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Accord Care Community Orrville LLC

1980 Lynn Drive, Orrville, OH 44667 · Wayne County · (330) 683-4075

88 certified beds, about 59 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1997

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366123 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 24, 2024, inspectors cited 9 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 44 health citations since August 2021, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.24 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.

60.9% of nursing staff left within the year CMS measured (Ohio average 48.7%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 44 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
34D
4E
3F
Potential for minimal harm
0A
0B
1C
December 4, 2025Complaint inspection · 3 citations
  1. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 12, 2026
    Inspectors wroteBased on record review, observation and interview, the facility failed to maintain Resident #34's heel protector boots to prevent the development of pressure ulcers and failed to obtain laboratory tests and a wound clinic referral to manage Resident #52's wounds in a timely manner. This affected two residents (#34 and #52) out of three residents reviewed for wound care. The facility census was 57.
  2. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 12, 2026
    Inspectors wroteBased on observation, record review and interview, the facility failed to have a restorative program in place to prevent a decline residents' functional abilities and failed to ensure Resident #10's hand splints or rolled washcloths were maintained. This affected one resident (#10) out of three residents reviewed for contractures and had the potential to affect all residents who had therapy services. The facility census was 57.
  3. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 12, 2026
    Inspectors wroteBased on observation and staff interview, the facility failed to maintain a clean, sanitary, and safe environment. This affected three residents (#34, #57, and #36) of three residents reviewed for physical environment and had the potential to affect all 57 residents residing in the facility.
July 31, 2025Complaint inspection · 1 citation
  1. D
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 27, 2025
    Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to convey Resident #51's personal funds and a final accounting to the resident within 30 days of death. This affected one Resident #51 out of three residents reviewed for resident funds. The facility census was 50.
March 10, 2025Complaint inspection · 1 citation
  1. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on observation, interview, record review and review of the facility policy the facility failed to develop and implement a comprehensive and effective pain management program to ensure Resident' #3's pain was adequately assessed and treated prior to treatments of multiple (vascular) wounds on her bilateral lower extremities. This affected one resident (#3) of three residents reviewed for pain. The facility census was 52.
February 11, 2025Complaint inspection, Infection control · 4 citations
  1. G
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · Actual harm, isolated · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on open and closed medical record review, hospital record review, facility policy review, review of Centers for Disease Control (CDC) guidance and interview, the facility failed to ensure residents were administered the Coronavirus (COVID-19) vaccination after receiving education and consenting to the vaccine. This affected four residents (#6, #29, #30, #43) and had the potential to affect 16 additional residents (#3, #4, #8, #12, #13, #16, #17, #24, #28, #32, #34, #35, #40, #42, #52 and #53) who after receiving education and consented to the COVID-19 vaccine, had not yet received the vaccine. The facility census was 53. Actual harm occurred beginning on 01/28/25 when Resident #30, who consented to receiving the COVID-19 vaccine, but never received the vaccine, tested positive for COVID-19 and was subsequently transferred to the emergency room. [...]
  2. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on observation, interview, review of employee time punch details, review of staffing schedules, policy review, and review of the facility assessment, the facility failed to ensure there was sufficient staff to provide residents with timely care. This had the potential to affect all 53 residents residing in the facility.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on observation, interview, record review and policy review the facility failed to ensure facility staff member donned and doffed the correct personal protective equipment (PPE) when entering and exiting Resident #26's room, who was COVID-19 positive. This had the potential to affect 37 residents (2, #3, #4, #5, #7, #8, #9, #11, #12, #13, #14, #15, #17, #18, #19, #21, #24, #28, #31, #32, #33, #34, #35, #36, #38, #40, #41, #42, #43, #44, #45, #47, #50, #52, #53, #54, and #55) who were not currently infected with COVID-19. The facility census was 53.
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · infection control inspection · Corrected (the home has a date of correction) February 28, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure residents with non-pressure related skin issues were comprehensively assessed in a routine manner. This affected one resident (Resident #10) of three residents reviewed for non-pressure related skin impairment. The facility census was 53.
December 10, 2024Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 8, 2025
    Inspectors wroteBased on record review, fall investigation review, interview and policy review, the facility failed to have documented evidence fall prevention interventions were implemented and failed to ensure care plans were updated timely to prevent repeat falls for Resident #56. This affected one resident (#56) of three residents reviewed for falls. The facility census was 55.
