13 health deficiencies
Top issue: Resident Rights (6 deficiencies)
20 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (6 deficiencies)
Green Springs, OH
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
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
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
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
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
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
| 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
| 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
Top issue: Resident Rights (6 deficiencies)
20 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (6 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
7 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Pharmacy Service (3 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Use approved construction type or materials.
Corrected 2024-04-03
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-04-03
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-04-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-03
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-04-03
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-04-03
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-04-03
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-04-03
Fire Safety
Ensure that gas containers are correctly designed and tested, and in locations that are labeled.
Corrected 2024-04-03
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
Fire Safety
Have proper power supply for life support equipment.
Corrected 2024-06-03
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-03
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-03
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-04-03
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-04-03
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
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-04-03
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2024-04-03
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2024-04-03
Fire Safety
Provide family notifications of emergency plan.
Corrected 2024-04-03
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-12-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-12-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-12-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2021-12-01
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-12-01
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2021-12-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-12-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-07-01
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2019-07-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-07-01
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2019-07-01
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
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
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-07-01
Inspection history
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
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-11-26
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
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
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
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
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-25
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-09-25
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
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-03
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-03
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
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-03
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
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-04-03
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
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2023-12-18
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-27
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-03-10
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
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
Health
Provide and implement an infection prevention and control program.
Corrected 2021-12-01
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
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-12-01
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-12-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-12-01
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
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
Health
Keep all essential equipment working safely.
Corrected 2021-12-01
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
Health
Provide and implement an infection prevention and control program.
Corrected 2019-07-01
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2019-07-01
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
Fine · fine $77,618
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Contracted Managing Employee · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Contracted Managing Employee · Individual
Nearby options
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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
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
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