16 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Dublin, OH
1-star overall rating with 1-star inspections with abuse icon flag with 16 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle
4880 Tuttle Road, Dublin, OH
(614) 760-8870
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
66
Certified beds
Average residents
50
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
American Health Foundation
Operator or chain grouping
Approved since
1998-10-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars
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
1.04
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.06
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.98
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.92
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.54
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.73
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.18
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.03
CMS adjusted RN staffing hours
Adjusted total hours
3.92
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
62%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
71%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
6,606
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.28
Composite VBP score used to determine payment impact.
Payment multiplier
0.9870
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
4.83
Baseline 8.77% · Performance 6.76% · Measure score 4.83 · Achievement 3.61 · Improvement 4.83
Total nurse turnover
1.81
Baseline 77.90% · Performance 65.62% · Measure score 1.81 · Achievement 0 · Improvement 1.81
Adjusted total nurse staffing
3.04
Baseline 3.98 hours · Performance 3.94 hours · Measure score 3.04 · Achievement 3.04 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.82% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 56 · Observed rate 7.14% · Lower 95% interval 6.73% |
| Discharge to community | 62.15% |
50.57%
11.6 pts better
|
No Different than the National Rate · Eligible stays 59 · Observed rate 57.63% · Lower 95% interval 47.95% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 88.89% |
95.27%
6.4 pts worse
|
Numerator 24 · Denominator 27 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 27 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 11.11% |
2.29%
8.8 pts worse
|
Numerator 3 · Denominator 27 · Adjusted rate 12.7% |
| Healthcare-associated infections requiring hospitalization | 6.76% |
7.12%
0.4 pts better
|
No Different than the National Rate · Eligible stays 26 · Observed rate 3.85% · Lower 95% interval 3% |
| Staff COVID-19 vaccination coverage | 54.55% |
8.2%
46.3 pts better
|
Numerator 48 · Denominator 88 |
| Staff flu vaccination coverage | 24.79% |
42%
17.2 pts worse
|
Numerator 29 · Denominator 117 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · 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
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 61.8% |
92.4%
30.6 pts worse
|
93.4%
31.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 61.9% · Q2 66.7% · Q3 67.6% · Q4 51.3% · 4Q avg 61.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 68.9% |
94.5%
25.6 pts worse
|
95.5%
26.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 68.9% |
| 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 4.8% · Q2 2.6% · Q3 2.7% · Q4 2.6% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.2% |
26.1%
21.9 pts better
|
11.4%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 9.1% · Q4 8.8% · 4Q avg 4.2% |
| Percentage of long-stay residents who lose too much weight | 3.2% |
6.2%
3 pts better
|
5.4%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.7% · Q3 0.0% · Q4 6.7% · 4Q avg 3.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.1% |
25.4%
14.3 pts better
|
19.6%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 10.0% · Q3 9.1% · Q4 15.6% · 4Q avg 11.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.1% |
11.5%
2.4 pts better
|
16.7%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 15.4% · Q3 8.3% · Q4 8.0% · 4Q avg 9.1% · 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 | 21.8% |
7.7%
14.1 pts worse
|
16.3%
5.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.3% |
6.2%
7.1 pts worse
|
14.9%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 17.9% · Q3 10.0% · Q4 7.4% · 4Q avg 13.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.8% |
0.2%
0.6 pts worse
|
1.0%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.6% |
0.5%
0.1 pts worse
|
1.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.9% |
21.7%
10.2 pts worse
|
19.8%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 38.6% · Q3 27.7% · Q4 45.9% · 4Q avg 31.9% |
| Percentage of long-stay residents with pressure ulcers | 6.0% |
3.7%
2.3 pts worse
|
5.1%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.5% · Q3 9.2% · Q4 6.3% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 42.6% |
78.1%
35.5 pts worse
|
81.7%
39.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 30.8% · Q3 42.7% · Q4 55.6% · 4Q avg 42.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.5% |
12.5%
7 pts better
|
12.0%
6.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.5% · Observed 5.6% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
1.2%
1.6 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 4.8% · Q3 2.0% · Q4 2.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 23.2% |
75.6%
52.4 pts worse
|
79.7%
56.5 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 23.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 42.0% |
25.1%
16.9 pts worse
|
23.9%
18.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 42.0% · Observed 38.9% · Expected 22.1% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
17 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Nutrition and Dietary (6 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Nutrition and Dietary (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Establish emergency prep training and testing.
Corrected 2025-06-27
Fire Safety
Establish staff and initial training requirements.
Corrected 2025-06-27
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-06-27
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-06-27
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-06-27
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-27
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-27
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-06-27
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2025-06-27
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-06-27
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-06-27
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-27
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-06-27
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-27
Fire Safety
Construct fire resistant interior walls.
Corrected 2025-06-27
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-06-27
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-06-27
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-06
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-07-22
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-07-22
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-07-22
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-07-22
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-07-22
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-07-16
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-01-13
Health
Respond appropriately to all alleged violations.
Corrected 2026-01-13
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-01-13
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-27
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-27
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-06-27
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-06-27
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 2025-06-27
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-27
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-06-27
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 2025-06-27
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-06-27
Health
Provide or obtain dental services for each resident.
Corrected 2025-06-27
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-27
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-06-27
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-11-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-26
Health
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected 2023-11-11
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-11-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-25
Health
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Corrected 2023-08-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-08-25
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-08-25
Health
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-02-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-08
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-02-08
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2023-02-08
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-02-07
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-02-07
Health
Provide activities to meet all resident's needs.
Corrected 2023-02-07
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2023-02-07
Health
Dispose of garbage and refuse properly.
Not marked corrected
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-07-22
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-07-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2019-07-22
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2019-07-22
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2019-07-22
Penalties and ownership
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Dublin, OH
3-star overall rating with 3-star inspections with $3,145 in total fines with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Columbus, OH
1-star overall rating with 1-star inspections with 19 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
Dublin, OH
2-star overall rating with 1-star inspections with 20 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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