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Home / Ohio / Waterville

Ayden Healthcare of Waterville

8885 Browning Drive, Waterville, OH 43566 · Lucas County · (419) 878-8523

99 certified beds, about 75 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1984

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365617 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 19, 2026, inspectors cited 13 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 39 health citations since January 2022 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.47 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.

44.9% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Ayden Healthcare, an affiliated group of 11 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 39 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
33D
3E
3F
Potential for minimal harm
0A
0B
0C
May 14, 2026Complaint inspection · 3 citations
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on observation, resident and staff interview, record review and policy review, the facility failed to ensure residents were treated with dignity while receiving feeding assistance. This affected one (#112) of three residents reviewed for dignity. The facility census was 68.
  2. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on observation, medical record review and staff interviews, the facility failed to provide timely repositioning for dependent residents. This affected two (#112 and #113) of three residents reviewed for repositioning. The facility census was 68.
  3. 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) June 10, 2026
    Inspectors wroteBased on observation, medical record review, staff interview and policy review the facility failed to provide timely incontinence care. This affected two (#112 and #113) of three residents reviewed for incontinence care. The facility census was 68.
March 19, 2026Standard inspection · 13 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) April 20, 2026
    Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to ensure foods were prepared and stored in a safe manner to prevent spoilage and contamination and failed to maintain the kitchen environment in a sanitary manner. This had the potential to affect all 72 residents who received food from the kitchen. The facility identified four (#1, #44, #50, and #74) residents who received no food by mouth and no food from the kitchen. The facility census was 76.
  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) April 20, 2026
    Inspectors wroteBased on observation, medical record review, staff interview, review of the facility water management plan, review of facility policies, and review of the Centers for Disease Control and Prevention (CDC) Legionella control guidance, the facility failed to ensure measures to prevent the growth of Legionella were implemented, failed to ensure urinary catheter drainage bags were maintained in a manner to prevent infection, failed to ensure appropriate personal protective equipment was worn during high-contact care interactions for residents on enhanced barrier precautions, and failed to ensure appropriate hand hygiene was maintained and performed during resident interactions involving potential exposure to bodily fluids. This deficient practice had the potential to affect all 76 residents residing in the facility. The census was 76.
  3. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on observation, medical record review, resident interview, staff interview, and policy review, the facility failed to ensure a resident was provided a call light that accommodated the resident's needs. This affected one (#7) of one residents reviewed for accommodation of needs. The facility census was 76.
  4. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on medical record review, resident interview, and staff interview, the facility failed to ensure residents were bathed per their scheduled preference. This affected one (#46) of three residents reviewed for activities of daily living. The facility census was 76.
  5. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure adequate monitoring for psychotropic medication effectiveness, side effects, and adverse effects was completed. This affected two (#2 and #3) of five residents reviewed for unnecessary medications. The facility census was 76.
  6. D
    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
    F627 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on medical record review, review of electronic mail (email) documents, staff interview, and review of facility policy, the facility failed to ensure a resident was provided a safe and appropriate discharge. This affected one (#84) of three residents reviewed for transfer and discharge. The facility census was 76.
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on observation, medical record review, resident and staff interview, and policy review, the facility failed to ensure pressure ulcer prevention measures were in place as ordered. This affected one (#11) of one residents reviewed for pressure ulcers. The facility census was 76.
  8. 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 · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure non-pharmacological interventions were attempted prior to receiving an as-needed pain medication. This affected one (#63) of one residents reviewed for pain. The facility census was 76.
  9. D
    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, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on medical record review, staff interview, and review of facility guidelines, the facility failed to ensure resident-specific interventions were implemented to address a resident's history of trauma. This affected three (#63, #13 and #2) of three residents reviewed for trauma informed care and treatment. The facility census was 76.
