What is Als Mount Vernon Inc's Medicare star rating?

CMS rates Als Mount Vernon Inc 3 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Als Mount Vernon Inc get at its last inspection?

7 health deficiencies at the standard inspection on January 29, 2026. The Ohio average is 10.5.

Has Als Mount Vernon Inc been fined?

CMS lists no fines in the last three years.

Does Als Mount Vernon Inc 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 Als Mount Vernon Inc?

CMS lists 15 owners and managers, and links the home to Lionstone Care. Legal business name: ALS MOUNT VERNON LLC.

Als Mount Vernon Inc: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on January 29, 2026, inspectors cited 7 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 23 health citations since April 2022 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 3.17 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.

70.4% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Lionstone Care, an affiliated group of 24 nursing homes.

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.

104/22

1006/24

303/25

701/26

203/26

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 23 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

16D

Potential for minimal harm

March 17, 2026Complaint inspection · 2 citations

D

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

F627 · 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) April 29, 2026

Inspectors wroteBased on medical record review, and staff interview the facility failed to permit Resident #21 to return to the facility after a hospitalization. This affected one (Resident #21) of three residents reviewed for discharge. The facility census was 20.
D

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

F628 · 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) April 29, 2026

Inspectors wroteBased on medical record review, staff interviews, and review of facility policies, the facility failed to ensure a bed hold notice was provided and failed to inform the resident and/or resident representative of bed hold rights at the time of hospital transfer. This affected one (Resident #21) of three residents reviewed for discharge. The facility census was 20.

January 29, 2026Standard inspection · 7 citations

F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 20, 2026

Inspectors wroteBased on the facility Legionella Environmental Assessment, the Legionella plan and monitoring process, and interview, the facility failed to accurately complete the assessment and follow the plan for monitoring to minimize the risk of Legionella in the water system. This had the potential to affect all 19 residents. The facility census was 19.
E

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 20, 2026

Inspectors wroteBased on review of the Facility Assessment, personnel record review, and interview, the facility failed to provide dementia training to staff upon hire. This had the potential to affect all residents residing in the facility. The facility census was 19.
E

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

F949 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 20, 2026

Inspectors wroteBased on review of the Facility Assessment, personnel record review, and interview, the facility failed to provide behavioral health training upon hire. This had the potential to affect all residents residing in the facility. The facility census was 19.
D

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2026

Inspectors wroteBased on record review, staff interview, and facility policy review, the facility failed to ensure as needed (PRN) medication orders for psychotropic medications were limited to 14 days or that the facility physician justified in the medical record continued use of such medications. This affected one resident (#12) of six residents reviewed for unnecessary medications. The facility identified three residents (#2, #10 and #12) as receiving PRN psychotropic medications. The facility census was 19.
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) March 20, 2026

Inspectors wroteBased on medical record review and interview, the facility failed to code resident Minimum Data Set (MDS) assessments accurately. This affected two residents (#12 and #21) of 18 sampled residents reviewed for accuracy of MDS assessments. The facility census was 19.
D

Provide activities to meet all resident's needs.

F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2026

Inspectors wroteBased on observation, record review, interviews, and facility policy review, the facility failed to ensure activities were held where Resident #2 could attend and failed to ensure meaningful activities were provided for Resident #4. This affected two residents (#2 and #4) out of five residents reviewed for activities. The facility census was 19.
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) March 20, 2026

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to serve pureed foods at a smooth consistency for safe swallowing. This affected two residents (#4 and #17) who were ordered pureed diets prepared by the facility's kitchen. The facility census was 19.

March 26, 2025Complaint inspection · 3 citations

E

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, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 4, 2025

Inspectors wroteBased on resident record review and staff interview, the facility failed to ensure resident medical records were complete. This affected five of five residents (#4, #7, #11, #12, and #20) reviewed for the administration of treatments, side effect monitoring, and behavior monitoring. The facility census was 19.
D

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, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 4, 2025

Inspectors wroteBased on observation, medical record review, staff interviews, review of the facility assessment, and review of facility policy, the facility failed to provide adequate nursing supervision to assure safety for residents that were identified as a choking risk, while the residents were eating in the dining room. This had the potential to affect two residents who were identified as a choking risk (Resident #11 and Resident #20) out of four residents observed eating in the dining room without supervision.
C

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

F838 · Administration · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) April 4, 2025

Inspectors wroteBased on review of the facility assessment and staff interview, the facility failed to have documented evidence of a completed facility assessment for review. This had the potential to affect all 19 residents living in the facility.

