Defiance, OH

Laurels Of Defiance The

4-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1701 S Jefferson Ave, Defiance, OH

(419) 782-7879

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

107

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Ciena Healthcare/Laurel Health Care

Operator or chain grouping

Approved since

1978-07-31

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

84 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

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

0.58

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.11

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.70

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.39

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.69

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.92

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.58

CMS adjusted RN staffing hours

Adjusted total hours

3.41

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

39%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,188

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

Performance score

24.53

Composite VBP score used to determine payment impact.

Payment multiplier

0.9835

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.04

Baseline 16.29% · Performance 20.48% · Measure score 2.04 · Achievement 2.04 · Improvement 0

Healthcare-associated infections

Baseline 5.32% · Performance 7.91% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

6.63

Baseline 47.44% · Performance 36.59% · Measure score 6.63 · Achievement 6.63 · Improvement 4.30

Adjusted total nurse staffing

1.14

Baseline 2.97 hours · Performance 3.40 hours · Measure score 1.14 · Achievement 1.14 · Improvement 1.04

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.97%	10.72% 2.2 pts worse	No Different than the National Rate · Eligible stays 230 · Observed rate 16.52% · Lower 95% interval 9.82%
Discharge to community	54.82%	50.57% 4.2 pts better	No Different than the National Rate · Eligible stays 204 · Observed rate 51.47% · Lower 95% interval 47.27%
Medicare spending per beneficiary	1.33	1.02 0.3 pts worse
Drug regimen review with follow-up	90.08%	95.27% 5.2 pts worse	Numerator 109 · Denominator 121
Falls with major injury	0.83%	0.77% 0.1 pts worse	Numerator 1 · Denominator 121
Discharge self-care score	57.53%	53.69% 3.8 pts better	Numerator 42 · Denominator 73
Discharge mobility score	56.16%	50.94% 5.2 pts better	Numerator 41 · Denominator 73
Pressure ulcers or injuries, new or worsened	1.65%	2.29% 0.6 pts better	Numerator 2 · Denominator 121 · Adjusted rate 1.88%
Healthcare-associated infections requiring hospitalization	7.91%	7.12% 0.8 pts worse	No Different than the National Rate · Eligible stays 137 · Observed rate 8.76% · Lower 95% interval 5.38%
Staff COVID-19 vaccination coverage	14.78%	8.2% 6.6 pts better	Numerator 17 · Denominator 115
Staff flu vaccination coverage	22.56%	42% 19.4 pts worse	Numerator 30 · Denominator 133
Discharge function score	64.38%	56.45% 7.9 pts better	Numerator 47 · Denominator 73
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 60 · Denominator 60
Transfer of health information to patient	97.78%	96.28% 1.5 pts better	Numerator 44 · Denominator 45
Resident COVID-19 vaccinations up to date	37.1%	25.2% 11.9 pts better	Numerator 23 · Denominator 62

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.3	1.8 0.5 pts better	1.9 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.4 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.8 0.4 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.5 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.3%	92.4% 4.9 pts better	93.4% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.4% · Q2 100.0% · Q3 100.0% · Q4 90.6% · 4Q avg 97.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.4%	94.5% 2.9 pts better	95.5% 1.9 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.4%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.3% 0.6 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.7% · Q3 4.3% · Q4 1.6% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.9%	26.1% 21.2 pts better	11.4% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 3.2% · Q3 3.1% · Q4 6.7% · 4Q avg 4.9%
Percentage of long-stay residents who lose too much weight	2.0%	6.2% 4.2 pts better	5.4% 3.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 1.9% · Q4 4.0% · 4Q avg 2.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.3%	25.4% 0.9 pts worse	19.6% 6.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 28.3% · Q3 25.9% · Q4 25.5% · 4Q avg 26.3%
Percentage of long-stay residents who received an antipsychotic medication	13.2%	11.5% 1.7 pts worse	16.7% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 18.9% · Q3 9.8% · Q4 7.9% · 4Q avg 13.2% · 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	8.9%	7.7% 1.2 pts worse	16.3% 7.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q3 8.6% · Q4 4.6% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.0%	6.2% 1.8 pts worse	14.9% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.5% · Q3 9.6% · Q4 8.0% · 4Q avg 8.0% · 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 1.5% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.8%	0.5% 0.3 pts worse	1.7% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.7%	21.7% 6 pts worse	19.8% 7.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.2% · Q2 28.1% · Q3 29.0% · Q4 29.7% · 4Q avg 27.7%
Percentage of long-stay residents with pressure ulcers	3.3%	3.7% 0.4 pts better	5.1% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 3.4% · Q3 2.8% · Q4 4.4% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.0%	78.1% 17.9 pts better	81.7% 14.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 98.0% · Q3 95.9% · Q4 93.5% · 4Q avg 96.0%
Percentage of short-stay residents who had an outpatient emergency department visit	15.3%	12.5% 2.8 pts worse	12.0% 3.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 16.5% · Expected 12.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.4%	1.2% 0.2 pts worse	1.6% 0.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.2% · Q3 1.2% · Q4 2.1% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.3%	75.6% 16.7 pts better	79.7% 12.6 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.0%	25.1% 1.9 pts worse	23.9% 3.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.0% · Observed 28.1% · Expected 24.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-12 · Fire 2025-06-12

5 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-04-06 · Fire 2023-04-06

9 health deficiencies

Top issue: Resident Rights (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-12-05 · Fire 2019-12-05

7 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-12

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-18

F · Potential for more than minimal harm 2025-06-12

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-07-18

E · Potential for more than minimal harm 2025-06-12

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2025-09-11

F · Potential for more than minimal harm 2023-04-06

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-06

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-05

F · Potential for more than minimal harm 2023-04-06

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 2023-05-05

E · Potential for more than minimal harm 2023-04-06

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 2023-05-05

E · Potential for more than minimal harm 2023-04-06

K241 · Egress Deficiencies

Fire Safety

Have correct number of accessible exits for each story.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-06

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-05-05

E · Potential for more than minimal harm 2023-04-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-05-05

F · Potential for more than minimal harm 2019-12-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-01-14

F · Potential for more than minimal harm 2019-12-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2020-01-14

E · Potential for more than minimal harm 2019-12-05

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2020-01-14

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-06-12

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 2025-07-18

D · Potential for more than minimal harm 2025-06-12

F690 · Quality of Life and Care Deficiencies

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 2025-07-18

D · Potential for more than minimal harm 2025-06-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-06-12

F756 · Pharmacy Service Deficiencies

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 2025-07-18

D · Potential for more than minimal harm 2025-06-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-18

F · Potential for more than minimal harm 2023-11-08

F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2023-12-12

E · Potential for more than minimal harm 2023-04-06

F584 · Resident Rights Deficiencies

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 2023-05-05

E · Potential for more than minimal harm 2023-04-06

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2023-05-05