Federal inspection record · CMS data as of October 1, 2026
Northcrest Rehab And Nursing Center
240 Northcrest Drive, Napoleon, OH · (419) 599-4070
- Certified beds
- 87
- Residents per day
- 52
- Ownership
- For-Profit
- Chain
- Cch Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 1, 1978
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Northcrest Rehab And Nursing Center carries 59 inspection points. That is fewer than 51% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
31 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care15D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights4E
- E
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.
- D
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.
- E
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.
- D
Keep residents' personal and medical records private and confidential.
Pharmacy Service3D
- D
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.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nursing and Physician Services1D
- D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-01-23
6 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2022-08-17
14 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2019-08-02
11 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 44 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 44 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 17% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$13,870 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-04-03 | Fine | $13,870 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.3 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.4 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 100.0% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 1.5% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms25.6 pts better | 6.0% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts better | 5.7% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts better | 20.8% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.5 pts worse | 9.0% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1 pts better | 4.3% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.8 pts worse | 5.8% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.7 pts worse | 27.6% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts better | 0.8% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine18.1 pts better | 96.5% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better | 9.7% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 1.6% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine19.1 pts better | 95.5% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission10.5 pts better | 13.9% | 24.4% | 23.4% |
·
Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Northcrest Westlake Healthcare Holdings LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Starlight Healthcare LLC | 5% Or Greater Indirect Ownership Interest · Organization | 50% | 21 facilities |
| Ch Nw Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 45% | 1 facilities |
| Capital Finance LLC | 5% Or Greater Security Interest · Organization | 0% | 35 facilities |
| Desantis, Marisa | W-2 Managing Employee · Individual | 0% | 1 facilities |
| Stern, Jacob | Corporate Officer · Individual | 0% | 37 facilities |
| Stern, Jacob | Operational/Managerial Control · Individual | 0% | 37 facilities |
| Strall, Sandra | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress3F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F
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.
- F
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.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Services2E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems1E
- E
Have power receptacles that are properly grounded.
·
Other homes nearby
-
Lutheran Home
Napoleon, OH
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 42 min
- Fines
- $0
-
Fulton Manor Nursing & Rehab C
Wauseon, OH
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 4 h 6 min
- Fines
- $0
-
Ayden Healthcare Of Wauseon
Wauseon, OH · Ayden Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 33 min
- Fines
- $0