Autumn Court
1925 E Fourth St., Ottawa, OH 45875 · Putnam County · (419) 523-4370
50 certified beds, about 47 residents a day · For profit - Corporation · Medicare and Medicaid since 2001
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366217 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 17, 2024, inspectors cited 6 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 14 health citations since June 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $25,495 in the last three years; the largest was $25,495, and the latest is dated June 25, 2026.
Nurses and nurse aides worked 3.14 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.32 of those hours.
51.2% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Lionstone Care, an affiliated group of 24 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
306/19
407/22
610/24
106/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 14 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
2E
2F
Potential for minimal harm
0A
0B
1C
June 25, 2026Complaint inspection · 1 citation
- J Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteTHIS DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PIOR TO THIS SURVEY. Based on closed medical record review, staff interview, paramedic interview, review of the Emergency Medical Services (EMS) run report, review of the hospital records and review of the facility policies, the facility failed to ensure residents were served foods in the physician ordered diet texture to meet individual needs. This resulted in Immediate Jeopardy and serious life-threatening harm, negative health outcomes and/or death on 05/02/26 for one (#09) resident when Resident #09, who had a chopped meat diet order, was able to consume a piece of chicken that was not prepared per their physician prescribed diet order. [...]
October 17, 2024Standard inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and review of the dishwasher manufacturer's guidelines, the facility failed to ensure the dishwasher washed and rinsed dishes at temperatures specified by the manufacturer's guidelines. This had the potential to affect all 48 residents who received food from the kitchen. The facility census was 48.
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, resident interview, staff interview, and policy review, the facility failed to maintain a comfortable temperature throughout the facility. This affected 18 residents (#9, #10, #13, #15, #16, #17, #19, #22, #24, #29, #32, #33, #35, #36, #40, #42, #43, and #45) by the uncomfortable temperatures in the facility. Additionally the facility failed to maintain a clean and sanitary environment. This affected three residents (#8, #19, and #43) of 16 residents reviewed for environment. The facility census was 48.
- E 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.
Inspectors wroteBased on observation of medication administration, staff interview, and policy review, the facility failed to ensure the medication cart was secured at all times when unattended. This had the potential to affect all residents but three residents. The facility reported all residents were cognitively impaired and all but three residents were independently mobile or able to self-propel in a wheelchair. The facility census was 48.
- D Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observation, staff interview, and review of production recipes, the facility failed to ensure pureed foods were prepared properly. This affected one (#5) of one resident who received pureed food in the facility. The facility census was 48.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, medical record review, and review of policy for medication administration, the facility failed to practice appropriate hand hygiene during medication administration. This affected two residents (Residents #13 and #15) of three residents observed for medication administration. The facility census was 48.
- C Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on review of personnel files, record review, and staff interview, the facility failed to ensure newly hired State Tested Nurse Aides (STNA) received specialty behavioral training. This had the potential to affect all 48 residents in the facility.
July 7, 2022Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, resident and staff interview, review of the facility infection control log and review of the owner's manual for the chemical dishwasher, the facility failed to ensure dietary staff with skin conditions kept their arms properly covered and failed to ensure the chemical dishwashing machine maintained the appropriate level of chemicals for effective sanitation. This had the potential to affect all 49 residents residing in the facility. The facility census was 49.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, resident and staff interview, medical record review, review of a facility investigation, review of self-reported incidents (SRI's), and review of a facility policy, the facility failed to report an injury of unknown origin to the State Survey Agency. This affected one (#38) of one residents reviewed for abuse. The census was 49.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, medial record review, and resident and staff interview, the facility failed to develop a comprehensive care plan to include a resident's vagus nerve stimulator (VNS) used to treat seizures. This affected one (#29) of 15 residents reviewed for care plans. The facility census was 49.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, observation, staff interview, and review of facility policy, the facility failed to ensure fall interventions were implemented as care planned. This affected one resident (#40) of two residents reviewed for falls. The facility census was 49.
June 13, 2019Standard inspection · 3 citations
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on observations, review of the resident council minutes, resident interview, staff interview and review of the facility policy, the facility failed to follow through on resident requests voiced during the resident council meetings. This had the potential to affect one (#39) of three residents who regularly attend resident council. The facility census was 45.
- 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.
Inspectors wroteBased on record review, staff interview and facility policy review, the facility failed to ensure the advanced directives were accurately documented in the medical records. This affected three (#15, #17 and #28) of four residents reviewed for advanced directives. The facility census was 45.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on medical record review, staff interview and review of facility policy, the facility failed to refer three residents to be re-screened for pre-admission screening and resident review (PASARR) Level II services. This affected two (#2 and #17) of three residents reviewed for PASARR services. The facility census was 45.
