Seaman, OH

Monarch Meadows Nursing And Rehabilitation

3-star overall rating with 3-star inspections with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

299 Commerce Dr, Seaman, OH

(937) 386-6375

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

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

46

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Continuing Healthcare Solutions

Operator or chain grouping

Approved since

1993-02-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 2 overall / 2 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

0.73

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

1.93

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.55

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.62

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.20

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.48

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.74

CMS adjusted RN staffing hours

Adjusted total hours

3.57

CMS adjusted total nurse staffing hours

Case-mix index

1.36

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

55%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,891

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

Performance score

28.48

Composite VBP score used to determine payment impact.

Payment multiplier

0.9850

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1

Baseline 18.96% · Performance 20.97% · Measure score 1 · Achievement 1 · Improvement 0

Healthcare-associated infections

6.48

Baseline 6.55% · Performance 5.90% · Measure score 6.48 · Achievement 6.48 · Improvement 3.72

Total nurse turnover

1.92

Baseline 62.74% · Performance 55.81% · Measure score 1.92 · Achievement 1.92 · Improvement 1.33

Adjusted total nurse staffing

1.99

Baseline 2.69 hours · Performance 3.46 hours · Measure score 1.99 · Achievement 1.35 · Improvement 1.99

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.81%	10.72% 1.9 pts better	No Different than the National Rate · Eligible stays 100 · Observed rate 5% · Lower 95% interval 5.82%
Discharge to community	55.45%	50.57% 4.9 pts better	No Different than the National Rate · Eligible stays 83 · Observed rate 50.6% · Lower 95% interval 46.34%
Medicare spending per beneficiary	1.05	1.02 About the same
Drug regimen review with follow-up	96.61%	95.27% 1.3 pts better	Numerator 57 · Denominator 59
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 59
Discharge self-care score	42.22%	53.69% 11.5 pts worse	Numerator 19 · Denominator 45
Discharge mobility score	26.67%	50.94% 24.3 pts worse	Numerator 12 · Denominator 45
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 59 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	5.9%	7.12% 1.2 pts better	No Different than the National Rate · Eligible stays 56 · Observed rate 1.79% · Lower 95% interval 3.67%
Staff COVID-19 vaccination coverage	3.39%	8.2% 4.8 pts worse	Numerator 2 · Denominator 59
Staff flu vaccination coverage	12.9%	42% 29.1 pts worse	Numerator 8 · Denominator 62
Discharge function score	42.22%	56.45% 14.2 pts worse	Numerator 19 · Denominator 45
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 36 · Denominator 36
Resident COVID-19 vaccinations up to date	14.29%	25.2% 10.9 pts worse	Numerator 5 · Denominator 35

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.3	1.8 0.5 pts worse	1.9 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.1 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.8	1.8 2 pts worse	1.8 2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.8 · Observed 3.2 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	92.4% 7.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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	4.9%	3.3% 1.6 pts worse	3.3% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 0.0% · Q3 5.7% · Q4 5.3% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.3%	26.1% 23.8 pts better	11.4% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 5.6% · 4Q avg 2.3%
Percentage of long-stay residents who lose too much weight	5.8%	6.2% 0.4 pts better	5.4% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 12.0% · Q4 10.3% · 4Q avg 5.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.8%	25.4% 0.6 pts better	19.6% 5.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.4% · Q2 25.0% · Q3 26.9% · Q4 25.8% · 4Q avg 24.8%
Percentage of long-stay residents who received an antipsychotic medication	14.7%	11.5% 3.2 pts worse	16.7% 2 pts better	Long Stay · 2024Q4-2025Q3 · Q4 12.0% · 4Q avg 14.7% · 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	10.9%	7.7% 3.2 pts worse	16.3% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 10.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.7%	6.2% 4.5 pts worse	14.9% 4.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.5% · Q2 4.3% · Q3 4.3% · Q4 13.3% · 4Q avg 10.7% · 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	0.7%	0.5% 0.2 pts worse	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.0%	21.7% 7.3 pts worse	19.8% 9.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 13.8% · Q3 37.5% · Q4 38.0% · 4Q avg 29.0%
Percentage of long-stay residents with pressure ulcers	2.6%	3.7% 1.1 pts better	5.1% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 5.0% · Q4 3.6% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	78.1% 21.9 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	17.3%	12.5% 4.8 pts worse	12.0% 5.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 15.4% · Expected 9.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.4%	1.2% 2.2 pts worse	1.6% 1.8 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.1% · Q3 5.0% · Q4 2.6% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	75.6% 24.4 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.9%	25.1% 1.2 pts better	23.9% About the same	Short Stay · 20240701-20250630 · Adjusted 23.9% · Observed 21.2% · Expected 21.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-18 · Fire 2025-09-18

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-11-07 · Fire 2023-11-07

2 health deficiencies

Top issue: Resident Rights (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2021-07-08 · Fire 2021-07-08

4 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

9 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-18

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-11-07

F · Potential for more than minimal harm 2025-09-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-11-07

F · Potential for more than minimal harm 2025-09-18

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-11-07

F · Potential for more than minimal harm 2023-11-07

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-12-22

F · Potential for more than minimal harm 2023-11-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-22

F · Potential for more than minimal harm 2023-11-07

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-12-22

F · Potential for more than minimal harm 2023-11-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-12-22

E · Potential for more than minimal harm 2023-11-07

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 2023-12-22

F · Potential for more than minimal harm 2021-07-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-08-04

F · Potential for more than minimal harm 2021-07-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-08-04

F · Potential for more than minimal harm 2021-07-08

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2021-08-04

F · Potential for more than minimal harm 2021-07-08

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 2021-08-04

F · Potential for more than minimal harm 2021-07-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2021-08-04

E · Potential for more than minimal harm 2021-07-08

K131 · Construction Deficiencies

Fire Safety

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

Corrected 2021-08-04

E · Potential for more than minimal harm 2021-07-08

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2021-08-04

E · Potential for more than minimal harm 2021-07-08

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-08-04

E · Potential for more than minimal harm 2021-07-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-08-04

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-09-18

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 2025-11-07