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Altercare Zanesville Inc.

4200 Harrington Drive, Zanesville, OH 43701 · Muskingum County · (740) 452-4351

99 certified beds, about 93 residents a day · For profit - Corporation · Medicare and Medicaid since 2015

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366429 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 1, 2025, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 46 health citations since January 2022, 4 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 2 fines totaling $198,156 in the last three years; the largest was $163,836, and the latest is dated December 10, 2024.

Nurses and nurse aides worked 3.65 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.

51.3% 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 46 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
2J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
30D
9E
3F
Potential for minimal harm
0A
0B
0C
May 1, 2025Standard inspection · 2 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 30, 2025
    Inspectors wroteBased on observation, medical record review and interview and policy review the facility failed to ensure personal protective equipment (PPE) was worn in Resident #6's room during meal delivery. This had the potential to affect the remaining 26 residents who resided on the 300-hall. (Resident #2, #5, #9, #12, #20, #21, #29, #31, #35, #39, #43, #44, #45, #47, #48, #49, #54, #59, #62, #63, #65, #67, #70, #76, #184 and #185). The facility census was 82. Findings Include: Review of Resident #6's medical record revealed an admission date of 03/04/25 with diagnoses including infection following a procedure, acquired absence of right leg above knee, muscle weakness, and Methicillin Resistant Staphylococcus Aureus infection (MRSA) (a bacterial infection resistant to many antibiotics that is spread by skin to skin contact or contact with contaminated surfaces). [...]
  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) May 30, 2025
    Inspectors wroteBased on observation, medical record review and interview, the facility failed to follow insulin administration and blood glucose monitoring per physician orders. This affected one resident (Resident #79) of three residents reviewed for insulin use. The facility census was 82. Findings Include: Review of the medical record for Resident #79 revealed an admission date of 03/03/25. Diagnosis included type 2 diabetes, atherosclerotic heart disease of native coronary artery without angina pectoris and presence of aortocoronary bypass graft. Review of orders for March 2025 revealed Lantus (long acting insulin) insulin 42 units subcutaneous once a day started on 03/03/25, Insulin Lispro seven units three times a day before meals and per sliding scale dated 03/03/25. Review of the Minimum data Set (MDS) dated [DATE] revealed intact cognition. [...]
March 20, 2025Complaint inspection · 2 citations
  1. J
    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 · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on closed medical record review, review of a resident communication log, review of visiting healthcare service orders, review of a customer alert form, hospital notes, policy review, medication instructions, and death certificate, and interview with family and facility staff the facility failed to ensure comprehensive monitoring and timely identification of a change in condition for Resident #94, who was incontinent of bladder with a diagnosis of Stage 3 chronic kidney disease. In addition, the facility failed to ensure Resident #94 received timely, necessary and appropriate treatment and services of a urinary tract infection (UTI). This resulted in Immediate Jeopardy, actual harm, and subsequent death beginning on [DATE] when Resident #94's daughter requested a urinalysis to be performed due to changes in the resident's cognition that was not completed by the facility. [...]
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on medical record review and interview the facility failed to ensure a resident received laboratory services per physician orders. This affected one resident (#65) of four residents reviewed.
February 18, 2025Complaint inspection · 1 citation
  1. J
    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 · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 3, 2025
    Inspectors wroteBased on observation, medical record review, policy review, national library glove use review guidance and interview, the facility failed to ensure a resident with an indwelling urinary catheter was provided appropriate care and services. This affected one resident (#2) of three residents reviewed for indwelling catheter use. The facility identified six residents with indwelling urinary catheters. The census was 93.
January 21, 2025Complaint inspection · 2 citations
  1. G
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on observation, medical record review, policy review and interview, the facility failed to ensure Resident #74 and #87 were provided an individualized and comprehensive pain management program to adequately control pain. This affected two residents (#74 and #87) of three residents reviewed for pain management. The census was 94. Actual Harm occurred on [DATE] when Resident #87, who had an order for scheduled narcotic pain medication twice a day, was observed lying in bed, turning his head side to side, moaning and he verbalized his pain was a 10 out of 10 (a 0-10 pain scale is a way to measure pain intensity, where 0 represents no pain and 10 represents the worst possible pain imagined). The resident reported he had not received his scheduled pain medication and due to not receiving the medication timely, his pain level rating was severe.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · 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) February 18, 2025
    Inspectors wroteBased on observation, medical record review, controlled drug receipt review, policy review, and interview, the facility failed to ensure controlled medications were documented accurately to account for all controlled drugs. This affected two residents (#74, #87) of three residents reviewed for pain management. The census was 94.
December 10, 2024Complaint inspection · 2 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) February 18, 2025
