Lucasville, OH

Edgewood Manor Of Lucasville Ii

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

10098a Bear Creek Road, Lucasville, OH

(740) 259-2351

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

71

Certified beds

Average residents

68

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aom Healthcare

Operator or chain grouping

Approved since

1993-09-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.31

Registered nurse staffing

LPN hours / resident day

0.94

Licensed practical nurse staffing

Aide hours / resident day

1.99

Nurse aide staffing

Weekend hours

2.94

Weekend nurse staffing

RN turnover

43%

Annual RN turnover

Total nurse turnover

69%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.8
1.8
1 pts better
1.9
1.1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.9
1.8
0.9 pts better
1.8
0.9 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
92.4%
6.8 pts better
93.4%
5.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.2%
94.5%
2.7 pts better
95.5%
1.7 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 1.5%
3.3%
1.8 pts better
3.3%
1.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 7.1%
26.1%
19 pts better
11.4%
4.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.5%
6.2%
5.7 pts better
5.4%
4.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 29.2%
25.4%
3.8 pts worse
19.6%
9.6 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 4.6%
7.7%
3.1 pts better
16.3%
11.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 11.1%
6.2%
4.9 pts worse
14.9%
3.8 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 0.4%
0.5%
0.1 pts better
1.7%
1.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.2%
21.7%
2.5 pts better
19.8%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.0%
3.7%
1.7 pts better
5.1%
3.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
78.1%
21.9 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-18 · Fire 2025-06-18

3 health deficiencies

Top issue: Environmental (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-08-17 · Fire 2023-08-17

11 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2021-09-07 · Fire 2021-09-07

16 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-18

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-07-09

F · Potential for more than minimal harm 2025-06-18

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-09

F · Potential for more than minimal harm 2025-06-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-09

E · Potential for more than minimal harm 2025-06-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-07-09

F · Potential for more than minimal harm 2023-08-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-11-08

E · Potential for more than minimal harm 2023-08-17

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2023-11-08

E · Potential for more than minimal harm 2023-08-17

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 2023-11-08

F · Potential for more than minimal harm 2021-09-07

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-10-28

E · Potential for more than minimal harm 2021-09-07

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 2021-10-28

D · Potential for more than minimal harm 2021-09-07

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2021-10-28

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-06-18

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 2025-07-09

D · Potential for more than minimal harm 2025-06-18

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-07-09

D · Potential for more than minimal harm 2025-06-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-09

D · Potential for more than minimal harm 2024-10-25

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-10-26

D · Potential for more than minimal harm 2024-10-25

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-10-26

D · Potential for more than minimal harm 2023-08-17

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-08-17

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 2023-11-08

D · Potential for more than minimal harm 2023-08-17

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 2023-11-08

D · Potential for more than minimal harm 2023-08-17

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-08-17

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-08-17

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-08-17

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 2023-11-08

D · Potential for more than minimal harm 2023-08-17

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-08-17

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 2023-11-08

G · Actual harm 2021-09-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-10-29

G · Actual harm 2021-09-07

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-10-28

G · Actual harm 2021-09-07

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2021-10-28

E · Potential for more than minimal harm 2021-09-07

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2021-10-28

E · Potential for more than minimal harm 2021-09-07

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 2021-10-28

E · Potential for more than minimal harm 2021-09-07

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 2021-10-28

D · Potential for more than minimal harm 2021-09-07

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 2021-10-28

D · Potential for more than minimal harm 2021-09-07

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 2021-10-28

D · Potential for more than minimal harm 2021-09-07

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 2021-10-28

D · Potential for more than minimal harm 2021-09-07

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 2021-10-28

D · Potential for more than minimal harm 2021-09-07

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 2021-10-28

D · Potential for more than minimal harm 2021-09-07

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 2021-10-28

D · Potential for more than minimal harm 2021-09-07

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 2021-10-28

D · Potential for more than minimal harm 2021-09-07

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 2021-10-28

D · Potential for more than minimal harm 2021-09-07

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2021-10-28

D · Potential for more than minimal harm 2021-09-07

F925 · Environmental Deficiencies

Health

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

Corrected 2021-10-28

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 I

Lucasville, OH

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

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

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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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