Grove City, OH

Meadow Grove Transitional Care

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

5919 Blue Star Drive, Grove City, OH

(614) 594-1600

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

90

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Foundations Health Solutions

Operator or chain grouping

Approved since

2016-07-05

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

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

0.57

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.14

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.61

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.39

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.39

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.46

CMS adjusted RN staffing hours

Adjusted total hours

2.92

CMS adjusted total nurse staffing hours

Case-mix index

1.69

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,076

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

Performance score

30.84

Composite VBP score used to determine payment impact.

Payment multiplier

0.9862

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.61

Baseline 24.19% · Performance 20.53% · Measure score 4.61 · Achievement 1.95 · Improvement 4.61

Healthcare-associated infections

6.27

Baseline 7.91% · Performance 5.96% · Measure score 6.27 · Achievement 6.27 · Improvement 6.19

Total nurse turnover

0

Baseline 48.28% · Performance 63.83% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

1.45

Baseline 2.34 hours · Performance 3.01 hours · Measure score 1.45 · Achievement 0 · Improvement 1.45

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.92%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 243 · Observed rate 9.05% · Lower 95% interval 7.82%
Discharge to community	70.56%	50.57% 20 pts better	Better than the National Rate · Eligible stays 245 · Observed rate 68.16% · Lower 95% interval 63.9%
Medicare spending per beneficiary	0.76	1.02 0.3 pts better
Drug regimen review with follow-up	72.58%	95.27% 22.7 pts worse	Numerator 90 · Denominator 124
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 124
Discharge self-care score	32.69%	53.69% 21 pts worse	Numerator 17 · Denominator 52
Discharge mobility score	23.08%	50.94% 27.9 pts worse	Numerator 12 · Denominator 52
Pressure ulcers or injuries, new or worsened	3.23%	2.29% 0.9 pts worse	Numerator 4 · Denominator 124 · Adjusted rate 3.66%
Healthcare-associated infections requiring hospitalization	5.96%	7.12% 1.2 pts better	No Different than the National Rate · Eligible stays 138 · Observed rate 3.62% · Lower 95% interval 3.58%
Staff COVID-19 vaccination coverage	1.79%	8.2% 6.4 pts worse	Numerator 2 · Denominator 112
Staff flu vaccination coverage	11.59%	42% 30.4 pts worse	Numerator 24 · Denominator 207
Discharge function score	32.69%	56.45% 23.8 pts worse	Numerator 17 · Denominator 52
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 20 · Denominator 20
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 96 · Denominator 96
Resident COVID-19 vaccinations up to date	16.07%	25.2% 9.1 pts worse	Numerator 9 · Denominator 56

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	88.8%	92.4% 3.6 pts worse	93.4% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 88.5% · Q2 85.9% · Q3 89.0% · Q4 92.0% · 4Q avg 88.8%
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	6.6%	3.3% 3.3 pts worse	3.3% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 9.0% · Q3 5.5% · Q4 2.7% · 4Q avg 6.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	44.2%	26.1% 18.1 pts worse	11.4% 32.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.7% · Q2 46.4% · Q3 37.3% · Q4 57.4% · 4Q avg 44.2%
Percentage of long-stay residents who lose too much weight	7.2%	6.2% 1 pts worse	5.4% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 13.3% · Q3 1.8% · Q4 5.6% · 4Q avg 7.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.6%	25.4% 1.2 pts worse	19.6% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.2% · Q2 33.3% · Q3 22.8% · Q4 20.0% · 4Q avg 26.6%
Percentage of long-stay residents who received an antipsychotic medication	5.5%	11.5% 6 pts better	16.7% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 5.4% · Q3 4.0% · Q4 4.0% · 4Q avg 5.5% · 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	4.6%	7.7% 3.1 pts better	16.3% 11.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 7.4% · Q3 0.0% · Q4 7.6% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	1.7%	6.2% 4.5 pts better	14.9% 13.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.7% · Q3 1.8% · Q4 1.8% · 4Q avg 1.7% · 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 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · 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	23.8%	21.7% 2.1 pts worse	19.8% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 18.0% · Q3 27.2% · Q4 24.3% · 4Q avg 23.8%
Percentage of long-stay residents with pressure ulcers	4.6%	3.7% 0.9 pts worse	5.1% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 6.6% · Q3 2.8% · Q4 3.5% · 4Q avg 4.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.2%	78.1% 18.1 pts better	81.7% 14.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 96.5% · Q3 95.5% · Q4 94.1% · 4Q avg 96.2%
Percentage of short-stay residents who had an outpatient emergency department visit	14.5%	12.5% 2 pts worse	12.0% 2.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 13.0% · Expected 10.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.2%	1.2% 1 pts better	1.6% 1.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.9% · 4Q avg 0.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.7%	75.6% 16.1 pts better	79.7% 12 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.8%	25.1% 5.3 pts better	23.9% 4.1 pts better	Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 17.4% · Expected 21.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-24 · Fire 2025-03-24

5 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2022-12-28 · Fire 2022-12-28

4 health deficiencies

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

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2020-02-13 · Fire 2020-02-13

11 health deficiencies

Top issue: Resident Rights (4 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-24

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2025-04-08

E · Potential for more than minimal harm 2025-03-24

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 2025-04-08

E · Potential for more than minimal harm 2025-03-24

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-04-08

E · Potential for more than minimal harm 2025-03-24

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-08

E · Potential for more than minimal harm 2022-12-28

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-01-13

E · Potential for more than minimal harm 2022-12-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-01-13

F · Potential for more than minimal harm 2020-02-13

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2020-03-11

F · Potential for more than minimal harm 2020-02-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-03-11

F · Potential for more than minimal harm 2020-02-13

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2020-03-11

F · Potential for more than minimal harm 2020-02-13

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2020-03-11

F · Potential for more than minimal harm 2020-02-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2020-03-11

E · Potential for more than minimal harm 2020-02-13

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 2020-03-11

E · Potential for more than minimal harm 2020-02-13

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2020-03-11

E · Potential for more than minimal harm 2020-02-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-03-11

E · Potential for more than minimal harm 2020-02-13

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-03-11

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-24

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 2025-04-08

E · Potential for more than minimal harm 2025-03-24

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-04-08

E · Potential for more than minimal harm 2025-03-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-08

D · Potential for more than minimal harm 2025-03-24

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 2025-04-08

D · Potential for more than minimal harm 2025-03-24

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-04-08

D · Potential for more than minimal harm 2024-01-24

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-02-12

D · Potential for more than minimal harm 2024-01-24

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-02-12

D · Potential for more than minimal harm 2024-01-24

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-02-12

D · Potential for more than minimal harm 2024-01-03

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-12

D · Potential for more than minimal harm 2022-12-28

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-01-13

D · Potential for more than minimal harm 2022-12-28

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 2023-01-13

D · Potential for more than minimal harm 2022-12-28

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-13

D · Potential for more than minimal harm 2022-12-28

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 2023-01-13