Springfield, OH

Springfield Masonic Community

5-star overall rating with 5-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

3 Masonic Drive, Springfield, OH

(937) 525-3000

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

84

Certified beds

Average residents

77

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1997-04-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.43

Registered nurse staffing

LPN hours / resident day

1.12

Licensed practical nurse staffing

Aide hours / resident day

2.47

Nurse aide staffing

Weekend hours

4.75

Weekend nurse staffing

RN turnover

36%

Annual RN turnover

Total nurse turnover

43%

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 98.3%
92.4%
5.9 pts better
93.4%
4.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.4%
94.5%
3.9 pts better
95.5%
2.9 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 8.5%
3.3%
5.2 pts worse
3.3%
5.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
26.1%
26.1 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 11.1%
6.2%
4.9 pts worse
5.4%
5.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 27.6%
25.4%
2.2 pts worse
19.6%
8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 11.2%
11.5%
0.3 pts better
16.7%
5.5 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 ability to walk independently worsened 21.7%
7.7%
14 pts worse
16.3%
5.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 15.2%
6.2%
9 pts worse
14.9%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.8%
0.2%
1.6 pts worse
1.0%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.7%
0.5%
1.2 pts worse
1.7%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.4%
21.7%
5.7 pts worse
19.8%
7.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.8%
3.7%
0.9 pts better
5.1%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.6%
78.1%
21.5 pts better
81.7%
17.9 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 0.3%
1.2%
0.9 pts better
1.6%
1.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 97.1%
75.6%
21.5 pts better
79.7%
17.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.0%
25.1%
0.1 pts better
23.9%
1.1 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-02-09 · Fire 2023-02-09

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 2 Health 2020-02-27 · Fire 2020-02-27

3 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

4 fire-safety deficiencies

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

Cycle 3 Health 2019-01-10 · Fire 2019-01-10

6 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-02-09

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2023-03-25

E · Potential for more than minimal harm 2023-02-09

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 2023-03-25

E · Potential for more than minimal harm 2023-02-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-03-25

F · Potential for more than minimal harm 2020-02-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-04-24

F · Potential for more than minimal harm 2020-02-27

K521 · Services Deficiencies

Fire Safety

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

Corrected 2020-04-24

F · Potential for more than minimal harm 2020-02-27

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2020-04-24

F · Potential for more than minimal harm 2020-02-27

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-04-24

E · Potential for more than minimal harm 2019-01-10

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-02-04

E · Potential for more than minimal harm 2019-01-10

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-02-04

E · Potential for more than minimal harm 2019-01-10

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-02-04

E · Potential for more than minimal harm 2019-01-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-02-04

E · Potential for more than minimal harm 2019-01-10

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 2019-02-04

Inspection history

Recent health citations

D · Potential for more than minimal harm 2023-02-09

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-03-25

D · Potential for more than minimal harm 2023-02-09

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 2023-03-25

D · Potential for more than minimal harm 2023-02-09

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2023-03-25

D · Potential for more than minimal harm 2020-02-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2020-04-24

D · Potential for more than minimal harm 2020-02-27

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 2020-04-24

D · Potential for more than minimal harm 2020-02-27

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2020-04-24

E · Potential for more than minimal harm 2019-01-10

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 2019-02-04

E · Potential for more than minimal harm 2019-01-10

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2019-02-04

D · Potential for more than minimal harm 2019-01-10

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2019-02-04

D · Potential for more than minimal harm 2019-01-10

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 2019-02-04

D · Potential for more than minimal harm 2019-01-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-02-04

D · Potential for more than minimal harm 2019-01-10

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2019-02-04

Penalties and ownership

What sits behind the stars

Ownership

Berardi, Anthony

Operational/Managerial Control · Individual

0% 1 facilities 2016-06-01
Buchanan, Scott

Corporate Officer · Individual

0% 3 facilities 2014-08-14
Dickerscheid, Richard

Corporate Director · Individual

0% 1 facilities 2025-01-01
Duncan, Steven

Corporate Director · Individual

0% 1 facilities 2025-01-01
Eberts-Wilson, Diana

Operational/Managerial Control · Individual

0% 1 facilities 2019-11-19
Evans, Stan

Corporate Director · Individual

0% 1 facilities 2010-02-22
Fagans, Maureen

Corporate Director · Individual

0% 1 facilities 2025-01-01
Herring, Adrienne

Corporate Officer · Individual

0% 2 facilities 2020-05-17
Mcdorman, Michael

Corporate Director · Individual

0% 1 facilities 2025-01-01
Weller, Christine

Operational/Managerial Control · Individual

0% 1 facilities 2017-02-01

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