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Altercare Thornville Inc.

14100 Zion Road, Thornville, OH 43076 · Perry County · (740) 246-5253

50 certified beds, about 46 residents a day · For profit - Corporation · Medicare and Medicaid since 2008

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366369 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 19, 2026, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 36 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $63,418 in the last three years; the largest was $63,418, and the latest is dated September 2, 2025.

Nurses and nurse aides worked 3.76 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.92 of those hours.

38.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Altercare, an affiliated group of 22 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.

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 36 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
31D
3E
1F
Potential for minimal harm
0A
0B
0C
February 19, 2026Standard inspection · 5 citations
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 10, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident was shaved per preference upon admission to the facility and during first shower. This affected one resident (#54) of two residents reviewed for activities of daily living. The facility census was 48.
  2. 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) March 10, 2026
    Inspectors wroteBased on observation, staff, visitor and resident interview, review of the medical record and policy review, facility failed to ensure a newly identified skin impairment was assessed timely. This affected one resident (#9) of three residents reviewed for wounds. The facility also failed to ensure a change in condition was addressed timely. This affected one resident (#25) of one resident reviewed for change in condition. Facility census was 48.
  3. 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) March 10, 2026
    Inspectors wroteBased on record review, observation, interview, and policy review, the facility failed to ensure a resident at risk for pressure ulcers had pressure ulcer prevention interventions implemented as per their plan of care. This affected one resident (#2) of three residents reviewed for pressure ulcers.
  4. 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) March 10, 2026
    Inspectors wroteBased on observation, staff interview, and record review the facility failed to implement a fall risk intervention for a resident after a fall. This affected one resident (#4) of one resident reviewed for falls. The facility census was 48.
  5. 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) March 10, 2026
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident receiving medication for hypotension did not receive the medications when his systolic blood pressure (SBP) was greater than 130 millimeters per mercury (mmHg), as per parameters included in his physician's orders. This affected one resident (#2) of five residents reviewed for unnecessary medications.
September 2, 2025Complaint inspection · 6 citations
  1. J
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 26, 2025
    Inspectors wroteBased on medical record review, hospital record review, wound notes, facility and staff interviews, wound physician interview, observation, review of the facility policies, and National Pressure Injury Advisory Panel (NPIAP) information, the facility failed to develop and implement an accurate comprehensive and individualized pressure ulcer program to ensure necessary care and services to prevent the worsening of pressure ulcers for Resident #800 and #300. This affected two residents (#800 and #300) of two residents reviewed for pressure ulcers. The facility census was 47. [...]
  2. 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) October 16, 2025
    Inspectors wroteBased on interviews and record reviews, the facility failed to appropriately manage and treat a non pressure skin alteration for one (Resident #100) out of two residents with non pressure skin alterations and obtain daily weights on three (Resident #100, #400 and #500) of three residents reviewed for daily weights. The facility census was 47.
  3. 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) October 16, 2025
    Inspectors wroteBased on interview, record review and policy review, the facility failed to ensure residents had effective pain assessments and management. This affected three ( Resident #100, #300, and #800) of three residents reviewed for pain. The facility census was 47.
  4. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 16, 2025
    Inspectors wroteBased on observation, medical record review, policy review and interview, the facility failed to ensure the facility medication administration error rate was not more than five percent. This affected one resident (#42) of eight residents observed for medication administration with four errors out of 25 opportunities resulting in an error rate of 16%. The census was 47.
  5. 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 · found on a complaint visit · Corrected (the home has a date of correction) September 26, 2025
