Federal inspection record · CMS data as of October 1, 2026
Smithville Western Care Center
4110 East Smithville Western Road, Wooster, OH · (330) 345-9050
- Certified beds
- 127
- Residents per day
- 98
- Ownership
- For-Profit
- Chain
- Sprenger Health Care Systems
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 9, 1975
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Smithville Western Care Center carries 121.75 inspection points. That is fewer than 19% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
40 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Rights10E
- D
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.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- D
Keep residents' personal and medical records private and confidential.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
Nutrition and Dietary7F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care6D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Resident Assessment and Care Planning5D
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Environmental4F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pharmacy Service3E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1E
- E
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspection history
2024-07-02
13 health deficiencies · 12 fire-safety deficiencies
Top issue: Environmental (3 deficiencies)
2022-03-24
16 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2019-04-18
11 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 22 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 22 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 44% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$42,777 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-10-31 | Fine | $42,777 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 99.7% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 97.9% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 1.6% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16 pts better | 15.6% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts better | 4.5% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7 pts better | 18.5% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.5 pts better | 2.0% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.1 pts better | 4.2% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts worse | 5.3% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts worse | 0.6% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.5 pts worse | 23.4% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts worse | 3.5% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.7 pts better | 96.1% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.9 pts better | 10.7% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.1% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine8.2 pts better | 84.6% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.3 pts worse | 24.7% | 24.4% | 23.4% |
·
Who owns and runs it
37 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Wayne Manor, Inc. | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Bluesky Healthcare Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 10 facilities |
| Bsh Investments LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Childs, Robert | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Childs, Robert | Adp Of The SNF · Individual | 0% | 1 facilities |
| Citrin Cooperman And Company, Llp | Adp Of The SNF · Organization | 0% | 10 facilities |
| Cms & Co. Management Services, Inc. | Operational/Managerial Control · Organization | 0% | 12 facilities |
| Cms & Co. Management Services, Inc. | Adp Of The SNF · Organization | 0% | 12 facilities |
| Delta Health Care Consultants, Inc. | Adp Of The SNF · Organization | 0% | 11 facilities |
| Fox, Emily | Corporate Officer · Individual | 0% | 12 facilities |
| Fox, Emily | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Fox, Emily | Adp Of The SNF · Individual | 0% | 12 facilities |
| Huntington | Adp Of The SNF · Organization | 0% | 13 facilities |
| Hutsenpiller, Wendie | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Hutsenpiller, Wendie | Adp Of The SNF · Individual | 0% | 13 facilities |
| Kuhn, Shannon | Corporate Officer · Individual | 0% | 12 facilities |
| Kuhn, Shannon | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Kuhn, Shannon | Adp Of The SNF · Individual | 0% | 12 facilities |
| Malanowki, Brandon | Corporate Officer · Individual | 0% | 12 facilities |
| Malanowki, Brandon | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Malanowki, Brandon | Adp Of The SNF · Individual | 0% | 12 facilities |
| Malanowski, Kenneth | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Malanowski, Kenneth | Adp Of The SNF · Individual | 0% | 13 facilities |
| Mallett, Christopher | Adp Of The SNF · Individual | 0% | 13 facilities |
| Sprenger Enterprises, Inc | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 5 facilities |
| Sprenger Wayne Ltd. Co. | Adp Of The SNF · Organization | 0% | 1 facilities |
| Sprenger, Mark | Adp Of The SNF · Individual | 0% | 13 facilities |
| Sprenger, Nicole | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Sprenger, Nicole | Adp Of The SNF · Individual | 0% | 13 facilities |
| Sprenger, Timothy | Adp Of The SNF · Individual | 0% | 14 facilities |
| Sprenger, Tracey | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Sprenger, Tracey | Adp Of The SNF · Individual | 0% | 13 facilities |
| Tyler, Christy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Tyler, Christy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wellspring Staffing, Inc. | Adp Of The SNF · Organization | 0% | 10 facilities |
| Wilkins, Scott | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wilkins, Scott | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
23 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install corridor and hallway doors that block smoke.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Miscellaneous5F
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- C
Have simulated fire drills held at unexpected times.
Egress4F
- E
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.
- F
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.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Emergency Preparedness4C
- C
Address subsistence needs for staff and patients.
- C
Establish procedures for tracking staff and patients during an emergency.
- C
Establish policies and procedures including evacuation.
- C
Establish policies and procedures for medical documentation.
Services3E
- E
Have properly installed electrical wiring and gas equipment.
- E
Have properly installed electrical wiring and gas equipment.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure proper usage of power strips and extension cords.
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Other homes nearby
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Avenue At Wooster
Wooster, OH · Progressive Quality Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 12 min
- Fines
- $0
-
Glendora Health Care Center
Wooster, OH · Divine Healthcare Management
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 16 min
- Fines
- $17,080
-
Wooster Community Hospital SNF
Wooster, OH
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 7 h 34 min
- Fines
- $0