Green Springs, OH

Spring Creek Nursing And Rehabilitation Center LLC

2-star overall rating with 2-star inspections with $77,618 in total fines with 13 recent health deficiencies with 20 fire-safety deficiencies in the latest cycle

401 N Broadway St, Green Springs, OH

(419) 639-2626

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

70

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

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

0.59

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.10

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.25

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.94

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.69

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.18

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.38

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.46

CMS adjusted RN staffing hours

Adjusted total hours

3.11

CMS adjusted total nurse staffing hours

Case-mix index

1.73

Higher values indicate more complex resident acuity

RN turnover

64%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,868

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

Performance score

9.94

Composite VBP score used to determine payment impact.

Payment multiplier

0.9809

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.99

Baseline 55.56% · Performance 55.56% · Measure score 1.99 · Achievement 1.99 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.65 hours · Performance 2.65 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.92%
10.72%
0.8 pts better
No Different than the National Rate · Eligible stays 54 · Observed rate 12.96% · Lower 95% interval 6.41%
Discharge to community 60.87%
50.57%
10.3 pts better
No Different than the National Rate · Eligible stays 25 · Observed rate 52% · Lower 95% interval 39.41%
Medicare spending per beneficiary 0.94
1.02
0.1 pts better
Drug regimen review with follow-up 92.59%
95.27%
2.7 pts worse
Numerator 25 · Denominator 27
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 27
Discharge self-care score 42.86%
53.69%
10.8 pts worse
Numerator 9 · Denominator 21
Discharge mobility score 47.62%
50.94%
3.3 pts worse
Numerator 10 · Denominator 21
Pressure ulcers or injuries, new or worsened 3.7%
2.29%
1.4 pts worse
Numerator 1 · Denominator 27 · Adjusted rate 3.4%
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 1.35%
8.2%
6.8 pts worse
Numerator 2 · Denominator 148
Staff flu vaccination coverage 16.23%
42%
25.8 pts worse
Numerator 68 · Denominator 419
Discharge function score 57.14%
56.45%
0.7 pts better
Numerator 12 · Denominator 21
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
1.8
0.1 pts better
1.9
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 2.4 · Expected 2.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.9
1.8
0.1 pts worse
1.8
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.5 · Expected 2.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
92.4%
6.8 pts better
93.4%
5.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 96.6% · 4Q avg 99.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.5%
5.5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 1.6%
3.3%
1.7 pts better
3.3%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 1.7% · Q3 1.6% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 53.1%
26.1%
27 pts worse
11.4%
41.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.5% · Q2 44.2% · Q3 59.3% · Q4 78.4% · 4Q avg 53.1%
Percentage of long-stay residents who lose too much weight 5.3%
6.2%
0.9 pts better
5.4%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 3.6% · Q3 5.5% · Q4 3.8% · 4Q avg 5.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 44.3%
25.4%
18.9 pts worse
19.6%
24.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 42.4% · Q2 48.3% · Q3 41.7% · Q4 44.8% · 4Q avg 44.3%
Percentage of long-stay residents who received an antipsychotic medication 13.8%
11.5%
2.3 pts worse
16.7%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 13.9% · Q3 14.3% · Q4 20.0% · 4Q avg 13.8% · 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 13.1%
7.7%
5.4 pts worse
16.3%
3.2 pts better
Long Stay · 2024Q4-2025Q3 · Q4 5.4% · 4Q avg 13.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 7.3%
6.2%
1.1 pts worse
14.9%
7.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 4.0% · Q3 8.2% · Q4 7.8% · 4Q avg 7.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.6%
0.2%
0.4 pts worse
1.0%
0.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.5% · 4Q avg 0.6% · 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 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.1%
21.7%
2.4 pts worse
19.8%
4.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 24.4% · Q3 28.7% · Q4 16.9% · 4Q avg 24.1%
Percentage of long-stay residents with pressure ulcers 12.7%
3.7%
9 pts worse
5.1%
7.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 8.3% · Q3 16.9% · Q4 15.9% · 4Q avg 12.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.4%
78.1%
17.3 pts better
81.7%
13.7 pts better
Short Stay · 2024Q4-2025Q3 · Q1 93.6% · Q2 96.2% · Q3 96.1% · Q4 95.7% · 4Q avg 95.4%
Percentage of short-stay residents who had an outpatient emergency department visit 15.5%
12.5%
3 pts worse
12.0%
3.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 17.9% · Expected 12.8% · 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 88.7%
75.6%
13.1 pts better
79.7%
9 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.5%
25.1%
3.6 pts better
23.9%
2.4 pts better
Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 25.0% · Expected 27.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-15 · Fire 2024-02-15

13 health deficiencies

Top issue: Resident Rights (6 deficiencies)

20 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (6 deficiencies)

Cycle 2 Health 2021-11-01 · Fire 2021-11-01

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

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

8 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-02-15

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-02-15

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-02-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-02-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-02-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-02-15

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-02-15

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-02-15

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-02-15

K905 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that gas containers are correctly designed and tested, and in locations that are labeled.

