What is Bowerston Hills Nursing & Rehabilitation's Medicare star rating?

CMS rates Bowerston Hills Nursing & Rehabilitation 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Bowerston Hills Nursing & Rehabilitation get at its last inspection?

2 health deficiencies at the standard inspection on April 29, 2026. The Ohio average is 10.5.

Has Bowerston Hills Nursing & Rehabilitation been fined?

CMS lists no fines in the last three years.

Does Bowerston Hills Nursing & Rehabilitation 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 Bowerston Hills Nursing & Rehabilitation?

CMS lists 16 owners and managers, and links the home to Hillstone Healthcare. Legal business name: BOWERSTON HILLS HEALTHCARE LLC.

Bowerston Hills Nursing & Rehabilitation: Inspections

The record in brief

At its most recent standard inspection, on April 29, 2026, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 16 health citations since February 2023 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 3.69 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.

11.1% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Hillstone Healthcare, an affiliated group of 9 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.

902/23

504/25

204/26

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 16 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

12D

Potential for minimal harm

April 29, 2026Standard inspection · 2 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)

D

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 20, 2026

Inspectors wroteBased on medical record review, observation, interviews, and facility policy review, the facility failed to ensure current advance directives were implemented for one resident, (Resident #1), out of seven residents reviewed for advanced directives. The facility census was 21. Findings Include:Review of Resident #1's medical record revealed an admission date [DATE] with diagnoses including but not limited to Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), high blood pressure, and anxiety. Review of Resident #1's quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #1 had intact cognition with a Brief Interview Mental Status (BIMS) score of 13 out of possible 15 and required assistance from staff to complete Activities of Daily Living (ADL) tasks. [...]
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) May 20, 2026

Inspectors wroteBased on observations, review of the medical record, interview with staff, and review of the facility policy, the facility failed to ensure fall interventions were in place as ordered for Resident #7. This affected one resident (Resident #7) of two observed for fall interventions. Review of the medical record revealed Resident #7 was admitted to the facility on [DATE]. Diagnoses included major depressive disorder, restlessness and agitation, hyperlipidemia, hyperparathyroidism, chronic fatigue, Alzheimer's disease, generalized anxiety disorder, and diabetes. Review of the plan of care dated 03/04/25 revealed Resident #7 was at risk for falls related to memory impairment and neuropathy. [...]

April 10, 2025Standard inspection · 5 citations

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) May 1, 2025

Inspectors wroteBased on observation, interview, record review, review of the facility water management plan and policy review the facility failed to ensure infection control measures were implemented during a dressing change. This affected one resident (Resident #4) observed for dressing change during wound care. The facility also failed to follow their written water management plan for Legionella. This had the potential to affect all residents.
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) May 1, 2025

Inspectors wroteBased on interviews and record reviews the facility failed to ensure Resident #13 was assisted out of bed on the weekends per resident preference. This affected one (Resident #13) of one residents reviewed for resident rights.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2025

Inspectors wroteBased on review of the medical record, interview, and review of facility policy, the facility failed to ensure the comprehensive care plan for Resident #1 was revised after a fall and change in elopement risk. This affected one resident (Resident #1) of 13 residents with care plans reviewed The facility census was 19.
D

Implement a program that monitors antibiotic use.

F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2025

Inspectors wroteBased on interview and record review the facility failed to implement antibiotic stewardship regarding antibiotic use. This affected one (Resident #70) of one resident reviewed for antibiotics.
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 · Corrected (the home has a date of correction) May 1, 2025

Inspectors wroteBased on record review, interview and policy review the facility failed to ensure an influenza vaccination was administered to one (Resident #70) resident per request/signed consents. This affected one (Resident #70) of five residents reviewed for vaccinations.

February 23, 2023Standard inspection · 9 citations

F

Give residents a notice of rights, rules, services and charges.

F572 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 31, 2023

Inspectors wroteBased on observation, interview and record review the facility failed to have the Resident's rights posted in the facility or evidence resident rights are reviewed with the residents outside of admission. This had the potential to affect 21 of 21 residents. The facility census was 21.
F

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

F585 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 31, 2023

Inspectors wroteBased on observations, interviews, and record review, the facility failed to ensure information was available for residents and their representatives on how to file a grievance and who the facility designated as a Grievance Official. This had the potential to affect 21 of the 21 residents in the facility. Facility census was 21.
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) March 31, 2023

Inspectors wroteBased on medical record review and interview, the facility failed to ensure the Minimum Data Set (MDS) assessments accurately reflected diuretic medication use and psychotropic medication use. This affected four residents (#5, #7, #10 and #21) of 15 residents reviewed for assessments.
D

Assess the resident when there is a significant change in condition

F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2023

Inspectors wroteBased on record review and interview, the facility failed to initiate a significant change Minimum Data Set (MDS) assessment, within 14 days, following a hospice admission. This affected one (#18) of one resident reviewed for hospice services. The facility census was 21.
D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2023

Inspectors wroteBased on medical record review and interview, the facility failed to refer a resident with newly diagnosed serious mental disorder, for a Pre-admission Screening and Resident Review (PASARR) re-evaluation. This affected one (#5) of 15 residents reviewed for PASARR.
D

Assist a resident in gaining access to vision and hearing services.

F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2023

Inspectors wroteBased on medical record review and interview, the facility failed to ensure there was follow up to an optometrist visit recommending eye glasses for one (#14) of 14 residents interviewed regarding vision. The census was 21.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2023

Inspectors wroteBased on observation, record review, policy review, and interview, the facility failed to ensure a resident's oxygen flow rate was set as ordered and failed to ensure the oxygen tubing and humidifier bottle were changed weekly as ordered. This affected one (#7) of three residents reviewed for respiratory care. The facility identified seven residents receiving oxygen therapy. The facility census was 21.
D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2023

Inspectors wroteBased on record review, policy review, and interview, the facility failed to provide an appropriate diagnosis for a resident receiving an antipsychotic medication and failed to indicate the duration (stop date) of a psychotropic medication ordered as needed (prn). This affected one (#18) of five residents reviewed for unnecessary medications.
D

Provide or obtain dental services for each resident.