October 24, 2024Standard inspection, Complaint inspection · 9 citations
  1. F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on record review, observation, and interview, the facility did not ensure food was served at palatable temperatures. This had the potential to affect 54 residents that received meals from the facility. One resident (Resident #46) out of 55 residents received nothing by mouth. The facility census was 55.
  2. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on medical record review, observation, staff interview, and review of manufacturer's guidelines, the facility failed to ensure the medication error rate did not exceed five percent (%). Two errors occurred within 30 opportunities for an error rate of 6.67%. This affected one (Residents #13) of four residents reviewed for medication administration. and had the potential to affect an additional 13 residents, (Resident #5, #16, #21, #22, #27, #28, #29, #31, #32, #40, #41, #157, and #158) who received insulin injections. The facility census was 55 residents.
  3. E
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provide residents with their preferences during meals. This affected four (#3, #8, #16 and #34) of four residents reviewed for food preferences. The facility census was 55.
  4. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to ensure advanced directives were accurate. This affected one (Resident #108) of one resident reviewed for advanced directives. The census was 55.
  5. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on interview, record review, and review of the facility policy, the facility failed to timely notify Resident #25's Power of Attorney (POA) of an injury of unknown origin. This affected one (Resident #25) of three residents reviewed for resident representative notification. The facility census was 55.
  6. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on staff interview, medical record review, review of facility reported incidents (FRI) and review of the facility policy, the facility failed to report an injury of unknown origin to the State agency. This affected one (Resident #25) of two residents reviewed for abuse. The facility census was 55.
  7. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on staff interview, medical record review, review of facility investigations, and review of the facility policy, the facility failed to thoroughly investigate an injury of unknown origin for Resident #25. This affected one (Resident #25) of two residents reviewed for abuse. The facility census was 55.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure appropriate treatment was in place for moisture associated dermatitis (MASD) to promote adequate healing. The affected one (Resident #3) of four residents reviewed for skin impairment.
  9. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 26, 2024
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure Resident #15 was provided timely incontinence care. This affected one (Resident #15) of two residents reviewed for incontinence care.
August 19, 2024Complaint inspection · 3 citations
  1. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 12, 2024
    Inspectors wroteBased on record review, interviews, and facility policy review the facility failed to complete an investigation of an allegation of potential staff-to-resident verbal abuse of Resident #51. This affected one resident (#51) of three residents reviewed for abuse and neglect. The facility census was 58.
  2. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 12, 2024
    Inspectors wroteBased on observation, interview, and record review, the facility failed to honor food preferences for Residents #15, #18, and #44. This affected three residents (#15, #18, and #44) out of three residents for food preferences. This had the potential to affect 57 out of 58 residents who received meals from the facility. Resident #24 was identified as receiving nothing by mouth (NPO). The facility census was 58.
  3. C
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) September 12, 2024
    Inspectors wroteBased on personnel file review and staff interview the facility failed to ensure 90-day and annual performance evaluations were completed as required for state tested nursing assistants (STNAs). This affected five STNAs out of six STNAs whose personnel files were reviewed and had the potential to affect all 58 residents residing in the facility.
November 2, 2023Standard inspection · 17 citations
  1. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review and interview, the facility failed to ensure Payroll Based Journal (PBJ) tracking information submitted by the facility accurately reflected the actual working staff and census. This finding had the potential to affect all 56 residents currently residing in the facility.
  2. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on record review, facility policy review, review of the Centers for Disease Control (CDC) guidance and interview, the facility failed to ensure influenza and pneumococcal vaccines were offered and/or administered as required and the facility failed to ensure residents/responsible parties were educated on the risks and/or benefits of receiving the influenza and pneumococcal vaccines per the facility policy and Centers for Disease Control (CDC) guidelines. This affected five residents (#11, #30, #34, #39 and #49) of six residents reviewed for immunizations.
  3. D
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on closed record review and interview, the facility failed to ensure a final accounting of Resident #408's resident fund account within 30 days after the resident's discharge from the facility. This affected one resident (#408) of five residents reviewed for resident fund accounts.
  4. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on observation, record review, facility policy review and interview, the facility failed to ensure a safe, homelike environment for Resident #36. This affected one resident (#36) of resident one resident for room temperature.
