Alliance, OH

Roselawn Gardens Nursing & Rehabilitation

5-star overall rating with 4-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

11999 Klinger Avenue Ne, Alliance, OH

(330) 823-0618

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

44

Certified beds

Average residents

41

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hillstone Healthcare

Operator or chain grouping

Approved since

2001-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.49

Registered nurse staffing

LPN hours / resident day

0.69

Licensed practical nurse staffing

Aide hours / resident day

1.87

Nurse aide staffing

Weekend hours

2.64

Weekend nurse staffing

RN turnover

40%

Annual RN turnover

Total nurse turnover

28%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 82.7%
92.4%
9.7 pts worse
93.4%
10.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.2%
94.5%
0.7 pts better
95.5%
0.3 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.6%
3.3%
0.7 pts better
3.3%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 44.6%
26.1%
18.5 pts worse
11.4%
33.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.7%
6.2%
2.5 pts worse
5.4%
3.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.5%
25.4%
2.1 pts worse
19.6%
7.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 17.9%
11.5%
6.4 pts worse
16.7%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened 4.2%
7.7%
3.5 pts better
16.3%
12.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 4.9%
6.2%
1.3 pts better
14.9%
10 pts better
Long Stay · 2024Q4-2025Q3
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
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
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 16.8%
21.7%
4.9 pts better
19.8%
3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.2%
3.7%
0.5 pts better
5.1%
1.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 25.0%
78.1%
53.1 pts worse
81.7%
56.7 pts worse
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-13 · Fire 2025-02-13

5 health deficiencies

Top issue: Infection Control (2 deficiencies)

6 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Cycle 2 Health 2022-06-02 · Fire 2022-06-02

6 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2019-06-26 · Fire 2019-06-26

7 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

16 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-26

F · Potential for more than minimal harm 2025-02-13

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-02-26

E · Potential for more than minimal harm 2025-02-13

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 2025-02-26

E · Potential for more than minimal harm 2025-02-13

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-02-26

E · Potential for more than minimal harm 2025-02-13

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-02-26

E · Potential for more than minimal harm 2025-02-13

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-26

F · Potential for more than minimal harm 2022-06-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-06-23

E · Potential for more than minimal harm 2022-06-02

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2022-06-23

E · Potential for more than minimal harm 2022-06-02

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-06-23

E · Potential for more than minimal harm 2022-06-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-06-23

F · Potential for more than minimal harm 2019-06-26

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2019-08-05

F · Potential for more than minimal harm 2019-06-26

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 2019-08-05

F · Potential for more than minimal harm 2019-06-26

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2019-08-05

F · Potential for more than minimal harm 2019-06-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-05

F · Potential for more than minimal harm 2019-06-26

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2019-08-05

F · Potential for more than minimal harm 2019-06-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-08-05

F · Potential for more than minimal harm 2019-06-26

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-08-05

F · Potential for more than minimal harm 2019-06-26

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2019-08-05

F · Potential for more than minimal harm 2019-06-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-08-05

F · Potential for more than minimal harm 2019-06-26

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2019-08-05

F · Potential for more than minimal harm 2019-06-26

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2019-08-05

F · Potential for more than minimal harm 2019-06-26

K913 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure operating rooms are properly protected and written records are maintained and available for inspection.

Corrected 2019-08-05

F · Potential for more than minimal harm 2019-06-26

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2019-08-05

F · Potential for more than minimal harm 2019-06-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-08-05

E · Potential for more than minimal harm 2019-06-26

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2019-08-05

E · Potential for more than minimal harm 2019-06-26

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-08-05

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-06-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-06-30

E · Potential for more than minimal harm 2025-02-13

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-02-26

D · Potential for more than minimal harm 2025-02-13

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-02-26

D · Potential for more than minimal harm 2025-02-13

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-02-26

D · Potential for more than minimal harm 2025-02-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-26

F · Potential for more than minimal harm 2022-06-02

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2022-06-23

F · Potential for more than minimal harm 2022-06-02

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2022-06-23

F · Potential for more than minimal harm 2022-06-02

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 2022-06-23

D · Potential for more than minimal harm 2022-06-02

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-06-23

D · Potential for more than minimal harm 2022-06-02

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2022-06-23

D · Potential for more than minimal harm 2022-06-02

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2022-06-23

F · Potential for more than minimal harm 2019-06-26

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 2019-08-05

F · Potential for more than minimal harm 2019-06-26

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2019-08-05

D · Potential for more than minimal harm 2019-06-26

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2019-08-05

D · Potential for more than minimal harm 2019-06-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-08-05

D · Potential for more than minimal harm 2019-06-26

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2019-08-05

D · Potential for more than minimal harm 2019-06-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-08-05

B · Minimal harm 2019-06-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-08-05

Penalties and ownership

What sits behind the stars

Ownership

Hillstone Healthcare Inc.

5% Or Greater Direct Ownership Interest · Organization

100% 10 facilities 2017-09-01
Bergsten, Paul

5% Or Greater Indirect Ownership Interest · Individual

60% 10 facilities 2015-03-01
Dapore, Matthew

5% Or Greater Indirect Ownership Interest · Individual

40% 10 facilities 2015-03-01
Bergsten, Paul

Operational/Managerial Control · Individual

0% 10 facilities 2013-09-01
Bergsten, Paul

Corporate Officer · Individual

0% 10 facilities 2013-08-01
Dapore, Matthew

Corporate Officer · Individual

0% 10 facilities 2013-08-01
Hillstone Healthcare Inc.

Operational/Managerial Control · Organization

0% 10 facilities 2013-09-01
Mizer, Luan

Operational/Managerial Control · Individual

0% 2 facilities 2017-11-13

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