June 24, 2024Standard inspection · 10 citations

F

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.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 19, 2024

Inspectors wroteBased on record review and staff interview, the facility failed to ensure there was a registered nurse (RN) on duty for at least eight consecutive hours a day, seven days a week as required. This had the potential to affect all 19 residents currently residing in the facility.
E

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

F553 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 19, 2024

Inspectors wroteBased on record review, interview, and facility policy review the facility failed to ensure residents and/or their representatives were invited to participate in initial and quarterly care plan meetings. This affected four residents (#10, #9, #13, and #15) of five residents reviewed for care plan meetings. The facility census was 19.
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) July 19, 2024

Inspectors wroteBased on observation, interview, and facility policy review the facility failed to maintain a clean home like environment in resident rooms. This deficient practice affected one resident (#17) out of 19 residents reviewed for environment. The facility census was 19.
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) July 19, 2024

Inspectors wroteBased on observation, staff interview, and record review the facility failed to accurately code the Minimum Data Set (MDS) 3.0 assessment for Residents #10 and #11. This affected two residents (#10 and #11) of 11 residents reviewed for accuracy of assessments. The facility census was 19.
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) July 19, 2024

Inspectors wroteBased on observation, staff and resident interview, record review, and facility policy review, the facility failed to complete a physician-ordered orthopedic consult for Resident #10, and failed to ensure dressings were changed as ordered for Resident #5. This affected two residents (#10 and #5) of 11 residents reviewed for quality of care. The facility census was 19.
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 · Corrected (the home has a date of correction) July 19, 2024

Inspectors wroteBased on observation, record review, interview, and facility policy review the facility failed to ensure safety interventions were implemented and were appropriate for residents assessed to be at high risk for falls. This deficient practice affected two residents (#6 and #9) out of five residents reviewed for accidents. The facility census was 19.
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) July 19, 2024

Inspectors wroteBased on observation, record review, interview, and review of the facility policy the facility failed to obtain a physician's order for the administration of oxygen therapy. This deficient practice affected one resident (#11) out of one resident reviewed for respiratory care. The facility census was 19.
D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 19, 2024

Inspectors wroteBased on staff interview, record review, and facility policy review, the facility failed to ensure physician-ordered medication parameters were followed for Residents #4 and #5. This affected two (#4 and #5) of six residents reviewed for unnecessary medications. The facility census was 19.
D

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.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 19, 2024

Inspectors wroteBased on record review, interview, and facility policy review the facility failed to complete routine assessments for monitoring of psychotropic medication side effects. This deficient practice affected one resident (#9) out of five residents reviewed for unnecessary medications. The facility census was 19.
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) July 19, 2024

Inspectors wroteBased on observation, staff and resident interview, and record review, the facility failed to recognize Resident #5's bottom dentures were missing and failed to timely refer him to a dental provider. This affected one resident (#5) of one resident reviewed for dental services. The facility census was 19.

April 21, 2022Standard inspection · 1 citation

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) June 17, 2022

Inspectors wroteBased on observation, interview, record review, and policy review the facility failed to change oxygen tubing weekly for Resident's #11 and #121. This affected two residents (Resident's #11 and #121) of seven residents reviewed for oxygen use. Facility census was 20.

Fire safety inspections

15 fire safety citations on file: 6 on January 29, 2026, 4 on June 24, 2024, 5 on April 21, 2022.

Every fire safety citation15 citations

F
Implement emergency and standby power systems.

E 41 · January 29, 2026 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · January 29, 2026 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · January 29, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · January 29, 2026 · Corrected (the home has a date of correction)
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · January 29, 2026 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · January 29, 2026 · Corrected (the home has a date of correction)
F
Provide properly protected cooking facilities.

K 324 · June 24, 2024 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · June 24, 2024 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · June 24, 2024 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · June 24, 2024 · Corrected (the home has a date of correction)
F
Conduct testing and exercise requirements.

E 39 · April 21, 2022 · Corrected (the home has a date of correction)
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · April 21, 2022 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · April 21, 2022 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · April 21, 2022 · Corrected (the home has a date of correction)
E
Meet requirements for the use and maintenance of medical gas equipment.

K 922 · April 21, 2022 · 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.

Measure	This home	Ohio	United States
All nursing staff (RN, LPN and aides)	3.17	3.69	3.86
Registered nurses	0.89	0.64	0.69
All nursing staff on weekends	3.01	3.28	3.42
Nurse aides	1.60
Licensed practical nurses	0.68
Nursing staff turnover (share who left in a year)	70.4%	48.7%	45.8%
Registered nurse turnover	not reported	43.9%	42.9%
Administrators who left	2

CMS expects 4.34 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 3.24 on weekdays and 3.01 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 3.17 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	3.17	0.89	3.24	3.01	3.3%	0 of 90	19
Oct to Dec 2025	3.69	1.06	3.86	3.27	17.3%	0 of 92	19
Jul to Sep 2025	3.58	1.13	3.65	3.37	19.7%	0 of 92	19
Apr to Jun 2025	3.80	0.96	3.73	3.96	15.5%	0 of 91	19
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.

How staff pay reports work · CNA pay by state

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	2.3	5.3	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.2	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	0.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.5	3.2	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	3.9	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	0.0	6.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.0	3.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	4.0	8.8	15.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Als Mount Vernon Inc's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (35.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

35.3% this home

Worse than the national rate

US median of homes 51.5% · Ohio: 147 better, 20 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 33 eligible stays.

Potentially preventable readmissions

10.8% this home

No different from the national rate

US median of homes 10.7% · Ohio: 3 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 36 eligible stays.