    Inspectors wroteBased on observation, medical record review, policy review and interview, the facility failed to maintain care and services for pressure ulcers. This affected one (#38) resident observed for a pressure ulcer dressing change. The facility identified five residents with pressure ulcers. The census was 92.
  2. 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) February 18, 2025
    Inspectors wroteBased on observation, medical record review, policy review, manufacturer guideline review and interview, the facility failed to administer medications as ordered. This affected three (#30, #64 and #270) of three residents observed for medication administration with five errors out of 33 opportunities resulting in an error rate of 15.15%. The census was 92.
November 14, 2024Complaint inspection · 1 citation
  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) November 27, 2024
    Inspectors wroteBased on observations, review of the medical record and interview with staff the facility failed to ensure the air mattress for Resident #26 was set at the proper setting for her weight and the treatment for Resident #55 was completed as ordered. This affected two residents ( #26 and #55) of four residents reviewed for wounds. The facility census was 99.
October 22, 2024Complaint inspection · 2 citations
  1. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · 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 27, 2024
    Inspectors wroteBased on record review, family interview, and staff interview, the facility failed to ensure a resident, who was known to have multiple dislodgements of his Percutaneous Endoscopic Gastrostomy (Peg) tube, had an abdominal binder in place as ordered to prevent any accidental dislodgements. This affected one resident (#4) of three residents reviewed for feeding tubes.
  2. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · 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) November 27, 2024
    Inspectors wroteBased on record review, observation, and staff interview, the facility failed to ensure a resident received the appropriate eating equipment and utensils as ordered during a meal to aid the resident in being able to feed himself. This affected one resident (#4) of three residents observed for eating/ feeding assistance.
September 20, 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) October 3, 2024
    Inspectors wroteBased on self-reported incident review, fire drill review, policy review and interview, the facility failed to submit a self-reported incident (SRI) for possible neglect after staff were observed sleeping on the night shift. This affected 27 residents (#65, #66, #67, #68, #69, #70, #71, #72, #73, #74, #75, #76, #77, #78, #79, #80, #81, #82, #83, #84, #85, #86, #87, #88, #89, #90, #230) residing on Unit 3. The census was 91.
  2. 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 · Corrected (the home has a date of correction) October 3, 2024
    Inspectors wroteBased on observation, medical record review, policy review and interview, the facility failed to maintain infection control practices during incontinence care and failed to ensure staff wore face masks during a COVID-19 outbreak. This affected one resident (#70) of two residents observed for incontinence care and had the potential to affect 31 residents (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #26, #27, #28, #29, #30 and #31) residing on Unit 1 during the COVID-19 outbreak. The census was 91.
September 13, 2024Complaint inspection · 2 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) October 3, 2024
    Inspectors wroteBased on review of the medical record, review of hospital discharge orders, policy review, and interview, the facility failed to ensure special respiratory equipment was available for resident use. This affected one resident (#94) of four residents reviewed for admission rights. The facility census was 93.
  2. 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 3, 2024
    Inspectors wroteBased on medical record review, observation, staff interview, and facility policy and procedure review, the facility failed to ensure proper infection control techniques were followed during pressure ulcer wound care. This affected one resident (#23) of three residents reviewed for pressure ulcers. The census was 93.
August 7, 2024Complaint inspection · 3 citations
  1. E
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · 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) October 3, 2024
    Inspectors wroteBased on observations, review of the facility meal spreadsheet, interview with staff and review of the facility policy the facility failed to ensure the residents were served the proper portion size of meat. This had potential to affect all residents receiving meals from the kitchen except for nine residents (Resident #1, #5, #14, #51, #61, #80, #81, #86 and #88) the facility had identified as nothing by mouth, mechanical soft or pureed diets. The facility census was 96.
  2. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · 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) October 3, 2024
    Inspectors wroteBased on review of the medical record, review of the Self-Reported Incident (SRI), interview with staff, and review of the facility policy the facility failed to prevent the misappropriation of medication for Resident #66 by facility staff. This affected one resident ( Resident #66) of three reviewed for medications. The facility census was 96.
  3. 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 3, 2024
    Inspectors wroteBased on review of the medical record and interview with the staff the facility failed to ensure a wound vacuum (vac) for Resident #58 was changed as ordered, and medications were administered in a timely manner for Resident #96. This affected one resident ( Resident #58) of three reviewed for wounds and one resident ( Resident #96) of three reviewed for medications. The facility census was 96.
