Cycle 1
Health 2025-06-12 · Fire 2025-06-12
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
New Albany, OH
Wesley Woods At New Albany
5-star overall rating with 4-star inspections with 5 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
4588 Wesley Woods Blvd, New Albany, OH
(614) 656-4100
Overall
5 / 5
CMS overall stars
Health inspections
4 / 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
16
Certified beds
Average residents
13
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2019-02-07
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
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
2.51
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
0.25
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
3.98
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
6.74
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
2.76
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
5.79
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
1.52
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
1.18
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
2.51
CMS adjusted RN staffing hours
Adjusted total hours
6.75
CMS adjusted total nurse staffing hours
Case-mix index
1.37
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
11,856
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
14.98
Composite VBP score used to determine payment impact.
Payment multiplier
0.9814
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.16
Baseline 22.02% · Performance 21.69% · Measure score 0.16 · Achievement 0 · Improvement 0.16
Healthcare-associated infections
2.49
Baseline 5.65% · Performance 7.09% · Measure score 2.49 · Achievement 2.49 · Improvement 0
Total nurse turnover
1.85
Baseline 73.08% · Performance 61.77% · Measure score 1.85 · Achievement 0 · Improvement 1.85
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.94% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 84 · Observed rate 7.14% · Lower 95% interval 5.85% |
| Discharge to community | 60.48% |
50.57%
9.9 pts better
|
Better than the National Rate · Eligible stays 89 · Observed rate 61.8% · Lower 95% interval 53.24% |
| Medicare spending per beneficiary | 0.97 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 64 · Denominator 64 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 64 |
| Discharge self-care score | 65.31% |
53.69%
11.6 pts better
|
Numerator 32 · Denominator 49 |
| Discharge mobility score | 63.27% |
50.94%
12.3 pts better
|
Numerator 31 · Denominator 49 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 64 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.09% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 51 · Observed rate 5.88% · Lower 95% interval 3.83% |
| Staff COVID-19 vaccination coverage | 4.48% |
8.2%
3.7 pts worse
|
Numerator 3 · Denominator 67 |
| Staff flu vaccination coverage | 31.4% |
42%
10.6 pts worse
|
Numerator 27 · Denominator 86 |
| Discharge function score | 57.14% |
56.45%
0.7 pts better
|
Numerator 28 · Denominator 49 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 28 · Denominator 28 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 30 · Denominator 30 |
| Resident COVID-19 vaccinations up to date | 12.5% |
25.2%
12.7 pts worse
|
Numerator 5 · Denominator 40 |
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 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.3%
3.3 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 18.2% |
26.1%
7.9 pts better
|
11.4%
6.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.2% |
| 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 · 4Q avg 0.0% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.9% |
0.2%
3.7 pts worse
|
1.0%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.9% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 40.3% |
21.7%
18.6 pts worse
|
19.8%
20.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 40.3% |
| Percentage of long-stay residents with pressure ulcers | 0.0% |
3.7%
3.7 pts better
|
5.1%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.8% |
78.1%
19.7 pts better
|
81.7%
16.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.8% · Q2 98.0% · Q3 95.7% · Q4 100.0% · 4Q avg 97.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.6% |
12.5%
1.9 pts better
|
12.0%
1.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 9.7% · Expected 10.2% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.2% |
75.6%
20.6 pts better
|
79.7%
16.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.3% |
25.1%
0.2 pts worse
|
23.9%
1.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.3% · Observed 22.6% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-11-08 · Fire 2022-11-08
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2020-03-11 · Fire 2020-03-11
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-12
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2025-07-31
F · Potential for more than minimal harm
2025-06-12
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-31
F · Potential for more than minimal harm
2025-06-12
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-07-31
F · Potential for more than minimal harm
2022-11-08
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-23
F · Potential for more than minimal harm
2020-03-11
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2020-04-10
F · Potential for more than minimal harm
2020-03-11
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2020-04-10
F · Potential for more than minimal harm
2020-03-11
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2020-04-10
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-23
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 2026-02-03
E · Potential for more than minimal harm
2025-06-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-31
D · Potential for more than minimal harm
2025-06-12
F693 · Quality of Life and Care Deficiencies
Health
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.
Corrected 2025-07-31
D · Potential for more than minimal harm
2025-06-12
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-07-31
D · Potential for more than minimal harm
2025-06-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-31
D · Potential for more than minimal harm
2022-11-08
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 2023-01-23
D · Potential for more than minimal harm
2022-11-08
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 2023-01-23
D · Potential for more than minimal harm
2020-03-11
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 2020-04-10
D · Potential for more than minimal harm
2020-03-11
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2020-04-10
D · Potential for more than minimal harm
2020-03-11
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 2020-04-10
D · Potential for more than minimal harm
2020-03-11
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2020-04-10
D · Potential for more than minimal harm
2020-03-11
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 2020-04-10
Penalties and ownership
What sits behind the stars
Ownership
Methodist Retirement Center Of Central Ohio
5% Or Greater Direct Ownership Interest · Organization
Anderson, Todd
Corporate Director · Individual
Bowersox, James
Corporate Director · Individual
Brueshaber, Larry
Corporate Director · Individual
Conlon, Celia
Corporate Director · Individual
Debenedictis, Lance
Corporate Director · Individual
Dipietra, John
Contracted Managing Employee · Individual
East, Sandra
Corporate Director · Individual
Hildal, Robyn
Corporate Director · Individual
Kahle, Thomas
Corporate Director · Individual
Mcdonald, Kenneth
W-2 Managing Employee · Individual
Mcquinn, Scott
Corporate Officer · Individual
Methodist Retirement Center Of Central Ohio
Operational/Managerial Control · Organization
Palmer, Mark
Corporate Director · Individual
Present, Philip
Corporate Director · Individual
Short, Mary
Corporate Director · Individual
Trotta, Paige
W-2 Managing Employee · Individual
Wilson, Cean
Corporate Director · Individual
Nearby options
Other facilities in reach
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2-star overall rating with 2-star inspections with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Otterbein New Albany
New Albany, OH
1-star overall rating with 1-star inspections with 32 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
New Albany Care Center
Columbus, OH
2-star overall rating with 2-star inspections with $12,149 in total fines with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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