Cycle 1
Health 2023-06-01 · Fire 2023-06-01
3 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2 fire-safety deficiencies
Top issue: Construction (1 deficiency)
Wilmington, OH
Ohio Living Cape May
5-star overall rating with 5-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
175 Cape May Drive, Wilmington, OH
(937) 382-2995
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
23
Certified beds
Average residents
21
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Ohio Living Communities
Operator or chain grouping
Approved since
2014-05-05
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 5 overall / 4 health / 4 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
1.75
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.53
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.27
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.55
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
2.28
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.75
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
1.27
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
1.58
CMS adjusted RN staffing hours
Adjusted total hours
4.10
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
22%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
810
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
63.44
Composite VBP score used to determine payment impact.
Payment multiplier
1.0182
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.07
Baseline 20.32% · Performance 19.08% · Measure score 5.07 · Achievement 5.07 · Improvement 3.27
Healthcare-associated infections
5.92
Baseline 5.61% · Performance 6.07% · Measure score 5.92 · Achievement 5.92 · Improvement 0
Total nurse turnover
8.05
Baseline 64.91% · Performance 30.77% · Measure score 8.05 · Achievement 8.05 · Improvement 8.02
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.86% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 81 · Observed rate 8.64% · Lower 95% interval 7.25% |
| Discharge to community | 70.17% |
50.57%
19.6 pts better
|
Better than the National Rate · Eligible stays 75 · Observed rate 78.67% · Lower 95% interval 63.22% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 43 · Denominator 43 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 43 |
| Discharge self-care score | 71.43% |
53.69%
17.7 pts better
|
Numerator 25 · Denominator 35 |
| Discharge mobility score | 65.71% |
50.94%
14.8 pts better
|
Numerator 23 · Denominator 35 |
| Pressure ulcers or injuries, new or worsened | 2.33% |
2.29%
About the same
|
Numerator 1 · Denominator 43 · Adjusted rate 3.29% |
| Healthcare-associated infections requiring hospitalization | 6.07% |
7.12%
1 pts better
|
No Different than the National Rate · Eligible stays 40 · Observed rate 0% · Lower 95% interval 2.91% |
| Staff COVID-19 vaccination coverage | 0.81% |
8.2%
7.4 pts worse
|
Numerator 1 · Denominator 124 |
| Staff flu vaccination coverage | 35.61% |
42%
6.4 pts worse
|
Numerator 47 · Denominator 132 |
| Discharge function score | 88.57% |
56.45%
32.1 pts better
|
Numerator 31 · Denominator 35 |
| Transfer of health information to provider | 96.43% |
95.95%
0.5 pts better
|
Numerator 27 · Denominator 28 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 34.78% |
25.2%
9.6 pts better
|
Numerator 8 · Denominator 23 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.4% |
92.4%
1 pts better
|
93.4%
About the same
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 93.4% |
| 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.9% |
26.1%
14.2 pts better
|
11.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.9% |
| Percentage of long-stay residents who lose too much weight | 7.3% |
6.2%
1.1 pts worse
|
5.4%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 41.5% |
25.4%
16.1 pts worse
|
19.6%
21.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 41.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.1% |
11.5%
14.6 pts worse
|
16.7%
9.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 26.1% · 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 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.0% |
6.2%
1.2 pts better
|
14.9%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.0% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.6% |
0.5%
1.1 pts worse
|
1.7%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.1% |
21.7%
15.6 pts better
|
19.8%
13.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.1% |
| Percentage of long-stay residents with pressure ulcers | 0.9% |
3.7%
2.8 pts better
|
5.1%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 94.7% |
78.1%
16.6 pts better
|
81.7%
13 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 91.4% · Q2 96.4% · Q3 97.8% · Q4 94.4% · 4Q avg 94.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 2.9% |
12.5%
9.6 pts better
|
12.0%
9.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 2.9% · Observed 2.7% · Expected 10.5% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.7% |
75.6%
14.9 pts worse
|
79.7%
19 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 60.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.5% |
25.1%
7.6 pts better
|
23.9%
6.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 16.2% · Expected 22.0% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-06-10 · Fire 2021-06-10
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2019-02-21 · Fire 2019-02-21
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-06-01
K131 · Construction Deficiencies
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2023-09-01
F · Potential for more than minimal harm
2023-06-01
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-06-05
F · Potential for more than minimal harm
2021-06-10
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-07-16
F · Potential for more than minimal harm
2021-06-10
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2021-07-16
E · Potential for more than minimal harm
2019-02-21
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-03-28
E · Potential for more than minimal harm
2019-02-21
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-03-28
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-06-01
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 2023-06-05
D · Potential for more than minimal harm
2023-06-01
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2023-06-05
D · Potential for more than minimal harm
2023-06-01
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-05
F · Potential for more than minimal harm
2019-02-21
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 2019-03-28
F · Potential for more than minimal harm
2019-02-21
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2019-03-28
D · Potential for more than minimal harm
2019-02-21
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 2019-03-28
D · Potential for more than minimal harm
2019-02-21
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-03-28
D · Potential for more than minimal harm
2019-02-21
F814 · Nutrition and Dietary Deficiencies
Health
Dispose of garbage and refuse properly.
Corrected 2019-03-28
D · Potential for more than minimal harm
2019-02-21
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-03-28
Penalties and ownership
What sits behind the stars
Ownership
Adam, Sandra
Corporate Director · Individual
Belfance, Leslie
Corporate Director · Individual
Gumina, Laurence
Operational/Managerial Control · Individual
Gumina, Laurence
Corporate Officer · Individual
Ingwersen, Melissa
Corporate Director · Individual
Joyce, James
Corporate Director · Individual
Stillman, Robert
Corporate Officer · Individual
White, Terry
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Wilmington Nursing & Rehab
Wilmington, OH
5-star overall rating with 4-star inspections with 4 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#2
Continental Manor Nurs And Rehabilitation Center
Blanchester, OH
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Laurels Of Blanchester, The
Blanchester, OH
5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle
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