February 5, 2024Standard inspection, Complaint inspection · 7 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on closed record review, review of a fall investigation, review of hospital records, facility policy review and interview, the facility failed to ensure timely identification of changes in resident condition status post fall. Actual Harm occurred on 01/25/24 at 12:15 A.M. when Resident #288, who had confusion/ dementia and was admitted status-post left hip replacement sustained an unwitnessed fall in her bathroom/shower room with complaints of pain and signs of injury to the right hip that were not timely addressed. Following the fall, facility staff failed to complete a timely and appropriate assessment of the resident and failed to implement effective interventions. The resident was transported to the emergency room (per family request) on 01/24/25 at 2:58 P.M. due to leg pain and deformity. [...]
  2. 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) February 29, 2024
    Inspectors wroteBased on interview, record review, and review of the infection control logs the facility failed to maintain a comprehensive infection control log to include antibiotic use. This had the potential to affect all residents in the facility. The facility census was 84.
  3. D
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    F559 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on observation, interview, and record review the facility failed to obtain written notice before relocating Resident #27 to a different room. This affected one resident (Resident #27) of one residents reviewed for room transfers. The facility census was 84.
  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) February 29, 2024
    Inspectors wroteBased on interview, record review and policy review the facility failed to investigate a fall with injury and failed to complete neurological assessments after a fall with head injuries. This affected two residents (Resident #39 and #278) of four residents reviewed for falls. The census was 84.
  5. 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) February 29, 2024
    Inspectors wroteBased on record review, interview and policy review the facility failed to ensure pain was addressed post-fall and pain assessments were completed post-fall per policy. This affected one resident (Resident #19) of four residents reviewed for falls.
  6. 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) February 29, 2024
    Inspectors wroteBased on interview, record review and policy review the facility failed to maintain accurate medical records. This affected one resident (Resident #13) of one residents reviewed for fluid restrictions. The census was 84.
  7. D
    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 · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on interview, record review, policy review and Centers for Disease Control and Prevention (CDC) immunization guidance the facility failed to offer timely Covid-19 vaccine information and the option to get updated Covid-19 vaccines. This affected three (Resident #27, Resident #32, and Resident #77) of five residents reviewed for Covid-19 Vaccinations. The facility census was 84.
December 11, 2023Complaint inspection · 8 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 · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on payroll based journal review, email correspondence review, and interview, the facility failed to timely submit federally required staffing information to the Centers of Medicare and Medicaid Services (CMS). This had the potential to affect all 93 residents residing in the facility.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on observation, medical record review, and interview, the facility failed to maintain resident dignity with use of an indwelling urinary catheter. This affected one resident (#54) of three residents reviewed for activities of daily living. The facility identified four residents with indwelling catheters. The facility census was 93.
  3. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · 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) December 27, 2023
    Inspectors wroteBased on observation and interview, the facility failed to ensure residents had access to their call lights. This affected two residents (#23, #81) of three residents reviewed for activities of daily living. The facility census was 93.
  4. D
    Keep residents' personal and medical records private and confidential.
    F583 · 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) December 27, 2023
    Inspectors wroteBased on observation, medical record review, policy review and interview, the facility failed to ensure resident information remained confidential. This affected one resident (#90) of 93 residents residing in the facility.
  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 · found on a complaint visit · Corrected (the home has a date of correction) December 27, 2023
    Inspectors wroteBased on observation, medical record review and interview, the facility failed to provide assistance as needed with dining. This affected two residents (#68, #81) of three residents reviewed for activities of daily living (ADL). The facility census was 93.
  6. 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) December 27, 2023
    Inspectors wroteBased on observation, medical record review, policy review, and interview, the facility failed to ensure fall interventions were in place and interventions were immediately implemented to maintain resident safety after a fall. This affected one resident (#81) of three residents reviewed for accidents/incidents. The facility census was 93.
  7. 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) December 27, 2023
    Inspectors wroteBased on observation, medical record review, policy review and interview, the facility failed to provide adequate incontinence care to dependent residents. This affected one resident (#8) of three residents reviewed for urinary incontinence. The facility census was 93.
  8. 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) December 27, 2023
    Inspectors wroteBased on medical record review and interview, the facility failed to ensure medical records were accurate. This affected one resident (#81) of three residents reviewed for incidents and one resident(#67) of three residents reviewed for pressure ulcers. The facility census was 93.
January 20, 2022Standard inspection · 12 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) February 21, 2022
