Frankfort, OH

Vineyards At Concord, The

4-star overall rating with 4-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

119 West High Street, Frankfort, OH

(740) 998-4779

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

32

Certified beds

Average residents

21

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2007-05-29

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.97

Registered nurse staffing

LPN hours / resident day

0.69

Licensed practical nurse staffing

Aide hours / resident day

1.85

Nurse aide staffing

Weekend hours

2.89

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

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 94.6%
92.4%
2.2 pts better
93.4%
1.2 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 6.8%
3.3%
3.5 pts worse
3.3%
3.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 7.7%
26.1%
18.4 pts better
11.4%
3.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 8.3%
6.2%
2.1 pts worse
5.4%
2.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 26.9%
25.4%
1.5 pts worse
19.6%
7.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 15.4%
11.5%
3.9 pts worse
16.7%
1.3 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 30.9%
7.7%
23.2 pts worse
16.3%
14.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 41.7%
6.2%
35.5 pts worse
14.9%
26.8 pts worse
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 2.9%
0.5%
2.4 pts worse
1.7%
1.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 27.7%
21.7%
6 pts worse
19.8%
7.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.2%
3.7%
0.5 pts worse
5.1%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 64.5%
78.1%
13.6 pts worse
81.7%
17.2 pts worse
Short Stay · 2024Q4-2025Q3
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 65.0%
75.6%
10.6 pts worse
79.7%
14.7 pts worse
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-06 · Fire 2024-11-06

5 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-04-18 · Fire 2022-04-18

2 health deficiencies

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

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-07-03 · Fire 2019-07-03

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

4 fire-safety deficiencies

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

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-06

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-12-10

F · Potential for more than minimal harm 2024-11-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-10

F · Potential for more than minimal harm 2024-11-06

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-12-10

E · Potential for more than minimal harm 2024-11-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-12-10

E · Potential for more than minimal harm 2024-11-06

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2024-12-10

E · Potential for more than minimal harm 2024-11-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-12-10

F · Potential for more than minimal harm 2022-04-18

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-07-28

F · Potential for more than minimal harm 2022-04-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-17

F · Potential for more than minimal harm 2022-04-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-08-17

F · Potential for more than minimal harm 2022-04-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-04-18

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2022-08-17

E · Potential for more than minimal harm 2022-04-18

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-07-28

F · Potential for more than minimal harm 2019-07-03

K222 · Egress Deficiencies

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 2019-08-22

F · Potential for more than minimal harm 2019-07-03

K521 · Services Deficiencies

Fire Safety

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

Corrected 2019-08-22

E · Potential for more than minimal harm 2019-07-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-08-22

E · Potential for more than minimal harm 2019-07-03

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-08-22

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-19

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 2026-01-19

D · Potential for more than minimal harm 2025-11-19

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-01-19

D · Potential for more than minimal harm 2025-11-19

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-19

D · Potential for more than minimal harm 2024-11-06

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 2024-12-10

D · Potential for more than minimal harm 2024-11-06

F758 · Pharmacy Service Deficiencies

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 2024-12-10

D · Potential for more than minimal harm 2023-05-25

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-05-26

D · Potential for more than minimal harm 2023-05-25

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 2023-05-26

E · Potential for more than minimal harm 2022-04-18

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-04-18

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2022-07-28

F · Potential for more than minimal harm 2019-07-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-08-22

D · Potential for more than minimal harm 2019-07-03

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2019-08-22

Penalties and ownership

What sits behind the stars

Ownership

Burke, Rachel

5% Or Greater Direct Ownership Interest · Individual

25% 1 facilities 2020-02-28
Hicks, Joshua

5% Or Greater Direct Ownership Interest · Individual

25% 1 facilities 2020-02-28
Smith, Robbie

5% Or Greater Direct Ownership Interest · Individual

25% 1 facilities 2020-02-28
Warner, Tirzah

5% Or Greater Direct Ownership Interest · Individual

25% 1 facilities 2020-02-28
Hicks Family Trust

Operational/Managerial Control · Organization

0% 1 facilities 2020-02-16
Hicks, Joshua

Operational/Managerial Control · Individual

0% 1 facilities 2009-01-07
Smith, Robbie

Operational/Managerial Control · Individual

0% 1 facilities 2009-01-07
Warner, Tirzah

Operational/Managerial Control · Individual

0% 1 facilities 2007-07-31
Warner, Tirzah

Corporate Officer · Individual

0% 1 facilities 2008-10-01

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