    Inspectors wroteBased on interviews and record reviews, the facility failed to maintain an up to date and complete medical record for three residents (#100, #300 and #800) of three residents reviewed for receiving wound care from an outside wound consultant group. The facility census was 47.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 16, 2025
    Inspectors wroteBased on observation, interview and facility policy reviews, the facility failed to ensure proper hand hygiene and medical equipment was sanitized before and after resident use. This affected two residents (#701 and #802), but has the potential to affect all 47 residents residing in the facility.
November 14, 2024Standard inspection · 8 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on observations, interview, and facility policy, the facility failed to ensure the ice machine was maintained in a sanitary manner. This had the potential to affect all 49 of the residents residing in the facility. The facility identified all 49 residents in the facility as receiving iced beverages from the main kitchen ice machine.
  2. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on record review, observation, interview, and policy review, the facility failed to provide a homelike environment and ensure resident equipment was clean and well maintained. This affected four (#3, #13, #37, and #42) of four residents reviewed for environment. The facility census was 49.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, and policy review, the facility failed to ensure Resident #3 was treated with with dignity during and after dining. This affected one (Resident #3) of one resident reviewed for dignity. The facility census was 49.
  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) December 10, 2024
    Inspectors wroteBased on record review, staff interview and facility policy, the facility failed to ensure that advanced directives were prominently placed in Resident #100's and Resident #149's medical records. This affected two (Resident #100 and Resident #149) of two residents reviewed for advanced directives. The facility census was 49.
  5. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, and policy review, the facility failed to ensure Resident #3 was provided with adaptive equipment for meals per physician orders. This affected one (Resident #3) of one resident reviewed for adaptive equipment. The facility census was 49.
  6. 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 10, 2024
    Inspectors wroteBased on record review, observations, interviews, review of facility policy, and review of equipment manuals, the facility failed to ensure alternating air mattresses were functional and set on the correct settings for pressure ulcer/injury prevention. This affected two (Resident #12 and Resident #13) of six residents reviewed for skin interventions. The facility census was 49.
  7. 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) December 10, 2024
    Inspectors wroteBased on review of medical records, observation, and staff interview the facility failed to ensure fall interventions were in place for Resident #8 per the plan of care. This affected one resident (Resident #8) of two residents reviewed for falls. The facility census was 49.
  8. 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 10, 2024
    Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to store respiratory equipment in a sanitary manner. This affected one (Resident #42) of one resident reviewed for respiratory equipment. The facility census was 49.
January 3, 2024Complaint inspection · 2 citations
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 16, 2024
    Inspectors wroteBased on review of the self-reported incident (SRI) and the facility's investigation, review of the facility policy, record review, and staff interviews, the facility failed to immediately report an allegation of staff-to-resident verbal abuse to the Administrator or designee. This affected one (Resident #27) of three residents reviewed for abuse. This had the potential to affect the six other residents (Resident #3, #16, #27, #35, #38, #39, and #40) who were identified by the facility to be on the Alleged Perpetrator's assignment on 10/06/23. The facility census was 40.
  2. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 16, 2024
    Inspectors wroteBased on review of the self-reported incident (SRI) and investigation, review of the facility's policy, record review, and staff interviews, the facility failed to protect the other residents from potential abuse by not immediately removing State Tested Nursing Assistant (STNA) #150 from the facility after there was an allegation of verbal abuse to Resident #27. This affected one (Resident #27) of three residents reviewed for abuse. This had the potential to affect the six other residents (Resident #3, #16, #27, #35, #38, #39, and #40) who were identified by the facility to be on the STNA #150's assignment on 10/06/23. The facility census was 40.
August 10, 2023Standard inspection · 15 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure one resident (#9) was treated in a dignified manner. This affected one of one reviewed for dignity. The facility census was 44. Findings Included: Review of the medical record for Resident #9 revealed an initial admission date of 11/16/20 with the latest readmission of 08/23/21 with the diagnoses including hypertension, major depressive disorder, anxiety disorder, sleep apnea, chronic obstructive pulmonary disorder, osteoarthritis, obesity, fibromyalgia, full incontinence of feces, weakness, dysphagia, retention of urine, hyperlipidemia, atrial fibrillation, congestive heart failure, dyskinesia of esophagus, diverticulum of esophagus, diverticulosis of intestine, dysphagia, hypothyroidism, cerebral infarct, schizophrenia, dementia and gastro-esophageal reflux disease. [...]