F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 31, 2023

Inspectors wroteBased on observations, record review, and interview, the facility failed to make timely referrals for dental services for two (#11 and #14) of 16 residents whose dental status was observed. The facility census was 21.

Fire safety inspections

9 fire safety citations on file: 3 on April 29, 2026, 3 on April 10, 2025, 3 on February 23, 2023.

Every fire safety citation9 citations

F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · April 29, 2026 · Corrected (the home has a date of correction)
F
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · April 29, 2026 · Corrected (the home has a date of correction)
E
Have proper power supply for life support equipment.

K 915 · April 29, 2026 · Corrected (the home has a date of correction)
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · April 10, 2025 · Corrected (the home has a date of correction)
F
Have properly installed electrical wiring and gas equipment.

K 511 · April 10, 2025 · Corrected (the home has a date of correction)
E
Have restrictions on the use of portable space heaters.

K 781 · April 10, 2025 · Corrected (the home has a date of correction)
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · February 23, 2023 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · February 23, 2023 · Corrected (the home has a date of correction)
E
Install a fire alarm system that can be heard throughout the facility.

K 341 · February 23, 2023 · 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.

Measure	This home	Ohio	United States
All nursing staff (RN, LPN and aides)	3.69	3.69	3.86
Registered nurses	0.54	0.64	0.69
All nursing staff on weekends	3.52	3.28	3.42
Nurse aides	2.02
Licensed practical nurses	1.13
Nursing staff turnover (share who left in a year)	11.1%	48.7%	45.8%
Registered nurse turnover	not reported	43.9%	42.9%
Administrators who left	1

CMS expects 4.85 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 3.75 on weekdays and 3.52 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.84 in April to June 2025 to 3.69 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	3.69	0.54	3.75	3.52	0.0%	0 of 90	20
Oct to Dec 2025	3.75	0.55	3.81	3.59	0.0%	0 of 92	20
Jul to Sep 2025	3.78	0.61	3.83	3.64	0.0%	0 of 92	19
Apr to Jun 2025	3.84	0.66	3.97	3.53	0.0%	0 of 91	20
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	3.4	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	4.2	3.2	3.2
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	12.8	6.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.4	3.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	0.0	8.8	15.4

Owners and operators

Legal business name: BOWERSTON HILLS HEALTHCARE LLC. CMS links this home to Hillstone Healthcare, a group of 9 nursing homes averaging 4 stars overall.

Name	Role	Type	Since
Hillstone Healthcare Inc.	Direct ownership interest	Organization	05/01/2013
Corwin, Russ	Direct ownership interest	Individual	10/30/1989
Dapore, Matthew	Direct ownership interest	Individual	03/23/2022
Hillstone Healthcare Inc.	Indirect ownership interest	Organization	05/01/2013
Dapore, Matthew	Indirect ownership interest	Individual	05/01/2013
Bergsten, Paul	Managing control - governing body	Individual	05/01/2013
Bergsten, Paul	Corporate officer	Individual	04/01/2013
Dapore, Matthew	Corporate officer	Individual	04/01/2013
Hillstone Healthcare Inc.	Operational/managerial control	Organization	05/01/2013
Bergsten, Paul	Operational/managerial control	Individual	05/01/2013
Mizer, Luan	Operational/managerial control	Individual	11/13/2017
LTC Provider Services LLC	Adp of the SNF	Organization	01/01/2019
Rw Corwin & Company Inc	Adp of the SNF	Organization	02/28/2019
Bergsten, Paul	Adp of the SNF	Individual	05/01/2013
Mizer, Luan	Adp of the SNF	Individual	11/13/2017
Stiltner, Sean	Adp of the SNF	Individual	10/01/2024

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.

How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on April 29, 2026: "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."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on April 29, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on April 10, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
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 April 10, 2025: "Provide and implement an infection prevention and control program."
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Sunnyslope Nursing Home
Bowerston, 1.4 mi · 5 of 5 stars · 32 citations
Claymont Health and Rehabilitation
Uhrichsville, 9.1 mi · 4 of 5 stars · 12 citations
Schoenbrunn Healthcare
New Philadelphia, 10.5 mi · 2 of 5 stars · 42 citations
Carroll Healthcare Center Inc
Carrollton, 11.2 mi · 5 of 5 stars · 12 citations
Park Village Hc Np LLC
New Philadelphia, 13 mi · 5 of 5 stars · 4 citations
Amberwood Manor
New Philadelphia, 13.1 mi · 4 of 5 stars · 22 citations
Country Club Center I
Dover, 13.9 mi · 2 of 5 stars · 87 citations
New Dawn Rehabilitation and Healthcare Center
Dover, 13.9 mi · 1 of 5 stars · 67 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 Bowerston Hills Nursing & Rehabilitation's Medicare star rating?: CMS rates Bowerston Hills Nursing & Rehabilitation 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Bowerston Hills Nursing & Rehabilitation get at its last inspection?: 2 health deficiencies at the standard inspection on April 29, 2026. The Ohio average is 10.5.
Has Bowerston Hills Nursing & Rehabilitation been fined?: CMS lists no fines in the last three years.
Does Bowerston Hills Nursing & Rehabilitation 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 Bowerston Hills Nursing & Rehabilitation?: CMS lists 16 owners and managers, and links the home to Hillstone Healthcare. Legal business name: BOWERSTON HILLS HEALTHCARE 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.