Cycle 1
Health 2025-12-02 · Fire 2025-12-02
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
9 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Somerville, OH
Woodland Country Manor Inc
2-star overall rating with 4-star inspections with 4 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
4166 Somerville Rd, Somerville, OH
(513) 523-4449
Overall
2 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
60
Certified beds
Average residents
53
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-12-06
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
0.03
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.54
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.40
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.97
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.57
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.57
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.01
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.04
CMS adjusted RN staffing hours
Adjusted total hours
4.32
CMS adjusted total nurse staffing hours
Case-mix index
1.26
Higher values indicate more complex resident acuity
RN turnover
71%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,781
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.6
Composite VBP score used to determine payment impact.
Payment multiplier
0.9917
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.62
Baseline 22.29% · Performance 21.70% · Measure score 0.62 · Achievement 0 · Improvement 0.62
Healthcare-associated infections
3.11
Baseline 7.48% · Performance 6.90% · Measure score 3.11 · Achievement 3.11 · Improvement 1.81
Total nurse turnover
8.38
Baseline 24.49% · Performance 29.41% · Measure score 8.38 · Achievement 8.38 · Improvement 0
Adjusted total nurse staffing
3.32
Baseline 3.75 hours · Performance 4.02 hours · Measure score 3.32 · Achievement 3.32 · Improvement 0.84
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.28% |
10.72%
2.6 pts worse
|
No Different than the National Rate · Eligible stays 125 · Observed rate 16.8% · Lower 95% interval 9.21% |
| Discharge to community | 51.58% |
50.57%
1 pts better
|
No Different than the National Rate · Eligible stays 107 · Observed rate 48.6% · Lower 95% interval 43.7% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 94.12% |
95.27%
1.1 pts worse
|
Numerator 64 · Denominator 68 |
| Falls with major injury | 2.94% |
0.77%
2.2 pts worse
|
Numerator 2 · Denominator 68 |
| Discharge self-care score | 36.36% |
53.69%
17.3 pts worse
|
Numerator 24 · Denominator 66 |
| Discharge mobility score | 60.61% |
50.94%
9.7 pts better
|
Numerator 40 · Denominator 66 |
| Pressure ulcers or injuries, new or worsened | 4.41% |
2.29%
2.1 pts worse
|
Numerator 3 · Denominator 68 · Adjusted rate 4.12% |
| Healthcare-associated infections requiring hospitalization | 6.9% |
7.12%
0.2 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 5.17% · Lower 95% interval 3.52% |
| Staff COVID-19 vaccination coverage | 0.94% |
8.2%
7.3 pts worse
|
Numerator 1 · Denominator 106 |
| Staff flu vaccination coverage | 25.47% |
42%
16.5 pts worse
|
Numerator 27 · Denominator 106 |
| Discharge function score | 37.88% |
56.45%
18.6 pts worse
|
Numerator 25 · Denominator 66 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 39 · Denominator 39 |
| Resident COVID-19 vaccinations up to date | 15% |
25.2%
10.2 pts worse
|
Numerator 6 · Denominator 40 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.8
0.3 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.8 · Expected 2.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
1.8
1 pts worse
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 3.3 · Expected 2.0 · Used in QM five-star |
| 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 | 9.4% |
3.3%
6.1 pts worse
|
3.3%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 8.7% · Q3 10.9% · Q4 8.5% · 4Q avg 9.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.6% |
26.1%
22.5 pts better
|
11.4%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.6% · Q3 4.9% · Q4 7.1% · 4Q avg 3.6% |
| Percentage of long-stay residents who lose too much weight | 13.9% |
6.2%
7.7 pts worse
|
5.4%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 18.6% · Q3 4.7% · Q4 21.7% · 4Q avg 13.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 27.7% |
25.4%
2.3 pts worse
|
19.6%
8.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 24.4% · Q3 30.4% · Q4 30.4% · 4Q avg 27.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.0% |
11.5%
0.5 pts better
|
16.7%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 11.1% · Q3 11.4% · Q4 7.9% · 4Q avg 11.0% · 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 | 23.7% |
7.7%
16 pts worse
|
16.3%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 18.7% · Q3 27.2% · Q4 29.1% · 4Q avg 23.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.1% |
6.2%
17.9 pts worse
|
14.9%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.5% · Q2 23.8% · Q3 19.5% · Q4 27.3% · 4Q avg 24.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 4.4% |
0.2%
4.2 pts worse
|
1.0%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 3.6% · Q3 2.3% · Q4 4.0% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 8.2% |
0.5%
7.7 pts worse
|
1.7%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 4.5% · Q3 11.6% · Q4 10.6% · 4Q avg 8.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 37.6% |
21.7%
15.9 pts worse
|
19.8%
17.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.4% · Q2 41.5% · Q3 40.2% · Q4 30.9% · 4Q avg 37.6% |
| Percentage of long-stay residents with pressure ulcers | 4.7% |
3.7%
1 pts worse
|
5.1%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 2.0% · Q3 3.9% · Q4 5.0% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.5% |
78.1%
19.4 pts better
|
81.7%
15.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.2% · Q3 94.2% · Q4 97.8% · 4Q avg 97.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.6% |
12.5%
1.1 pts worse
|
12.0%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 12.2% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
1.2%
1.6 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.4% · Q3 0.0% · Q4 3.8% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 92.6% |
75.6%
17 pts better
|
79.7%
12.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 92.6% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.9% |
25.1%
10.2 pts better
|
23.9%
9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.9% · Observed 13.5% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-07-14 · Fire 2022-07-14
0 health deficiencies
No concentrated health issue counts in this cycle.