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-02-15

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-02-15

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2024-06-03

F · Potential for more than minimal harm 2024-02-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-02-15

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-04-03

F · Potential for more than minimal harm 2024-02-15

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-04-03

E · Potential for more than minimal harm 2024-02-15

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-04-03

E · Potential for more than minimal harm 2024-02-15

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 2024-04-03

C · Minimal harm 2024-02-15

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-04-03

C · Minimal harm 2024-02-15

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-04-03

C · Minimal harm 2024-02-15

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2024-04-03

C · Minimal harm 2024-02-15

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2024-04-03

F · Potential for more than minimal harm 2021-11-01

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-12-01

F · Potential for more than minimal harm 2021-11-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-12-01

E · Potential for more than minimal harm 2021-11-01

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-12-01

E · Potential for more than minimal harm 2021-11-01

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-12-01

E · Potential for more than minimal harm 2021-11-01

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2021-12-01

D · Potential for more than minimal harm 2021-11-01

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2021-12-01

D · Potential for more than minimal harm 2021-11-01

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-12-01

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

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-07-01

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

K907 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure medical gas and vacuum systems have documented maintenance programs.

Corrected 2019-07-01

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

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-07-01

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 2019-07-01

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

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 2019-07-01

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

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 2019-07-01

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

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-07-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-15

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-09-16

E · Potential for more than minimal harm 2025-08-27

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-08-27

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 2025-09-16

D · Potential for more than minimal harm 2025-08-27

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 2025-09-16

E · Potential for more than minimal harm 2025-05-30

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 2025-05-31

D · Potential for more than minimal harm 2025-01-06

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 2025-01-07

J · Immediate jeopardy 2024-09-24

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 2024-09-25

F · Potential for more than minimal harm 2024-09-24

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-09-25

E · Potential for more than minimal harm 2024-02-15

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 2024-04-03

D · Potential for more than minimal harm 2024-02-15

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 2024-04-03

D · Potential for more than minimal harm 2024-02-15

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-04-03

D · Potential for more than minimal harm 2024-02-15

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2024-04-03

D · Potential for more than minimal harm 2024-02-15

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-04-03

D · Potential for more than minimal harm 2024-02-15

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 2024-04-03

D · Potential for more than minimal harm 2024-02-15

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-04-03

D · Potential for more than minimal harm 2024-02-15

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 2024-04-03

D · Potential for more than minimal harm 2023-11-30

F712 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2023-12-18

E · Potential for more than minimal harm 2023-04-26

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 2023-04-27

D · Potential for more than minimal harm 2023-03-01

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 2023-03-10

D · Potential for more than minimal harm 2023-03-01

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 2023-03-10

F · Potential for more than minimal harm 2021-11-01

F563 · Resident Rights Deficiencies

Health

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Corrected 2021-12-01

F · Potential for more than minimal harm 2021-11-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-12-01

E · Potential for more than minimal harm 2021-11-01

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 2021-12-01

D · Potential for more than minimal harm 2021-11-01

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2021-12-01

D · Potential for more than minimal harm 2021-11-01

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 2021-12-01

D · Potential for more than minimal harm 2021-11-01

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-12-01

D · Potential for more than minimal harm 2021-11-01

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2021-12-01

D · Potential for more than minimal harm 2021-11-01

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 2021-12-01

D · Potential for more than minimal harm 2021-11-01

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2021-12-01

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

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 2019-07-01

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-07-01

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

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2019-07-01

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

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 2019-07-01

Penalties and ownership

What sits behind the stars

$77,618 2024-09-24

Fine

Fine · fine $77,618

Fine

Ownership

Sc Op Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2020-12-18
A&C Einhorn Family Trust

5% Or Greater Indirect Ownership Interest · Organization

25% 1 facilities 2020-12-18
Ae Sc Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

25% 1 facilities 2020-12-18
Einhorn, Vivian

5% Or Greater Indirect Ownership Interest · Individual

25% 1 facilities 2020-12-18
Brick, Michael

5% Or Greater Indirect Ownership Interest · Individual

0% 2 facilities 2020-12-18
Brick, Michael

Operational/Managerial Control · Individual

0% 2 facilities 2020-12-18
Brick, Michael

Corporate Officer · Individual

0% 2 facilities 2020-12-18
Brick, Michael

Contracted Managing Employee · Individual

0% 2 facilities 2020-12-18
Koenig, Joshua

5% Or Greater Indirect Ownership Interest · Individual

0% 5 facilities 2020-12-18
Koenig, Joshua

Operational/Managerial Control · Individual

0% 5 facilities 2020-12-18
Koenig, Joshua

Corporate Officer · Individual

0% 5 facilities 2020-12-18
Koenig, Joshua

Contracted Managing Employee · Individual

0% 5 facilities 2020-12-18

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#1

Majestic Care of Clyde

Clyde, OH

3-star overall rating with 2-star inspections with 18 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$0
#2

Countryside Manor Nursing And Rehabilitation LLC

Fremont, OH

2-star overall rating with 2-star inspections with $42,278 in total fines with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$42,278
#3

Valley View Health Campus

Fremont, OH

4-star overall rating with 3-star inspections with $16,801 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
3 / 5
Staffing
4 / 5
Fines
$16,801

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