Columbus, OH

Mcnaughten Pointe Nursing And Rehab

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1425 Yorkland Road, Columbus, OH

(614) 751-2525

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 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

124

Certified beds

Average residents

112

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Foundations Health Solutions

Operator or chain grouping

Approved since

1968-06-28

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

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.07

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.84

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.61

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

4.52

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.90

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.90

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.87

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.74

CMS adjusted RN staffing hours

Adjusted total hours

3.13

CMS adjusted total nurse staffing hours

Case-mix index

1.97

Higher values indicate more complex resident acuity

RN turnover

37%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

27%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,965

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

Performance score

41.93

Composite VBP score used to determine payment impact.

Payment multiplier

0.9948

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.87

Performance 19.64% · Measure score 3.87 · Achievement 3.87 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

4.62

Baseline 5.39% · Performance 6.45% · Measure score 4.62 · Achievement 4.62 · Improvement 0

Total nurse turnover

7.36

Baseline 28.00% · Performance 33.61% · Measure score 7.36 · Achievement 7.36 · Improvement 0

Adjusted total nurse staffing

0.92

Baseline 2.33 hours · Performance 2.82 hours · Measure score 0.92 · Achievement 0 · Improvement 0.92

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.27%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 12.5% · Lower 95% interval 7.82%
Discharge to community	46.33%	50.57% 4.2 pts worse	No Different than the National Rate · Eligible stays 33 · Observed rate 30.3% · Lower 95% interval 31.84%
Medicare spending per beneficiary	0.93	1.02 0.1 pts better
Drug regimen review with follow-up	89.8%	95.27% 5.5 pts worse	Numerator 44 · Denominator 49
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 49
Discharge self-care score	32.14%	53.69% 21.5 pts worse	Numerator 9 · Denominator 28
Discharge mobility score	32.14%	50.94% 18.8 pts worse	Numerator 9 · Denominator 28
Pressure ulcers or injuries, new or worsened	2.04%	2.29% 0.2 pts better	Numerator 1 · Denominator 49 · Adjusted rate 1.55%
Healthcare-associated infections requiring hospitalization	6.45%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 34 · Observed rate 5.88% · Lower 95% interval 3.64%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 154
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 196
Discharge function score	53.57%	56.45% 2.9 pts worse	Numerator 15 · Denominator 28
Transfer of health information to provider	96.43%	95.95% 0.5 pts better	Numerator 27 · Denominator 28
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	17.39%	25.2% 7.8 pts worse	Numerator 4 · Denominator 23

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.8	1.8 1 pts worse	1.9 0.9 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 5.5 · Expected 3.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	1.8 0.2 pts worse	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.6 · Expected 2.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.6%	92.4% 1.2 pts better	93.4% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 89.5% · Q2 87.2% · Q3 99.1% · Q4 99.1% · 4Q avg 93.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	86.9%	94.5% 7.6 pts worse	95.5% 8.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 86.9%
Percentage of long-stay residents experiencing one or more falls with major injury	0.7%	3.3% 2.6 pts better	3.3% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	29.5%	26.1% 3.4 pts worse	11.4% 18.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 28.6% · Q3 33.7% · Q4 30.1% · 4Q avg 29.5%
Percentage of long-stay residents who lose too much weight	6.6%	6.2% 0.4 pts worse	5.4% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 6.1% · Q3 5.1% · Q4 8.4% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.7%	25.4% 1.7 pts better	19.6% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.3% · Q2 24.2% · Q3 22.4% · Q4 26.0% · 4Q avg 23.7%
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 13.0% · Q2 9.1% · Q3 13.0% · Q4 8.8% · 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	4.3%	7.7% 3.4 pts better	16.3% 12 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 8.3% · Q3 0.0% · Q4 4.0% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.0%	6.2% 1.2 pts better	14.9% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 3.8% · Q3 2.6% · Q4 6.2% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.2% 0.1 pts worse	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.7% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.5% 0.5 pts better	1.7% 1.7 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 new or worsened bowel or bladder incontinence	9.4%	21.7% 12.3 pts better	19.8% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 9.5% · Q3 8.9% · Q4 7.6% · 4Q avg 9.4%
Percentage of long-stay residents with pressure ulcers	7.1%	3.7% 3.4 pts worse	5.1% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 5.6% · Q3 7.0% · Q4 6.1% · 4Q avg 7.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	73.0%	78.1% 5.1 pts worse	81.7% 8.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 72.9% · Q2 60.0% · Q3 83.3% · Q4 77.5% · 4Q avg 73.0%
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 18.6% · Expected 15.4% · 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	71.7%	75.6% 3.9 pts worse	79.7% 8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 71.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.7%	25.1% 2.6 pts worse	23.9% 3.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.7% · Observed 44.2% · Expected 38.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-11 · Fire 2025-09-11

6 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-03-15 · Fire 2024-03-15

13 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-03-30 · Fire 2022-03-30

17 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-09-11

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-10-03

E · Potential for more than minimal harm 2025-09-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-03

E · Potential for more than minimal harm 2025-09-11

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-10-03

F · Potential for more than minimal harm 2024-03-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-04-02

F · Potential for more than minimal harm 2024-03-15

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2024-04-02

F · Potential for more than minimal harm 2024-03-15

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2024-04-02

E · Potential for more than minimal harm 2024-03-15

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 2024-04-02

F · Potential for more than minimal harm 2022-03-30

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-04-20

E · Potential for more than minimal harm 2022-03-30

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2022-04-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-09-11

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 2025-10-03

D · Potential for more than minimal harm 2025-09-11

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-07-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-08-19

D · Potential for more than minimal harm 2025-04-07

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 2025-04-22

D · Potential for more than minimal harm 2025-04-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-22

D · Potential for more than minimal harm 2024-10-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-14

G · Actual harm 2024-03-15

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-02

G · Actual harm 2024-03-15

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-04-02

E · Potential for more than minimal harm 2024-03-15

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 2024-04-02

E · Potential for more than minimal harm 2024-03-15

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-03-15

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 2024-04-02

D · Potential for more than minimal harm 2024-03-15

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 2024-04-02

D · Potential for more than minimal harm 2024-03-15

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 2024-04-02

D · Potential for more than minimal harm 2024-03-15

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-03-15

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-03-15

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 2024-04-02

D · Potential for more than minimal harm 2024-03-15

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-02

D · Potential for more than minimal harm 2024-03-15

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-04-02

E · Potential for more than minimal harm 2023-04-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-13

D · Potential for more than minimal harm 2023-04-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-04-13

F · Potential for more than minimal harm 2022-03-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-04-20

E · Potential for more than minimal harm 2022-03-30

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-04-20

E · Potential for more than minimal harm 2022-03-30

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 2022-04-20

E · Potential for more than minimal harm 2022-03-30

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-04-20

E · Potential for more than minimal harm 2022-03-30

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-04-20

E · Potential for more than minimal harm 2022-03-30

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-04-20

E · Potential for more than minimal harm 2022-03-30