  5. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on medical record review and interview, the facility failed to ensure resident admission comprehensive assessments were accurate. This affected one resident (#11) of 22 residents reviewed for comprehensive assessments. The facility census was 56.
  6. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on record review and interview, the facility failed to ensure comprehensive assessments were complete and accurate. This affected three residents (#11, #30 and #39) of 22 residents reviewed for comprehensive assessments.
  7. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on record review and interview, the facility failed to timely complete the Pre-admission Screening and Resident Review (PASRR) for Resident #11 and #24. This affected two residents (#11 and #24) of two residents reviewed for PASRR. The census was 56.
  8. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to develop comprehensive care plans for all residents to meet their total care and assessed needs. This affected one resident (#39) of five residents reviewed for unnecessary medications and one resident (#11) of one resident reviewed for accidents. The facility census was 56.
  9. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to timely revise resident care plans. This affected one resident (#39) of 22 residents reviewed for assessment and care planning. The census was 56.
  10. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure Resident #3's percutaneous endoscopic gastrostomy (PEG) tube dressing was changed per the physician's orders. This affected one resident (#3) of two residents reviewed for PEG tubes.
  11. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure Resident #3's left thumb pressure ulcer wound care was completed per the physician's order. This affected one resident (#3) of one resident reviewed for pressure ulcers.
  12. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on observation, medical record review and interview, the facility failed to ensure respiratory supplies were changed weekly as ordered and nebulizer masks stored appropriately for Resident #5. This affected one resident (#5) of one resident reviewed for respiratory services. The facility census was 56.
  13. D
    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
    F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on observation, medical record review, policy review and interview, the facility failed to provide appropriate alternatives prior to the use of bed rails for Resident #11. This affected one resident (#11) of one resident reviewed for bed rails. The facility census was 56.
  14. D
    Provide routine and 24-hour emergency dental care for each resident.
    F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on observation, medical record review, policy review and interview, the facility failed to ensure timely and accurate dental evaluations were completed. This affected one resident #39) of one resident reviewed for dental services. The facility census was 56.
  15. D
    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
    F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on observation, consumption of pureed foods, record review and policy review, the facility failed to ensure pureed foods were prepared to a proper consistency and failed to substitute an appropriate food item for pureed rice during the meal on 11/01/23 to ensure the meal was palatable, appetizing and ensured safe swallowing. This affected two residents (#12 and #39) of two residents identified by the facility to have orders for pureed diets.
  16. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure resident food preferences were honored. This affected one resident (#32) of one resident reviewed for food preferences.
  17. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 13, 2023
    Inspectors wroteBased on record review and interview the facility failed to ensure resident medical records were accurate and completed to reflect incidents and the residents current status. This affected two residents (#24 and #51) of two residents reviewed for abuse and one resident (#24) of 22 residents reviewed for assessments and care planning. The census was 56.
August 26, 2021Standard inspection · 5 citations
  1. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) September 22, 2021
    Inspectors wroteBased on record review and interview, the facility failed to administer pain medications in a timely manner. This resulted in actual harm for one (Resident #200) of five residents review for medication administration. Resident #200 experienced severe pain when pain medication was not provided for approximately 23 hours after admission. The census was 52.
  2. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 22, 2021
    Inspectors wroteBased on record review and interview facility failed to ensure Resident #23's advance directives located in the medial records reflected what was in the electronic health records. This finding affected one (Resident #23) of 24 residents reviewed for advanced directives.
  3. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 22, 2021
    Inspectors wroteBased on record review, review of liability notices and staff interview, the facility failed to ensure residents received the appropriate liability notices and timely notification when their skilled services ended. This affected three (Residents #15, #23 and #50) of three residents reviewed for liability notices. Facility census was 52.
  4. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 22, 2021
    Inspectors wroteBased on record review, observations, and interviews, the facility failed to provide privacy during family visits. This affected two (Resident #28 and Resident #32) of five residents observed for visitation. The census was 52.
  5. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 22, 2021
    Inspectors wroteBased on observations, record review and interview, the facility failed to maintain a clean and sanitary environment and ensure bed linens were clean. This affected three (Residents #28, #29 and #38) of 52 residents residing in the facility.

