Lucasville, OH

Edgewood Manor Of Lucasville I

4-star overall rating with 3-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

10098 Big Bear Creek Rd, Lucasville, OH

(740) 259-5536

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

96

Certified beds

Average residents

88

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aom Healthcare

Operator or chain grouping

Approved since

1982-08-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.34

Registered nurse staffing

LPN hours / resident day

0.96

Licensed practical nurse staffing

Aide hours / resident day

1.65

Nurse aide staffing

Weekend hours

2.72

Weekend nurse staffing

RN turnover

43%

Annual RN turnover

Total nurse turnover

29%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.1
1.8
0.7 pts better
1.9
0.8 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.7
1.8
0.1 pts better
1.8
0.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
92.4%
7.6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.5%
5.5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 3.7%
3.3%
0.4 pts worse
3.3%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 3.3%
26.1%
22.8 pts better
11.4%
8.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.7%
6.2%
3.5 pts better
5.4%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 41.1%
25.4%
15.7 pts worse
19.6%
21.5 pts worse
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 3.5%
7.7%
4.2 pts better
16.3%
12.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 1.8%
6.2%
4.4 pts better
14.9%
13.1 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 0.3%
0.5%
0.2 pts better
1.7%
1.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 10.0%
21.7%
11.7 pts better
19.8%
9.8 pts better
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 98.1%
78.1%
20 pts better
81.7%
16.4 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.2%
1.2 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.3%
75.6%
13.7 pts better
79.7%
9.6 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-09 · Fire 2024-05-09

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2022-07-05 · Fire 2022-07-05

11 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-12-18 · Fire 2019-12-18

7 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-05-09

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-05-16

E · Potential for more than minimal harm 2024-05-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-05-16

F · Potential for more than minimal harm 2022-07-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-07-15

E · Potential for more than minimal harm 2022-07-05

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-07-15

E · Potential for more than minimal harm 2022-07-05

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2022-07-15

E · Potential for more than minimal harm 2019-12-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2020-01-10

E · Potential for more than minimal harm 2019-12-18

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2020-01-10

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-05-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-16

E · Potential for more than minimal harm 2024-05-09

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-05-09

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-05-09

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-05-16

D · Potential for more than minimal harm 2024-05-09

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-05-16

F · Potential for more than minimal harm 2022-07-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-07-15

E · Potential for more than minimal harm 2022-07-05

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-07-15

E · Potential for more than minimal harm 2022-07-05

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 2022-07-15

D · Potential for more than minimal harm 2022-07-05

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2022-07-15

D · Potential for more than minimal harm 2022-07-05

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 2022-07-15

D · Potential for more than minimal harm 2022-07-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-07-15

D · Potential for more than minimal harm 2022-07-05

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 2022-07-15

D · Potential for more than minimal harm 2022-07-05

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2022-07-15

D · Potential for more than minimal harm 2022-07-05

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2022-07-15

D · Potential for more than minimal harm 2022-07-05

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 2022-07-15

C · Minimal harm 2022-07-05

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-07-15

D · Potential for more than minimal harm 2019-12-18

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2020-01-10

D · Potential for more than minimal harm 2019-12-18

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 2020-01-10

D · Potential for more than minimal harm 2019-12-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2020-01-10

D · Potential for more than minimal harm 2019-12-18

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2020-01-10

D · Potential for more than minimal harm 2019-12-18

F693 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2020-01-10

D · Potential for more than minimal harm 2019-12-18

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2020-01-10

D · Potential for more than minimal harm 2019-12-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-10

Penalties and ownership

What sits behind the stars

Ownership

Goldstein, Jeffrey

5% Or Greater Direct Ownership Interest · Individual

21% 26 facilities 2024-01-15
Sherman, Samuel

5% Or Greater Direct Ownership Interest · Individual

21% 25 facilities 2024-01-15
Sherman, Alexander

5% Or Greater Direct Ownership Interest · Individual

17% 18 facilities 2024-01-15
Serenity Equity Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

16% 9 facilities 2017-09-18
Wagschal, Zalman

5% Or Greater Indirect Ownership Interest · Individual

16% 9 facilities 2017-09-18
Zw Aom Re LLC

5% Or Greater Direct Ownership Interest · Organization

16% 9 facilities 2017-09-18
Horowitz, Zaleman

5% Or Greater Indirect Ownership Interest · Individual

7% 9 facilities 2017-09-18
Weinberger, David

5% Or Greater Indirect Ownership Interest · Individual

5% 8 facilities 2017-09-18
Aom Healthcare LLC

Operational/Managerial Control · Organization

0% 9 facilities 2018-09-18
Barr, Thomas

W-2 Managing Employee · Individual

0% 2 facilities 2017-09-18
Goldstein, Jeffrey

Corporate Officer · Individual

0% 26 facilities 2017-09-18
Sherman, Alexander

Corporate Officer · Individual

0% 18 facilities 2017-09-18
Sherman, Samuel

Corporate Officer · Individual

0% 25 facilities 2017-09-18

Nearby options

Other facilities in reach

#1

Edgewood Manor Of Lucasville Ii

Lucasville, OH

3-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
4 / 5
Staffing
2 / 5
Fines
$0
#2

Rest Haven Nursing Home

Mcdermott, OH

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
5 / 5
Staffing
2 / 5
Fines
$0
#3

Ayden Healthcare Of Rosemount Pavilion

Portsmouth, OH

3-star overall rating with 3-star inspections with 13 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
2 / 5
Fines
$0

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