    Inspectors wroteBased on observation and staff interview the facility failed to ensure food preparation and serving areas were clean and sanitary. This had the potential to affect 79 of 79 residents who received meal trays from the kitchen. The facility identified one resident (#10) who received nothing by mouth. The facility census was 80.
  2. E
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 21, 2022
    Inspectors wroteBased on record review, facility policy and procedure review and interview the facility failed to ensure a summary of the initial (baseline) care plan was provided to each resident and/or their representative at the time of admission. This affected five residents (#10, #11, #50, #75 and #226) of 18 sampled residents reviewed for baseline care planning.
  3. E
    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, pattern · Corrected (the home has a date of correction) February 21, 2022
    Inspectors wroteBased on record review, facility policy and procedure review and interview the facility failed to ensure admission/quarterly care planning conferences were held on behalf of the residents with all required disciplines in attendance. This affected four residents (#18, #64, #70 and #226) of four sampled residents reviewed for care plans conferences
  4. E
    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, pattern · Corrected (the home has a date of correction) February 21, 2022
    Inspectors wroteBased on observation, record review, facility policy and procedure review and interview the facility failed to ensure Resident #15, Resident #52 and Resident #56 were provided the necessary care and services to maintain/promote optimal nutrition and the ability to eat and failed to ensure Resident #18 received the necessary care and services to maintain optimal oral hygiene. This affected four residents (#15, #18, #52 and #56) of seven residents review for activities of daily living (ADL) care.
  5. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 21, 2022
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure residents ordered a low concentrated sweets diet were provided the diet/dessert as ordered during the lunch meal on 01/12/22. This affected 26 residents (22, #40, #8, #400, #11, #14, #26, #38, #7, #36, #18, #228, #23, #20, #42, #9, #29, #1, #48, #41, #71, #229, #53, #47, #25, and #376) of 26 residents who had an order for a low concentrated sweets diet. The facility census was 80.
  6. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 21, 2022
    Inspectors wrote3. On 01/11/22 at 9:00 A.M. STNA #47 was observed in Resident #64's room. Resident #64 was in contact/ droplet isolation precautions as evidenced by signs on the resident's door indicating such and a personal protective equipment (PPE) cart outside of his room. STNA #47 was observed to be standing next to the bed where Resident #64 was lying in. STNA #47 was within a few feet of the resident and was observed to be taking the resident's meal order. STNA #47 placed the select menu on the resident's bedside table as he recorded the resident's responses for what he wanted to eat for an upcoming meal. STNA #47 was not noted to be wearing a gown or gloves when in the resident's room. The STNA was observed wearing goggles and an N95 mask as the facility staff were wearing throughout the building as they had a Covid-19 outbreak occurring. [...]
  7. 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) February 21, 2022
    Inspectors wroteBased on observation, record review, facility policy and procedure review and interview the facility failed to ensure Resident #45's urinary catheter drainage bag was covered to promote the resident's dignity. This affected one resident (#45) of five residents identified to have indwelling urinary (Foley) catheters.
  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) February 21, 2022
    Inspectors wroteBased on observation, record review, facility policy and procedure review and interview the facility failed to ensure Resident #55, who was receiving anticoagulant medication was monitored for bruising and also failed to monitor/ record Resident #70's gastric residual amounts emptied from a gastrostomy tube as ordered by the physician. This affected one resident (#55) of one resident reviewed for anticoagulant medication side effects and one resident (#70) of one resident reviewed for tube feedings.
  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 · Corrected (the home has a date of correction) February 21, 2022
    Inspectors wroteBased on observation, record review, facility policy and procedure review, review of a Nursing Assistant Candidate handbook and interview the facility failed to provide adequate and complete perineal care for Resident #67 to prevent the risk of infection. The facility also failed to ensure Resident #52 was assessed timely for the removal of an indwelling urinary catheter and failed to ensure proper placement of the resident's catheter to prevent contamination/infection. This affected one resident (#67) of one resident observed for perineal care and one resident (#52) of one resident reviewed for indwelling urinary catheter use.
  10. 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) February 21, 2022
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure Resident #56, who had a history of weight loss received the appropriate diet as ordered and assistance with meals to meet her nutritional needs and failed to ensure dietary recommendations to address Resident #45's significant weight loss were followed up timely. This affected two residents (#45 and #56) of six residents reviewed for nutrition.
  11. 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) February 21, 2022
    Inspectors wroteBased on observation, record review, facility policy and procedure review and interview the facility failed to ensure Resident #18's oxygen tubing was changed weekly as per facility policy. This affected one resident (#18) of two residents reviewed for respiratory care.
  12. 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) February 21, 2022
    Inspectors wroteBased on record review and interview the facility failed to ensure an accurate diagnosis and monitoring of a psychoactive (benzodiazepine) medication for Resident #73. This affected one resident (#73) of five residents reviewed for unnecessary medication use.

