Columbus, OH

Wesley Glen Health Services Corp

5-star overall rating with 3-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

5155 North High Street, Columbus, OH

(614) 888-7492

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1980-04-30

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.05

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.34

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

3.66

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

6.05

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

2.39

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

5.59

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.79

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.49

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

1.11

CMS adjusted RN staffing hours

Adjusted total hours

6.41

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

36%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

41%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

742

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

Performance score

64.44

Composite VBP score used to determine payment impact.

Payment multiplier

1.0189

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.09

Baseline 17.66% · Performance 17.68% · Measure score 8.09 · Achievement 8.09 · Improvement 0

Healthcare-associated infections

7.08

Baseline 5.72% · Performance 5.72% · Measure score 7.08 · Achievement 7.08 · Improvement 0

Total nurse turnover

4.29

Baseline 60.66% · Performance 46.15% · Measure score 4.29 · Achievement 4.29 · Improvement 3.55

Adjusted total nurse staffing

6.32

Baseline 4.47 hours · Performance 4.88 hours · Measure score 6.32 · Achievement 6.32 · Improvement 2.61

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.06%	10.72% 0.7 pts better	No Different than the National Rate · Eligible stays 150 · Observed rate 6.67% · Lower 95% interval 7.41%
Discharge to community	61.16%	50.57% 10.6 pts better	Better than the National Rate · Eligible stays 139 · Observed rate 63.31% · Lower 95% interval 53.03%
Medicare spending per beneficiary	0.66	1.02 0.4 pts better
Drug regimen review with follow-up	96.67%	95.27% 1.4 pts better	Numerator 87 · Denominator 90
Falls with major injury	1.11%	0.77% 0.3 pts worse	Numerator 1 · Denominator 90
Discharge self-care score	55.7%	53.69% 2 pts better	Numerator 44 · Denominator 79
Discharge mobility score	49.37%	50.94% 1.6 pts worse	Numerator 39 · Denominator 79
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 90 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	5.72%	7.12% 1.4 pts better	No Different than the National Rate · Eligible stays 78 · Observed rate 1.28% · Lower 95% interval 2.99%
Staff COVID-19 vaccination coverage	10.47%	8.2% 2.3 pts better	Numerator 9 · Denominator 86
Staff flu vaccination coverage	27.01%	42% 15 pts worse	Numerator 47 · Denominator 174
Discharge function score	50.63%	56.45% 5.8 pts worse	Numerator 40 · Denominator 79
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 65 · Denominator 65
Resident COVID-19 vaccinations up to date	40.74%	25.2% 15.5 pts better	Numerator 22 · Denominator 54

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	92.4% 7.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.2%	3.3% 0.9 pts worse	3.3% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 6.7% · Q3 6.2% · Q4 3.3% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	26.1% 26.1 pts better	11.4% 11.4 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 who lose too much weight	9.1%	6.2% 2.9 pts worse	5.4% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 8.7% · Q3 4.3% · Q4 9.5% · 4Q avg 9.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.2%	25.4% 7.2 pts better	19.6% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 17.4% · Q3 17.4% · Q4 19.0% · 4Q avg 18.2%
Percentage of long-stay residents who received an antipsychotic medication	5.1%	11.5% 6.4 pts better	16.7% 11.6 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.8% · 4Q avg 5.1% · 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	21.4%	7.7% 13.7 pts worse	16.3% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 21.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	8.1%	6.2% 1.9 pts worse	14.9% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.5% · Q3 13.0% · Q4 14.3% · 4Q avg 8.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	4.6%	0.2% 4.4 pts worse	1.0% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 6.0% · Q3 5.5% · Q4 2.9% · 4Q avg 4.6% · 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	11.7%	21.7% 10 pts better	19.8% 8.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 14.5% · Q3 6.4% · Q4 10.6% · 4Q avg 11.7%
Percentage of long-stay residents with pressure ulcers	2.2%	3.7% 1.5 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.3% · Q4 6.3% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.0%	78.1% 16.9 pts better	81.7% 13.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 97.7% · Q3 94.3% · Q4 90.2% · 4Q avg 95.0%
Percentage of short-stay residents who had an outpatient emergency department visit	9.2%	12.5% 3.3 pts better	12.0% 2.8 pts better	Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.0% · Expected 9.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.7%	1.2% 0.5 pts better	1.6% 0.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 1.0% · Q4 1.1% · 4Q avg 0.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.4%	75.6% 19.8 pts better	79.7% 15.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.4%	25.1% 6.3 pts worse	23.9% 7.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.4% · Observed 22.7% · Expected 17.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-24 · Fire 2025-04-24

7 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2022-09-16 · Fire 2022-09-16

5 health deficiencies

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

4 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2020-02-20 · Fire 2020-02-20

18 health deficiencies

Top issue: Resident Rights (6 deficiencies)

5 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-24

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2025-06-05

F · Potential for more than minimal harm 2025-04-24

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2025-06-05

F · Potential for more than minimal harm 2025-04-24

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-05

E · Potential for more than minimal harm 2025-04-24

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-06-05

F · Potential for more than minimal harm 2022-09-16

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-10-26

E · Potential for more than minimal harm 2022-09-16

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2022-10-26

E · Potential for more than minimal harm 2022-09-16

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-10-26

E · Potential for more than minimal harm 2022-09-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-10-26

F · Potential for more than minimal harm 2020-02-20

K521 · Services Deficiencies

Fire Safety

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

Corrected 2020-04-05

F · Potential for more than minimal harm 2020-02-20

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2020-04-05

F · Potential for more than minimal harm 2020-02-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-04-05

F · Potential for more than minimal harm 2020-02-20

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2020-04-05

E · Potential for more than minimal harm 2020-02-20

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2020-04-05

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-24

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-06-05

F · Potential for more than minimal harm 2025-04-24

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 2025-06-05

E · Potential for more than minimal harm 2025-04-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-05

E · Potential for more than minimal harm 2025-04-24

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-04-24

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 2025-06-05

D · Potential for more than minimal harm 2025-04-24

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 2025-06-05

D · Potential for more than minimal harm 2025-04-24

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-06-05

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

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 2023-07-05

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

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 2023-07-05

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

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-07-05

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

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 2023-07-05

D · Potential for more than minimal harm 2023-03-30

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-05-10

F · Potential for more than minimal harm 2022-09-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-26

D · Potential for more than minimal harm 2022-09-16

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 2022-10-26

D · Potential for more than minimal harm 2022-09-16

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2022-10-26

D · Potential for more than minimal harm 2022-09-16

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 2022-10-26

D · Potential for more than minimal harm 2022-09-16

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-10-26

G · Actual harm 2020-02-20

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 2020-04-05

E · Potential for more than minimal harm 2020-02-20

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 2020-04-05

D · Potential for more than minimal harm 2020-02-20

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2020-04-05

D · Potential for more than minimal harm 2020-02-20

F567 · Resident Rights Deficiencies

Health

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

Corrected 2020-04-05

D · Potential for more than minimal harm 2020-02-20

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 2020-04-05

D · Potential for more than minimal harm 2020-02-20

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2020-04-05

D · Potential for more than minimal harm 2020-02-20

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2020-04-05

D · Potential for more than minimal harm 2020-02-20

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 2020-04-05

D · Potential for more than minimal harm 2020-02-20

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2020-04-05

D · Potential for more than minimal harm 2020-02-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2020-04-05

D · Potential for more than minimal harm 2020-02-20

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 2020-04-05

D · Potential for more than minimal harm 2020-02-20

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 2020-04-05

B · Minimal harm 2020-02-20

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 2020-04-05

Penalties and ownership