Cycle 1
Health 2024-04-10 · Fire 2024-04-10
18 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Findlay, OH
Fox Run Manor
2-star overall rating with 2-star inspections with 18 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
11745 Township Road 145, Findlay, OH
(419) 424-0832
Overall
2 / 5
CMS overall stars
Health inspections
2 / 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
120
Certified beds
Average residents
68
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Hcf Management
Operator or chain grouping
Approved since
1993-01-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 facilities
Chain averages 3 overall / 3 health / 3 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
0.77
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.14
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.66
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.51
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.29
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.50
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.68
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
8,315
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.15
Composite VBP score used to determine payment impact.
Payment multiplier
0.9844
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.60
Baseline 21.65% · Performance 18.83% · Measure score 5.60 · Achievement 5.60 · Improvement 5.59
Healthcare-associated infections
4.01
Baseline 6.08% · Performance 6.64% · Measure score 4.01 · Achievement 4.01 · Improvement 0
Total nurse turnover
0
Baseline 68.23% · Performance 74.56% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.25
Baseline 3.28 hours · Performance 3.43 hours · Measure score 1.25 · Achievement 1.25 · Improvement 0.12
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.32% |
10.72%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 91 · Observed rate 17.58% · Lower 95% interval 8.48% |
| Discharge to community | 57.55% |
50.57%
7 pts better
|
No Different than the National Rate · Eligible stays 71 · Observed rate 59.15% · Lower 95% interval 46.39% |
| Medicare spending per beneficiary | 0.89 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 69.09% |
95.27%
26.2 pts worse
|
Numerator 38 · Denominator 55 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 55 |
| Discharge self-care score | 45% |
53.69%
8.7 pts worse
|
Numerator 18 · Denominator 40 |
| Discharge mobility score | 32.5% |
50.94%
18.4 pts worse
|
Numerator 13 · Denominator 40 |
| Pressure ulcers or injuries, new or worsened | 1.82% |
2.29%
0.5 pts better
|
Numerator 1 · Denominator 55 · Adjusted rate 1.83% |
| Healthcare-associated infections requiring hospitalization | 6.64% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 48 · Observed rate 4.17% · Lower 95% interval 3.9% |
| Staff COVID-19 vaccination coverage | 8.25% |
8.2%
0.1 pts better
|
Numerator 8 · Denominator 97 |
| Staff flu vaccination coverage | 23.42% |
42%
18.6 pts worse
|
Numerator 26 · Denominator 111 |
| Discharge function score | 42.5% |
56.45%
14 pts worse
|
Numerator 17 · Denominator 40 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 27 · Denominator 27 |
| Resident COVID-19 vaccinations up to date | 21.21% |
25.2%
4 pts worse
|
Numerator 7 · Denominator 33 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · Q1 100.0% · Q2 98.4% · Q3 100.0% · Q4 98.4% · 4Q avg 99.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
94.5%
4.1 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| 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 · Q1 3.0% · Q2 1.6% · Q3 0.0% · Q4 1.6% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.7% |
26.1%
24.4 pts better
|
11.4%
9.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 3.6% · 4Q avg 1.7% |
| Percentage of long-stay residents who lose too much weight | 4.7% |
6.2%
1.5 pts better
|
5.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.7% · Q3 10.2% · Q4 3.6% · 4Q avg 4.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.3% |
25.4%
0.9 pts worse
|
19.6%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.6% · Q2 28.8% · Q3 23.3% · Q4 21.8% · 4Q avg 26.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.4% |
11.5%
7.1 pts better
|
16.7%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 2.1% · Q3 5.7% · Q4 4.3% · 4Q avg 4.4% · 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 | 15.8% |
7.7%
8.1 pts worse
|
16.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.4% |
6.2%
2.2 pts worse
|
14.9%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 0.0% · Q3 5.3% · Q4 5.9% · 4Q avg 8.4% · 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 | 1.2% |
0.5%
0.7 pts worse
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.2% |
21.7%
0.5 pts worse
|
19.8%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 21.7% · Q3 25.0% · Q4 23.7% · 4Q avg 22.2% |
| Percentage of long-stay residents with pressure ulcers | 4.6% |
3.7%
0.9 pts worse
|
5.1%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 6.3% · Q3 2.4% · Q4 3.7% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.2% |
78.1%
16.1 pts better
|
81.7%
12.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 90.9% · Q2 95.4% · Q3 100.0% · Q4 91.1% · 4Q avg 94.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 23.8% |
12.5%
11.3 pts worse
|
12.0%
11.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 24.5% · Expected 11.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.3% |
1.2%
2.1 pts worse
|
1.6%
1.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.9% · Q3 0.0% · Q4 0.0% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.4% |
75.6%
16.8 pts better
|
79.7%
12.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.2% |
25.1%
1.1 pts worse
|
23.9%
2.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 26.5% · Expected 24.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-08 · Fire 2023-06-08
5 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2020-02-06 · Fire 2020-02-06
10 health deficiencies
Top issue: Infection Control (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-04-10
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-05-03
F · Potential for more than minimal harm
2024-04-10
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-03
F · Potential for more than minimal harm
2024-04-10
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-03
E · Potential for more than minimal harm
2024-04-10
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 2024-05-03
E · Potential for more than minimal harm
2024-04-10
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-05-03
E · Potential for more than minimal harm
2024-04-10
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2024-05-03
F · Potential for more than minimal harm
2023-06-08
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 2023-06-23
F · Potential for more than minimal harm
2023-06-08