  10. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure medications were administered per physician order. This affected one (#63) of five residents reviewed for medications. The facility census was 76.
  11. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on observation, staff interview, medical record review, and policy review, the facility failed to ensure medications were stored in a secure manner. This affected one (#9) of one residents reviewed for hemodialysis and related care. The facility census was 76.
  12. D
    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
    F777 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 20, 2026
    Inspectors wroteBased on medical record review, resident representative interview, and staff interview, the facility failed to ensure diagnostic testing results were obtained and communicated in a timely manner. This affected one (#44) of one residents reviewed for diagnostic testing. The facility census was 76.
  13. 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) April 20, 2026
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a resident's medical record was complete to include communication with a dialysis provider. This affected one (#9) of one residents reviewed for hemodialysis. The facility census was 76.
September 26, 2025Complaint inspection · 1 citation
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 29, 2025
    Inspectors wroteBased on record review, observation, staff interview, and review of the facility policy, the facility failed to ensure a resident who was dependent on staff for activities of daily living (ADL) received adequate assistance with personal hygiene. This affected one (#16) of three residents reviewed for ADL care. The facility census was 75.
October 8, 2024Complaint inspection · 1 citation
  1. F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 30, 2024
    Inspectors wroteBased on observation, resident and staff interview, medical record review, and review of a facility policy, the facility failed to maintain a clean, sanitary, and homelike environment. This had the potential to affect all 72 residents residing in the facility. The census was 72. Findings Include: 1. Review of the medical record for Resident #64 revealed an admission date of 07/19/24 and diagnoses of malignant neoplasm of lower third of esophagus, hypothyroidism, diabetes mellitus type two, protein-calorie malnutrition, chronic obstructive pulmonary disease, hepatitis C, morbid obesity, bacteremia, and hypertension. Review of the most recent Minimum Data Set (MDS) assessment dated [DATE] for Resident #64 revealed a brief interview for mental status (BIMS) score of 14, indicating Resident #64 was cognitively intact. Interview on 10/07/24 at 8:01 A.M. [...]
September 19, 2024Complaint inspection · 3 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 30, 2024
    Inspectors wroteBased on medical record review, staff interview, review of the facility investigation, review of the facility's Self-Reported Incidents, and review of the facility policy, the facility failed to ensure incidents of potential neglect related to elopement of cognitively impaired residents were reported to the state agency. This affected one resident (#3) of three residents reviewed for risk of elopement. The facility census was 72.
  2. 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) October 30, 2024
    Inspectors wroteBased on observations, medical record review, staff interview and review of facility policy, the facility failed to provide supervision to prevent resident elopement for residents identified as at risk for elopement. This affected one resident (#3) of three residents reviewed for being at risk for wandering and elopement. The facility census was 72.
  3. D
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 30, 2024
    Inspectors wroteBased on observation, medical record review, staff interview, resident interview, facility exterminator interview, and review of facility exterminator treatments, the facility failed to have an effective pest control program for bed bugs. This affected one resident (#9) of three residents reviewed for pest control. The facility census was 72.
April 29, 2024Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 20, 2024
    Inspectors wroteBased on medical record review and staff interview, the facility failed to document meal intakes per dietician recommendation and care plan intervention to monitor for weight status. This affected two (#35 and #61) of three residents reviewed for weight loss. The census was 68.
March 13, 2024Standard inspection, Complaint inspection · 9 citations
  1. D
    Allow residents to self-administer drugs if determined clinically appropriate.
    F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, and review of policy, the facility failed to ensure a resident was assessed for self administration and physician orders were obtained to self administer. This affected one (#43) of one resident observed to have medications at the bedside. The facility census was 75.
  2. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure proper and timely notice was given to residents when they were discharged from skilled service. This affected two (#63 and #79) of three sampled residents who were discharge from skilled services in the past six months. The facility census was 75. Findings Include: Review of the Beneficiary Notification for Resident #63 revealed Resident #63 began Medicare Part A services on 09/20/23 and his last covered day was 10/19/23. A Notification of Medicare Non-Coverage (NOMNC) form CMS 10123 was documented as not provided. In addition, Resident #63 remained in the facility and a skilled nursing facility advanced beneficiary notice of non-coverage (ABN) form CMS-1005 was not provided. [...]
