Wooster, OH

Smithville Western Care Center

3-star overall rating with 2-star inspections with $42,777 in total fines with 13 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

4110 East Smithville Western Road, Wooster, OH

(330) 345-9050

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 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

127

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Sprenger Health Care Systems

Operator or chain grouping

Approved since

1975-04-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.64

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.05

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.73

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.41

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.68

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.00

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.40

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.67

CMS adjusted RN staffing hours

Adjusted total hours

3.58

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

41%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,838

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

18.92

Composite VBP score used to determine payment impact.

Payment multiplier

0.9821

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.75% · Performance 21.34% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.34

Baseline 8.20% · Performance 7.29% · Measure score 2.34 · Achievement 1.82 · Improvement 2.34

Total nurse turnover

3.87

Baseline 68.48% · Performance 49.43% · Measure score 3.87 · Achievement 3.49 · Improvement 3.87

Adjusted total nurse staffing

1.36

Baseline 3.14 hours · Performance 3.47 hours · Measure score 1.36 · Achievement 1.36 · Improvement 0.75

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.46%	10.72% 1.3 pts better	No Different than the National Rate · Eligible stays 83 · Observed rate 8.43% · Lower 95% interval 6.68%
Discharge to community	42.37%	50.57% 8.2 pts worse	No Different than the National Rate · Eligible stays 82 · Observed rate 30.49% · Lower 95% interval 32.43%
Medicare spending per beneficiary	1.12	1.02 0.1 pts worse
Drug regimen review with follow-up	97.67%	95.27% 2.4 pts better	Numerator 42 · Denominator 43
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 43
Discharge self-care score	41.94%	53.69% 11.8 pts worse	Numerator 13 · Denominator 31
Discharge mobility score	41.94%	50.94% 9 pts worse	Numerator 13 · Denominator 31
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 43 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.29%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 51 · Observed rate 7.84% · Lower 95% interval 4.11%
Staff COVID-19 vaccination coverage	9.17%	8.2% 1 pts better	Numerator 10 · Denominator 109
Staff flu vaccination coverage	20%	42% 22 pts worse	Numerator 4 · Denominator 20
Discharge function score	54.84%	56.45% 1.6 pts worse	Numerator 17 · Denominator 31
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.7%	94.5% 4.2 pts better	95.5% 3.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7%
Percentage of long-stay residents experiencing one or more falls with major injury	3.2%	3.3% 0.1 pts better	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.5% · Q3 4.3% · Q4 0.0% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	14.0%	26.1% 12.1 pts better	11.4% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 9.5% · Q3 18.5% · Q4 18.6% · 4Q avg 14.0%
Percentage of long-stay residents who lose too much weight	6.6%	6.2% 0.4 pts worse	5.4% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 7.5% · Q3 3.8% · Q4 3.2% · 4Q avg 6.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.2%	25.4% 1.2 pts better	19.6% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.5% · Q2 24.5% · Q3 22.6% · Q4 19.4% · 4Q avg 24.2%
Percentage of long-stay residents who received an antipsychotic medication	2.9%	11.5% 8.6 pts better	16.7% 13.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 7.5% · Q3 0.0% · Q4 2.2% · 4Q avg 2.9% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	3.1%	7.7% 4.6 pts better	16.3% 13.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.9% · Q3 6.4% · Q4 2.8% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.1%	6.2% 3.1 pts better	14.9% 11.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 1.9% · Q4 6.5% · 4Q avg 3.1% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	0.5% 0.1 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.8%	21.7% 2.1 pts worse	19.8% 4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.5% · Q2 22.6% · Q3 13.2% · Q4 25.3% · 4Q avg 23.8%
Percentage of long-stay residents with pressure ulcers	2.3%	3.7% 1.4 pts better	5.1% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 1.4% · Q3 2.3% · Q4 2.1% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.8%	78.1% 21.7 pts better	81.7% 18.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8%
Percentage of short-stay residents who had an outpatient emergency department visit	15.0%	12.5% 2.5 pts worse	12.0% 3 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 17.4% · Expected 13.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.7%	75.6% 20.1 pts better	79.7% 16 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	14.9%	25.1% 10.2 pts better	23.9% 9 pts better	Short Stay · 20240701-20250630 · Adjusted 14.9% · Observed 17.4% · Expected 27.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-02 · Fire 2024-07-02

