Brookview Healthcare Center
214 Harding Street, Defiance, OH 43512 · Defiance County · (419) 784-1014
89 certified beds, about 74 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1980
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365447 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 27, 2025, inspectors cited 7 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 25 health citations since August 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.06 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.33 of those hours.
53.2% 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.
208/19
1108/22
101/24
703/25
302/26
107/26
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 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
19D
2E
2F
Potential for minimal harm
0A
0B
1C
July 1, 2026Complaint inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, medical record review, staff interview, and review of facility policies, the facility failed to ensure infection control measures were properly utilized during wound care. This affected one (#61) of one residents reviewed for wound care. The facility census was 69.
February 25, 2026Complaint inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, facility investigation information, staff interview and review of facility policy, the facility failed to ensure timely medical follow up for residents following a fall with injury. This affected one Resident (#10) of three residents reviewed for falls. The facility also failed to complete a wound dressing change per the physician's orders. This affected one (#79) of five residents reviewed for wound dressing changes. The facility census was 74.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, record review, staff interview, and policy review, the facility failed to ensure all medications ordered by the physician were administered to a resident. This affected one (#70) of eight residents review for medication administration. The facility census was 74.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, record review, staff interview, review of manufacturer instructions, and review of facility policy, the facility failed to ensure resident were not administered medications they were identified as having allergies to. This affected one (#10) of three residents reviewed for medication allergies. Additionally, the facility failed to remove medication patches prior to administering/applying another medication patch. This affected one (#78) of eight residents observed for medication administration. The facility census was 74.
March 27, 2025Standard inspection · 7 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on resident interview, medical record review, hospital record review, staff interview, and policy review, the facility failed to ensure residents received timely treatment for constipation. This resulted in actual harm after Resident #14 had no bowel movement (BM) for seven days in the facility and was admitted to the hospital the following day with abdominal pain and was found to be impacted with stool. This affected one (#14) resident reviewed for bowel movements. The facility census was 72.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, resident and staff interview, record review, and policy review, the facility failed to ensure residents received interventions to offset significant weight loss. This affected two (#31 and #60) of three residents reviewed for significant weight loss. The facility census was 72.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, medical record review, staff and resident interview, and policy review, the facility failed to ensure resident's dialysis access sites were monitored by the facility. Additionally, the facility failed to ensure pre and post dialysis evaluations were completed. This affected two residents (#21 and #24) of two reviewed for dialysis. This facility census was 72.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on resident interview, medical record review, and staff interview, the facility failed to ensure residents received medications as ordered. This affected two (#21 and #123) of eight residents reviewed for medications. The facility census was 72.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on a review of pharmacy recommendations, record review, and staff interview, the facility failed to ensure timely response to pharmacy recommendations for residents on psychotropic medications. This affected three (#11, #60, and #62) of five residents reviewed for pharmacy recommendations. The facility census was 72.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on resident interview, record review, staff interview, and policy review, the facility failed to ensure residents received insulin as ordered by the physician. This affected one (#123) of eight residents reviewed for medications. The facility census was 72.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to ensure staff wore gloves when administering injections. This affected three residents (#21, #122, and #123) observed for insulin injections. Additionally, the facility staff did not disinfect a glucometer between resident use. This affected two residents (#21 and #122). Further, the facility failed to ensure staff wore proper personal protective equipment and practiced appropriate hand hygiene. This affected two residents (#122 and #123). The facility census was 72.
January 11, 2024Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to follow their policy titled Weight Management Program and Weight Loss by ensuring the physician was notified of significant weight loss. This affected three (#10, #56 and #78) out of three residents reviewed for weight loss. The facility census was 79. Findings Include: 1. Review of the medical record for Resident #56 revealed an admission date of 07/08/23 with a diagnosis of multi-system degeneration of autonomic nervous system. Review of the physician orders for 01/23 revealed a diet order of regular mechanical soft, chopped meat diet with thin liquids and house supplement two times per day. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #56 required set-up for meals and was identified for weight loss and required a mechanically altered diet. [...]
