Saint Henry, OH

Gardens At St Henry The

5-star overall rating with 4-star inspections with 5 recent health deficiencies

522 Western Avenue, Saint Henry, OH

(419) 678-9800

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 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

25

Certified beds

Average residents

24

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lionstone Care

Operator or chain grouping

Approved since

2000-05-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

22 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

0.65

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.99

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.79

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.43

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.64

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.81

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.46

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.62

CMS adjusted RN staffing hours

Adjusted total hours

3.31

CMS adjusted total nurse staffing hours

Case-mix index

1.42

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

28%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,985

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

Performance score

37.86

Composite VBP score used to determine payment impact.

Payment multiplier

0.9910

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

3.11

Baseline 6.27% · Performance 6.90% · Measure score 3.11 · Achievement 3.11 · Improvement 0

Total nurse turnover

4.46

Baseline 38.46% · Performance 45.45% · Measure score 4.46 · Achievement 4.46 · Improvement 0

Adjusted total nurse staffing

Not reported

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

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.17%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 48 · Observed rate 6.25% · Lower 95% interval 6.01%
Discharge to community	43.98%	50.57% 6.6 pts worse	No Different than the National Rate · Eligible stays 42 · Observed rate 40.48% · Lower 95% interval 30.75%
Medicare spending per beneficiary	0.99	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 20 · Denominator 20
Falls with major injury	10%	0.77% 9.2 pts worse	Numerator 2 · Denominator 20
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 13 · 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 20 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.9%	7.12% 0.2 pts better	No Different than the National Rate · Eligible stays 25 · Observed rate 4% · Lower 95% interval 3.62%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 74
Staff flu vaccination coverage	31.33%	42% 10.7 pts worse	Numerator 26 · Denominator 83
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · 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	1.2	1.8 0.6 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.4 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.3	1.8 0.5 pts better	1.8 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 1.8 · 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 · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	1.3%	3.3% 2 pts better	3.3% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q3 5.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	13.7%	26.1% 12.4 pts better	11.4% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 13.7%
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 · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	3.6%	25.4% 21.8 pts better	19.6% 16 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.6%
Percentage of long-stay residents who received an antipsychotic medication	0.0%	11.5% 11.5 pts better	16.7% 16.7 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased	4.3%	6.2% 1.9 pts better	14.9% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 4.3% · 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 · 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 · 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	41.2%	21.7% 19.5 pts worse	19.8% 21.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 41.2%
Percentage of long-stay residents with pressure ulcers	0.0%	3.7% 3.7 pts better	5.1% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.1%	78.1% 18 pts better	81.7% 14.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 93.9% · Q4 90.3% · 4Q avg 96.1%
Percentage of short-stay residents who had an outpatient emergency department visit	4.9%	12.5% 7.6 pts better	12.0% 7.1 pts better	Short Stay · 20240701-20250630 · Adjusted 4.9% · Observed 4.3% · Expected 9.9% · 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 · Q2 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	100.0%	75.6% 24.4 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.3%	25.1% 9.8 pts better	23.9% 8.6 pts better	Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 13.0% · Expected 20.3% · 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)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2022-11-09 · Fire 2022-11-09

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

1 fire-safety deficiencies

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

Cycle 3 Health 2019-08-15 · Fire 2019-08-15

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2022-11-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-12-02

F · Potential for more than minimal harm 2019-08-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-09-06

Inspection history

Recent health citations

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

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 2025-09-24

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

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 2025-09-24

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

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-09-24

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

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 2025-09-24

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-24

D · Potential for more than minimal harm 2022-11-09

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-02

D · Potential for more than minimal harm 2022-11-09

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2022-12-02

Penalties and ownership

What sits behind the stars

Ownership

Lionstone Hz Opco Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 11 facilities 2023-01-01

Kazarnovsky, Solomon

5% Or Greater Indirect Ownership Interest · Individual

50% 30 facilities 2023-01-01

Stein, Abba

5% Or Greater Indirect Ownership Interest · Individual

50% 30 facilities 2023-01-01

Cusner, Adam

Operational/Managerial Control · Individual

0% 27 facilities 2025-01-27

Cusner, Adam