6 health deficiencies
Top issue: Infection Control (2 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Medina, OH
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
806 E Washington Street, Medina, OH
(330) 725-4123
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
56
Certified beds
Average residents
37
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
American Health Foundation
Operator or chain grouping
Approved since
1990-11-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.55
Registered nurse staffing
LPN hours / resident day
1.03
Licensed practical nurse staffing
Aide hours / resident day
2.05
Nurse aide staffing
Weekend hours
3.26
Weekend nurse staffing
RN turnover
60%
Annual RN turnover
Total nurse turnover
69%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
92.4%
7.6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.4% |
94.5%
2.9 pts better
|
95.5%
1.9 pts better
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.3% |
3.3%
2 pts worse
|
3.3%
2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 16.8% |
26.1%
9.3 pts better
|
11.4%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 9.3% |
6.2%
3.1 pts worse
|
5.4%
3.9 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.4% |
25.4%
3 pts better
|
19.6%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.8% |
11.5%
2.7 pts better
|
16.7%
7.9 pts better
|
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 | 21.6% |
7.7%
13.9 pts worse
|
16.3%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.9% |
6.2%
9.7 pts worse
|
14.9%
1 pts worse
|
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 | 28.1% |
21.7%
6.4 pts worse
|
19.8%
8.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 3.6% |
3.7%
0.1 pts better
|
5.1%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.6% |
78.1%
14.5 pts better
|
81.7%
10.9 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 7.5% |
1.2%
6.3 pts worse
|
1.6%
5.9 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.1% |
75.6%
6.5 pts better
|
79.7%
2.4 pts better
|
Short Stay · 2024Q3-2025Q2 |
Survey summary
Top issue: Infection Control (2 deficiencies)
11 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Top issue: Resident Rights (3 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Meet requirements for sections of health care facilities separated by fire resistive construction.
Corrected 2025-08-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-06
Fire Safety
Have enough space near smoke barriers to protect residents.
Corrected 2025-08-06
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-08-06
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-08-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-08-06
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-08-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-06
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-08-06
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 2025-08-06
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-12-15
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-12-15
Fire Safety
Use approved construction type or materials.
Corrected 2022-12-15
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 2022-12-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-12-15
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-12-15
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-12-15
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-12-15
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-12-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-12-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-12-15
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-12-15
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-12-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-12-15
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-12-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-12-15
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-11-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-11-08
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 2019-11-08
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-06
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-08-06
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-06
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-06
Health
Implement a program that monitors antibiotic use.
Corrected 2025-08-06
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2025-06-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-12-15
Health
Provide and implement an infection prevention and control program.
Corrected 2022-12-15
Health
Provide activities to meet all resident's needs.
Corrected 2022-12-15
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-12-15
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-12-15
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-15
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 2022-12-15
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-12-15
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2022-11-25
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-11-08
Health
Provide and implement an infection prevention and control program.
Corrected 2019-11-08
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Nearby options
Medina, OH
4-star overall rating with 3-star inspections with 6 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Medina, OH
2-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $135,470 in total fines with 29 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Medina, OH
4-star overall rating with 3-star inspections with $55,035 in total fines with 7 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
Jump out