Marietta, OH

Waterview Pointe Nursing & Rehabilitation

4-star overall rating with 4-star inspections with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

117 Bartlett Street, Marietta, OH

(740) 434-5900

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

80

Certified beds

Average residents

71

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Foundations Health Solutions

Operator or chain grouping

Approved since

2020-06-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

63 facilities

Chain averages 4 overall / 4 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.64

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.98

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.04

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.65

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.62

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.37

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.62

CMS adjusted RN staffing hours

Adjusted total hours

3.50

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

10%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

23%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,507

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

23.46

Composite VBP score used to determine payment impact.

Payment multiplier

0.9832

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.02

Baseline 22.23% · Performance 21.44% · Measure score 1.02 · Achievement 0 · Improvement 1.02

Healthcare-associated infections

0

Baseline 5.27% · Performance 8.03% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

7.66

Baseline 36.77% · Performance 32.35% · Measure score 7.66 · Achievement 7.66 · Improvement 3.20

Adjusted total nurse staffing

0.7

Baseline 2.68 hours · Performance 3.05 hours · Measure score 0.7 · Achievement 0 · Improvement 0.7

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.7%
10.72%
1 pts better
No Different than the National Rate · Eligible stays 153 · Observed rate 9.8% · Lower 95% interval 7.48%
Discharge to community 46.47%
50.57%
4.1 pts worse
No Different than the National Rate · Eligible stays 118 · Observed rate 38.98% · Lower 95% interval 37.07%
Medicare spending per beneficiary 1
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 63 · Denominator 63
Falls with major injury 3.17%
0.77%
2.4 pts worse
Numerator 2 · Denominator 63
Discharge self-care score 26.67%
53.69%
27 pts worse
Numerator 12 · Denominator 45
Discharge mobility score 22.22%
50.94%
28.7 pts worse
Numerator 10 · Denominator 45
Pressure ulcers or injuries, new or worsened 3.17%
2.29%
0.9 pts worse
Numerator 2 · Denominator 63 · Adjusted rate 2.77%
Healthcare-associated infections requiring hospitalization 8.03%
7.12%
0.9 pts worse
No Different than the National Rate · Eligible stays 80 · Observed rate 10% · Lower 95% interval 4.76%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 105
Staff flu vaccination coverage 33.83%
42%
8.2 pts worse
Numerator 45 · Denominator 133
Discharge function score 22.22%
56.45%
34.2 pts worse
Numerator 10 · Denominator 45
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 21 · Denominator 21
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 8.82%
25.2%
16.4 pts worse
Numerator 3 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.8
1.8
1 pts worse
1.9
0.9 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.7 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.9
1.8
0.1 pts worse
1.8
0.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
92.4%
6.8 pts better
93.4%
5.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.5% · Q3 98.4% · Q4 100.0% · 4Q avg 99.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
94.5%
4.2 pts better
95.5%
3.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7%
Percentage of long-stay residents experiencing one or more falls with major injury 6.5%
3.3%
3.2 pts worse
3.3%
3.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 7.5% · Q3 6.3% · Q4 6.3% · 4Q avg 6.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 17.5%
26.1%
8.6 pts better
11.4%
6.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 7.0% · Q3 15.1% · Q4 23.3% · 4Q avg 17.5%
Percentage of long-stay residents who lose too much weight 6.5%
6.2%
0.3 pts worse
5.4%
1.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 4.4% · Q3 9.8% · Q4 6.1% · 4Q avg 6.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 39.8%
25.4%
14.4 pts worse
19.6%
20.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 41.1% · Q2 36.7% · Q3 45.1% · Q4 36.0% · 4Q avg 39.8%
Percentage of long-stay residents who received an antipsychotic medication 11.2%
11.5%
0.3 pts better
16.7%
5.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 2.9% · Q3 13.0% · Q4 12.2% · 4Q avg 11.2% · 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 5.1%
7.7%
2.6 pts better
16.3%
11.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 9.7% · Q3 2.8% · Q4 2.8% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 9.5%
6.2%
3.3 pts worse
14.9%
5.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 10.6% · Q3 6.0% · Q4 6.2% · 4Q avg 9.5% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.5%
21.7%
1.2 pts better
19.8%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 24.1% · Q3 21.6% · Q4 17.9% · 4Q avg 20.5%
Percentage of long-stay residents with pressure ulcers 0.7%
3.7%
3 pts better
5.1%
4.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 1.4% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.2%
78.1%
17.1 pts better
81.7%
13.5 pts better
Short Stay · 2024Q4-2025Q3 · Q1 89.7% · Q2 94.1% · Q3 97.0% · Q4 97.3% · 4Q avg 95.2%
Percentage of short-stay residents who had an outpatient emergency department visit 16.8%
12.5%
4.3 pts worse
12.0%
4.8 pts worse
Short Stay · 20240701-20250630 · Adjusted 16.8% · Observed 13.9% · Expected 9.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.8%
1.2%
0.4 pts better
1.6%
0.8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.4% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 80.0%
75.6%
4.4 pts better
79.7%
0.3 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 33.9%
25.1%
8.8 pts worse
23.9%
10 pts worse
Short Stay · 20240701-20250630 · Adjusted 33.9% · Observed 30.6% · Expected 21.5% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-04 · Fire 2025-08-04