August 1, 2022Standard inspection · 11 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 policy review, the facility failed to ensure appropriate sanitation when serving meals and failed to keep pureed meat at a safe holding temperature to potentially prevent foodborne illness. This had the potential to affect 62 of 62 residents. The facility census was 62.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, infection control log review, tuberculosis risk assessment review, review of personnel files, and review of a facility policies, the facility failed to monitor for trends and patterns of infections in the facility based on facility policy, failed to sanitize hands and wear appropriate personal protective equipment (PPE) during resident care interactions, and failed to ensure the facility followed their tuberculosis risk assessment in monitoring staff for potential tuberculosis infections. This deficiency had potential to affect 62 of 62 residents residing in the facility. The census was 62.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, staff interview, medical record review, and review of a facility policy, the facility failed to ensure medications were administered as ordered. This affected five (#2, #12, #14, #56, and #59) of five residents observed during medication administration. A total of 15 medications errors were observed out of 28 medications administered which resulted in a medication error rate of 53.57 percent (%). The census was 62.
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, staff interview, medical record review, and review of a facility policy, the facility failed to ensure medication administration was completed without significant medication errors. This affected five (#2, #12, #14, #56, and #59) of five residents observed during medication administration. The census was 62.
- 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 medical record review, staff interview, and review of policy, the facility failed to ensure a residents code status was identified in the medical record. This affected one (#47) of three residents reviewed for advanced directives. The facility census was 62.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident and staff interview, medical record review, and review of policy, the facility failed to ensure fingernails were trimmed and maintained in a sanitary manner. This affected one (#13) of three reviewed for activities of daily living. The census was 62.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to implement pressure relief interventions to prevent the development of pressure ulcers. This affected one (#20) of two residents reviewed for pressure ulcers. The facility identified five residents with pressure ulcers acquired in the facility in a census of 62.
- 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, observations, staff interviews, and policy review, the facility failed to implement fall prevention interventions for two residents (#47 and #48) of three residents reviewed for falls. The facility census was 62.
- 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.
Inspectors wroteBased on medical record review, staff and resident interview, the facility failed establish the medical necessity for the continued use of an indwelling catheter, maintain the catheter for privacy and to prevent potential infections. This affected one (#44) of one resident reviewed for the extended use of a indwelling catheter. The census was 62.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on observation, staff interview, and medical record review, the facility failed to ensure blood glucose monitoring was completed as ordered. This affected one (#56) of five residents observed during medication administration. The facility identified 16 residents with physician orders for blood glucose monitoring. The census was 62.
- C Implement a program that monitors antibiotic use.
Inspectors wroteBased on infection control log review, staff interview, and review of a facility policy, the facility failed to thoroughly review antibiotic usage prescribed by the physician and monitor for outcomes of antibiotic usage. This had potential to affect 62 of 62 residents residing in the facility. The census was 62.
August 1, 2019Standard inspection · 2 citations
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on interview, record review, and review of the facility's Care Planning Policy, the facility failed to provide one of 36 sampled residents, (Resident (R) 564), and their representative with a baseline care plan, or a written baseline care plan summary. The facility also failed to ensure R564's baseline care plan included a pertinent medical condition, and that it addressed the resident's overall goal and expectation to return to community living.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, record review, and review of facility policy, it was determined the facility failed to provide resident-centered activities for one of 36 sampled residents, (Resident (R) 25).
Fire safety inspections
17 fire safety citations on file: 10 on March 27, 2025, 5 on August 1, 2022, 2 on August 1, 2019.
Every fire safety citation17 citations
- F Meet requirements for sections of health care facilities separated by fire resistive construction.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Provide a written emergency evacuation plan.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F Have restrictions on the use of highly flammable decorations.
- E Install proper backup exit lighting.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- 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.
- E Have properly installed electrical wiring and gas equipment.
- D Inspect, test, and maintain automatic sprinkler systems.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
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) | 3.06 | 3.69 | 3.86 |
| Registered nurses | 0.33 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.77 | 3.28 | 3.42 |
| Nurse aides | 1.65 | ||
| Licensed practical nurses | 1.09 | ||
| Nursing staff turnover (share who left in a year) | 53.2% | 48.7% | 45.8% |
| