Federal inspection record · CMS data as of October 1, 2026
Walnut Creek Nursing Center
5070 Lamme Road, Kettering, OH · (937) 293-7703
- Certified beds
- 139
- Residents per day
- 107
- Ownership
- For-Profit
- Chain
- Lionstone Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 15, 1991
1
How this home got 2 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
-
Staffing
★★★★★−1 star
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.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Walnut Creek Nursing Center carries 107 inspection points. That is fewer than 24% 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
54 health citations on record since 2021. 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 (1)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care12D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- 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 treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- 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 safe, appropriate dialysis care/services for a resident who requires such services.
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
Assure that each resident’s assessment is updated at least once every 3 months.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- 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
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.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Pharmacy Service10D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- 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.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Respond appropriately to all alleged violations.
- D
Respond appropriately to all alleged violations.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Rights5E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Infection Control4F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Nutrition and Dietary4F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Administration1F
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspection history
2025-03-20
19 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-11-16
14 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
2021-05-25
21 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 18 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 18 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 64% of nursing staff and 71% of registered nurses left in the past year, along with 2 administrators.
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.2 pts worse | 2.9 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 2.0 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine34.1 pts worse | 58.6% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine11.6 pts worse | 82.1% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse | 4.9% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.2 pts better | 29.4% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight9.7 pts worse | 15.8% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6 pts worse | 31.5% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.2 pts worse | 16.7% | 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 worsened3.8 pts better | 1.5% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.8 pts better | 2.2% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 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 incontinence0.9 pts worse | 21.8% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 2.4% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23.7 pts worse | 54.7% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.8 pts better | 11.8% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 2.4% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.7 pts worse | 60.7% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.1 pts better | 15.3% | 24.4% | 23.4% |
·
Who owns and runs it
26 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 |
|---|---|---|---|
| Lionstone Carnation Opco Holdings, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 3 facilities |
| Kazarnovsky, Solomon | 5% Or Greater Indirect Ownership Interest · Individual | 50% | 35 facilities |
| Stein, Abba | 5% Or Greater Indirect Ownership Interest · Individual | 50% | 35 facilities |
| Cross River Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 5 facilities |
| Hunter, Rachel | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Hunter, Rachel | Adp Of The SNF · Individual | 0% | 9 facilities |
| Kazarnovsky, Solomon | Corporate Director · Individual | 0% | 35 facilities |
| Kazarnovsky, Solomon | Corporate Officer · Individual | 0% | 35 facilities |
| Kazarnovsky, Solomon | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Kazarnovsky, Solomon | Adp Of The SNF · Individual | 0% | 35 facilities |
| Klugman, Jacob | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 30 facilities |
| Lionstone Carnation Opco Holdings, LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Lionstone Carnation Opco Holdings, LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Lionstone Carnation Propco Holdings LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Peace Capital Holdings Ii LLC | Adp Of The SNF · Organization | 0% | 20 facilities |
| Sms 2021 Trust | Adp Of The SNF · Organization | 0% | 77 facilities |
| Stein, Abba | Managing Control - Governing Body · Individual | 0% | 35 facilities |
| Stein, Abba | Corporate Director · Individual | 0% | 35 facilities |
| Stein, Abba | Corporate Officer · Individual | 0% | 35 facilities |
| Stein, Abba | Operational/Managerial Control · Individual | 0% | 35 facilities |
| Stein, Abba | Adp Of The SNF · Individual | 0% | 35 facilities |
| Stein, Shalom | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 87 facilities |
| Sternbuch, Daniel | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 31 facilities |
| Valentine, Anthony | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Valentine, Anthony | Adp Of The SNF · Individual | 0% | 2 facilities |
| Walnut Creek SNF Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
·
Fire safety
11 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- E
Have an alternate power supply for its alarm system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Install an approved automatic sprinkler system.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Emergency Preparedness2F
- F
Provide primary/alternate means for communication.
- F
Establish staff and initial training requirements.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems1E
- E
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.
·
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