New Albany, OH

Smiths Mill Health Campus

2-star overall rating with 2-star inspections with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

7320 Smiths Mill Road, New Albany, OH

(614) 245-1060

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

50

Certified beds

Average residents

42

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Trilogy Health Services

Operator or chain grouping

Approved since

2019-12-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.20

Registered nurse staffing

LPN hours / resident day

1.06

Licensed practical nurse staffing

Aide hours / resident day

1.87

Nurse aide staffing

Weekend hours

3.65

Weekend nurse staffing

RN turnover

21%

Annual RN turnover

Total nurse turnover

65%

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 95.5%
92.4%
3.1 pts better
93.4%
2.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 70.8%
94.5%
23.7 pts worse
95.5%
24.7 pts worse
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.5%
3.3%
1.2 pts worse
3.3%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 8.7%
26.1%
17.4 pts better
11.4%
2.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 18.9%
6.2%
12.7 pts worse
5.4%
13.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 31.5%
25.4%
6.1 pts worse
19.6%
11.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 4.7%
11.5%
6.8 pts better
16.7%
12 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 need for help with daily activities has increased 17.8%
6.2%
11.6 pts worse
14.9%
2.9 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 20.4%
21.7%
1.3 pts better
19.8%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.5%
3.7%
1.8 pts worse
5.1%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 93.2%
78.1%
15.1 pts better
81.7%
11.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 10.7%
12.5%
1.8 pts better
12.0%
1.3 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.7%
1.2%
0.5 pts better
1.6%
0.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83.9%
75.6%
8.3 pts better
79.7%
4.2 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 30.1%
25.1%
5 pts worse
23.9%
6.2 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-09 · Fire 2024-10-09

14 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-07-06 · Fire 2023-07-06

19 health deficiencies

Top issue: Quality of Life and Care (11 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2019-12-30 · Fire 2019-12-30

2 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-05

E · Potential for more than minimal harm 2024-10-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-05

E · Potential for more than minimal harm 2023-07-06

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-08-04

E · Potential for more than minimal harm 2023-07-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-08-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-17

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2025-08-06

D · Potential for more than minimal harm 2025-04-09

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-23

F · Potential for more than minimal harm 2025-02-25

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-03-17

D · Potential for more than minimal harm 2025-02-25

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-17

D · Potential for more than minimal harm 2025-02-25

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 2025-03-17

D · Potential for more than minimal harm 2025-01-17

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-03-17

D · Potential for more than minimal harm 2025-01-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-17

D · Potential for more than minimal harm 2025-01-17

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 2025-03-17

E · Potential for more than minimal harm 2024-10-09

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2024-11-05

E · Potential for more than minimal harm 2024-10-09

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-11-05

E · Potential for more than minimal harm 2024-10-09

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-09

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 2024-11-05

D · Potential for more than minimal harm 2024-10-09

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-09

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-09

F690 · Quality of Life and Care Deficiencies

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 2024-11-05

D · Potential for more than minimal harm 2024-10-09

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-09

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-09

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-05

F · Potential for more than minimal harm 2024-08-07

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-08-23

E · Potential for more than minimal harm 2024-08-07

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-08-23

D · Potential for more than minimal harm 2024-07-03

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-08-23

D · Potential for more than minimal harm 2024-07-03

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-08-23

D · Potential for more than minimal harm 2024-07-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-08-23

F · Potential for more than minimal harm 2023-07-06

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-08-04

E · Potential for more than minimal harm 2023-07-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-06

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 2023-08-04

D · Potential for more than minimal harm 2023-07-06

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-06

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 2023-08-04

D · Potential for more than minimal harm 2023-07-06

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-06

F756 · Pharmacy Service Deficiencies

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 2023-08-04

D · Potential for more than minimal harm 2023-07-06

F758 · Pharmacy Service Deficiencies

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 2023-08-04

F · Potential for more than minimal harm 2023-03-31

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-04-19

E · Potential for more than minimal harm 2023-03-31

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-04-19

Penalties and ownership

What sits behind the stars

Ownership

Trilogy Opco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 62 facilities 2019-12-30
American Healthcare Reit Holdings LP

5% Or Greater Indirect Ownership Interest · Organization

0% 65 facilities 2015-12-01
American Healthcare Reit Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 66 facilities 2019-12-30
Canowitz, Stephen

Operational/Managerial Control · Individual

0% 3 facilities 2025-10-01
Continental Merger Sub LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 50 facilities 2019-12-30
Corbin, Kathy

Operational/Managerial Control · Individual

0% 72 facilities 2023-11-01
Fightmaster, Lisa

Operational/Managerial Control · Individual

0% 60 facilities 2023-11-01
Gahc3 Trilogy Jv LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 62 facilities 2019-12-30
Gahc4 Trilogy Jv LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 62 facilities 2019-12-30
Ghering, Seth

Operational/Managerial Control · Individual

0% 1 facilities 2024-04-01
Pietrowski, Cristina

Operational/Managerial Control · Individual

0% 36 facilities 2022-01-31
Trilogy Healthcare Holdings Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 63 facilities 2019-12-30
Trilogy Investors LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 61 facilities 2019-12-30
Trilogy Management Services LLC

Operational/Managerial Control · Organization

0% 56 facilities 2019-12-30
Trilogy Real Estate Investment Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 61 facilities 2019-12-30
Trilogy Reit Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 61 facilities 2019-12-30

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