  2. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observations, record review, and resident and staff interviews, and facility policy review, the facility failed to ensure a resident's (Resident #18) call light was kept within reach. The deficient practice affected one resident (Resident #18) of one reviewed for call lights. The facility census was 44. Findings Include: Review of the medical record for Resident #18 revealed an admission date on 07/14/23. Medical diagnoses included Parkinson's Disease, generalized muscle weakness, nondisplaced Type II dens fracture (a bone in the spine), fracture of phalanx of right thumb, fracture of sacrum, and rheumatoid arthritis. Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #18 had intact cognition and scored a 13 out of 15 on the Brief Interview for Mental Status (BIMS) assessment. [...]
  3. 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 1, 2023
    Inspectors wroteBased on record review, interview and facility policy review, the facility failed to clarify conflicting code statuses for one resident (#20). This affected one of five residents reviewed for advance directives. The facility census was 44. Findings Include: Review of the medical record for Resident #20 revealed an initial admission date of 08/06/23 with the diagnoses including acute respiratory failure, abnormal posture, disorder of pituitary gland, vitamin D deficiency, major depressive disorder, anxiety disorder, chronic pain syndrome, chronic kidney disease, hypertension, dementia, cerebrovascular accident with hemiplegia, chronic obstructive pulmonary disease, diabetes mellitus, polyneuropathy, gastro-esophageal reflux disease, disorders of diaphragm, bilateral foot drop, colostomy status, osteoarthritis, bipolar disorder, contracture of left hand and contracture of left wrist. [...]
  4. 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 · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on closed record review, staff interview, and facility policy review, the facility failed to notify one resident's (Resident #146) physicians when STAT (immediate) labs were not completed as ordered. The deficient practice affected one (Resident #146) of one reviewed for notification. The facility census was 44. Findings Include: Review of the closed medical record for Resident #146 revealed an admission date on 07/28/23. Resident #146 was sent out to the hospital and discharged from the facility on 08/07/23. Medical diagnoses included acute osteomyelitis left ankle and foot, sepsis, Type II Diabetes Mellitus with diabetic neuropathy, and Type II Diabetes Mellitus with foot ulcer. Review of the physician orders for August 2023 revealed Resident #146 had the following orders: [...]
  5. 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 · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on record review, review of a Facility Reported Incident (FRI) investigation, staff interview, and facility policy review, the facility failed to report an allegation of physical abuse to the Ohio Department of Health (ODH) within two hours for one resident (Resident #35). The deficient practice affected one resident (Resident #35) of one reviewed for abuse. The facility census was 44. Findings Include: Review of the medical record for Resident #35 revealed an admission date on 12/09/21. Medical diagnoses included encephalopathy, cognitive communication deficit, Alzheimer's Disease, anxiety disorder, and major depressive disorder. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #35 had severely impaired cognition. Resident #35 required extensive assistance from two staff to complete Activities of Daily Living (ADLs). [...]
  6. 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) September 1, 2023
    Inspectors wroteBased on record review and interview, facility failed to submit a new Pre-admission Screening/Resident Review (PASRR) once a resident received a new diagnosis of major depressive disorder. This affected one (Resident #37) of two residents reviewed for PASRR. The census was 44.
  7. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on record review, observation, interview, and policy review, the facility failed to ensure showers were completed for Resident #37 and failed to ensure toenail care was completed for Resident #18. This affected two (Resident #18 and #37) of two residents reviewed for activities of daily living (ADL). The facility census was 44.
  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 · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure one resident (Resident #18) had a soft cervical collar placed when out of bed as ordered. Additionally, the facility failed to timely complete initial comprehensive wound assessments for one resident's (Resident #146) surgical wounds. The deficient practices affected two residents (Residents #18 and #146) of two residents reviewed for quality of care. The facility census was 44. Findings Include: 1. Review of the medical record for Resident #18 revealed an admission date on 07/14/23. Medical diagnoses included Parkinson's Disease, nondisplaced Type II dens fracture (a bone in the spine), fracture of phalanx of right thumb, fracture of sacrum, and rheumatoid arthritis. [...]
