Norwalk, OH

Norwalk Memorial Home

4-star overall rating with 4-star inspections with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

272 Benedict Ave, Norwalk, OH

(419) 668-8101

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

69

Certified beds

Average residents

60

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1985-10-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.59

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.31

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.86

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.55

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.41

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.26

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

0.59

CMS adjusted RN staffing hours

Adjusted total hours

3.86

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

64%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

33%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,140

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

Performance score

37.28

Composite VBP score used to determine payment impact.

Payment multiplier

0.9905

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0.98

Baseline 19.89% · Performance 20.98% · Measure score 0.98 · Achievement 0.98 · Improvement 0

Healthcare-associated infections

3.71

Baseline 5.09% · Performance 6.73% · Measure score 3.71 · Achievement 3.71 · Improvement 0

Total nurse turnover

7.55

Baseline 60.35% · Performance 32.81% · Measure score 7.55 · Achievement 7.55 · Improvement 7.26

Adjusted total nurse staffing

2.67

Baseline 3.37 hours · Performance 3.84 hours · Measure score 2.67 · Achievement 2.67 · Improvement 1.44

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.64%
10.72%
1.9 pts worse
No Different than the National Rate · Eligible stays 256 · Observed rate 12.5% · Lower 95% interval 9.58%
Discharge to community 63.53%
50.57%
13 pts better
Better than the National Rate · Eligible stays 231 · Observed rate 62.77% · Lower 95% interval 57.91%
Medicare spending per beneficiary 0.8
1.02
0.2 pts better
Drug regimen review with follow-up 99.28%
95.27%
4 pts better
Numerator 137 · Denominator 138
Falls with major injury 0.72%
0.77%
0.1 pts better
Numerator 1 · Denominator 138
Discharge self-care score 38.6%
53.69%
15.1 pts worse
Numerator 44 · Denominator 114
Discharge mobility score 23.68%
50.94%
27.3 pts worse
Numerator 27 · Denominator 114
Pressure ulcers or injuries, new or worsened 7.25%
2.29%
5 pts worse
Numerator 10 · Denominator 138 · Adjusted rate 9.04%
Healthcare-associated infections requiring hospitalization 6.73%
7.12%
0.4 pts better
No Different than the National Rate · Eligible stays 120 · Observed rate 5% · Lower 95% interval 3.7%
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage 84.81%
42%
42.8 pts better
Numerator 134 · Denominator 158
Discharge function score 29.82%
56.45%
26.6 pts worse
Numerator 34 · Denominator 114
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 61 · Denominator 61
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 63 · Denominator 63
Resident COVID-19 vaccinations up to date 24.05%
25.2%
1.1 pts worse
Numerator 19 · Denominator 79

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.8
1.8
1 pts better
1.9
1.1 pts better
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.6 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.2
1.8
0.6 pts better
1.8
0.6 pts better
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
92.4%
7 pts better
93.4%
6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 97.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.7%
94.5%
1.2 pts better
95.5%
0.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of long-stay residents experiencing one or more falls with major injury 7.0%
3.3%
3.7 pts worse
3.3%
3.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.4% · Q2 7.0% · Q3 7.1% · Q4 7.7% · 4Q avg 7.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 6.2%
26.1%
19.9 pts better
11.4%
5.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 7.3% · Q3 7.3% · Q4 2.6% · 4Q avg 6.2%
Percentage of long-stay residents who lose too much weight 10.3%
6.2%
4.1 pts worse
5.4%
4.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 20.6% · Q3 8.8% · Q4 6.5% · 4Q avg 10.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.1%
25.4%
0.7 pts worse
19.6%
6.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 25.7% · Q3 20.6% · Q4 29.0% · 4Q avg 26.1%
Percentage of long-stay residents who received an antipsychotic medication 18.8%
11.5%
7.3 pts worse
16.7%
2.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 17.9% · Q3 21.4% · Q4 24.0% · 4Q avg 18.8% · 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 23.0%
7.7%
15.3 pts worse
16.3%
6.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 23.5%
6.2%
17.3 pts worse
14.9%
8.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 14.7% · Q3 43.8% · Q4 16.7% · 4Q avg 23.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.7%
0.2%
2.5 pts worse
1.0%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.3% · Q3 3.0% · Q4 3.5% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.8%
0.5%
1.3 pts worse
1.7%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.4% · Q3 2.4% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 30.6%
21.7%
8.9 pts worse
19.8%
10.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 29.2% · Q3 22.8% · Q4 37.5% · 4Q avg 30.6%
Percentage of long-stay residents with pressure ulcers 6.8%
3.7%
3.1 pts worse
5.1%
1.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 10.4% · Q3 4.2% · Q4 4.2% · 4Q avg 6.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.6%
78.1%
15.5 pts better
81.7%
11.9 pts better
Short Stay · 2024Q4-2025Q3 · Q1 97.3% · Q2 88.7% · Q3 89.9% · Q4 98.8% · 4Q avg 93.6%
Percentage of short-stay residents who had an outpatient emergency department visit 10.9%
12.5%
1.6 pts better
12.0%
1.1 pts better
Short Stay · 20240701-20250630 · Adjusted 10.9% · Observed 10.3% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.0%
1.2%
0.2 pts better
1.6%
0.6 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.3% · Q4 1.4% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 70.7%
75.6%
4.9 pts worse
79.7%
9 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 70.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.5%
25.1%
3.4 pts worse
23.9%
4.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 28.5% · Observed 24.7% · Expected 20.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-15 · Fire 2024-08-15