13 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

12 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 2 Health 2022-03-24 · Fire 2022-03-24

15 health deficiencies

Top issue: Resident Rights (5 deficiencies)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2019-04-18 · Fire 2019-04-18

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

6 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-07-02

K321 · Smoke Deficiencies

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 2024-08-13

F · Potential for more than minimal harm 2024-07-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-13

F · Potential for more than minimal harm 2024-07-02

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-08-13

F · Potential for more than minimal harm 2024-07-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-08-13

E · Potential for more than minimal harm 2024-07-02

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 2024-08-13

E · Potential for more than minimal harm 2024-07-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-13

E · Potential for more than minimal harm 2024-07-02

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-13

E · Potential for more than minimal harm 2024-07-02

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 2024-08-13

C · Minimal harm 2024-07-02

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-08-13

C · Minimal harm 2024-07-02

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-08-13

C · Minimal harm 2024-07-02

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2024-08-13

C · Minimal harm 2024-07-02

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2024-08-13

F · Potential for more than minimal harm 2022-03-24

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 2022-04-29

F · Potential for more than minimal harm 2022-03-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-10-13

E · Potential for more than minimal harm 2022-03-24

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2022-04-29

E · Potential for more than minimal harm 2022-03-24

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-04-29

E · Potential for more than minimal harm 2022-03-24

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 2022-04-29

F · Potential for more than minimal harm 2019-04-18

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2019-05-10

E · Potential for more than minimal harm 2019-04-18

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2019-05-10

E · Potential for more than minimal harm 2019-04-18

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-05-10

E · Potential for more than minimal harm 2019-04-18

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 2019-05-10

E · Potential for more than minimal harm 2019-04-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-05-10

C · Minimal harm 2019-04-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-05-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-04-28

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 2025-05-09

D · Potential for more than minimal harm 2025-04-28

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-05-09

D · Potential for more than minimal harm 2025-01-15

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-01-29

D · Potential for more than minimal harm 2025-01-15

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-10-16

D · Potential for more than minimal harm 2025-01-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-29

J · Immediate jeopardy 2024-10-31

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-05

E · Potential for more than minimal harm 2024-10-31

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-31

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

F · Potential for more than minimal harm 2024-07-02

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 2024-08-13

F · Potential for more than minimal harm 2024-07-02

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-08-13

F · Potential for more than minimal harm 2024-07-02

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-08-13

E · Potential for more than minimal harm 2024-07-02

F761 · Pharmacy Service Deficiencies

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 2024-08-13

E · Potential for more than minimal harm 2024-07-02

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-08-13

D · Potential for more than minimal harm 2024-07-02

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-08-13

D · Potential for more than minimal harm 2024-07-02

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 2024-08-13

D · Potential for more than minimal harm 2024-07-02

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 2024-08-13

D · Potential for more than minimal harm 2024-07-02

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 2024-08-13

D · Potential for more than minimal harm 2024-07-02

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-08-13

D · Potential for more than minimal harm 2024-07-02

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-08-13

D · Potential for more than minimal harm 2024-04-11

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-04-15

D · Potential for more than minimal harm 2024-02-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-02-09

F · Potential for more than minimal harm 2022-03-24

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 2022-04-29

D · Potential for more than minimal harm 2022-03-24

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-03-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-03-24

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-03-24

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-03-24

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-03-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-04-29

D · Potential for more than minimal harm 2022-03-24

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2022-04-29

F · Potential for more than minimal harm 2019-04-18

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 2019-05-10

E · Potential for more than minimal harm 2019-04-18

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-05-10