10 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Lancaster, OH
3-star overall rating with 2-star inspections with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1590 Chartwell Street, Lancaster, OH
(740) 687-5100
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
84
Certified beds
Average residents
80
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Altercare
Operator or chain grouping
Approved since
2000-11-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
22 facilities
Chain averages 3 overall / 3 health / 2 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
RN hours / resident day
0.95
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.11
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.78
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.68
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.18
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
3.50
CMS adjusted total nurse staffing hours
Case-mix index
1.48
Higher values indicate more complex resident acuity
RN turnover
20%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
6,269
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
33.42
Composite VBP score used to determine payment impact.
Payment multiplier
0.9877
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 17.79% · Performance 21.84% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
4.89
Baseline 5.22% · Performance 6.37% · Measure score 4.89 · Achievement 4.89 · Improvement 0
Total nurse turnover
6.11
Baseline 48.94% · Performance 38.71% · Measure score 6.11 · Achievement 6.11 · Improvement 3.75
Adjusted total nurse staffing
2.37
Baseline 3.84 hours · Performance 3.75 hours · Measure score 2.37 · Achievement 2.37 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.08% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 287 · Observed rate 10.1% · Lower 95% interval 8.34% |
| Discharge to community | 66.42% |
50.57%
15.9 pts better
|
Better than the National Rate · Eligible stays 288 · Observed rate 70.14% · Lower 95% interval 62.37% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 143 · Denominator 143 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 143 |
| Discharge self-care score | 61.16% |
53.69%
7.5 pts better
|
Numerator 74 · Denominator 121 |
| Discharge mobility score | 67.77% |
50.94%
16.8 pts better
|
Numerator 82 · Denominator 121 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 143 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.37% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 146 · Observed rate 4.11% · Lower 95% interval 3.7% |
| Staff COVID-19 vaccination coverage | 7.27% |
8.2%
0.9 pts worse
|
Numerator 8 · Denominator 110 |
| Staff flu vaccination coverage | 42.47% |
42%
0.5 pts better
|
Numerator 62 · Denominator 146 |
| Discharge function score | 61.16% |
56.45%
4.7 pts better
|
Numerator 74 · Denominator 121 |
| Transfer of health information to provider | 96.97% |
95.95%
1 pts better
|
Numerator 32 · Denominator 33 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 103 · Denominator 103 |
| Resident COVID-19 vaccinations up to date | 26.47% |
25.2%
1.3 pts better
|
Numerator 18 · Denominator 68 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
92.4%
7.1 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.2% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.6% |
94.5%
2.1 pts better
|
95.5%
1.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.6% |
3.3%
2.3 pts worse
|
3.3%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 5.8% · Q3 7.8% · Q4 7.1% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 30.0% |
26.1%
3.9 pts worse
|
11.4%
18.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.8% · Q2 31.4% · Q3 19.6% · Q4 41.8% · 4Q avg 30.0% |
| Percentage of long-stay residents who lose too much weight | 4.5% |
6.2%
1.7 pts better
|
5.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 12.8% · Q4 2.4% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.5% |
25.4%
4.1 pts worse
|
19.6%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.5% · Q2 27.8% · Q3 30.8% · Q4 31.7% · 4Q avg 29.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.0% |
11.5%
0.5 pts better
|
16.7%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 16.1% · Q3 8.6% · Q4 5.6% · 4Q avg 11.0% · 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 · 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 | 7.6% |
7.7%
0.1 pts better
|
16.3%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 9.6% · Q4 7.1% · 4Q avg 7.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 6.0% |
6.2%
0.2 pts better
|
14.9%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 11.4% · Q3 5.6% · Q4 5.1% · 4Q avg 6.0% · 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 | 0.9% |
0.5%
0.4 pts worse
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.5% |
21.7%
3.2 pts better
|
19.8%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 25.2% · Q2 22.3% · Q3 14.9% · Q4 11.5% · 4Q avg 18.5% |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
3.7%
3.7 pts better
|
5.1%
5.1 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 short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.5% |
78.1%
13.4 pts better
|
81.7%
9.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 89.0% · Q2 88.8% · Q3 91.5% · Q4 96.6% · 4Q avg 91.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.4% |
12.5%
5.1 pts better
|
12.0%
4.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.4% · Observed 6.9% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.2%
About the same
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.0% · Q3 0.7% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.1% |
75.6%
14.5 pts better
|
79.7%
10.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.5% |
25.1%
1.6 pts better
|
23.9%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 19.2% · Expected 19.5% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Resident Rights (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (3 deficiencies)
4 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-22
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-03-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-22
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-05-03
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-05-03
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-05-03
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-05-03
Inspection history
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-11
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-11
Health
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-07-11
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-07-11
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-07-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-11
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-07-11
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-11
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 2025-07-11
Health
Keep all essential equipment working safely.
Corrected 2025-02-07
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-07
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-02-07
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-03-22
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-22
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-03-22
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-03-22
Health
Implement a program that monitors antibiotic use.
Corrected 2024-03-22
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-03-22
Health
Keep residents' personal and medical records private and confidential.
Corrected 2023-08-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-25
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-05-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-17
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-17
Health
Keep all essential equipment working safely.
Corrected 2023-05-17
Health
Respond appropriately to all alleged violations.
Corrected 2023-05-17
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-05-17
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-17
Health
Provide and implement an infection prevention and control program.
Corrected 2022-05-03
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2022-05-03
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Lancaster, OH
0-star overall rating with 0-star inspections
Lancaster, OH
2-star overall rating with 2-star inspections with $20,678 in total fines with 19 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
Lancaster, OH
4-star overall rating with 3-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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