7 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-05-29 · Fire 2024-05-29

5 health deficiencies

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

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-01-24 · Fire 2023-01-24

14 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-04

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-08-12

F · Potential for more than minimal harm 2025-08-04

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-08-12

F · Potential for more than minimal harm 2025-08-04

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-08-12

F · Potential for more than minimal harm 2025-08-04

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-08-12

F · Potential for more than minimal harm 2025-08-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-12

E · Potential for more than minimal harm 2025-08-04

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-08-12

F · Potential for more than minimal harm 2024-05-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-20

E · Potential for more than minimal harm 2024-05-29

K232 · Egress Deficiencies

Fire Safety

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

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-05-29

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-05-29

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-05-29

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-05-29

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-06-14

F · Potential for more than minimal harm 2023-01-24

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-02-10

E · Potential for more than minimal harm 2023-01-24

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-02-10

E · Potential for more than minimal harm 2023-01-24

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-02-10

E · Potential for more than minimal harm 2023-01-24

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-02-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-08-04

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-08-12

D · Potential for more than minimal harm 2025-08-04

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-08-12

D · Potential for more than minimal harm 2025-08-04

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-08-12

D · Potential for more than minimal harm 2025-08-04

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 2025-08-12

D · Potential for more than minimal harm 2025-08-04

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 2025-08-12

D · Potential for more than minimal harm 2025-08-04

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-08-12

D · Potential for more than minimal harm 2025-08-04

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-08-12

D · Potential for more than minimal harm 2024-05-29

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-05-29

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 2024-06-14

D · Potential for more than minimal harm 2024-05-29

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-05-29

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2024-06-14

D · Potential for more than minimal harm 2024-05-29

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 2024-06-14

G · Actual harm 2023-06-08

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-06-08

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-06-08

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-22

D · Potential for more than minimal harm 2023-06-08

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-06-22

E · Potential for more than minimal harm 2023-01-24

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-01-24

F567 · Resident Rights Deficiencies

Health

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

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-01-24

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-01-24

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-01-24

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-01-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-01-24

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-01-24

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-02-10

D · Potential for more than minimal harm 2023-01-24

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2023-02-10

C · Minimal harm 2023-01-24

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-02-10

Penalties and ownership

What sits behind the stars

Ownership

Colleran Fam Tr Dated 01-01-2018

5% Or Greater Indirect Ownership Interest · Organization

100% 63 facilities 2020-04-15
Foundations Health LLC

5% Or Greater Direct Ownership Interest · Organization

100% 63 facilities 2020-04-15
Colleran, Brian

Operational/Managerial Control · Individual

0% 63 facilities 2021-01-01
Colleran, Brian

Corporate Director · Individual

0% 63 facilities 2021-01-01
Colleran, Brian

Corporate Officer · Individual

0% 63 facilities 2021-01-01
Foundations Health Solutions, LLC

Operational/Managerial Control · Organization

0% 62 facilities 2020-04-15
Jonas, Christopher

Operational/Managerial Control · Individual

0% 2 facilities 2020-04-15
Krystowski, John

Operational/Managerial Control · Individual

0% 63 facilities 2020-04-15
Krystowski, John

Corporate Officer · Individual

0% 63 facilities 2020-04-15

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