Fire safety inspections

21 fire safety citations on file: 5 on October 24, 2024, 8 on November 2, 2023, 8 on August 26, 2021.

Every fire safety citation21 citations
  1. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · October 24, 2024 · Corrected (the home has a date of correction)
  2. F
    Install corridor and hallway doors that block smoke.
    K 363 · October 24, 2024 · Corrected (the home has a date of correction)
  3. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · October 24, 2024 · Corrected (the home has a date of correction)
  4. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · October 24, 2024 · Corrected (the home has a date of correction)
  5. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · October 24, 2024 · Corrected (the home has a date of correction)
  6. F
    Provide properly protected cooking facilities.
    K 324 · November 2, 2023 · Corrected (the home has a date of correction)
  7. F
    Have simulated fire drills held at unexpected times.
    K 712 · November 2, 2023 · Corrected (the home has a date of correction)
  8. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 2, 2023 · Corrected (the home has a date of correction)
  9. F
    Have proper medical gas storage and administration areas.
    K 923 · November 2, 2023 · Corrected (the home has a date of correction)
  10. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · November 2, 2023 · Corrected (the home has a date of correction)
  11. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · November 2, 2023 · Corrected (the home has a date of correction)
  12. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · November 2, 2023 · Corrected (the home has a date of correction)
  13. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · November 2, 2023 · Corrected (the home has a date of correction)
  14. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 26, 2021 · Corrected (the home has a date of correction)
  15. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 26, 2021 · Corrected (the home has a date of correction)
  16. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · August 26, 2021 · Corrected (the home has a date of correction)
  17. E
    Properly provide smoke detection systems in areas open to corridors.
    K 347 · August 26, 2021 · Corrected (the home has a date of correction)
  18. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 26, 2021 · Corrected (the home has a date of correction)
  19. E
    Meet other general requirements that are deficient.
    K 500 · August 26, 2021 · Corrected (the home has a date of correction)
  20. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · August 26, 2021 · Corrected (the home has a date of correction)
  21. D
    Install corridor and hallway doors that block smoke.
    K 363 · August 26, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.243.693.86
Registered nurses0.550.640.69
All nursing staff on weekends2.843.283.42
Nurse aides1.89
Licensed practical nurses0.80
Nursing staff turnover (share who left in a year)60.9%48.7%45.8%
Registered nurse turnover66.7%43.9%42.9%
Administrators who left0

CMS expects 4.56 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.40 on weekdays and 2.84 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.86 in April to June 2025 to 3.24 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.240.553.402.84 7.2%0 of 9059
Oct to Dec 20253.350.553.532.88 11.1%0 of 9256
Jul to Sep 20253.550.383.713.15 18.6%0 of 9252
Apr to Jun 20253.860.554.093.31 21.7%0 of 9152
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
4.05.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.03.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.91.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.66.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.23.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.08.815.4

Owners and operators

Legal business name: ACCORD CARE COMMUNITY ORRVILLE LLC.

NameRoleTypeShareSince
Accord Care SNF LLC5% or greater direct ownership interestOrganization100%01/01/2023
D'amico, Daniel5% or greater indirect ownership interestIndividual01/01/2023
Ryder, Gwynn5% or greater indirect ownership interestIndividual40%01/01/2023
Mstc Development IncOperational/managerial controlOrganization01/01/2023
Slyk, MichaelOperational/managerial controlIndividual01/01/2023
Mstc Development IncAdp of the SNFOrganization01/01/2023
D'amico, DanielAdp of the SNFIndividual01/01/2023
Morgan, JosephAdp of the SNFIndividual12/04/2024
Naumoff, AndrewAdp of the SNFIndividual01/01/2023
Ryder, GwynnAdp of the SNFIndividual01/01/2023
Slyk, MichaelAdp of the SNFIndividual01/01/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 13 problems in this area, most recently on December 4, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on July 31, 2025: "Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on November 2, 2023: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on October 24, 2024: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Ohio average of 3.28.

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is Accord Care Community Orrville LLC's Medicare star rating?
CMS rates Accord Care Community Orrville LLC 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Accord Care Community Orrville LLC get at its last inspection?
9 health deficiencies at the standard inspection on October 24, 2024. The Ohio average is 10.5.
Has Accord Care Community Orrville LLC been fined?
CMS lists no fines in the last three years.
Does Accord Care Community Orrville LLC accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Accord Care Community Orrville LLC?
CMS lists 11 owners and managers. Legal business name: ACCORD CARE COMMUNITY ORRVILLE LLC.

Sources

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