Federal inspection record · CMS data as of October 1, 2026

Heather Knoll Retirement Village

1134 North Ave, Tallmadge, OH · (330) 688-8600

CMS overall rating

5 of 5

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Certified beds
115
Residents per day
104
Ownership
For-Profit
Chain
Sprenger Health Care Systems
Medicare / Medicaid
Medicare + Medicaid
Certified since
May 22, 1989

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change (already 5)

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Ohio homes

Heather Knoll Retirement Village carries 11 inspection points. That is fewer than 93% of Ohio's 913 rated homes.

5★4★3★2★1★+28 homes above 24805102550100200inspection points → fewer is better on the leftThis home · 11 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–15 pts
  • 4★ 15–42 pts
  • 3★ 42–69 pts
  • 2★ 69–121.25 pts
  • 1★ over 121.25 pts

Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

9 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 9 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care4D
  1. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 29, 2026 · Complaint · F689 · Corrected February 10, 2026

  2. D

    Provide activities to meet all resident's needs.

    March 6, 2025 · Standard · F679 · Corrected March 20, 2025

  3. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    October 16, 2024 · Complaint · F690 · Corrected October 29, 2024

  4. D

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

    September 29, 2022 · Standard · F695 · Corrected November 7, 2022

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    October 16, 2024 · Complaint · F880 · Corrected October 29, 2024

  2. D

    Provide and implement an infection prevention and control program.

    September 12, 2019 · Standard · F880 · Corrected October 9, 2019

Resident Assessment and Care Planning1D
  1. D

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    August 15, 2025 · Complaint · F842 · Corrected September 9, 2025

Pharmacy Service1D
  1. D

    Ensure that residents are free from significant medication errors.

    October 16, 2024 · Complaint · F760 · Corrected October 29, 2024

Resident Rights1D
  1. D

    Keep residents' personal and medical records private and confidential.

    September 12, 2019 · Standard · F583 · Corrected October 9, 2019

Inspection history

  1. 2025-03-06

    2 health deficiencies · 5 fire-safety deficiencies

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

  2. 2022-09-29

    5 health deficiencies · 6 fire-safety deficiencies

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

  3. 2019-09-12

    2 health deficiencies · 5 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 13 min of nursing staff time a day, 31 min of it from a registered nurse.

This home

3 h 13 min

Ohio average

3 h 43 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 54% of nursing staff and 33% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better99.6%92.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.5 pts better96.2%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better2.5%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms26.9 pts better4.7%31.6%13.5%
Percentage of long-stay residents who lose too much weight1.7 pts better4.4%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.4 pts worse34.9%25.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.9 pts better0.6%8.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.6 pts worse5.9%5.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.9 pts better2.1%5.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.0%0.2%0.7%
Percentage of long-stay residents with a urinary tract infection0.3 pts worse0.7%0.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.7 pts better18.2%20.9%18.3%
Percentage of long-stay residents with pressure ulcers0.7 pts better2.5%3.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.6 pts better96.0%78.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit2.1 pts better10.5%12.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.8 pts better0.4%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.1 pts better85.5%76.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.2 pts better19.2%24.4%23.4%

