5 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Reynoldsburg, OH
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
2225 Taylor Park Drive, Reynoldsburg, OH
(614) 759-0023
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
25
Certified beds
Average residents
25
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2013-08-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.42
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.41
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
3.40
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
6.23
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
2.83
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
5.74
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
1.26
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.93
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.36
CMS adjusted RN staffing hours
Adjusted total hours
5.98
CMS adjusted total nurse staffing hours
Case-mix index
1.42
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
6,485
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.67
Composite VBP score used to determine payment impact.
Payment multiplier
0.9872
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.40
Baseline 17.42% · Performance 19.39% · Measure score 4.40 · Achievement 4.40 · Improvement 0
Healthcare-associated infections
5.40
Baseline 5.62% · Performance 6.22% · Measure score 5.40 · Achievement 5.40 · Improvement 0
Total nurse turnover
0
Baseline 57.69% · Performance 63.04% · Measure score 0 · Achievement 0 · Improvement 0
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
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.59% |
10.72%
0.9 pts worse
|
No Different than the National Rate · Eligible stays 115 · Observed rate 11.3% · Lower 95% interval 8.72% |
| Discharge to community | 60.07% |
50.57%
9.5 pts better
|
Better than the National Rate · Eligible stays 114 · Observed rate 61.4% · Lower 95% interval 53.93% |
| Medicare spending per beneficiary | 0.81 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.41% |
95.27%
3.1 pts better
|
Numerator 62 · Denominator 63 |
| Falls with major injury | 3.17% |
0.77%
2.4 pts worse
|
Numerator 2 · Denominator 63 |
| Discharge self-care score | 61.4% |
53.69%
7.7 pts better
|
Numerator 35 · Denominator 57 |
| Discharge mobility score | 57.89% |
50.94%
7 pts better
|
Numerator 33 · Denominator 57 |
| Pressure ulcers or injuries, new or worsened | 3.23% |
2.29%
0.9 pts worse
|
Numerator 2 · Denominator 62 · Adjusted rate 3.76% |
| Healthcare-associated infections requiring hospitalization | 6.22% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 50 · Observed rate 2% · Lower 95% interval 3.32% |
| Staff COVID-19 vaccination coverage | 4.88% |
8.2%
3.3 pts worse
|
Numerator 4 · Denominator 82 |
| Staff flu vaccination coverage | 24.17% |
42%
17.8 pts worse
|
Numerator 29 · Denominator 120 |
| Discharge function score | 59.65% |
56.45%
3.2 pts better
|
Numerator 34 · Denominator 57 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 29 · Denominator 29 |
| Transfer of health information to patient | 96.43% |
96.28%
0.2 pts better
|
Numerator 27 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | 9.3% |
25.2%
15.9 pts worse
|
Numerator 4 · Denominator 43 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.4% |
92.4%
5 pts better
|
93.4%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 97.4% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.9% |
3.3%
4.6 pts worse
|
3.3%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.9% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.9% |
26.1%
20.2 pts better
|
11.4%
5.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.9% |
| Percentage of long-stay residents who lose too much weight | 13.3% |
6.2%
7.1 pts worse
|
5.4%
7.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 16.7% |
25.4%
8.7 pts better
|
19.6%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.5% |
11.5%
7 pts better
|
16.7%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 4.5% · 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 | 13.3% |
6.2%
7.1 pts worse
|
14.9%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.3% · 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 | 0.0% |
0.5%
0.5 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.8% |
21.7%
11.1 pts worse
|
19.8%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 32.8% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
3.7%
2.8 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.0% |
78.1%
17.9 pts better
|
81.7%
14.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 92.2% · Q3 92.4% · Q4 98.5% · 4Q avg 96.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.2% |
12.5%
3.3 pts better
|
12.0%
2.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 7.8% · Expected 9.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% |
1.2%
0.6 pts better
|
1.6%
1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.2% |
75.6%
14.6 pts better
|
79.7%
10.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.3% |
25.1%
2.8 pts better
|
23.9%
1.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 15.6% · Expected 16.7% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (2 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Pharmacy Service (4 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-08-06
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 2025-08-06
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Not marked corrected
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-06
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2025-08-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-06-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-06-23
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-09-20
Inspection history
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-08-06
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-08-06
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-08-06
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 2025-08-06
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-08-06
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-06-23
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-06-23
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-06-23
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2023-06-23
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-06-23
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-06-23
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-06-23
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2021-09-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-09-20
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-09-20
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-09-20
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 2021-09-20
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 2021-09-20
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-09-20
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 2021-09-20
Health
Provide and implement an infection prevention and control program.
Corrected 2021-09-20
Penalties and ownership
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Contracted Managing Employee · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
W-2 Managing Employee · Individual
Corporate Director · Individual
Nearby options
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Whitehall, OH
2-star overall rating with 1-star inspections with 18 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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