10 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Columbus, OH
3-star overall rating with 2-star inspections with $168,656 in total fines with 10 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
3710 Olentangy River Road, Columbus, OH
(614) 457-1100
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
145
Certified beds
Average residents
126
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Optalis Health & Rehabilitation
Operator or chain grouping
Approved since
1971-12-29
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
37 facilities
Chain averages 3 overall / 2 health / 3 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
RN hours / resident day
0.83
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.70
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.28
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.82
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.42
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.87
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
0.75
CMS adjusted RN staffing hours
Adjusted total hours
3.44
CMS adjusted total nurse staffing hours
Case-mix index
1.52
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
12,230
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.30
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.62
Baseline 19.03% · Performance 20.68% · Measure score 1.62 · Achievement 1.62 · Improvement 0
Healthcare-associated infections
2.56
Baseline 6.61% · Performance 7.07% · Measure score 2.56 · Achievement 2.56 · Improvement 0
Total nurse turnover
0
Baseline 37.14% · Performance 61.86% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.14
Baseline 2.96 hours · Performance 3.40 hours · Measure score 1.14 · Achievement 1.14 · Improvement 1.06
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.54% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 255 · Observed rate 11.76% · Lower 95% interval 9.14% |
| Discharge to community | 57.69% |
50.57%
7.1 pts better
|
Better than the National Rate · Eligible stays 250 · Observed rate 55.2% · Lower 95% interval 51.47% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 165 · Denominator 165 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 165 |
| Discharge self-care score | 60.75% |
53.69%
7.1 pts better
|
Numerator 65 · Denominator 107 |
| Discharge mobility score | 68.22% |
50.94%
17.3 pts better
|
Numerator 73 · Denominator 107 |
| Pressure ulcers or injuries, new or worsened | 4.24% |
2.29%
2 pts worse
|
Numerator 7 · Denominator 165 · Adjusted rate 4.33% |
| Healthcare-associated infections requiring hospitalization | 7.07% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 163 · Observed rate 6.13% · Lower 95% interval 4.63% |
| Staff COVID-19 vaccination coverage | 2.58% |
8.2%
5.6 pts worse
|
Numerator 4 · Denominator 155 |
| Staff flu vaccination coverage | 17.33% |
42%
24.7 pts worse
|
Numerator 35 · Denominator 202 |
| Discharge function score | 76.64% |
56.45%
20.2 pts better
|
Numerator 82 · Denominator 107 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 114 · Denominator 114 |
| Transfer of health information to patient | 96.55% |
96.28%
0.3 pts better
|
Numerator 28 · Denominator 29 |
| Resident COVID-19 vaccinations up to date | 29.87% |
25.2%
4.7 pts better
|
Numerator 23 · Denominator 77 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.8
0.3 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.8 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.9 |
1.8
0.9 pts better
|
1.8
0.9 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.9 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
92.4%
6.3 pts better
|
93.4%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 100.0% · Q3 98.9% · Q4 96.9% · 4Q avg 98.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
94.5%
2.6 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| 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 · 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 who have depressive symptoms | 17.4% |
26.1%
8.7 pts better
|
11.4%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.2% · Q2 14.8% · Q3 11.7% · Q4 19.8% · 4Q avg 17.4% |
| Percentage of long-stay residents who lose too much weight | 6.6% |
6.2%
0.4 pts worse
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 12.7% · Q3 5.3% · Q4 6.0% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 14.6% |
25.4%
10.8 pts better
|
19.6%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 17.7% · Q3 11.7% · Q4 14.3% · 4Q avg 14.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.2% |
11.5%
1.3 pts better
|
16.7%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 10.2% · Q3 9.7% · Q4 13.6% · 4Q avg 10.2% · 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 | 9.3% |
7.7%
1.6 pts worse
|
16.3%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.5% · Q2 14.7% · Q3 4.0% · Q4 0.0% · 4Q avg 9.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.1% |
6.2%
3.1 pts better
|
14.9%
11.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 4.2% · Q3 4.2% · Q4 0.0% · 4Q avg 3.1% · 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 | 23.9% |
21.7%
2.2 pts worse
|
19.8%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 28.9% · Q2 30.4% · Q3 13.5% · Q4 22.1% · 4Q avg 23.9% |
| Percentage of long-stay residents with pressure ulcers | 4.8% |
3.7%
1.1 pts worse
|
5.1%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 4.5% · Q3 1.9% · Q4 5.2% · 4Q avg 4.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.5% |
78.1%
17.4 pts better
|
81.7%
13.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 95.3% · Q2 95.9% · Q3 94.3% · Q4 97.0% · 4Q avg 95.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.6% |
12.5%
1.1 pts worse
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 13.2% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.2%
0.9 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.7% |
75.6%
14.1 pts better
|
79.7%
10 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.0% |
25.1%
2.1 pts better
|
23.9%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 24.0% · Expected 24.9% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Quality of Life and Care (7 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-05-30
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-05-30
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-05-30
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-30
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-30
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-30
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-30
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-06-20
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 2019-08-16
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-08-16
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-08-16
Inspection history
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 2025-05-30
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-05-30
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-30
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-05-30
Health
Respond appropriately to all alleged violations.
Corrected 2025-05-30
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-05-30
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 2025-05-30
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-05-30
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-11
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-25
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-02-25
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-13
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 2024-04-13
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-04-13
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-04-13
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-04-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-13
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 2023-09-29
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-28
Health
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.
Corrected 2023-07-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-06-20
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 2022-06-20
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2019-08-16
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-08-16
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2019-08-16
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 2019-08-16
Health
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.
Corrected 2019-08-16
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2019-08-16
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-08-16
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 2019-08-16
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-08-16
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 2019-08-16
Penalties and ownership
Fine · fine $168,656
Fine
Payment Denial · denial start 2024-03-08 · 36 days
36 day denial
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Nearby options
Columbus, OH
2-star overall rating with 1-star inspections with abuse icon flag with $26,685 in total fines with 19 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Columbus, OH
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $97,995 in total fines with 49 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
Columbus, OH
5-star overall rating with 3-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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