Cycle 1
Health 2024-09-19 · Fire 2024-09-19
7 health deficiencies
Top issue: Environmental (2 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Perrysburg, OH
Kingston Rehabilitation Of Perrysburg
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
345 East Boundary Street, Perrysburg, OH
(419) 873-6100
Overall
4 / 5
CMS overall stars
Health inspections
4 / 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
62
Certified beds
Average residents
58
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Kingston Healthcare
Operator or chain grouping
Approved since
2013-08-03
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
6 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
1.03
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.37
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.80
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
2.40
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.97
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.55
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.51
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.80
CMS adjusted RN staffing hours
Adjusted total hours
3.73
CMS adjusted total nurse staffing hours
Case-mix index
1.76
Higher values indicate more complex resident acuity
RN turnover
31%
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
4,731
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.80
Composite VBP score used to determine payment impact.
Payment multiplier
0.9918
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.79
Baseline 19.82% · Performance 20.60% · Measure score 1.79 · Achievement 1.79 · Improvement 0
Healthcare-associated infections
8.75
Baseline 6.22% · Performance 5.22% · Measure score 8.75 · Achievement 8.75 · Improvement 7.67
Total nurse turnover
2.61
Baseline 48.72% · Performance 53.01% · Measure score 2.61 · Achievement 2.61 · Improvement 0
Adjusted total nurse staffing
2.37
Baseline 4.09 hours · Performance 3.75 hours · Measure score 2.37 · Achievement 2.37 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.27% |
10.72%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 511 · Observed rate 10.96% · Lower 95% interval 9.32% |
| Discharge to community | 57.32% |
50.57%
6.8 pts better
|
Better than the National Rate · Eligible stays 552 · Observed rate 54.89% · Lower 95% interval 52.93% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.51% |
95.27%
2.2 pts better
|
Numerator 353 · Denominator 362 |
| Falls with major injury | 1.1% |
0.77%
0.3 pts worse
|
Numerator 4 · Denominator 362 |
| Discharge self-care score | 59.51% |
53.69%
5.8 pts better
|
Numerator 147 · Denominator 247 |
| Discharge mobility score | 55.06% |
50.94%
4.1 pts better
|
Numerator 136 · Denominator 247 |
| Pressure ulcers or injuries, new or worsened | 4.14% |
2.29%
1.8 pts worse
|
Numerator 15 · Denominator 362 · Adjusted rate 4.61% |
| Healthcare-associated infections requiring hospitalization | 5.22% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 351 · Observed rate 3.7% · Lower 95% interval 2.99% |
| Staff COVID-19 vaccination coverage | 6.82% |
8.2%
1.4 pts worse
|
Numerator 9 · Denominator 132 |
| Staff flu vaccination coverage | 9.8% |
42%
32.2 pts worse
|
Numerator 29 · Denominator 296 |
| Discharge function score | 63.56% |
56.45%
7.1 pts better
|
Numerator 157 · Denominator 247 |
| Transfer of health information to provider | 95.88% |
95.95%
0.1 pts worse
|
Numerator 186 · Denominator 194 |
| Transfer of health information to patient | 95.21% |
96.28%
1.1 pts worse
|
Numerator 139 · Denominator 146 |
| Resident COVID-19 vaccinations up to date | 30.11% |
25.2%
4.9 pts better
|
Numerator 53 · Denominator 176 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| 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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
3.3%
0.7 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.0% |
26.1%
23.1 pts better
|
11.4%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.0% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
6.2%
0.5 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.2% |
25.4%
5.8 pts worse
|
19.6%
11.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 31.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 0.0% |
11.5%
11.5 pts better
|
16.7%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.5% |
6.2%
5.3 pts worse
|
14.9%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.5% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.8% |
0.5%
2.3 pts worse
|
1.7%
1.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.1% |
21.7%
9.6 pts better
|
19.8%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.1% |
| Percentage of long-stay residents with pressure ulcers | 10.3% |
3.7%
6.6 pts worse
|
5.1%
5.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 10.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
78.1%
21.5 pts better
|
81.7%
17.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 100.0% · Q3 99.7% · Q4 99.4% · 4Q avg 99.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.5% |
12.5%
1 pts worse
|
12.0%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.5% · Observed 12.4% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.5% · Q4 1.9% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.4% |
75.6%
19.8 pts better
|
79.7%
15.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.2% |
25.1%
1.9 pts better
|
23.9%
0.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.2% · Observed 20.8% · Expected 21.4% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-06-09 · Fire 2022-06-09
2 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2019-07-03 · Fire 2019-07-03
1 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-19
E15 · Emergency Preparedness Deficiencies
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-09-19
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-09-19
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-09-19
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-09-19
K907 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2024-10-18
F · Potential for more than minimal harm
2024-09-19
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-19
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-19
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-19
K311 · Smoke Deficiencies
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-19
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-10-18
E · Potential for more than minimal harm
2024-09-19
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 2024-10-18
F · Potential for more than minimal harm
2022-06-09
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-07-15
F · Potential for more than minimal harm
2022-06-09
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-07-15
E · Potential for more than minimal harm
2019-07-03
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-08-10
E · Potential for more than minimal harm
2019-07-03
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-08-10
Inspection history
Recent health citations
F · Potential for more than minimal harm
2024-09-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-09-19
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-09-19
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 2024-10-18
D · Potential for more than minimal harm
2024-09-19
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 2024-10-18
D · Potential for more than minimal harm
2024-09-19
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-09-19
F909 · Environmental Deficiencies
Health
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2024-10-18
D · Potential for more than minimal harm
2024-09-19
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-10-18
D · Potential for more than minimal harm
2022-06-09
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2022-07-15
D · Potential for more than minimal harm
2022-06-09
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 2022-07-15
F · Potential for more than minimal harm
2019-07-03
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-08-10
Penalties and ownership
What sits behind the stars
Ownership
Kingston Healthcare Inc
5% Or Greater Direct Ownership Interest · Organization
Rumman, George
5% Or Greater Indirect Ownership Interest · Individual
Nichols, Christine
5% Or Greater Indirect Ownership Interest · Individual
Wolfe, Frederica
5% Or Greater Indirect Ownership Interest · Individual
Wolfe, Elizabeth
5% Or Greater Indirect Ownership Interest · Individual
Baxter, Robert
Corporate Director · Individual
Dukeman, Bruce
Corporate Director · Individual
French, Diane
Corporate Officer · Individual
French, Diane
W-2 Managing Employee · Individual
Kingston Healthcare Company LLC
Operational/Managerial Control · Organization
Kriner, Delanie
W-2 Managing Employee · Individual
Louk, Sara
Operational/Managerial Control · Individual
Miller, Jeffrey
Corporate Director · Individual
Nichols, Christine
Corporate Director · Individual
Nichols, William
Corporate Director · Individual
Rumman, George
Corporate Director · Individual
Rumman, George
Corporate Officer · Individual
Rumman, George
W-2 Managing Employee · Individual
Rumman, Michael
Corporate Director · Individual
Vagt, Lisa
W-2 Managing Employee · Individual
Warburton, Mari
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Manor At Perrysburg
Perrysburg, OH
2-star overall rating with 2-star inspections with 20 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Avalon By Otterbein At Perrysburg
Perrysburg, OH
2-star overall rating with 2-star inspections with 14 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Three Meadows Post Acute
Perrysburg, OH
2-star overall rating with 1-star inspections with 17 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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