Fire safety inspections

5 fire safety citations on file: 2 on May 1, 2025, 1 on February 5, 2024, 2 on January 20, 2022.

Every fire safety citation5 citations
  1. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · May 1, 2025 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · May 1, 2025 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 5, 2024 · Waiver
  4. E
    Meet other general requirements.
    K 100 · January 20, 2022 · Corrected (the home has a date of correction)
  5. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · January 20, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
December 10, 2024Fine $163,836
December 10, 2024Payment Denial 45 days from February 14, 2025
February 5, 2024Fine $34,320

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)3.653.693.86
Registered nurses0.630.640.69
All nursing staff on weekends3.243.283.42
Nurse aides2.34
Licensed practical nurses0.68
Nursing staff turnover (share who left in a year)51.3%48.7%45.8%
Registered nurse turnover45.0%43.9%42.9%
Administrators who left0

CMS expects 4.55 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 3.81 on weekdays and 3.24 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.61 in April to June 2025 to 3.65 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.650.633.813.24 7.1%0 of 9093
Oct to Dec 20253.760.583.863.51 11.0%0 of 9291
Jul to Sep 20253.570.633.713.21 14.1%0 of 9292
Apr to Jun 20253.610.683.753.26 9.5%0 of 9187
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.

Work here? Share your pay anonymously

For Altercare Zanesville 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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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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
2.15.313.9
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
2.10.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.13.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.21.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
3.76.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.73.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
0.58.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.224.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.812.912.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Altercare Zanesville Inc.'s Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.9% 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

57.9% 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. 111 eligible stays.

Potentially preventable readmissions

11.0% 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. 141 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. 64 eligible stays.

Self-care and mobility at discharge

52.3% 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. 44 residents counted.

Falls with major injury

0.0% 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. 70 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. 70 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 12 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 ZANESVILLE 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%01/01/2003
Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Andrew M Schroer5% or greater indirect ownership interestOrganization12/15/2015
Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Gerald F Schroer Jr5% or greater indirect ownership interestOrganization12/15/2015
Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Matthew Schroer5% or greater indirect ownership interestOrganization12/15/2015
Gerald F Schroer Dynasty Tr Ua 12312009 Margaret S Goodman5% or greater indirect ownership interestOrganization12/15/2015
Susanne Schroer Dynasty Trust U/a5% or greater indirect ownership interestOrganization02/01/2018
The Schroer Group, Inc.5% or greater indirect ownership interestOrganization01/01/2003
Mock, DouglasW-2 managing employeeIndividual09/20/2021
Mock, DouglasCorporate directorIndividual09/20/2021
Film, GeorgeCorporate officerIndividual06/01/2018
Goodman, JohnCorporate officerIndividual06/01/2018
Johnson, KathyCorporate officerIndividual06/01/2018
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 20 problems in this area, most recently on May 1, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 6 problems in this area, most recently on May 1, 2025: "Provide and implement an infection prevention and control program."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on February 5, 2024: "Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on October 22, 2024: "Provide special eating equipment and utensils for residents who need them and appropriate assistance."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 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 Altercare Zanesville Inc.'s Medicare star rating?
CMS rates Altercare Zanesville Inc. 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Altercare Zanesville Inc. get at its last inspection?
2 health deficiencies at the standard inspection on May 1, 2025. The Ohio average is 10.5.
Has Altercare Zanesville Inc. been fined?
Yes. CMS lists 2 fines totaling $198,156 in the last three years.
Does Altercare Zanesville 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 Zanesville Inc.?
CMS lists 15 owners and managers, and links the home to Altercare. Legal business name: ALTERCARE ZANESVILLE INC.

Sources

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