Fowler, OH

Meadowbrook Manor

4-star overall rating with 3-star inspections with 7 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

3090 Five Points Hartford, Fowler, OH

(330) 772-5253

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

54

Certified beds

Average residents

47

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aom Healthcare

Operator or chain grouping

Approved since

1993-01-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

20 facilities

Chain averages 3 overall / 2 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

Hours and turnover

RN hours / resident day

0.41

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.01

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.89

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.31

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.98

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.24

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

0.46

CMS adjusted RN staffing hours

Adjusted total hours

3.70

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

90%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

73%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,641

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

Performance score

26.14

Composite VBP score used to determine payment impact.

Payment multiplier

0.9841

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0.58

Baseline 61.29% · Performance 61.29% · Measure score 0.58 · Achievement 0.58 · Improvement 0

Adjusted total nurse staffing

4.64

Baseline 3.75 hours · Performance 4.40 hours · Measure score 4.64 · Achievement 4.64 · Improvement 2.70

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.31%
10.72%
1.4 pts better
No Different than the National Rate · Eligible stays 40 · Observed rate 2.5% · Lower 95% interval 5.91%
Discharge to community 46.31%
50.57%
4.3 pts worse
No Different than the National Rate · Eligible stays 32 · Observed rate 34.38% · Lower 95% interval 33.44%
Medicare spending per beneficiary 1
1.02
About the same
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 19 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 59
Staff flu vaccination coverage 4.23%
42%
37.8 pts worse
Numerator 3 · Denominator 71
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 96.0%
92.4%
3.6 pts better
93.4%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.2% · Q3 95.2% · Q4 95.3% · 4Q avg 96.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7%
94.5%
3.2 pts better
95.5%
2.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
3.3%
3.3 pts better
3.3%
3.3 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 who have depressive symptoms 22.6%
26.1%
3.5 pts better
11.4%
11.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 20.5% · Q3 25.6% · Q4 26.3% · 4Q avg 22.6%
Percentage of long-stay residents who lose too much weight 2.5%
6.2%
3.7 pts better
5.4%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q2 2.9% · Q3 0.0% · Q4 2.7% · 4Q avg 2.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 47.2%
25.4%
21.8 pts worse
19.6%
27.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q2 45.7% · Q3 50.0% · Q4 42.1% · 4Q avg 47.2%
Percentage of long-stay residents who received an antipsychotic medication 15.6%
11.5%
4.1 pts worse
16.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.6% · 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 · Q3 5.3% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 7.0%
6.2%
0.8 pts worse
14.9%
7.9 pts better
Long Stay · 2024Q4-2025Q3 · Q2 6.2% · Q3 8.8% · Q4 5.9% · 4Q avg 7.0% · 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 0.0%
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 23.3%
21.7%
1.6 pts worse
19.8%
3.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 24.7% · Q3 7.6% · Q4 42.9% · 4Q avg 23.3%
Percentage of long-stay residents with pressure ulcers 1.7%
3.7%
2 pts better
5.1%
3.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.9% · Q4 3.0% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 82.0%
78.1%
3.9 pts better
81.7%
0.3 pts better
Short Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 76.3% · Q3 79.3% · Q4 83.3% · 4Q avg 82.0%
Percentage of short-stay residents who had an outpatient emergency department visit 12.7%
12.5%
0.2 pts worse
12.0%
0.7 pts worse
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 15.0% · Expected 13.2% · 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 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 76.3%
75.6%
0.7 pts better
79.7%
3.4 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 76.3%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 16.0%
25.1%
9.1 pts better
23.9%
7.9 pts better
Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 20.0% · Expected 29.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-29 · Fire 2025-05-29

7 health deficiencies

Top issue: Resident Rights (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-11-23 · Fire 2022-11-23

3 health deficiencies

Top issue: Environmental (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2020-01-02 · Fire 2020-01-02

6 health deficiencies

Top issue: Resident Rights (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-09

F · Potential for more than minimal harm 2025-05-29

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-07-09

E · Potential for more than minimal harm 2025-05-29

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 2025-07-09

E · Potential for more than minimal harm 2025-05-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-07-09

E · Potential for more than minimal harm 2025-05-29

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2025-07-09

F · Potential for more than minimal harm 2022-11-23

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 2022-12-14

F · Potential for more than minimal harm 2022-11-23

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-12-14

F · Potential for more than minimal harm 2020-01-02

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2020-02-21

F · Potential for more than minimal harm 2020-01-02

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2020-02-21

F · Potential for more than minimal harm 2020-01-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-02-21

F · Potential for more than minimal harm 2020-01-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-02-21

E · Potential for more than minimal harm 2020-01-02

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2020-02-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-28

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-08-29

D · Potential for more than minimal harm 2025-08-28

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 2025-08-29

J · Immediate jeopardy 2025-07-08

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-07-09

E · Potential for more than minimal harm 2025-05-29

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-07-09

D · Potential for more than minimal harm 2025-05-29

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2025-07-09

D · Potential for more than minimal harm 2025-05-29

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-07-09

D · Potential for more than minimal harm 2025-05-29

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2025-07-09

D · Potential for more than minimal harm 2024-10-09

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-10-25

C · Minimal harm 2024-10-09

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-10-25

F · Potential for more than minimal harm 2022-11-23

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2022-12-14

D · Potential for more than minimal harm 2020-01-02

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 2020-02-21

D · Potential for more than minimal harm 2020-01-02

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 2020-02-21

D · Potential for more than minimal harm 2020-01-02

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2020-02-21

D · Potential for more than minimal harm 2020-01-02

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-02-21

D · Potential for more than minimal harm 2020-01-02

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2020-02-21

D · Potential for more than minimal harm 2020-01-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-02-21

Penalties and ownership

What sits behind the stars

Ownership

Sherman, Samuel

5% Or Greater Direct Ownership Interest · Individual

20% 25 facilities 2015-06-02
Sherman, Alexander

5% Or Greater Direct Ownership Interest · Individual

13% 18 facilities 2015-06-02
Sherman, Tzvi

5% Or Greater Direct Ownership Interest · Individual

13% 4 facilities 2015-06-02
Sherman, Yehuda

5% Or Greater Direct Ownership Interest · Individual

13% 4 facilities 2015-06-02
Amsel, Hindy

5% Or Greater Direct Ownership Interest · Individual

10% 5 facilities 2015-06-02
Goldstein, Jeffrey

5% Or Greater Direct Ownership Interest · Individual

10% 26 facilities 2015-06-02
Tratner, Batsheva

5% Or Greater Direct Ownership Interest · Individual

10% 3 facilities 2015-06-02
Elmerick, Paula

W-2 Managing Employee · Individual

0% 1 facilities 2017-02-06
Goldstein, Jeffrey

Operational/Managerial Control · Individual

0% 26 facilities 2015-08-01
Sherman, Alexander

Operational/Managerial Control · Individual

0% 18 facilities 2015-06-02
Sherman, Samuel

Operational/Managerial Control · Individual

0% 25 facilities 2015-08-01
Ulrich, Amy

W-2 Managing Employee · Individual

0% 1 facilities 2015-08-01
Valiquette, Ryan

W-2 Managing Employee · Individual

0% 3 facilities 2018-12-27

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Staffing
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2-star overall rating with 2-star inspections with abuse icon flag with $68,952 in total fines with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
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Health
2 / 5
Staffing
2 / 5
Fines
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#3

Clepper Manor

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2-star overall rating with 2-star inspections with $169,599 in total fines with 2 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$169,599

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