Fire safety inspections
6 fire safety citations on file: 4 on October 17, 2024, 1 on July 7, 2022, 1 on June 13, 2019.
Every fire safety citation6 citations
- F Have exits that are accessible at all times.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 25, 2026 | Fine | $25,495 |
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.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.14 | 3.69 | 3.86 |
| Registered nurses | 0.32 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.84 | 3.28 | 3.42 |
| Nurse aides | 1.72 | ||
| Licensed practical nurses | 1.10 | ||
| Nursing staff turnover (share who left in a year) | 51.2% | 48.7% | 45.8% |
| Registered nurse turnover | 80.0% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.22 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 3.26 on weekdays and 2.84 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 18.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.13 in April to June 2025 to 3.14 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.14 | 0.32 | 3.26 | 2.84 | 18.5% | 0 of 90 | 47 |
| Oct to Dec 2025 | 3.20 | 0.30 | 3.38 | 2.75 | 7.5% | 0 of 92 | 49 |
| Jul to Sep 2025 | 3.17 | 0.28 | 3.34 | 2.75 | 4.2% | 1 of 92 | 50 |
| Apr to Jun 2025 | 3.13 | 0.38 | 3.29 | 2.74 | 12.2% | 0 of 91 | 48 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 2.2 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.2 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.2 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.9 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 51.6 | 8.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.4 | 1.8 | 1.8 |
Owners and operators
Legal business name: AUTUMN COURT OPERATING COMPANY, LLC. CMS links this home to Lionstone Care, a group of 24 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lionstone Hz Opco Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 01/01/2023 |
| Kazarnovsky, Solomon | 5% or greater indirect ownership interest | Individual | 50% | 01/01/2023 |
| Stein, Abba | 5% or greater indirect ownership interest | Individual | 50% | 01/01/2023 |
| Cusner, Adam | Corporate officer | Individual | 01/27/2025 | |
| Degyansky, Jeffrey | Corporate officer | Individual | 01/01/2020 | |
| Goldish, Eliezer | Corporate officer | Individual | 10/09/2023 | |
| Kazarnovsky, Solomon | Corporate officer | Individual | 01/01/2023 | |
| Stein, Abba | Corporate officer | Individual | 01/01/2023 | |
| Cusner, Adam | Operational/managerial control | Individual | 01/27/2025 | |
| Degyansky, Jeffrey | Operational/managerial control | Individual | 01/01/2023 | |
| Goldish, Eliezer | Operational/managerial control | Individual | 10/09/2023 | |
| Kazarnovsky, Solomon | Operational/managerial control | Individual | 01/01/2023 | |
| Stein, Abba | Operational/managerial control | Individual | 01/01/2023 | |
| Cusner, Adam | Adp of the SNF | Individual | 01/27/2025 | |
| Degyansky, Jeffrey | Adp of the SNF | Individual | 01/01/2023 | |
| Goldish, Eliezer | Adp of the SNF | Individual | 10/09/2023 | |
| Kazarnovsky, Solomon | Adp of the SNF | Individual | 01/01/2023 | |
| Stein, Abba | Adp of the SNF | Individual | 01/01/2023 |
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.
- 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 June 25, 2026: "Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on October 17, 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."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 7, 2022: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on October 17, 2024: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Meadows of Ottawa the Ottawa, 1.6 mi · 4 of 5 stars · 26 citations
- Meadows of Leipsic Leipsic, 5.6 mi · 5 of 5 stars · 14 citations
- Meadows of Kalida Kalida, 9.2 mi · 5 of 5 stars · 11 citations
- Mennonite Memorial Home Bluffton, 10.8 mi · 3 of 5 stars · 29 citations
- Willow Ridge of Mennonite Home Communities of Ohio Bluffton, 11.3 mi · 5 of 5 stars · 23 citations
- Vancrest Health Care Ctr of Ho Holgate, 16.9 mi · 4 of 5 stars · 12 citations
- Liberty Retirement Community of Lima Inc Lima, 18.4 mi · 2 of 5 stars · 60 citations
- Heritage the Findlay, 19.5 mi · 1 of 5 stars · 44 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Autumn Court's Medicare star rating?
- CMS rates Autumn Court 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Autumn Court get at its last inspection?
- 6 health deficiencies at the standard inspection on October 17, 2024. The Ohio average is 10.5.
- Has Autumn Court been fined?
- Yes. CMS lists 1 fine totaling $25,495 in the last three years.
- Does Autumn Court 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 Autumn Court?
- CMS lists 18 owners and managers, and links the home to Lionstone Care. Legal business name: AUTUMN COURT OPERATING COMPANY, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.