8 health deficiencies

Top issue: Nursing and Physician Services (2 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2022-03-21 · Fire 2022-03-21

10 health deficiencies

Top issue: Resident Rights (5 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-05-30 · Fire 2019-05-30

5 health deficiencies

Top issue: Resident Rights (3 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-08-15

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 2024-09-30

E · Potential for more than minimal harm 2024-08-15

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-09-30

E · Potential for more than minimal harm 2024-08-15

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 2024-09-30

E · Potential for more than minimal harm 2024-08-15

K909 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure gas and vacuum piping is labeled.

Corrected 2024-09-30

E · Potential for more than minimal harm 2024-08-15

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-09-30

F · Potential for more than minimal harm 2022-03-21

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-05-05

F · Potential for more than minimal harm 2022-03-21

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-05-05

F · Potential for more than minimal harm 2022-03-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-05-05

E · Potential for more than minimal harm 2022-03-21

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-05-05

E · Potential for more than minimal harm 2019-05-30

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-07-12

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-30

F729 · Nursing and Physician Services Deficiencies

Health

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Corrected 2026-02-06

E · Potential for more than minimal harm 2024-08-15

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 2024-09-30

D · Potential for more than minimal harm 2024-08-15

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-15

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 2024-09-30

D · Potential for more than minimal harm 2024-08-15

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 2024-09-30

D · Potential for more than minimal harm 2024-08-15

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-09-30

C · Minimal harm 2024-08-15

F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2024-09-30

C · Minimal harm 2024-08-15

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-09-30

E · Potential for more than minimal harm 2022-03-21

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 2022-05-05

E · Potential for more than minimal harm 2022-03-21

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2022-05-05

E · Potential for more than minimal harm 2022-03-21

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2022-05-05

E · Potential for more than minimal harm 2022-03-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-05-05

D · Potential for more than minimal harm 2022-03-21

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 2022-05-05

D · Potential for more than minimal harm 2022-03-21

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2022-05-05

D · Potential for more than minimal harm 2022-03-21

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 2022-05-05

D · Potential for more than minimal harm 2022-03-21

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 2022-05-05

D · Potential for more than minimal harm 2022-03-21

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2022-05-05

D · Potential for more than minimal harm 2022-03-21

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 2022-05-05

D · Potential for more than minimal harm 2019-05-30

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 2019-07-12

D · Potential for more than minimal harm 2019-05-30

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2019-07-12

D · Potential for more than minimal harm 2019-05-30

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 2019-07-12

D · Potential for more than minimal harm 2019-05-30

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 2019-07-12

D · Potential for more than minimal harm 2019-05-30

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2019-07-12

Penalties and ownership

What sits behind the stars

Ownership

Fisher Titus Health

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2016-07-01
Burkey, Brent

Operational/Managerial Control · Individual

0% 1 facilities 2018-03-05
Burkey, Brent

Corporate Director · Individual

0% 1 facilities 2018-03-05
Camp, Dennis

Corporate Director · Individual

0% 1 facilities 2017-07-01
Coriell, Mark

Corporate Director · Individual

0% 1 facilities 2017-07-01
Doughty, Dennis

Corporate Director · Individual

0% 1 facilities 2015-07-01
Hazel, Susan

Corporate Director · Individual

0% 1 facilities 2017-07-01
Huber, Jeffery

Corporate Director · Individual

0% 1 facilities 2018-07-01
Hughes, John

Corporate Director · Individual

0% 2 facilities 2020-05-01
Lendrum, John

Corporate Director · Individual

0% 1 facilities 2020-05-01
Mattner, Matthew

Corporate Officer · Individual

0% 1 facilities 2024-03-12
Roberts, Julie

Corporate Director · Individual

0% 1 facilities 2018-07-01
Silvestri, Scott

Corporate Officer · Individual

0% 1 facilities 2025-11-18
Zahler, Jonathan

Corporate Director · Individual

0% 1 facilities 2017-07-01

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Overall
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Health
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Staffing
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Fines
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#2

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Overall
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Health
4 / 5
Staffing
3 / 5
Fines
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#3

Vista Care Center Of Milan

Milan, OH

2-star overall rating with 1-star inspections with abuse icon flag with $12,834 in total fines with 22 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
2 / 5
Fines
$12,834

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