Paulding, OH

Gardens Of Paulding The

3-star overall rating with 3-star inspections with $20,306 in total fines with 8 recent health deficiencies

199 County Road 103, Paulding, OH

(419) 399-4940

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 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

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Lionstone Care

Operator or chain grouping

Approved since

1996-02-20

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

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

0.75

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.88

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.71

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.35

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.63

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.84

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.60

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.80

CMS adjusted RN staffing hours

Adjusted total hours

3.55

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,422

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

Performance score

5.47

Composite VBP score used to determine payment impact.

Payment multiplier

0.9806

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

Performance 71.80% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

1.09

Baseline 2.71 hours · Performance 3.20 hours · Measure score 1.09 · Achievement 0 · Improvement 1.09

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.98%	10.72% 2.3 pts worse	No Different than the National Rate · Eligible stays 45 · Observed rate 24.44% · Lower 95% interval 7.56%
Discharge to community	57.46%	50.57% 6.9 pts better	No Different than the National Rate · Eligible stays 29 · Observed rate 55.17% · Lower 95% interval 39.85%
Medicare spending per beneficiary	1.06	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	0%	0.77% 0.8 pts better	Numerator 0 · 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	Not Available	7.12%	Not Available · Eligible stays 21 · 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 75
Staff flu vaccination coverage	19.42%	42% 22.6 pts worse	Numerator 20 · Denominator 103
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 4 · 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 8 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.1%	92.4% 0.3 pts worse	93.4% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 71.8% · Q2 100.0% · Q3 100.0% · Q4 97.4% · 4Q avg 92.1%
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	3.9%	3.3% 0.6 pts worse	3.3% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 5.3% · Q3 2.8% · Q4 0.0% · 4Q avg 3.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	42.4%	26.1% 16.3 pts worse	11.4% 31 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 38.2% · Q3 57.1% · Q4 54.3% · 4Q avg 42.4%
Percentage of long-stay residents who lose too much weight	11.9%	6.2% 5.7 pts worse	5.4% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 11.4% · Q3 9.7% · Q4 18.2% · 4Q avg 11.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	31.7%	25.4% 6.3 pts worse	19.6% 12.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.6% · Q2 31.4% · Q3 37.5% · Q4 26.5% · 4Q avg 31.7%
Percentage of long-stay residents who received an antipsychotic medication	12.6%	11.5% 1.1 pts worse	16.7% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 12.5% · Q3 12.5% · Q4 12.0% · 4Q avg 12.6% · 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	12.9%	7.7% 5.2 pts worse	16.3% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 12.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.1%	6.2% 1.9 pts worse	14.9% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.8% · Q2 5.9% · Q3 3.2% · Q4 12.1% · 4Q avg 8.1% · 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	16.7%	21.7% 5 pts better	19.8% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.3% · Q2 12.9% · Q3 13.3% · Q4 19.0% · 4Q avg 16.7%
Percentage of long-stay residents with pressure ulcers	3.8%	3.7% 0.1 pts worse	5.1% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 4.9% · Q3 2.6% · Q4 2.3% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.1%	78.1% 17 pts better	81.7% 13.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 81.8% · Q2 95.7% · Q3 100.0% · Q4 100.0% · 4Q avg 95.1%
Percentage of short-stay residents who had an outpatient emergency department visit	15.3%	12.5% 2.8 pts worse	12.0% 3.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 15.0% · Expected 11.0% · 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 · 4Q avg 1.6% · 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	33.3%	25.1% 8.2 pts worse	23.9% 9.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 33.3% · Observed 30.0% · Expected 21.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2023-04-24

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-04-24 · Fire 2019-12-18

15 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2019-12-18 · Fire 2018-11-20

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2019-12-18

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2020-01-15

E · Potential for more than minimal harm 2019-12-18

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 2020-01-15

F · Potential for more than minimal harm 2018-11-20

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 2018-12-05

F · Potential for more than minimal harm 2018-11-20

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2018-12-05

F · Potential for more than minimal harm 2018-11-20

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2018-12-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-15

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 2025-12-16

F · Potential for more than minimal harm 2025-09-11

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 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-11

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 2025-10-08

D · Potential for more than minimal harm 2025-09-11

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 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-09-11

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 2025-10-08

D · Potential for more than minimal harm 2025-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-08

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-08

F · Potential for more than minimal harm 2024-02-07

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-02-08

D · Potential for more than minimal harm 2023-10-12

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 2023-10-16

E · Potential for more than minimal harm 2023-08-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-08-11

G · Actual harm 2023-04-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-05-09

E · Potential for more than minimal harm 2023-04-24

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 2023-05-09

E · Potential for more than minimal harm 2023-04-24