Tallmadge, OH

Heather Knoll Retirement Village

5-star overall rating with 5-star inspections with 3 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

1134 North Ave, Tallmadge, OH

(330) 688-8600

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 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

115

Certified beds

Average residents

105

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Sprenger Health Care Systems

Operator or chain grouping

Approved since

1989-05-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 4 overall / 3 health / 3 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

0.62

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.85

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.66

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.13

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.77

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.35

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.63

CMS adjusted RN staffing hours

Adjusted total hours

3.19

CMS adjusted total nurse staffing hours

Case-mix index

1.34

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,664

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

Performance score

48.45

Composite VBP score used to determine payment impact.

Payment multiplier

1.0022

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.68

Baseline 19.69% · Performance 18.80% · Measure score 5.68 · Achievement 5.68 · Improvement 2.85

Healthcare-associated infections

7.35

Baseline 5.93% · Performance 5.64% · Measure score 7.35 · Achievement 7.35 · Improvement 2.64

Total nurse turnover

5.04

Baseline 46.05% · Performance 43.08% · Measure score 5.04 · Achievement 5.04 · Improvement 0.90

Adjusted total nurse staffing

1.31

Baseline 2.65 hours · Performance 3.22 hours · Measure score 1.31 · Achievement 0 · Improvement 1.31

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.49%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 98 · Observed rate 7.14% · Lower 95% interval 6.17%
Discharge to community	65.51%	50.57% 14.9 pts better	Better than the National Rate · Eligible stays 97 · Observed rate 59.79% · Lower 95% interval 56.71%
Medicare spending per beneficiary	0.91	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 72 · Denominator 72
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 72
Discharge self-care score	64.41%	53.69% 10.7 pts better	Numerator 38 · Denominator 59
Discharge mobility score	52.54%	50.94% 1.6 pts better	Numerator 31 · Denominator 59
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 72 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	5.64%	7.12% 1.5 pts better	No Different than the National Rate · Eligible stays 59 · Observed rate 1.69% · Lower 95% interval 3.02%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 130
Staff flu vaccination coverage	21.09%	42% 20.9 pts worse	Numerator 27 · Denominator 128
Discharge function score	50.85%	56.45% 5.6 pts worse	Numerator 30 · Denominator 59
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 44 · Denominator 44
Resident COVID-19 vaccinations up to date	37.5%	25.2% 12.3 pts better	Numerator 18 · Denominator 48

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.7%	92.4% 7.3 pts better	93.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.6% · Q4 100.0% · 4Q avg 99.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.8%	94.5% 4.3 pts better	95.5% 3.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of long-stay residents experiencing one or more falls with major injury	2.1%	3.3% 1.2 pts better	3.3% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 2.9% · Q4 4.3% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.3%	26.1% 22.8 pts better	11.4% 8.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 3.6% · Q4 5.2% · 4Q avg 3.3%
Percentage of long-stay residents who lose too much weight	6.1%	6.2% 0.1 pts better	5.4% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 8.2% · Q3 6.8% · Q4 4.8% · 4Q avg 6.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.8%	25.4% 5.4 pts worse	19.6% 11.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.8% · Q2 29.5% · Q3 32.2% · Q4 30.6% · 4Q avg 30.8%
Percentage of long-stay residents who received an antipsychotic medication	2.3%	11.5% 9.2 pts better	16.7% 14.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 2.3% · Q3 2.4% · Q4 0.0% · 4Q avg 2.3% · 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	3.0%	7.7% 4.7 pts better	16.3% 13.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	1.7%	6.2% 4.5 pts better	14.9% 13.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 1.8% · Q4 1.7% · 4Q avg 1.7% · 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	0.7%	0.5% 0.2 pts worse	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 0.0% · Q4 1.4% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.5%	21.7% 8.2 pts better	19.8% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.5% · Q2 12.0% · Q3 8.6% · Q4 16.4% · 4Q avg 13.5%
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 2.9% · Q2 5.4% · Q3 3.3% · Q4 3.6% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	97.3%	78.1% 19.2 pts better	81.7% 15.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 99.3% · Q3 97.2% · Q4 94.9% · 4Q avg 97.3%
Percentage of short-stay residents who had an outpatient emergency department visit	7.0%	12.5% 5.5 pts better	12.0% 5 pts better	Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 6.7% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.2%	1.2% 1 pts better	1.6% 1.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.6% · 4Q avg 0.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	88.5%	75.6% 12.9 pts better	79.7% 8.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 88.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.8%	25.1% 3.3 pts better	23.9% 2.1 pts better	Short Stay · 20240701-20250630 · Adjusted 21.8% · Observed 21.7% · Expected 23.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

3 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-09-29 · Fire 2022-09-29

4 health deficiencies

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

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-09-12 · Fire 2019-09-12

2 health deficiencies

Top issue: Infection Control (1 deficiency)

5 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-06

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-20

E · Potential for more than minimal harm 2025-03-06

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-03-20

E · Potential for more than minimal harm 2025-03-06

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-20

E · Potential for more than minimal harm 2025-03-06

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-03-20

E · Potential for more than minimal harm 2025-03-06

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-03-20

F · Potential for more than minimal harm 2022-09-29

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-11-07

F · Potential for more than minimal harm 2022-09-29

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-11-07

F · Potential for more than minimal harm 2022-09-29

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-11-07

E · Potential for more than minimal harm 2022-09-29

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 2022-11-07

D · Potential for more than minimal harm 2022-09-29

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-11-07

D · Potential for more than minimal harm 2022-09-29

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-11-07

F · Potential for more than minimal harm 2019-09-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2019-10-09

F · Potential for more than minimal harm 2019-09-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-09

E · Potential for more than minimal harm 2019-09-12

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2019-10-09

E · Potential for more than minimal harm 2019-09-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-10-09

C · Minimal harm 2019-09-12

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2019-10-07

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-29

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.

Not marked corrected

D · Potential for more than minimal harm 2025-08-15

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 2025-09-09

D · Potential for more than minimal harm 2025-03-06

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-03-20

D · Potential for more than minimal harm 2024-10-16

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 2024-10-29

D · Potential for more than minimal harm 2024-10-16

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-10-29

D · Potential for more than minimal harm 2024-10-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-29

D · Potential for more than minimal harm 2022-09-29

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-07

D · Potential for more than minimal harm 2019-09-12

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2019-10-09

D · Potential for more than minimal harm 2019-09-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-10-09

Penalties and ownership

What sits behind the stars

Ownership

Bluesky Healthcare Inc

5% Or Greater Direct Ownership Interest · Organization

100% 10 facilities 2005-04-14

Sprenger, Nicole

5% Or Greater Indirect Ownership Interest · Individual

31% 13 facilities 2005-04-14

Sprenger, Tracey

5% Or Greater Indirect Ownership Interest · Individual

31% 13 facilities 2005-04-14

Malanowski, Kenneth

5% Or Greater Indirect Ownership Interest · Individual

20% 11 facilities 2005-04-14

Hutsenpiller, Wendie

5% Or Greater Indirect Ownership Interest · Individual

18% 10 facilities 2005-04-14

Cms & Co. Management Services, Inc.

Operational/Managerial Control · Organization

0% 12 facilities 2005-10-01

Courtock, Melissa