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on observation, staff interview, and review of policy, the facility failed to ensure a resident's care plans were revised to include supports and interventions to address communication needs. This affected two (#6 and #46) of three residents reviewed for communication. The facility census was 75.
  4. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on medical record review, resident interview, staff interview, and review of policy, the facility failed to ensure a resident who was dependent on staff for care received personal hygiene care as desired. This affected one (#6) of two resident's reviewed for activities of daily living. The facility census was 75.
  5. 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) April 10, 2024
    Inspectors wroteBased on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure fall interventions were in place and residents received post fall assessments as required. This affected two (#36 and #55) of three residents reviewed for falls. The facility census was 75.
  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 · found on a complaint visit · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on record review, observations, staff interview, and review of facility policy, the facility failed to ensure a resident received enteral feeding (delivery of nutrients through a feeding tube directly into the stomach, duodenum, or jejunum) per physicians orders. This affected one (Resident #31) of one resident reviewed for enteral feeding. The facility identified six residents that required total nutrition by enteral feeding. The facility census was 75.
  7. 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) April 10, 2024
    Inspectors wroteBased on medical record review, observation, staff interview, and review of the facility policy, the facility failed to maintain appropriate emergency tracheostomy supplies at the bedside of a resident with a tracheostomy. This affected one (#53) of two residents reviewed for tracheostomy and ventilator. The facility identified six residents that required tracheostomy emergency supplies at the bedside. The facility census was 75.
  8. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to develop interventions for dementia care. This affected one (Resident #64) of one resident reviewed for dementia care. The facility census was 75.
  9. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2024
    Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to ensure residents rooms were clean and provided with clean linen. This affected three (#28, #44, and #64) of three residents reviewed for physical environment. The facility census was 75.
January 2, 2024Complaint inspection · 4 citations
  1. E
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 17, 2024
    Inspectors wroteBased on observation, resident and staff interviews, and facility policy, the facility failed to ensure a clean and sanitary environment. This affected six (Residents #53, #74, #78, #79, #81, and #82) of six residents reviewed for environment. The facility census was 74.
  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) January 17, 2024
    Inspectors wroteBased on observation, resident and staff interview, and facility policy the facility failed to ensure clean and sufficient laundry was available to residents. This affected three (Residents #60, #64, and #68) of three residents reviewed. The facility census was 74.
  3. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 17, 2024
    Inspectors wroteBased on medical record review, observation, staff interview and facility policy, the facility failed to ensure resident's received timely assistance with eating. This affected one (Resident #59) of three residents reviewed for assistance with Activities of Daily Living (ADLs). The facility census was 74.
  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 · found on a complaint visit · Corrected (the home has a date of correction) January 17, 2024
    Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and facility policy the facility failed to ensure fall interventions were in place. This affected one (Resident #57) of three residents reviewed for falls. The facility census was 74.
September 25, 2023Complaint inspection · 2 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on observation, staff interviews, review of menu, and policy review, the facility failed to provided residents with the proper size meal portions as directed by the facility dietician. This affected 35 residents who received the turkey pot pie meal and did not affect 29 (#9, #10, #13, #18, #20, #24, #25, #26, #27, #29, #33, #40, #42, #43, #46, #50, #51, #52, #54, #55, #56, #57, #58, #60 #61, #62, #63, #64, and #65) residents who received alternate meat or does not receive meal service. The facility census was 64.
  2. D
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 6, 2023
    Inspectors wroteBased on observation, resident interview, staff interview, and policy review, the facility failed to maintain an adequate pest control program. This affected one (#40) of four resident rooms observed for pest control. The facility census was 64.
January 6, 2022Standard inspection · 2 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) January 28, 2022
    Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to store food items in a safe and sanitary manner. This affected 52 residents who received food from the kitchen. The facility identified eight (#3, #5, #9, #18, #27, #49, #51, #58) residents who have orders for nothing by mouth and receive no food or drinks from the kitchen. The census was 60.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 28, 2022
    Inspectors wroteBased on observation, record review, staff interview and policy reviews, the facility failed to ensure medications were administered in a sanitary manner. This affected one (#57) of five residents observed during medication administration. The census was 60.