·

Who owns and runs it

42 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Bluesky Healthcare Inc5% Or Greater Direct Ownership Interest · Organization100%10 facilities
Sprenger, Nicole5% Or Greater Indirect Ownership Interest · Individual31%13 facilities
Sprenger, Tracey5% Or Greater Indirect Ownership Interest · Individual31%13 facilities
Malanowski, Kenneth5% Or Greater Indirect Ownership Interest · Individual20%13 facilities
Hutsenpiller, Wendie5% Or Greater Indirect Ownership Interest · Individual18%13 facilities
Citrin Cooperman And Company, LlpAdp Of The SNF · Organization0%10 facilities
Cms & Co. Management Services, Inc.Operational/Managerial Control · Organization0%12 facilities
Cms & Co. Management Services, Inc.Adp Of The SNF · Organization0%12 facilities
Courtock, MelissaOperational/Managerial Control · Individual0%11 facilities
Courtock, MelissaAdp Of The SNF · Individual0%11 facilities
Delta Health Care Consultants, Inc.Adp Of The SNF · Organization0%11 facilities
Epperly, RobertOperational/Managerial Control · Individual0%11 facilities
Epperly, RobertAdp Of The SNF · Individual0%11 facilities
Fox, EmilyCorporate Officer · Individual0%12 facilities
Fox, EmilyOperational/Managerial Control · Individual0%12 facilities
Fox, EmilyAdp Of The SNF · Individual0%12 facilities
Gollinger, KristenOperational/Managerial Control · Individual0%11 facilities
Gollinger, KristenAdp Of The SNF · Individual0%11 facilities
Heather Knoll Rental Properties LLCAdp Of The SNF · Organization0%1 facilities
HuntingtonAdp Of The SNF · Organization0%13 facilities
Kuhn, ShannonCorporate Officer · Individual0%12 facilities
Kuhn, ShannonOperational/Managerial Control · Individual0%12 facilities
Kuhn, ShannonAdp Of The SNF · Individual0%12 facilities
Malanowki, BrandonCorporate Officer · Individual0%12 facilities
Malanowki, BrandonOperational/Managerial Control · Individual0%12 facilities
Malanowki, BrandonAdp Of The SNF · Individual0%12 facilities
Malanowski, KennethAdp Of The SNF · Individual0%13 facilities
Marino-Freetage, JaimeOperational/Managerial Control · Individual0%11 facilities
Marino-Freetage, JaimeAdp Of The SNF · Individual0%11 facilities
Mcqueen, AmandaOperational/Managerial Control · Individual0%1 facilities
Mcqueen, AmandaAdp Of The SNF · Individual0%1 facilities
Micale, JacobOperational/Managerial Control · Individual0%11 facilities
Micale, JacobAdp Of The SNF · Individual0%11 facilities
Miller, KimberlyOperational/Managerial Control · Individual0%4 facilities
Miller, KimberlyAdp Of The SNF · Individual0%4 facilities
Patyak, MichaelOperational/Managerial Control · Individual0%1 facilities
Patyak, MichaelAdp Of The SNF · Individual0%1 facilities
Sawulski, JenniferAdp Of The SNF · Individual0%6 facilities
Skidmore, JodiAdp Of The SNF · Individual0%6 facilities
Sprenger, NicoleAdp Of The SNF · Individual0%13 facilities
Sprenger, TraceyAdp Of The SNF · Individual0%13 facilities
Wellspring Staffing, Inc.Adp Of The SNF · Organization0%10 facilities

·

Fire safety

16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

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

    March 6, 2025 · K345 · Corrected March 20, 2025

  2. E

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

    March 6, 2025 · K355 · Corrected March 20, 2025

  3. F

    Install an approved automatic sprinkler system.

    September 29, 2022 · K351 · Corrected November 7, 2022

  4. F

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

    September 29, 2022 · K372 · Corrected November 7, 2022

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    September 12, 2019 · K353 · Corrected October 9, 2019

  6. E

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

    September 12, 2019 · K362 · Corrected October 9, 2019

Gas, Vacuum, and Electrical Systems3E
  1. D

    Ensure proper usage of power strips and extension cords.

    September 29, 2022 · K920 · Corrected November 7, 2022

  2. D

    Have proper medical gas storage and administration areas.

    September 29, 2022 · K923 · Corrected November 7, 2022

  3. E

    Ensure proper usage of power strips and extension cords.

    September 12, 2019 · K920 · Corrected October 9, 2019

Egress2E
  1. E

    Have exits that are accessible at all times.

    March 6, 2025 · K271 · Corrected March 20, 2025

  2. E

    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.

    September 29, 2022 · K222 · Corrected November 7, 2022

Emergency Preparedness2F
  1. F

    Conduct testing and exercise requirements.

    September 12, 2019 · E39 · Corrected October 9, 2019

  2. C

    Address subsistence needs for staff and patients.

    September 12, 2019 · E15 · Corrected October 7, 2019

Services1E
  1. E

    Have properly installed electrical wiring and gas equipment.

    March 6, 2025 · K511 · Corrected March 20, 2025

Miscellaneous1E
  1. E

    Have restrictions on the use of portable space heaters.

    March 6, 2025 · K781 · Corrected March 20, 2025

Construction1F
  1. F

    Use approved construction type or materials.

    September 29, 2022 · K161 · Corrected November 7, 2022

·

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