8 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2019-05-09 · Fire 2019-05-09
1 health deficiencies
Top issue: Infection Control (1 deficiency)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-12-02
E39 · Emergency Preparedness Deficiencies
Fire Safety
Conduct testing and exercise requirements.
Corrected 2026-01-21
F · Potential for more than minimal harm
2025-12-02
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2026-01-21
F · Potential for more than minimal harm
2025-12-02
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-01-21
F · Potential for more than minimal harm
2025-12-02
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-21
F · Potential for more than minimal harm
2025-12-02
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2026-01-21
F · Potential for more than minimal harm
2025-12-02
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-01-21
E · Potential for more than minimal harm
2025-12-02
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2026-01-21
E · Potential for more than minimal harm
2025-12-02
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-01-21
E · Potential for more than minimal harm
2025-12-02
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-01-21
F · Potential for more than minimal harm
2022-07-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-02
F · Potential for more than minimal harm
2022-07-14
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-02
F · Potential for more than minimal harm
2022-07-14
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-09-02
E · Potential for more than minimal harm
2022-07-14
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-09-02
E · Potential for more than minimal harm
2022-07-14
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-09-02
E · Potential for more than minimal harm
2022-07-14
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-09-02
E · Potential for more than minimal harm
2022-07-14
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-09-02
E · Potential for more than minimal harm
2022-07-14
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2022-09-02
F · Potential for more than minimal harm
2019-05-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-06-28
F · Potential for more than minimal harm
2019-05-09
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-06-28
F · Potential for more than minimal harm
2019-05-09
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-06-28
F · Potential for more than minimal harm
2019-05-09
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-06-28
F · Potential for more than minimal harm
2019-05-09
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-06-28
E · Potential for more than minimal harm
2019-05-09
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2019-06-28
E · Potential for more than minimal harm
2019-05-09
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2019-06-28
E · Potential for more than minimal harm
2019-05-09
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2019-06-28
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-12-02
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2026-01-21
F · Potential for more than minimal harm
2025-12-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-21
D · Potential for more than minimal harm
2025-12-02
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 2026-01-21
D · Potential for more than minimal harm
2025-05-29
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 2025-07-18
F · Potential for more than minimal harm
2019-05-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2019-06-28
Penalties and ownership
What sits behind the stars
Ownership
Auer, Lori
5% Or Greater Direct Ownership Interest · Individual
Beckett, Heather
5% Or Greater Direct Ownership Interest · Individual
Dingledine, Gerald
5% Or Greater Direct Ownership Interest · Individual
Pennington, Lisa
5% Or Greater Direct Ownership Interest · Individual
Vizedom, Teresa
5% Or Greater Direct Ownership Interest · Individual
Auer, Lori
Operational/Managerial Control · Individual
Auer, Lori
Corporate Director · Individual
Auer, Lori
Corporate Officer · Individual
Pennington, Lisa
Operational/Managerial Control · Individual
Vizedom, Teresa
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Knolls Of Oxford
Oxford, OH
5-star overall rating with 5-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Golden Years Nursing Center
Hamilton, OH
5-star overall rating with 5-star inspections
#3
Westover Retirement Community
Hamilton, OH
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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