Fire safety inspections

33 fire safety citations on file: 17 on March 19, 2026, 12 on March 13, 2024, 4 on January 6, 2022.

Every fire safety citation33 citations
  1. F
    Establish policies and procedures for sheltering.
    E 22 · March 19, 2026 · Corrected (the home has a date of correction)
  2. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 19, 2026 · Corrected (the home has a date of correction)
  3. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 19, 2026 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 19, 2026 · Corrected (the home has a date of correction)
  5. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · March 19, 2026 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 19, 2026 · Corrected (the home has a date of correction)
  7. F
    Provide a written emergency evacuation plan.
    K 711 · March 19, 2026 · Corrected (the home has a date of correction)
  8. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 19, 2026 · Corrected (the home has a date of correction)
  9. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · March 19, 2026 · Corrected (the home has a date of correction)
  10. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 19, 2026 · Corrected (the home has a date of correction)
  11. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · March 19, 2026 · Corrected (the home has a date of correction)
  12. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 19, 2026 · Corrected (the home has a date of correction)
  13. E
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · March 19, 2026 · Corrected (the home has a date of correction)
  14. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · March 19, 2026 · Corrected (the home has a date of correction)
  15. E
    Provide properly protected cooking facilities.
    K 324 · March 19, 2026 · Corrected (the home has a date of correction)
  16. E
    Have proper power supply for life support equipment.
    K 915 · March 19, 2026 · Corrected (the home has a date of correction)
  17. E
    Ensure proper usage of power strips and extension cords.
    K 920 · March 19, 2026 · Corrected (the home has a date of correction)
  18. 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.
    K 222 · March 13, 2024 · Waiver
  19. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · March 13, 2024 · Corrected (the home has a date of correction)
  20. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 13, 2024 · Corrected (the home has a date of correction)
  21. F
    Have simulated fire drills held at unexpected times.
    K 712 · March 13, 2024 · Corrected (the home has a date of correction)
  22. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · March 13, 2024 · Corrected (the home has a date of correction)
  23. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 13, 2024 · Corrected (the home has a date of correction)
  24. F
    Have proper medical gas storage and administration areas.
    K 923 · March 13, 2024 · Corrected (the home has a date of correction)
  25. 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 · March 13, 2024 · Corrected (the home has a date of correction)
  26. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · March 13, 2024 · Corrected (the home has a date of correction)
  27. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · March 13, 2024 · Corrected (the home has a date of correction)
  28. E
    Have proper power supply for life support equipment.
    K 915 · March 13, 2024 · Corrected (the home has a date of correction)
  29. E
    Ensure proper usage of power strips and extension cords.
    K 920 · March 13, 2024 · Corrected (the home has a date of correction)
  30. E
    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.
    K 222 · January 6, 2022 · Corrected (the home has a date of correction)
  31. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · January 6, 2022 · Corrected (the home has a date of correction)
  32. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · January 6, 2022 · Corrected (the home has a date of correction)
  33. E
    Have proper medical gas storage and administration areas.
    K 923 · January 6, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.473.693.86
Registered nurses0.380.640.69
All nursing staff on weekends3.173.283.42
Nurse aides1.86
Licensed practical nurses1.23
Nursing staff turnover (share who left in a year)44.9%48.7%45.8%
Registered nurse turnover33.3%43.9%42.9%
Administrators who left0

CMS expects 4.11 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 3.60 on weekdays and 3.17 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.60 in April to June 2025 to 3.47 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.470.383.603.17 0.5%0 of 9075
Oct to Dec 20253.720.393.883.31 0.1%0 of 9271
Jul to Sep 20253.540.403.713.09 0.2%0 of 9271
Apr to Jun 20253.600.443.783.16 0.0%1 of 9168
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 Ayden Healthcare of Waterville. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
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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
7.45.313.9
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
0.80.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.03.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
8.86.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.63.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
11.08.815.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Ayden Healthcare of Waterville's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.5% 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

50.5% 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. 30 eligible stays.

Potentially preventable readmissions

10.8% this home

No different from the national rate

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

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 41 eligible stays.

Infections that led to a hospital stay

6.7% 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. 25 eligible stays.

Self-care and mobility 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: 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. 9 residents counted.

Falls with major injury

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: 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. 14 residents counted.

New or worsened pressure ulcers

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: 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. 14 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. 2 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: BUCKEYE FOREST AT WATERVILLE. CMS links this home to Ayden Healthcare, a group of 11 nursing homes averaging 2.3 stars overall.

NameRoleTypeShareSince
Buckeye Family Trust5% or greater direct ownership interestOrganization51%12/31/2025
Aschendorf, JonathanManaging control - governing bodyIndividual05/01/2023
Kaplan, YisroelManaging control - governing bodyIndividual12/31/2021
Buckeye Family TrustOperational/managerial controlOrganization12/31/2025
Aschendorf, JonathanOperational/managerial controlIndividual05/01/2023
Brickman, KristopherOperational/managerial controlIndividual08/01/2024
Kahle, KimberlyOperational/managerial controlIndividual11/22/2024
Kaplan, YisroelOperational/managerial controlIndividual12/31/2021
Lahasky, EphramOperational/managerial controlIndividual12/31/2025
Aschendorf, JonathanAdp of the SNFIndividual05/01/2023
Brickman, KristopherAdp of the SNFIndividual08/01/2024
Kahle, KimberlyAdp of the SNFIndividual11/22/2024

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 15 problems in this area, most recently on May 14, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on May 14, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 5 problems in this area, most recently on October 8, 2024: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on March 19, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.17 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 Ayden Healthcare of Waterville's Medicare star rating?
CMS rates Ayden Healthcare of Waterville 3 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ayden Healthcare of Waterville get at its last inspection?
13 health deficiencies at the standard inspection on March 19, 2026. The Ohio average is 10.5.
Has Ayden Healthcare of Waterville been fined?
CMS lists no fines in the last three years.
Does Ayden Healthcare of Waterville 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 Ayden Healthcare of Waterville?
CMS lists 12 owners and managers, and links the home to Ayden Healthcare. Legal business name: BUCKEYE FOREST AT WATERVILLE.

Sources

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