Fostoria, OH

Independence House

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1000 Independence Rd, Fostoria, OH

(419) 435-8505

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

36

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1992-02-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.97

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.55

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.65

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

4.17

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.52

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.68

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.53

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.15

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.95

CMS adjusted RN staffing hours

Adjusted total hours

4.11

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

13%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,670

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

Performance score

26.05

Composite VBP score used to determine payment impact.

Payment multiplier

0.9840

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.57

Baseline 20.41% · Performance 20.70% · Measure score 1.57 · Achievement 1.57 · Improvement 0

Healthcare-associated infections

2.73

Baseline 6.22% · Performance 7.02% · Measure score 2.73 · Achievement 2.73 · Improvement 0

Total nurse turnover

3.06

Baseline 35.71% · Performance 51.16% · Measure score 3.06 · Achievement 3.06 · Improvement 0

Adjusted total nurse staffing

3.06

Baseline 4.33 hours · Performance 3.95 hours · Measure score 3.06 · Achievement 3.06 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.5%	10.72% 1.2 pts better	No Different than the National Rate · Eligible stays 67 · Observed rate 4.48% · Lower 95% interval 6.34%
Discharge to community	59.51%	50.57% 8.9 pts better	No Different than the National Rate · Eligible stays 62 · Observed rate 66.13% · Lower 95% interval 49.39%
Medicare spending per beneficiary	1.1	1.02 0.1 pts worse
Drug regimen review with follow-up	98.15%	95.27% 2.9 pts better	Numerator 53 · Denominator 54
Falls with major injury	1.85%	0.77% 1.1 pts worse	Numerator 1 · Denominator 54
Discharge self-care score	31.58%	53.69% 22.1 pts worse	Numerator 12 · Denominator 38
Discharge mobility score	76.32%	50.94% 25.4 pts better	Numerator 29 · Denominator 38
Pressure ulcers or injuries, new or worsened	1.85%	2.29% 0.4 pts better	Numerator 1 · Denominator 54 · Adjusted rate 2.06%
Healthcare-associated infections requiring hospitalization	7.02%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 34 · Observed rate 5.88% · Lower 95% interval 3.46%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 57
Staff flu vaccination coverage	53.03%	42% 11 pts better	Numerator 35 · Denominator 66
Discharge function score	71.05%	56.45% 14.6 pts better	Numerator 27 · Denominator 38
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 28 · Denominator 28
Resident COVID-19 vaccinations up to date	22.86%	25.2% 2.3 pts worse	Numerator 8 · Denominator 35

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.8 0.1 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.6 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	1.8 0.7 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.1 · Expected 1.4 · 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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	87.1%	94.5% 7.4 pts worse	95.5% 8.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 87.1%
Percentage of long-stay residents experiencing one or more falls with major injury	10.5%	3.3% 7.2 pts worse	3.3% 7.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 11.5% · Q3 3.4% · Q4 10.0% · 4Q avg 10.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	17.1%	26.1% 9 pts better	11.4% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 16.0% · Q3 17.9% · Q4 19.2% · 4Q avg 17.1%
Percentage of long-stay residents who lose too much weight	5.9%	6.2% 0.3 pts better	5.4% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 4.0% · Q3 11.1% · Q4 0.0% · 4Q avg 5.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.3%	25.4% 7.9 pts worse	19.6% 13.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.7% · Q2 36.0% · Q3 29.6% · Q4 26.1% · 4Q avg 33.3%
Percentage of long-stay residents who received an antipsychotic medication	4.5%	11.5% 7 pts better	16.7% 12.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.5% · Q3 4.3% · Q4 5.0% · 4Q avg 4.5% · 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	19.0%	7.7% 11.3 pts worse	16.3% 2.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 19.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.1%	6.2% 4.9 pts worse	14.9% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 16.7% · Q3 11.5% · Q4 4.5% · 4Q avg 11.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.8%	0.2% 0.6 pts worse	1.0% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 0.8% · 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	28.6%	21.7% 6.9 pts worse	19.8% 8.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 44.8% · Q3 15.3% · Q4 42.1% · 4Q avg 28.6%
Percentage of long-stay residents with pressure ulcers	3.9%	3.7% 0.2 pts worse	5.1% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 8.0% · Q4 7.4% · 4Q avg 3.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.8%	78.1% 14.7 pts better	81.7% 11.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.7% · Q2 88.5% · Q3 91.7% · Q4 95.7% · 4Q avg 92.8%
Percentage of short-stay residents who had an outpatient emergency department visit	6.7%	12.5% 5.8 pts better	12.0% 5.3 pts better	Short Stay · 20240701-20250630 · Adjusted 6.7% · Observed 6.1% · Expected 10.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.9%	1.2% 1.7 pts worse	1.6% 1.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 6.5% · Q4 3.3% · 4Q avg 2.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.2%	75.6% 9.6 pts better	79.7% 5.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.7%	25.1% 2.6 pts worse	23.9% 3.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.7% · Observed 28.6% · Expected 24.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-05 · Fire 2024-09-05

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2022-02-10 · Fire 2022-02-10

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-06-13 · Fire 2019-06-13

5 health deficiencies

Top issue: Administration (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-09-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-01

F · Potential for more than minimal harm 2024-09-05

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-10-01

E · Potential for more than minimal harm 2024-09-05

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 2024-10-01

F · Potential for more than minimal harm 2019-06-13

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-07-22

F · Potential for more than minimal harm 2019-06-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-07-22

F · Potential for more than minimal harm 2019-06-13

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-07-22

E · Potential for more than minimal harm 2019-06-13

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2019-07-22

E · Potential for more than minimal harm 2019-06-13

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2019-07-22

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-09-05

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 2024-10-01

D · Potential for more than minimal harm 2024-09-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-01

F · Potential for more than minimal harm 2019-06-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-07-22

D · Potential for more than minimal harm 2019-06-13

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 2019-07-22

D · Potential for more than minimal harm 2019-06-13

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 2019-07-22

D · Potential for more than minimal harm 2019-06-13

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-07-22

D · Potential for more than minimal harm 2019-06-13

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2019-07-22

Penalties and ownership

What sits behind the stars

Ownership

Blanchard Valley Health System

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2007-12-31

Beidelschies, Tim

Operational/Managerial Control · Individual

0% 1 facilities 2003-02-24

Brough, Michael