Georgetown, OH

Villa Georgetown Rehabilitation And Healthcare Cen

3-star overall rating with 4-star inspections with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

8065 Dr Faul Road, Georgetown, OH

(937) 378-4178

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

85

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Crown Healthcare Group

Operator or chain grouping

Approved since

1990-04-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing

LPN hours / resident day

0.82

Licensed practical nurse staffing

Aide hours / resident day

1.82

Nurse aide staffing

Weekend hours

2.83

Weekend nurse staffing

RN turnover

54%

Annual RN turnover

Total nurse turnover

55%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.9
1.8
0.1 pts worse
1.9
About the same
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.6
1.8
0.8 pts worse
1.8
0.8 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.9%
92.4%
2.5 pts better
93.4%
1.5 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 2.2%
3.3%
1.1 pts better
3.3%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 63.3%
26.1%
37.2 pts worse
11.4%
51.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 13.8%
6.2%
7.6 pts worse
5.4%
8.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.5%
25.4%
12.9 pts better
19.6%
7.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 13.9%
11.5%
2.4 pts worse
16.7%
2.8 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 2.3%
7.7%
5.4 pts better
16.3%
14 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 2.3%
6.2%
3.9 pts better
14.9%
12.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.2%
0.2 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
0.5%
0.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 22.3%
21.7%
0.6 pts worse
19.8%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 5.4%
3.7%
1.7 pts worse
5.1%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 86.7%
78.1%
8.6 pts better
81.7%
5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 16.3%
12.5%
3.8 pts worse
12.0%
4.3 pts worse
Short Stay · 20240701-20250630
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
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.6%
75.6%
13 pts better
79.7%
8.9 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 23.7%
25.1%
1.4 pts better
23.9%
0.2 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-06-27 · Fire 2024-06-27

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2021-07-22 · Fire 2021-07-22

8 health deficiencies

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

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2020-03-12 · Fire 2020-03-12

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-06-27

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-07-19

F · Potential for more than minimal harm 2024-06-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-19

F · Potential for more than minimal harm 2024-06-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-07-19

E · Potential for more than minimal harm 2024-06-27

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2024-07-19

E · Potential for more than minimal harm 2024-06-27

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2024-07-19

E · Potential for more than minimal harm 2024-06-27

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-07-19

F · Potential for more than minimal harm 2021-07-22

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2021-08-15

F · Potential for more than minimal harm 2021-07-22

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-08-15

E · Potential for more than minimal harm 2021-07-22

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2021-08-15

F · Potential for more than minimal harm 2020-03-12

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-07-31

Inspection history

Recent health citations

G · Actual harm 2025-02-25

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 2025-02-17

D · Potential for more than minimal harm 2024-06-27

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 2024-07-19

D · Potential for more than minimal harm 2024-06-27

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 2024-07-19

G · Actual harm 2023-03-07

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-22

F · Potential for more than minimal harm 2021-07-22

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2021-08-15

E · Potential for more than minimal harm 2021-07-22

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 2021-08-15

D · Potential for more than minimal harm 2021-07-22

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2021-08-15

D · Potential for more than minimal harm 2021-07-22

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2021-08-15

D · Potential for more than minimal harm 2021-07-22

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 2021-08-15

D · Potential for more than minimal harm 2021-07-22

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-08-15

C · Minimal harm 2021-07-22

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2021-08-15

G · Actual harm 2020-03-12

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-03-20

D · Potential for more than minimal harm 2020-03-12

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2020-03-20

D · Potential for more than minimal harm 2020-03-12

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2020-03-20

D · Potential for more than minimal harm 2020-03-12

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 2020-03-20

D · Potential for more than minimal harm 2020-03-12

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 2020-03-20

Penalties and ownership

What sits behind the stars

Ownership

Crown Ohio Holdco Inc

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 2018-09-20
Daubenmire, Kevin

5% Or Greater Indirect Ownership Interest · Individual

25% 11 facilities 2018-09-20
Mdatas Trust

5% Or Greater Indirect Ownership Interest · Organization

15% 17 facilities 2018-09-20
Fejcc Trust

5% Or Greater Indirect Ownership Interest · Organization

14% 17 facilities 2018-09-20
Mrs Family Trust

5% Or Greater Indirect Ownership Interest · Organization

14% 17 facilities 2018-09-20
Shkop, Benjamin

5% Or Greater Indirect Ownership Interest · Individual

11% 9 facilities 2018-09-20
Weintraub, Moshe

5% Or Greater Indirect Ownership Interest · Individual

7% 19 facilities 2018-09-20
Capital Finance LLC

5% Or Greater Security Interest · Organization

0% 32 facilities 2018-09-20
Daubenmire, Kevin

Operational/Managerial Control · Individual

0% 11 facilities 2018-09-20
Donohoo, Jeffrey

Operational/Managerial Control · Individual

0% 1 facilities 1985-09-01
Singer, Meir

Corporate Officer · Individual

0% 22 facilities 2018-11-05
Stout, Gregory

Operational/Managerial Control · Individual

0% 1 facilities 2020-10-10

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