Beverly, OH

Muskingum Skilled Nursing & Rehabilitation

2-star overall rating with 1-star inspections with $198,726 in total fines with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

501 Pinecrest Drive, Beverly, OH

(740) 984-4262

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 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

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Continuing Healthcare Solutions

Operator or chain grouping

Approved since

1980-04-24

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

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

0.34

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.88

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.97

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.20

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.22

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.02

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.29

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

0.36

CMS adjusted RN staffing hours

Adjusted total hours

3.41

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

40%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,212

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

Performance score

30.41

Composite VBP score used to determine payment impact.

Payment multiplier

0.9859

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

3.62

Baseline 54.76% · Performance 48.89% · Measure score 3.62 · Achievement 3.62 · Improvement 1.46

Adjusted total nurse staffing

2.46

Baseline 2.58 hours · Performance 3.53 hours · Measure score 2.46 · Achievement 1.58 · Improvement 2.46

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.09%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 44 · Observed rate 9.09% · Lower 95% interval 6.58%
Discharge to community	46.58%	50.57% 4 pts worse	No Different than the National Rate · Eligible stays 29 · Observed rate 37.93% · Lower 95% interval 31.57%
Medicare spending per beneficiary	1.01	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 21 · Denominator 21
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 21
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 21 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	1.92%	8.2% 6.3 pts worse	Numerator 1 · Denominator 52
Staff flu vaccination coverage	25.45%	42% 16.6 pts worse	Numerator 14 · Denominator 55
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.6	1.8 1.2 pts better	1.9 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.4 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.8 0.7 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.9 · 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	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	5.1%	3.3% 1.8 pts worse	3.3% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 5.0% · Q3 5.0% · Q4 5.1% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	21.1%	26.1% 5 pts better	11.4% 9.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 21.1% · Q3 15.4% · Q4 20.5% · 4Q avg 21.1%
Percentage of long-stay residents who lose too much weight	4.8%	6.2% 1.4 pts better	5.4% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 0.0% · Q3 3.8% · Q4 4.0% · 4Q avg 4.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.0%	25.4% 8.4 pts better	19.6% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 15.4% · Q3 25.9% · Q4 20.0% · 4Q avg 17.0%
Percentage of long-stay residents who received an antipsychotic medication	16.0%	11.5% 4.5 pts worse	16.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · 4Q avg 16.0% · 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	5.4%	7.7% 2.3 pts better	16.3% 10.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 5.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.8%	6.2% 2.4 pts better	14.9% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 7.7% · Q3 0.0% · Q4 4.0% · 4Q avg 3.8% · 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	25.8%	21.7% 4.1 pts worse	19.8% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 43.0% · Q3 26.1% · Q4 16.3% · 4Q avg 25.8%
Percentage of long-stay residents with pressure ulcers	3.5%	3.7% 0.2 pts better	5.1% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 2.3% · Q3 4.5% · Q4 4.7% · 4Q avg 3.5% · 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 newly received an antipsychotic medication	2.0%	1.2% 0.8 pts worse	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.0%	75.6% 19.4 pts better	79.7% 15.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-15 · Fire 2024-07-15

6 health deficiencies

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

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2022-07-14 · Fire 2022-07-14

19 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-11-07 · Fire 2019-11-07

38 health deficiencies

Top issue: Quality of Life and Care (11 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-07-15

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-08-02

E · Potential for more than minimal harm 2024-07-15

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2024-08-02

F · Potential for more than minimal harm 2022-07-14

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 2022-09-09

F · Potential for more than minimal harm 2022-07-14

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-09-09

F · Potential for more than minimal harm 2019-11-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-12-09

Inspection history

Recent health citations

J · Immediate jeopardy 2025-08-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-08-28

D · Potential for more than minimal harm 2024-11-04

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 2024-11-22

G · Actual harm 2024-07-15

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-15

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-15

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 2024-08-02

D · Potential for more than minimal harm 2024-07-15

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-02

D · Potential for more than minimal harm 2024-07-15

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 2024-08-02

D · Potential for more than minimal harm 2023-12-27

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-01-23

G · Actual harm 2023-12-04

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-01-23

G · Actual harm 2023-12-04

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-01-23

F · Potential for more than minimal harm 2023-12-04

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-01-23

F · Potential for more than minimal harm 2023-12-04

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-04

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-04

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-04

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-04

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-04

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 2024-02-05

D · Potential for more than minimal harm 2023-12-04

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-04

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-04

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 2024-01-23

D · Potential for more than minimal harm 2023-12-04

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-12-04

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-01-23

D · Potential for more than minimal harm 2023-09-28

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-10-10

L · Immediate jeopardy 2022-07-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-09-09

F · Potential for more than minimal harm 2022-07-14

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2022-09-09

E · Potential for more than minimal harm 2022-07-14

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 2022-09-09

D · Potential for more than minimal harm 2022-07-14

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 2022-09-09

D · Potential for more than minimal harm 2022-07-14

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2022-09-09

D · Potential for more than minimal harm 2022-07-14

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-09-09

D · Potential for more than minimal harm 2022-07-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-09-09

D · Potential for more than minimal harm 2022-07-14

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-09-09

D · Potential for more than minimal harm 2022-07-14

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 2022-09-09

D · Potential for more than minimal harm 2022-07-14

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 2022-09-09

D · Potential for more than minimal harm 2022-07-14

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-09-09

D · Potential for more than minimal harm 2022-07-14

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-09-09

D · Potential for more than minimal harm 2022-07-14

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 2022-09-09

D · Potential for more than minimal harm 2022-07-14

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 2022-09-09

D · Potential for more than minimal harm 2022-07-14

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-09-16

D · Potential for more than minimal harm 2022-07-14

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2022-09-09

D · Potential for more than minimal harm 2022-07-14

F883 · Infection Control Deficiencies

Health

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

Corrected 2022-09-09

D · Potential for more than minimal harm 2022-07-14

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-09-09

F · Potential for more than minimal harm 2019-11-07

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 2019-12-09

E · Potential for more than minimal harm 2019-11-07

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 2019-12-09

E · Potential for more than minimal harm 2019-11-07

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 2019-12-09

E · Potential for more than minimal harm 2019-11-07

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 2019-12-09