Adams County Manor
10856 State Route 41, West Union, OH 45693 · Adams County · (937) 544-2205
74 certified beds, about 70 residents a day · For profit - Partnership · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366143 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 26, 2026, inspectors cited 9 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 15 health citations since July 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.44 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.42 of those hours.
59.3% 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.
407/21
203/24
903/26
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 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
2E
1F
Potential for minimal harm
0A
0B
0C
March 26, 2026Standard inspection, Complaint inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, the facility failed to store food in a manner to prevent food born illness. This had to potential to affect all 69 residents residing in the facility who received food from the kitchen. The facility census was 69 residents.
- E 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.
Inspectors wroteBased on observation, resident interview, staff interview, and review of facility policy, the facility failed to ensure resident shower floors were maintained in good repair. This affected four (Residents #10, #11, #35, and #38) of the 24 residents sampled for showers. The facility census was 69 residentsFindings include: Observation on 03/23/26 at 1:16 P.M. revealed the shower floor in Resident #10 and Resident #11's bathroom had a large amount of water pooled on top of the tiles. Several floor tiles were cracked, grout was missing between multiple tiles, and the surface of the tiles was uneven. Observation on 03/26/26 at 9:00 A.M. revealed the shower floor in the room of Resident #35 and Resident #38's bathroom had multiple broken and/or missing tiles, and the surface of the tiles was uneven. [...]
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure appropriate monitoring of target behaviors for residents receiving antipsychotic medications. This affected two (Residents #6 and #20) of five residents reviewed for unnecessary medications. The facility census was 69 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to ensure Minimum Data Set (MDS) assessments were coded to accurately reflect immunizations and restraint use. This affected two (Residents #11 and #20) of 24 sampled residents. The facility census was 69 residents.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure Pre-admission Screening and Resident Reviews (PASARRs) were completed and updated to reflect new qualifying diagnoses. This affected one (Resident #66) of four residents reviewed for PASARR accuracy. The facility census was 69 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on medical record review and staff interview, the facility failed to develop a plan of care for residents who received oxygen on a continuous basis. This affected one (Resident #66) of 21 residents reviewed for care plans. The facility census was 69 residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to ensure staff provided timely bathing and hair washing assistance for dependent residents. This affected one (Resident #8) of the three residents reviewed for activities of daily living (ADL) assistance. The facility census was 69 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to ensure staff obtained resident weights as ordered by the physician. This affected one (Resident #12) of five residents reviewed for nutrition. The facility census was 69 residents.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on medical record review, staff interview, resident interview, and review of facility policy, the facility failed to ensure staff routinely monitored resident pain levels. This affected one (Resident #20) of five residents reviewed for unnecessary medications. The facility census was 69 residents.
March 21, 2024Standard inspection · 2 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and facilities policy review, the facility failed to follow hand sanitation infection control practices during meal tray delivery. This had the potential to affect seven rooms of residents (Residents in rooms #204, #205, #209, #210, #105, #106 and #110). The facility total census was 64.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record reviews and staff interview, the facility failed to ensure Preadmission Screening and Resident Review (PASRR) was completed accurately and following the additional of a new mental health diagnosis. This affected three residents (#6, #39, and #53) out of the four residents whose PASRR's were reviewed during the annual survey. The facility census was 64.
July 1, 2021Standard inspection · 4 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to maintain dignity while feeding Resident #44. The facility identified two residents who were dependent on staff for feeding. The facility census was 64.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interview, the facility failed to accurately code a resident's fall status on the Minimum Data Set (MDS) assessment. This affected one (Resident #13) of 18 residents reviewed for accurate MDS assessments. The facility census was 64 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to obtain a physician order for the use of oxygen, failed to administer oxygen as physician ordered, and failed to properly label the oxygen tubing during continuous use. This affected three residents (Resident #27, #44, and #215) of 23 residents receiving oxygen therapy. The facility census was 64.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on record review, observation, and staff interview, the facility failed to ensure the resident's call lights were functioning. This affected three (Resident #09, #16 and #18) of 24 residents reviewed for call lights. The facility census was 64 residents.
Fire safety inspections
21 fire safety citations on file: 12 on March 26, 2026, 4 on March 21, 2024, 5 on July 1, 2021.
Every fire safety citation21 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct risk assessment and an All-Hazards approach.
- F Conduct testing and exercise requirements.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have simulated fire drills held at unexpected times.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- E Install properly constructed windows in hallway walls or doors.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.44 | 3.69 | 3.86 |
| Registered nurses | 0.42 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.12 | 3.28 | 3.42 |
| Nurse aides | 2.16 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 59.3% | 48.7% | 45.8% |
| Registered nurse turnover | 70.0% | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.83 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 3.57 on weekdays and 3.12 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.79 in April to June 2025 to 3.44 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.44 | 0.42 | 3.57 | 3.12 | 0.5% | 0 of 90 | 70 |
| Oct to Dec 2025 | 3.57 | 0.46 | 3.73 | 3.14 | 0.3% | 0 of 92 | 67 |
| Jul to Sep 2025 | 3.41 | 0.31 | 3.65 | 2.80 | 0.0% | 3 of 92 | 64 |
| Apr to Jun 2025 | 3.79 | 0.46 | 3.99 | 3.32 | 0.2% | 0 of 91 | 67 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Ohio
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.8 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.5 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.1 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.1 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.2 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 26.1 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.8 | 1.8 |
Owners and operators
Legal business name: H&G NURSING HOMES, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Jbh Land Co | 5% or greater mortgage interest | Organization | 12/28/2009 | |
| Houser, Ann | Corporate officer | Individual | 07/01/2011 | |
| Houser, John | Corporate officer | Individual | 08/01/1999 | |
| Houser, Ann | Operational/managerial control | Individual | 07/01/2011 | |
| Houser, John | Operational/managerial control | Individual | 08/01/1999 | |
| Jbh Land Co | Adp of the SNF | Organization | 12/28/2009 | |
| Houser, Ann | Adp of the SNF | Individual | 07/01/2011 | |
| Houser, John | Adp of the SNF | Individual | 12/28/2009 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on March 26, 2026: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on March 26, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on March 26, 2026: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on March 26, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.12 hours per resident per day, below the Ohio average of 3.28.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Eagle Creek Nursing Center West Union, 0.4 mi · 5 of 5 stars · 15 citations
- Monarch Meadows Nursing and Rehabilitation Seaman, 12.9 mi · 3 of 5 stars · 17 citations
- Ohio Valley Manor Care Center Ripley, 13.1 mi · 4 of 5 stars · 13 citations
- Maysville Nursing and Rehabilitation Facility Maysville, 15.6 mi · 5 of 5 stars · 5 citations
- Villa Georgetown Rehabilitation and Healthcare Cen Georgetown, 17.6 mi · 5 of 5 stars · 10 citations
- Ohio Veterans Home - Georgetown Georgetown, 18.5 mi · 5 of 5 stars · 18 citations
- Vanceburg Hills Vanceburg, 18.7 mi · 3 of 5 stars · 15 citations
- Perkins Country Manor Augusta, 24.6 mi · 1 of 5 stars · 5 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Adams County Manor's Medicare star rating?
- CMS rates Adams County Manor 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Adams County Manor get at its last inspection?
- 9 health deficiencies at the standard inspection on March 26, 2026. The Ohio average is 10.5.
- Has Adams County Manor been fined?
- CMS lists no fines in the last three years.
- Does Adams County Manor 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 Adams County Manor?
- CMS lists 8 owners and managers. Legal business name: H&G NURSING HOMES, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.