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Ashtabula County Nursing Home

5740 Dibble Road, Kingsville, OH 44048 · Ashtabula County · (440) 224-2161

133 certified beds, about 114 residents a day · Government - County · Medicare and Medicaid since 1989

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365741 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 9, 2026, inspectors cited 6 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 15 health citations since December 2019, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $13,870 in the last three years; the largest was $13,870, and the latest is dated February 25, 2026.

Nurses and nurse aides worked 3.88 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.31 of those hours.

34.5% of nursing staff left within the year CMS measured (Ohio average 48.7%).

Health inspections

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

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

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

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
8D
3E
1F
Potential for minimal harm
0A
0B
1C
July 9, 2026Standard inspection · 6 citations
  1. E
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · deficient, provider has August 17, 2026
    Inspectors wroteBased on record review, interview and policy review, the facility failed to ensure triggers were addressed for residents with post-traumatic stress disorder (PTSD). This affected four (#3, #11, #76 and #81) of four residents reviewed for trauma informed care. The facility identified four residents (#3, #11, #76 and #81) as having a diagnosis of PTSD. The facility census was 104.
  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 · deficient, provider has August 17, 2026
    Inspectors wroteBased on record review, and interview the facility failed to ensure staff treated residents with respect and dignity. This affected one resident (Resident #57) out of four residents reviewed for dignity. The facility census was 104.
  3. 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 · deficient, provider has August 17, 2026
    Inspectors wroteOxygen tubing: Based on observation, interview, record review and review of facility policy, the facility failed to ensure a nebulizer mask was stored in a manner to prohibit contamination. This affected one (Resident #17) of one resident reviewed for respiratory care. The facility census was 104.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · deficient, provider has August 17, 2026
    Inspectors wroteBased on observation, interview, record review and review of facility policy, the facility failed to ensure proper hand hygiene was performed during wound care. This affected one (Resident #8) of two residents reviewed for wound care. The facility census was 104.
  5. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · deficient, provider has August 17, 2026
    Inspectors wroteBased on record review, interview and review of facility policy, the facility failed to ensure education was provided to residents on the influenza vaccine. This affected two (Resident #8 and #22) of five residents reviewed for immunizations. The facility census was 104.
  6. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · deficient, provider has August 17, 2026
    Inspectors wroteBased on observation, review of the posted nurse staffing data report and staff interview, the facility did not ensure all required information was including on the posted nurse staffing report. This had the potential to affect all residents in the facility. The facility census was 104.
February 25, 2026Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on observation, medical record review, review of a facility investigation, hospital records, facility policy, manufacturer's instructions, and interview, the facility failed to identify and implement comprehensive, individualized and adequate fall interventions to prevent a fall with injury during resident care. This affected one resident (#77) of three residents reviewed for accidents/incidents who required use of a shower gurney. The facility identified 32 residents (#3, #5, #11, #12, #21, #25, #27, #28, #29, #30, #33, #37, #41, #42, #43, #58, #59, #61, #62, #67, #77, #79, #81, #87, #89, #93, #94, #101, #103, #104, #112 and #114) who required a shower gurney for bathing. The facility census was 115. Actual Harm occurred on 01/11/26 at 3:00 P.M. [...]
November 4, 2024Complaint inspection · 1 citation
  1. D
    Prepare residents for a safe transfer or discharge from the nursing home.
    F624 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 30, 2024
    Inspectors wroteBased on record review and interview, the facility failed to ensure Resident #115's guardian was informed and gave consent for Resident #115 to be discharged from the facility. This affected one resident ( Resident # 115) of the three residents reviewed for discharge. The facility census was 114.
August 31, 2023Standard inspection · 1 citation
  1. F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on observation and interview the facility failed to ensure all meals were served at an appetizing temperature. This had the potential to affect 108 residents at the facility. The facility identified one resident (#30) as receiving no food from the kitchen. The facility census was 109.
December 5, 2019Standard inspection · 6 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) January 23, 2020
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure timely assessments were completed and adequate interventions were implemented to prevent the development of a pressure ulcer for Resident #94. Actual Harm occurred on 10/29/19 when Resident #94, who was quadriplegic and required extensive assistance to total dependence on staff for activity of daily living care, including bed mobility and transfers developed an unstageable/Stage IV (full thickness tissue loss with exposed bone, tendon or muscle, slough or eschar may be present on some parts of the wound bed, often include undermining and tunneling) pressure ulcer to the coccyx. This affected one resident (#94) of two residents reviewed for pressure ulcers. The facility identified eight current residents with pressure ulcers.
  2. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 23, 2020
    Inspectors wroteBased on observation, record review and interview the facility failed to accurately code alarms on the Minimum Data Set (MDS) 3.0 assessment for Resident #29, Resident #63, Resident #96 and Resident #99. This affected four residents (#29, #63, #96 and #99) of four residents reviewed for alarms.
  3. 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) January 23, 2020
    Inspectors wroteBased on observation, record review and interview the facility failed to maintain adequate infection control practices during the administration of medication for Resident #62 and during meal services to prevent the spread of infection. This affected one resident (#62) of six residents observed during medication administration and six residents (#10, #27, #63, #73, #85 and #87) of ten residents observed for meal service.
  4. 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 · Corrected (the home has a date of correction) January 23, 2020
    Inspectors wroteBased on record review and interview the facility failed to ensure Resident #49 was free from misappropriation of money. This affected one resident (#49) of three residents reviewed for misappropriation.
  5. 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) January 23, 2020
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure Resident #62, who had a diagnosis of diabetes mellitus received insulin injections in accordance with the physician's order for administration and to meet the resident's needs. This affected one resident (#62) of six residents observed for medication administration.
  6. 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 · Corrected (the home has a date of correction) January 23, 2020
    Inspectors wroteBased on observation, record review and interview the facility failed to ensure medications were administered to Resident #59 via gastrostomy tube to decrease the risk of stomach upset/gastrointestinal disturbance. This affected one resident (#59) six residents observed for medication administration.