  9. 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) September 1, 2023
    Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to timely complete initial comprehensive assessments of identified pressure injury areas for one resident (Resident #146). The deficient practice affected one resident (Resident #146) of three residents reviewed for pressure ulcers. The facility census was 44. Findings Include: Review of the closed medical record for Resident #146 revealed an admission date on 07/28/23. Resident #146 was sent out to the hospital and discharged from the facility on 08/07/23. Medical diagnoses included acute osteomyelitis left ankle and foot, sepsis, Type II Diabetes Mellitus with diabetic neuropathy, and Type II Diabetes Mellitus with foot ulcer. [...]
  10. 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 · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on record review, observations, resident and staff interviews, and facility policy review, the facility failed to complete timely incontinence care and toileting assistance for two residents (Residents #9 and #18). The deficient practice affected two residents (Residents #9 and #18) of two reviewed for bowel and bladder. The facility census was 44. Findings Include: 1. Review of the medical record for Resident #18 revealed an admission date on 07/14/23. Medical diagnoses included Parkinson's Disease, nondisplaced Type II dens fracture (a bone in the spine), fracture of phalanx of right thumb, fracture of sacrum, and rheumatoid arthritis. Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #18 had intact cognition and scored 13 out of 15 on the Brief Interview for Mental Status (BIMS) assessment. [...]
  11. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation, record review, interview and facility policy review, the facility failed to ensure one resident (#34) received timely meal assistance. The facility also failed to ensure one resident's (#18) fluids were accessible. Additionally the facility failed to provided one resident (#9) the physician ordered two handled cup with meals. This affected one ( Resident #34) of one resident reviewed for nutrition, one ( Resident #18) of one resident received for hydration and one ( Resident #9) of 13 sampled residents. The facility census was 44. Findings Include: 1. [...]
  12. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on record review and interview, the facility failed to address pharmacy recommendations within thirty days and did not follow up on recommended labs. This affected three (Resident #9, #10, and #28) of three residents reviewed for medication regiment reviews. The facility census was 44.
  13. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation and interview, the facility facility to ensure medications were properly stored and labeled. This affected Resident #20 using the Lantus insulin pen and had the potential to affect 27 residents (#1, #2, #4, #5, #7, #9, #10, #11, #13, #14, #17, #19, #20, #21, #22, #25, #26, #27, #29, #30, #34, #36, #37, #38, #40, #76 and #94) who reside on the 100 unit. The facility census was 44. Findings Include: 1. On 08/10/23 at 3:05 P.M., observation of the 100 unit medication cart revealed one Lantus insulin pen laying in the drawer with no name or date on the insulin pen. The Lantus insulin pen had been pulled from the emergency drug kit (EDK). Further observation revealed a Lispro Insulin pen laying in the drawer with no name or date on the insulin pen. The Lispro insulin pen was also pulled from the EDK. [...]
  14. D
    Provide timely, quality laboratory services/tests to meet the needs of residents.
    F770 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on medical record review, review of lab results, staff interview, and review of the facility laboratory agreement, the facility failed to obtain STAT (immediate) labs as ordered for one resident (Resident #146). The deficient practice affected one resident (Resident #146) of one reviewed for laboratory testing. The facility census was 44. Findings Include: Review of the closed medical record for Resident #146 revealed an admission date on 07/28/23. Resident #146 was sent out to the hospital and discharged from the facility on 08/07/23. Medical diagnoses included acute osteomyelitis left ankle and foot, sepsis, Type II Diabetes Mellitus with diabetic neuropathy, Type II Diabetes Mellitus with foot ulcer, and chronic kidney disease stage 3b. [...]
  15. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2023
    Inspectors wroteBased on observation, record review, interview and facility policy review, the facility failed to maintain infection control practices in the manner to prevent the potential spread of infection in the area of pressure ulcer dressing change and catheter care. This affected one resident (#20) of two residents reviewed for pressure ulcers and one resident (#37) of one resident reviewed for catheter. The facility census was 44. Findings Include: 1. [...]

