Barnesville, OH

Emerald Pointe Health And Rehab Ctr

4-star overall rating with 3-star inspections with 9 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

100 Michelli Street, Barnesville, OH

(740) 425-5400

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

64

Certified beds

Average residents

61

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Foundations Health Solutions

Operator or chain grouping

Approved since

2007-09-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

63 facilities

Chain averages 4 overall / 4 health / 2 staffing / 4 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

0.64

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.73

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.93

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.29

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.99

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.54

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.62

CMS adjusted RN staffing hours

Adjusted total hours

3.18

CMS adjusted total nurse staffing hours

Case-mix index

1.41

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

24%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,242

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

Performance score

45.30

Composite VBP score used to determine payment impact.

Payment multiplier

0.9985

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.79

Baseline 21.48% · Performance 19.21% · Measure score 4.79 · Achievement 4.79 · Improvement 4.59

Healthcare-associated infections

5.44

Baseline 7.00% · Performance 6.21% · Measure score 5.44 · Achievement 5.44 · Improvement 3.47

Total nurse turnover

7.57

Baseline 51.61% · Performance 32.73% · Measure score 7.57 · Achievement 7.57 · Improvement 6.56

Adjusted total nurse staffing

0.32

Baseline 2.85 hours · Performance 3.09 hours · Measure score 0.32 · Achievement 0 · Improvement 0.32

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.54%
10.72%
1.8 pts worse
No Different than the National Rate · Eligible stays 76 · Observed rate 17.11% · Lower 95% interval 8.84%
Discharge to community 55.95%
50.57%
5.4 pts better
No Different than the National Rate · Eligible stays 72 · Observed rate 52.78% · Lower 95% interval 44.3%
Medicare spending per beneficiary 1.17
1.02
0.1 pts worse
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 56 · Denominator 56
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 56
Discharge self-care score 55%
53.69%
1.3 pts better
Numerator 22 · Denominator 40
Discharge mobility score 45%
50.94%
5.9 pts worse
Numerator 18 · Denominator 40
Pressure ulcers or injuries, new or worsened 1.79%
2.29%
0.5 pts better
Numerator 1 · Denominator 56 · Adjusted rate 1.74%
Healthcare-associated infections requiring hospitalization 6.21%
7.12%
0.9 pts better
No Different than the National Rate · Eligible stays 47 · Observed rate 2.13% · Lower 95% interval 3.18%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 72
Staff flu vaccination coverage 15.49%
42%
26.5 pts worse
Numerator 11 · Denominator 71
Discharge function score 60%
56.45%
3.5 pts better
Numerator 24 · Denominator 40
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient 96.77%
96.28%
0.5 pts better
Numerator 30 · Denominator 31
Resident COVID-19 vaccinations up to date 25.93%
25.2%
0.7 pts better
Numerator 7 · Denominator 27

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.3
1.8
0.5 pts better
1.9
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.4
1.8
0.6 pts worse
1.8
0.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.0 · Expected 1.4 · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.2%
94.5%
3.7 pts better
95.5%
2.7 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2%
Percentage of long-stay residents experiencing one or more falls with major injury 6.2%
3.3%
2.9 pts worse
3.3%
2.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 5.6% · Q3 5.6% · Q4 7.4% · 4Q avg 6.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 12.5%
26.1%
13.6 pts better
11.4%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 10.2% · Q3 6.0% · Q4 23.1% · 4Q avg 12.5%
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 · Q1 5.3% · Q2 6.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 18.8%
25.4%
6.6 pts better
19.6%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 16.7% · Q3 18.4% · Q4 22.4% · 4Q avg 18.8%
Percentage of long-stay residents who received an antipsychotic medication 4.6%
11.5%
6.9 pts better
16.7%
12.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 5.3% · Q3 2.6% · Q4 4.8% · 4Q avg 4.6% · 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 6.0%
7.7%
1.7 pts better
16.3%
10.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 3.4% · Q3 4.9% · Q4 10.5% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 10.3%
6.2%
4.1 pts worse
14.9%
4.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 4.4% · Q3 8.7% · Q4 13.3% · 4Q avg 10.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9%
0.2%
0.7 pts worse
1.0%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.5%
0.5%
About the same
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.0%
21.7%
1.3 pts worse
19.8%
3.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 20.9% · Q3 20.0% · Q4 28.0% · 4Q avg 23.0%
Percentage of long-stay residents with pressure ulcers 2.4%
3.7%
1.3 pts better
5.1%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 4.4% · Q4 3.1% · 4Q avg 2.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.9%
78.1%
11.8 pts better
81.7%
8.2 pts better
Short Stay · 2024Q4-2025Q3 · Q1 84.7% · Q2 86.5% · Q3 93.9% · Q4 95.8% · 4Q avg 89.9%
Percentage of short-stay residents who had an outpatient emergency department visit 25.1%
12.5%
12.6 pts worse
12.0%
13.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 25.1% · Observed 22.0% · Expected 9.8% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.0%
75.6%
22.4 pts better
79.7%
18.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 15.4%
25.1%
9.7 pts better
23.9%
8.5 pts better
Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 12.0% · Expected 18.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-03 · Fire 2025-03-03

