Wellston, OH

Edgewood Manor Of Wellston

4-star overall rating with 4-star inspections with $18,655 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

405 North Park Avenue, Wellston, OH

(740) 384-5611

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

42

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aom Healthcare

Operator or chain grouping

Approved since

1993-10-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 facilities

Chain averages 3 overall / 2 health / 2 staffing / 5 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.66

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.79

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.91

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.36

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.45

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.95

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.47

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.74

CMS adjusted RN staffing hours

Adjusted total hours

3.80

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

61%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,494

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

26.57

Composite VBP score used to determine payment impact.

Payment multiplier

0.9842

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.52

Baseline 77.78% · Performance 51.22% · Measure score 4.52 · Achievement 3.05 · Improvement 4.52

Adjusted total nurse staffing

0.80

Baseline 2.94 hours · Performance 3.30 hours · Measure score 0.80 · Achievement 0.80 · Improvement 0.78

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.42%	10.72% 1.7 pts worse	No Different than the National Rate · Eligible stays 44 · Observed rate 20.45% · Lower 95% interval 8.11%
Discharge to community	43.25%	50.57% 7.3 pts worse	No Different than the National Rate · Eligible stays 32 · Observed rate 34.38% · Lower 95% interval 28.94%
Medicare spending per beneficiary	1.09	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 33 · Denominator 33
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 33
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 33 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 59
Staff flu vaccination coverage	16.44%	42% 25.6 pts worse	Numerator 12 · Denominator 73
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.8 0.4 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.6 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	1.8 0.7 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.4 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.4%	92.4% 7 pts better	93.4% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.5% · 4Q avg 99.4%
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	7.1%	3.3% 3.8 pts worse	3.3% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 7.7% · Q3 8.1% · Q4 5.0% · 4Q avg 7.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	6.6%	26.1% 19.5 pts better	11.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 0.0% · Q4 24.2% · 4Q avg 6.6%
Percentage of long-stay residents who lose too much weight	3.7%	6.2% 2.5 pts better	5.4% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.9% · Q3 6.2% · Q4 5.4% · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	29.9%	25.4% 4.5 pts worse	19.6% 10.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 26.5% · Q3 33.3% · Q4 29.7% · 4Q avg 29.9%
Percentage of long-stay residents who received an antipsychotic medication	3.2%	11.5% 8.3 pts better	16.7% 13.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.3% · Q3 0.0% · Q4 4.0% · 4Q avg 3.2% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	0.0%	7.7% 7.7 pts better	16.3% 16.3 pts better	Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.1%	6.2% 3.1 pts better	14.9% 11.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 3.0% · Q3 6.2% · Q4 0.0% · 4Q avg 3.1% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.5% 0.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.0%	21.7% 7.7 pts better	19.8% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 7.6% · Q3 24.4% · Q4 14.0% · 4Q avg 14.0%
Percentage of long-stay residents with pressure ulcers	1.6%	3.7% 2.1 pts better	5.1% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.5%	78.1% 15.4 pts better	81.7% 11.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 88.9% · Q2 89.7% · Q3 93.2% · Q4 100.0% · 4Q avg 93.5%
Percentage of short-stay residents who had an outpatient emergency department visit	18.8%	12.5% 6.3 pts worse	12.0% 6.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 21.9% · Expected 13.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.2% 0.4 pts worse	1.6% About the same	Short Stay · 2024Q4-2025Q3 · Q4 5.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	87.1%	75.6% 11.5 pts better	79.7% 7.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 87.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.2%	25.1% 3.9 pts better	23.9% 2.7 pts better	Short Stay · 20240701-20250630 · Adjusted 21.2% · Observed 25.0% · Expected 28.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-04 · Fire 2025-09-04

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-07-31 · Fire 2024-07-31

11 health deficiencies

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

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-10-21 · Fire 2022-10-21

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

8 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-04

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-09-26

F · Potential for more than minimal harm 2024-07-31

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-19

F · Potential for more than minimal harm 2024-07-31

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-19

F · Potential for more than minimal harm 2024-07-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-19

F · Potential for more than minimal harm 2024-07-31

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-19

F · Potential for more than minimal harm 2024-07-31

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2024-08-19

E · Potential for more than minimal harm 2024-07-31

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-19

F · Potential for more than minimal harm 2022-10-21

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-11-18

F · Potential for more than minimal harm 2022-10-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-18

F · Potential for more than minimal harm 2022-10-21

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-11-18

F · Potential for more than minimal harm 2022-10-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-11-18

E · Potential for more than minimal harm 2022-10-21

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2022-11-18

E · Potential for more than minimal harm 2022-10-21

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-11-18

E · Potential for more than minimal harm 2022-10-21

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-11-18

E · Potential for more than minimal harm 2022-10-21

K361 · Smoke Deficiencies

Fire Safety

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2022-11-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-04

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 2025-09-26

D · Potential for more than minimal harm 2025-09-04

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 2025-09-26

D · Potential for more than minimal harm 2025-09-04

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-09-26

D · Potential for more than minimal harm 2025-09-04

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 2025-09-26

D · Potential for more than minimal harm 2025-09-04

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 2025-09-26

G · Actual harm 2024-07-31