Fire safety inspections

9 fire safety citations on file: 2 on February 19, 2026, 2 on November 14, 2024, 2 on March 28, 2024, 3 on August 10, 2023.

Every fire safety citation9 citations
  1. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · February 19, 2026 · deficient, provider has
  2. F
    Have an externally vented heating system.
    K 522 · February 19, 2026 · Corrected (the home has a date of correction)
  3. F
    Use approved construction type or materials.
    K 161 · November 14, 2024 · Corrected (the home has a date of correction)
  4. E
    Provide properly protected cooking facilities.
    K 324 · November 14, 2024 · Corrected (the home has a date of correction)
  5. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · March 28, 2024 · Corrected (the home has a date of correction)
  6. F
    Provide a written emergency evacuation plan.
    K 711 · March 28, 2024 · Corrected (the home has a date of correction)
  7. E
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · August 10, 2023 · Waiver
  8. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 10, 2023 · Corrected (the home has a date of correction)
  9. E
    Have properly sized and located compartments to protect residents from smoke.
    K 371 · August 10, 2023 · Waiver

Fines and payment denials

DatePenaltyAmount or length
September 2, 2025Fine $63,418
September 2, 2025Payment Denial 23 days from September 23, 2025

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.763.693.86
Registered nurses0.920.640.69
All nursing staff on weekends3.313.283.42
Nurse aides2.20
Licensed practical nurses0.64
Nursing staff turnover (share who left in a year)38.0%48.7%45.8%
Registered nurse turnover20.0%43.9%42.9%
Administrators who left0

CMS expects 3.96 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 3.94 on weekdays and 3.31 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 6.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.59 in April to June 2025 to 3.76 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.760.923.943.31 6.5%0 of 9046
Oct to Dec 20253.961.074.213.35 8.6%0 of 9243
Jul to Sep 20253.570.893.783.02 13.6%0 of 9248
Apr to Jun 20253.590.853.793.09 13.7%0 of 9148
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.

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. If you work here, your report helps start one.

Official wage estimates for Ohio

JobMedianMiddle halfEmployed
Ohio, all employers
CNAs (nursing assistants)$18.76$17.93 to $21.4463,280
LPNs and LVNs$29.78$27.34 to $31.6839,900
Registered nurses$39.67$38.08 to $47.61143,730
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

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For Altercare Thornville Inc.. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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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.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
0.85.313.9
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
1.30.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.33.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.91.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
0.06.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.13.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.28.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.324.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.512.912.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Altercare Thornville Inc.'s Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (59.2% 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

59.2% this home

No different from 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. 60 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. 72 eligible stays.

Infections that led to a hospital stay

6.6% this home

No different from the national rate

US median of homes 7.1% · Ohio: 1 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 42 eligible stays.

Self-care and mobility at discharge

20.0% this home

Median of homes: Ohio55.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 35 residents counted.

Falls with major injury

2.0% this home

Median of homes: Ohio0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 49 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Ohio1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 49 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Ohio100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 20 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ALTERCARE THORNVILLE INC. CMS links this home to Altercare, a group of 22 nursing homes averaging 3.3 stars overall.

NameRoleTypeShareSince
Tsg Nursing Centers, Inc5% or greater direct ownership interestOrganization100%02/01/2018
Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Andrew M Schroer5% or greater indirect ownership interestOrganization02/01/2018
Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Gerald F Schroer Jr5% or greater indirect ownership interestOrganization02/01/2018
Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Matthew Schroer5% or greater indirect ownership interestOrganization02/01/2018
Gerald F Schroer Dynasty Tr Ua 12312009 Margaret S Goodman5% or greater indirect ownership interestOrganization02/01/2018
Susanne Schroer Dynasty Trust U/a5% or greater indirect ownership interestOrganization02/01/2018
The Schroer Group, Inc.5% or greater indirect ownership interestOrganization02/01/2018
Mock, DouglasW-2 managing employeeIndividual09/20/2021
Film, GeorgeCorporate officerIndividual02/01/2018
Goodman, JohnCorporate officerIndividual02/01/2018
Logan, JustinCorporate officerIndividual06/01/2022
Mock, DouglasCorporate officerIndividual09/20/2021
Nutter, OrianCorporate officerIndividual10/01/2020
Altercare of Ohio, IncOperational/managerial controlOrganization02/01/2018

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 16 problems in this area, most recently on February 19, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on November 14, 2024: "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."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on February 19, 2026: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on January 3, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

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Common questions

What is Altercare Thornville Inc.'s Medicare star rating?
CMS rates Altercare Thornville Inc. 3 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Altercare Thornville Inc. get at its last inspection?
5 health deficiencies at the standard inspection on February 19, 2026. The Ohio average is 10.5.
Has Altercare Thornville Inc. been fined?
Yes. CMS lists 1 fine totaling $63,418 in the last three years.
Does Altercare Thornville 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 Altercare Thornville Inc.?
CMS lists 14 owners and managers, and links the home to Altercare. Legal business name: ALTERCARE THORNVILLE INC.

Sources

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