Federal inspection record · CMS data as of October 1, 2026
The Laurels Of Middletown
751 Kensington Street, Middletown, OH · (513) 424-3511
- Certified beds
- 109
- Residents per day
- 99
- Ownership
- For-Profit
- Chain
- Ciena Healthcare/Laurel Health Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 20, 1980
1
How this home got 3 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.
-
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
The Laurels Of Middletown carries 78 inspection points. That is fewer than 38% 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
45 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 (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Quality of Life and Care13E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- 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 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
Provide activities to meet all resident's needs.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide or obtain dental services for each resident.
- E
Provide activities to meet all resident's needs.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
Resident Assessment and Care Planning12E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Pharmacy Service7D
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure that residents are free from significant medication errors.
- D
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 medication error rates are not 5 percent or greater.
- D
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.
- D
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.
Resident Rights4E
- E
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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
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.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration2D
- D
Provide timely, quality laboratory services/tests to meet the needs of residents.
- D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Infection Control2F
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Environmental1D
- D
Have policies on smoking.
Inspection history
2024-05-23
16 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2021-04-26
8 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2019-01-16
21 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 49 min of nursing staff time a day, 29 min of it from a registered nurse.
This home
3 h 49 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 50% 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
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 vaccine1.8 pts worse | 90.9% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine21.3 pts worse | 72.4% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts worse | 3.3% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms12.3 pts better | 19.3% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts worse | 8.3% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.3 pts worse | 36.8% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.4 pts worse | 11.9% | 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 worsened3.2 pts worse | 8.5% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.5 pts better | 4.5% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 0.8% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 0.3% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.4 pts worse | 29.3% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.4 pts better | 2.8% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13 pts better | 91.4% | 78.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.2 pts better | 1.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.3 pts better | 76.7% | 76.4% | 80.1% |
·
Who owns and runs it
16 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 |
|---|---|---|---|
| Laurel Health Care Holdings, Inc. | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 8 facilities |
| Laurel Ohio Operations Group, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 4 facilities |
| Castellanos, Andrew | Operational/Managerial Control · Individual | 0% | 7 facilities |
| Castellanos, Andrew | Adp Of The SNF · Individual | 0% | 7 facilities |
| Khan, Anis | Managing Control - Governing Body · Individual | 0% | 66 facilities |
| Khan, Anis | Operational/Managerial Control · Individual | 0% | 66 facilities |
| Khan, Anis | Adp Of The SNF · Individual | 0% | 66 facilities |
| Laurel Acquisition Holding Corporation | Indirect Ownership Interest · Organization | 0% | 4 facilities |
| Laurel Health Care Company | Operational/Managerial Control · Organization | 0% | 15 facilities |
| Laurel Health Care Company | Adp Of The SNF · Organization | 0% | 15 facilities |
| Nelms, Patti | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Nelms, Patti | Adp Of The SNF · Individual | 0% | 1 facilities |
| Qazi, Mohammad | Managing Control - Governing Body · Individual | 0% | 66 facilities |
| Qazi, Mohammad | Operational/Managerial Control · Individual | 0% | 66 facilities |
| Qazi, Mohammad | Adp Of The SNF · Individual | 0% | 66 facilities |
| Stobb, David | Adp Of The SNF · Individual | 0% | 26 facilities |
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Fire safety
25 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure proper usage of power strips and extension cords.
- E
Ensure operating rooms are properly protected and written records are maintained and available for inspection.
- E
Have proper medical gas storage and administration areas.
Egress4E
- 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.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- 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.
- 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.
Miscellaneous3F
- F
Provide a written emergency evacuation plan.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have restrictions on the use of highly flammable decorations.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
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Arlington Pointe Care Center
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 40 min
- Fines
- $0
-
Willow Knoll Post-Acute And Senior Living
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 19 min
- Fines
- $0
-
Otterbein Middletown
Franklin, OH · Otterbein Seniorlife
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h
- Fines
- $0