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2023-04-13 · Fire 2023-04-13

19 health deficiencies

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

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2021-05-27 · Fire 2021-05-27

19 health deficiencies

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

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-03

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 2025-03-25

E · Potential for more than minimal harm 2025-03-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-03-25

E · Potential for more than minimal harm 2023-04-13

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 2023-05-05

E · Potential for more than minimal harm 2021-05-27

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-06-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-09

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-12-22

D · Potential for more than minimal harm 2025-03-03

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 2025-03-25

D · Potential for more than minimal harm 2025-03-03

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 2025-03-25

D · Potential for more than minimal harm 2025-03-03

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 2025-03-25

D · Potential for more than minimal harm 2025-03-03

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-03-25

D · Potential for more than minimal harm 2025-03-03

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 2025-03-25

D · Potential for more than minimal harm 2025-03-03

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2025-03-25

D · Potential for more than minimal harm 2025-03-03

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 2025-03-25

D · Potential for more than minimal harm 2025-03-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-25

D · Potential for more than minimal harm 2025-03-03

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-03-25

D · Potential for more than minimal harm 2024-11-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-10-30

D · Potential for more than minimal harm 2024-11-14

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 2024-12-05

D · Potential for more than minimal harm 2024-05-22

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-03-05

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-03-21

D · Potential for more than minimal harm 2024-03-05

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 2024-03-21

D · Potential for more than minimal harm 2024-03-05

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 2024-03-21

D · Potential for more than minimal harm 2024-03-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-21

D · Potential for more than minimal harm 2024-03-05

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-21

D · Potential for more than minimal harm 2024-03-05

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 2024-03-21

D · Potential for more than minimal harm 2023-12-20

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2024-01-11

D · Potential for more than minimal harm 2023-12-20

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 2024-01-11

D · Potential for more than minimal harm 2023-12-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-11

F · Potential for more than minimal harm 2023-04-13

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 2023-05-05

D · Potential for more than minimal harm 2023-04-13

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 2023-05-05

D · Potential for more than minimal harm 2023-04-13

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-13

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 2023-05-05

D · Potential for more than minimal harm 2023-04-13

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-13

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-13

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-13

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-05-05

D · Potential for more than minimal harm 2023-04-13

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-05-05

F · Potential for more than minimal harm 2021-05-27

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2021-06-11

F · Potential for more than minimal harm 2021-05-27

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2021-06-11

E · Potential for more than minimal harm 2021-05-27

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 2021-06-11

E · Potential for more than minimal harm 2021-05-27

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2021-06-11

E · Potential for more than minimal harm 2021-05-27

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 2021-06-11

D · Potential for more than minimal harm 2021-05-27

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 2021-06-11

D · Potential for more than minimal harm 2021-05-27

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 2021-06-11

D · Potential for more than minimal harm 2021-05-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-06-11

D · Potential for more than minimal harm 2021-05-27

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-06-11

D · Potential for more than minimal harm 2021-05-27

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 2021-06-11

D · Potential for more than minimal harm 2021-05-27

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 2021-06-11

D · Potential for more than minimal harm 2021-05-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-06-11

D · Potential for more than minimal harm 2021-05-27

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2021-06-11

D · Potential for more than minimal harm 2021-05-27

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2021-06-11

C · Minimal harm 2021-05-27

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2021-06-11

C · Minimal harm 2021-05-27

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2021-06-11

Penalties and ownership

What sits behind the stars

Ownership

Colleran Fam Tr Dated 01-01-2018

5% Or Greater Indirect Ownership Interest · Organization

100% 63 facilities 2018-06-01
Foundations Health LLC

5% Or Greater Direct Ownership Interest · Organization

100% 63 facilities 2018-06-01
Colleran, Brian

Operational/Managerial Control · Individual

0% 63 facilities 2019-01-01
Colleran, Brian

Corporate Director · Individual

0% 63 facilities 2019-01-01
Colleran, Brian

Corporate Officer · Individual

0% 63 facilities 2019-01-01
Foundations Health Solutions, LLC

Operational/Managerial Control · Organization

0% 62 facilities 2019-01-01
Krystowski, John

Operational/Managerial Control · Individual

0% 63 facilities 2018-06-01
Krystowski, John

Corporate Officer · Individual

0% 63 facilities 2018-06-01
Wojtasek, Kyle

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-01

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