Fire safety inspections

15 fire safety citations on file: 4 on July 9, 2026, 6 on August 31, 2023, 5 on December 5, 2019.

Every fire safety citation15 citations
  1. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · July 9, 2026 · Corrected (the home has a date of correction)
  2. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 9, 2026 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 9, 2026 · Corrected (the home has a date of correction)
  4. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 9, 2026 · Corrected (the home has a date of correction)
  5. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 31, 2023 · Corrected (the home has a date of correction)
  6. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 31, 2023 · Corrected (the home has a date of correction)
  7. E
    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
    K 361 · August 31, 2023 · Corrected (the home has a date of correction)
  8. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 31, 2023 · Corrected (the home has a date of correction)
  9. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · August 31, 2023 · Corrected (the home has a date of correction)
  10. E
    Have restrictions on the use of portable space heaters.
    K 781 · August 31, 2023 · Corrected (the home has a date of correction)
  11. F
    Provide a written emergency evacuation plan.
    K 711 · December 5, 2019 · Corrected (the home has a date of correction)
  12. E
    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
    K 132 · December 5, 2019 · Corrected (the home has a date of correction)
  13. E
    Use approved construction type or materials.
    K 161 · December 5, 2019 · Corrected (the home has a date of correction)
  14. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 5, 2019 · Corrected (the home has a date of correction)
  15. E
    Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
    K 361 · December 5, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 25, 2026Fine $13,870

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)3.883.693.86
Registered nurses0.310.640.69
All nursing staff on weekends3.593.283.42
Nurse aides2.12
Licensed practical nurses1.45
Nursing staff turnover (share who left in a year)34.5%48.7%45.8%
Registered nurse turnover0.0%43.9%42.9%
Administrators who left0

CMS expects 3.90 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 4.00 on weekdays and 3.59 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 38.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.73 in April to June 2025 to 3.88 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.880.314.003.59 38.1%0 of 90114
Oct to Dec 20253.860.283.963.61 38.0%2 of 92113
Jul to Sep 20253.860.303.993.54 35.8%1 of 92114
Apr to Jun 20253.730.273.883.34 34.6%0 of 91109
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 Ashtabula County Nursing Home. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
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
8.25.313.9
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
2.70.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.03.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.31.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.56.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.83.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
12.08.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.924.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.212.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Ashtabula County Nursing Home's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (58.0% 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

58.0% this home

Better than the national rate

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

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 212 eligible stays.

Potentially preventable readmissions

11.1% 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. 215 eligible stays.

Infections that led to a hospital stay

6.8% 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. 122 eligible stays.

Self-care and mobility at discharge

59.8% 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. 97 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. 140 residents counted.

New or worsened pressure ulcers

4.8% 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. 140 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. 14 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: COUNTY OF ASHTABULA.

NameRoleTypeShareSince
County of Ashtabula5% or greater direct ownership interestOrganization100%06/21/1989
Ducro, JCorporate officerIndividual01/02/2017
Kozlowski, CaseyCorporate officerIndividual01/02/2018
Whittington, KathrynCorporate officerIndividual01/03/2017
County of AshtabulaOperational/managerial controlOrganization06/21/1989
Cadovec, ReginaOperational/managerial controlIndividual03/27/2023
Crick, RobinOperational/managerial controlIndividual10/02/2023
Dubic, GeorgeOperational/managerial controlIndividual10/12/2021
Frey, MaryOperational/managerial controlIndividual03/03/2025
Furman, DianaOperational/managerial controlIndividual05/01/2016
Nearhoof, DavidOperational/managerial controlIndividual11/17/2023
Sallee, DonnaOperational/managerial controlIndividual04/19/2007
Toikkanen, TammyOperational/managerial controlIndividual08/01/1999
Weber, RoseOperational/managerial controlIndividual09/20/2004
County of AshtabulaTrustee of the SNFOrganization06/21/1989
Ducro, JTrustee of the SNFIndividual01/02/2017
Kozlowski, CaseyTrustee of the SNFIndividual01/02/2017
Whittington, KathrynTrustee of the SNFIndividual01/02/2017
County of AshtabulaAdp of the SNFOrganization08/11/2025
Al-Shahed, AbdallahAdp of the SNFIndividual07/05/2025
Dubic, GeorgeAdp of the SNFIndividual10/12/2021
Furman, DianaAdp of the SNFIndividual05/01/2016
Sallee, DonnaAdp of the SNFIndividual04/19/2007
Toikkanen, TammyAdp of the SNFIndividual08/01/1999

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 6 problems in this area, most recently on July 9, 2026: "Provide care or services that was trauma informed and/or culturally competent."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on July 9, 2026: "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 2 problems in this area, most recently on July 9, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on July 9, 2026: "Post nurse staffing information every day."

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 Ashtabula County Nursing Home's Medicare star rating?
CMS rates Ashtabula County Nursing Home 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ashtabula County Nursing Home get at its last inspection?
6 health deficiencies at the standard inspection on July 9, 2026. The Ohio average is 10.5.
Has Ashtabula County Nursing Home been fined?
Yes. CMS lists 1 fine totaling $13,870 in the last three years.
Does Ashtabula County Nursing Home 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 Ashtabula County Nursing Home?
CMS lists 24 owners and managers. Legal business name: COUNTY OF ASHTABULA.

Sources

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