Westerville, OH

Inniswood Health and Rehabilitation

2-star overall rating with 2-star inspections with $169,562 in total fines with 10 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

1150 Colony Drive, Westerville, OH

(614) 891-5055

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 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

Foundations Health Solutions

Operator or chain grouping

Approved since

1979-08-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

63 facilities

Chain averages 4 overall / 4 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.63

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.54

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.96

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.12

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.17

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.83

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.54

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

2.66

CMS adjusted total nurse staffing hours

Case-mix index

1.61

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

13,726

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

Performance score

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

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

Baseline 22.81% · Performance 69.15% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

Baseline 3.26 hours · Performance 3.14 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.06	1.02 About the same
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 14 · 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 99
Staff flu vaccination coverage	31.31%	42% 10.7 pts worse	Numerator 31 · Denominator 99
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · 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	96.8%	92.4% 4.4 pts better	93.4% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 98.6% · Q3 98.6% · Q4 94.6% · 4Q avg 96.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.4%	94.5% 0.1 pts worse	95.5% 1.1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.4%
Percentage of long-stay residents experiencing one or more falls with major injury	1.4%	3.3% 1.9 pts better	3.3% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 2.7% · 4Q avg 1.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	22.8%	26.1% 3.3 pts better	11.4% 11.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 10.9% · Q3 29.8% · Q4 45.7% · 4Q avg 22.8%
Percentage of long-stay residents who lose too much weight	12.3%	6.2% 6.1 pts worse	5.4% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 21.2% · Q3 7.9% · Q4 9.4% · 4Q avg 12.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.9%	25.4% 6.5 pts better	19.6% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.4% · Q2 19.4% · Q3 19.0% · Q4 20.9% · 4Q avg 18.9%
Percentage of long-stay residents who received an antipsychotic medication	12.4%	11.5% 0.9 pts worse	16.7% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.2% · Q2 16.0% · Q3 9.6% · Q4 3.6% · 4Q avg 12.4% · 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	3.4%	7.7% 4.3 pts better	16.3% 12.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 3.4% · Q3 3.2% · Q4 3.0% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	1.2%	6.2% 5 pts better	14.9% 13.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 5.0% · 4Q avg 1.2% · 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	0.4%	0.5% 0.1 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.4% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	17.3%	21.7% 4.4 pts better	19.8% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 35.6% · Q2 7.8% · Q3 8.8% · Q4 15.8% · 4Q avg 17.3%
Percentage of long-stay residents with pressure ulcers	4.6%	3.7% 0.9 pts worse	5.1% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 7.4% · Q3 2.9% · Q4 3.7% · 4Q avg 4.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	70.5%	78.1% 7.6 pts worse	81.7% 11.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q3 67.9% · Q4 69.0% · 4Q avg 70.5%
Percentage of short-stay residents who had an outpatient emergency department visit	31.5%	12.5% 19 pts worse	12.0% 19.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.5% · Observed 34.8% · Expected 12.3% · 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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.0%	25.1% 0.9 pts worse	23.9% 2.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 26.1% · Expected 23.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-01 · Fire 2025-07-01

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

14 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-02-02 · Fire 2024-02-02

21 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2022-01-31 · Fire 2022-01-31

15 health deficiencies

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

11 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-01

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-07-30

F · Potential for more than minimal harm 2025-07-01

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 2025-07-30

F · Potential for more than minimal harm 2025-07-01

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-30

F · Potential for more than minimal harm 2025-07-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-30

F · Potential for more than minimal harm 2025-07-01

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-07-30

F · Potential for more than minimal harm 2025-07-01

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 2025-07-30

E · Potential for more than minimal harm 2025-07-01

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-07-30

E · Potential for more than minimal harm 2025-07-01

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-07-30

E · Potential for more than minimal harm 2025-07-01

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-07-30

E · Potential for more than minimal harm 2025-07-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-07-30

E · Potential for more than minimal harm 2025-07-01

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-30

E · Potential for more than minimal harm 2025-07-01

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-07-30

E · Potential for more than minimal harm 2025-07-01

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-07-30

E · Potential for more than minimal harm 2025-07-01

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-07-30

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

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-05-13

E · Potential for more than minimal harm 2024-02-02

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 2024-03-01

E · Potential for more than minimal harm 2024-02-02

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-02-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-02-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-01

F · Potential for more than minimal harm 2022-01-31

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2022-04-04

F · Potential for more than minimal harm 2022-01-31

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-04-05

F · Potential for more than minimal harm 2022-01-31

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-04-04

F · Potential for more than minimal harm 2022-01-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-04-04

F · Potential for more than minimal harm 2022-01-31

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-04-04

F · Potential for more than minimal harm 2022-01-31

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-04-04

F · Potential for more than minimal harm 2022-01-31

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2022-04-04

F · Potential for more than minimal harm 2022-01-31

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 2022-04-04

E · Potential for more than minimal harm 2022-01-31

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 2022-04-04

E · Potential for more than minimal harm 2022-01-31

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-04-05

E · Potential for more than minimal harm 2022-01-31

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-04-04

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-30

D · Potential for more than minimal harm 2025-07-01

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 2025-07-30

D · Potential for more than minimal harm 2025-07-01

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-07-30

D · Potential for more than minimal harm 2025-07-01

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 2025-07-30

D · Potential for more than minimal harm 2025-07-01

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-30

D · Potential for more than minimal harm 2025-07-01

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-07-30

D · Potential for more than minimal harm 2025-07-01

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2025-07-30

D · Potential for more than minimal harm 2025-07-01

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-07-30

D · Potential for more than minimal harm 2025-07-01

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-07-30

C · Minimal harm 2025-07-01

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-07-30

D · Potential for more than minimal harm 2025-01-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-02-03

D · Potential for more than minimal harm 2025-01-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-02-03

E · Potential for more than minimal harm 2024-08-28

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 2024-09-30

D · Potential for more than minimal harm 2024-08-28

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-30

J · Immediate jeopardy 2024-02-02

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-01

G · Actual harm 2024-02-02

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-03-01

G · Actual harm 2024-02-02

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 2024-03-01

G · Actual harm 2024-02-02

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-03-01

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