13 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Athens, OH
1-star overall rating with 2-star inspections with 13 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
75 Kimes Lane, Athens, OH
(740) 593-3391
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
61
Certified beds
Average residents
57
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2002-06-11
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
RN hours / resident day
0.58
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.74
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
2.98
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.32
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
2.45
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.28
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
0.59
CMS adjusted RN staffing hours
Adjusted total hours
3.03
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
100%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
100%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
11,834
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
15.07
Composite VBP score used to determine payment impact.
Payment multiplier
0.9814
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.18% · Performance 23.83% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.43% · Performance 10.25% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
3.99
Performance 47.37% · Measure score 3.99 · Achievement 3.99 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.04
Baseline 2.56 hours · Performance 3.38 hours · Measure score 2.04 · Achievement 1.05 · Improvement 2.04
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.64% |
10.72%
0.1 pts better
|
No Different than the National Rate · Eligible stays 115 · Observed rate 10.43% · Lower 95% interval 7.98% |
| Discharge to community | 51.35% |
50.57%
0.8 pts better
|
No Different than the National Rate · Eligible stays 104 · Observed rate 47.12% · Lower 95% interval 43.7% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 94.92% |
95.27%
0.3 pts worse
|
Numerator 56 · Denominator 59 |
| Falls with major injury | 3.39% |
0.77%
2.6 pts worse
|
Numerator 2 · Denominator 59 |
| Discharge self-care score | 65.52% |
53.69%
11.8 pts better
|
Numerator 19 · Denominator 29 |
| Discharge mobility score | 75.86% |
50.94%
24.9 pts better
|
Numerator 22 · Denominator 29 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 59 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 10.25% |
7.12%
3.1 pts worse
|
No Different than the National Rate · Eligible stays 66 · Observed rate 15.15% · Lower 95% interval 6.42% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 63 |
| Staff flu vaccination coverage | 2.56% |
42%
39.4 pts worse
|
Numerator 2 · Denominator 78 |
| Discharge function score | 82.76% |
56.45%
26.3 pts better
|
Numerator 24 · Denominator 29 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 27 · Denominator 27 |
| Transfer of health information to patient | 95.24% |
96.28%
1 pts worse
|
Numerator 20 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 18.52% |
25.2%
6.7 pts worse
|
Numerator 5 · Denominator 27 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.0 |
1.8
1.2 pts worse
|
1.9
1.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.1 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 4.4 |
1.8
2.6 pts worse
|
1.8
2.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 4.4 · Observed 3.2 · Expected 1.2 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.9% |
92.4%
6.5 pts better
|
93.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 95.7% · 4Q avg 98.9% |
| 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 | 6.9% |
3.3%
3.6 pts worse
|
3.3%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 6.4% · Q3 8.5% · Q4 4.3% · 4Q avg 6.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 15.5% |
26.1%
10.6 pts better
|
11.4%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 25.6% · Q3 19.4% · Q4 11.9% · 4Q avg 15.5% |
| Percentage of long-stay residents who lose too much weight | 12.9% |
6.2%
6.7 pts worse
|
5.4%
7.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 12.5% · Q3 12.9% · Q4 11.8% · 4Q avg 12.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.3% |
25.4%
9.9 pts worse
|
19.6%
15.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 39.4% · Q3 39.4% · Q4 35.3% · 4Q avg 35.3% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.7% |
11.5%
11.2 pts worse
|
16.7%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 24.0% · Q3 25.0% · Q4 22.6% · 4Q avg 22.7% · 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 | 11.5% |
7.7%
3.8 pts worse
|
16.3%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.4% · 4Q avg 11.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.2% |
6.2%
6 pts worse
|
14.9%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.1% · Q3 29.0% · Q4 17.6% · 4Q avg 12.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
0.2%
0.2 pts worse
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
0.5%
0.6 pts worse
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 2.1% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 33.1% |
21.7%
11.4 pts worse
|
19.8%
13.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 42.0% · Q3 23.2% · Q4 33.9% · 4Q avg 33.1% |
| Percentage of long-stay residents with pressure ulcers | 2.6% |
3.7%
1.1 pts better
|
5.1%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.0% · Q3 3.2% · Q4 4.1% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
78.1%
21.9 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 27.8% |
12.5%
15.3 pts worse
|
12.0%
15.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.8% · Observed 26.9% · Expected 10.8% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.6% |
75.6%
21 pts better
|
79.7%
16.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.6% |
25.1%
10.5 pts worse
|
23.9%
11.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.6% · Observed 35.8% · Expected 24.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (6 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Top issue: Quality of Life and Care (3 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (8 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2024-11-29
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-11-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-10
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-08-10
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-08-10
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-08-10
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-10
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 2023-08-10
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-10-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-10-29
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2021-10-29
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2021-10-29
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-10-29
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-17
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-11-29
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-11-29
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-11-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-11-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-11-29
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-29
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2024-11-29
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-29
Health
Implement a program that monitors antibiotic use.
Corrected 2024-11-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-10
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-10
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-08-10
Health
Respond appropriately to all alleged violations.
Corrected 2023-08-10
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-08-10
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2023-08-10
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-08-10
Health
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected 2023-08-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-10
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-08-10
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-04-17
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 2021-10-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-10-29
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-10-29
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2021-10-29
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-10-29
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-10-29
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-10-29
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 2021-10-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-10-29
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 2021-10-29
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-10-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-10-29
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2021-10-29
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-10-29
Health
Provide and implement an infection prevention and control program.
Corrected 2021-10-29
Health
Implement a program that monitors antibiotic use.
Corrected 2021-10-29
Penalties and ownership
Nearby options
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