership Interest · Individual | 100% | 8 facilities |
| Chesney, Timothy | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Chesney, Timothy | Adp Of The SNF · Individual | 0% | 3 facilities |
| Crawford, Dina | Adp Of The SNF · Individual | 0% | 1 facilities |
| D'amico, Daniel | Corporate Officer · Individual | 0% | 8 facilities |
| D'amico, Daniel | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Lockso, Timothy | Adp Of The SNF · Individual | 0% | 2 facilities |
| Mstc Development Inc | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Ryder, Gwynn | Corporate Officer · Individual | 0% | 8 facilities |
| Ryder, Gwynn | Adp Of The SNF · Individual | 0% | 8 facilities |
| Slyk, Michael | Corporate Officer · Individual | 0% | 8 facilities |
| Slyk, Michael | Adp Of The SNF · Individual | 0% | 8 facilities |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Services2F
- E
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
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Other homes nearby
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Parkside Health Care Center
Columbiana, OH · Windsor House, Inc.
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 18 min
- Fines
- $0
-
Masternick Memorial Health Care Center
New Middletown, OH · Windsor House, Inc.
★★★★★- Worst citation, 3 yrs
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- Nursing / resident / day
- 3 h 52 min
- Fines
- $0
-
St Mary's Alzheimer's Center
Columbiana, OH · Windsor House, Inc.
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 50 min
- Fines
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