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-06-23
F · Potential for more than minimal harm
2023-06-08
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-06-23
F · Potential for more than minimal harm
2023-06-08
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-06-23
F · Potential for more than minimal harm
2023-06-08
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-06-23
E · Potential for more than minimal harm
2020-02-06
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2020-07-31
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-05-01
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 2025-05-16
D · Potential for more than minimal harm
2025-05-01
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 2025-05-16
D · Potential for more than minimal harm
2025-05-01
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 2025-05-16
D · Potential for more than minimal harm
2024-11-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-11
D · Potential for more than minimal harm
2024-11-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-11
D · Potential for more than minimal harm
2024-10-15
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-21
F · Potential for more than minimal harm
2024-04-10
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 2024-05-03
F · Potential for more than minimal harm
2024-04-10
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 2024-05-03
E · Potential for more than minimal harm
2024-04-10
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 2024-05-03
E · Potential for more than minimal harm
2024-04-10
F565 · Resident Rights Deficiencies
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-05-03
E · Potential for more than minimal harm
2024-04-10
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-05-03
D · Potential for more than minimal harm
2024-04-10
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-05-03
D · Potential for more than minimal harm
2024-04-10
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 2024-05-03
D · Potential for more than minimal harm
2024-04-10
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-05-03
D · Potential for more than minimal harm
2024-04-10
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 2024-05-03
D · Potential for more than minimal harm
2024-04-10
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 2024-05-03
D · Potential for more than minimal harm
2024-04-10
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 2024-05-03
D · Potential for more than minimal harm
2024-04-10
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 2024-05-03
D · Potential for more than minimal harm
2024-04-10
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 2024-05-03
D · Potential for more than minimal harm
2024-04-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-03
C · Minimal harm
2024-04-10
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-05-03
G · Actual harm
2023-10-17
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-03
D · Potential for more than minimal harm
2023-09-13
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-10-04
D · Potential for more than minimal harm
2023-09-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-04
D · Potential for more than minimal harm
2023-06-08
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 2023-06-23
D · Potential for more than minimal harm
2023-06-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-06-23
D · Potential for more than minimal harm
2020-02-06
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2020-03-14
D · Potential for more than minimal harm
2020-02-06
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2020-03-14
D · Potential for more than minimal harm
2020-02-06
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 2020-03-14
D · Potential for more than minimal harm
2020-02-06
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-03-14
D · Potential for more than minimal harm
2020-02-06
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2020-03-14
D · Potential for more than minimal harm
2020-02-06
F849 · Administration Deficiencies
Health
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected 2020-03-14
D · Potential for more than minimal harm
2020-02-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-03-14
Penalties and ownership
What sits behind the stars
Ownership
Hcf Operations, Inc
5% Or Greater Direct Ownership Interest · Organization
Chad M. Unverferth 12-14-11 Irrv Grantor Tr
5% Or Greater Indirect Ownership Interest · Organization
David V. Unverferth 12-14-11 Irrv Grantor Tr
5% Or Greater Indirect Ownership Interest · Organization
Hcf Management, Inc.
Operational/Managerial Control · Organization
Hcf, Inc
5% Or Greater Indirect Ownership Interest · Organization
Jeffrey L. Unverferth 12-14-11 Irrv Grantor Tr
5% Or Greater Indirect Ownership Interest · Organization
Joann C. Unverferth 12-29-04 Revocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Joann C. Unverferth 123112 Irrevocable Trust, Fbo Kendra M. Unverferth
5% Or Greater Indirect Ownership Interest · Organization
Joann C. Unverferth 123112 Irrevocable Trust, Fbo Kerri A. Romes
5% Or Greater Indirect Ownership Interest · Organization
Joann C. Unverferth 123112 Irrevocable Trust, Fbo Kevan R. Unverferth
5% Or Greater Indirect Ownership Interest · Organization
Joann C. Unverferth 123112 Irrevocable Trust, Fbo Kristen S. Stechschu
5% Or Greater Indirect Ownership Interest · Organization
Joann C. Unverferth 123112 Irrevocable Trust, Fbo Kyle J. Unverferth
5% Or Greater Indirect Ownership Interest · Organization
Joseph L. Unverferth 12-15-11 Irrv Grantor Tr
5% Or Greater Indirect Ownership Interest · Organization
Klay, Celeste
Corporate Director · Individual
Klay, Celeste
Corporate Officer · Individual
Klay, Celeste
W-2 Managing Employee · Individual
Lawrence G. Unverferth 12-13-11 Irrv Grantor Tr
5% Or Greater Indirect Ownership Interest · Organization
Newell, Jill
Corporate Director · Individual
Newell, Jill
W-2 Managing Employee · Individual
R. Steven Unverferth 12-14-11 Irrv Grantor Tr
5% Or Greater Indirect Ownership Interest · Organization
Romes, Kerri
Corporate Director · Individual
Romes, Kerri
Corporate Officer · Individual
Romes, Kerri
W-2 Managing Employee · Individual
Shaw, Anthony
Corporate Officer · Individual
Shaw, Anthony
W-2 Managing Employee · Individual
Unverferth, Chad
Corporate Officer · Individual
Unverferth, Chad
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
#1
Birchaven Retirement Village
Findlay, OH
5-star overall rating with 3-star inspections with 13 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#2
The Manor At Greendale
Findlay, OH
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Heritage The
Findlay, OH
2-star overall rating with 2-star inspections with 20 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
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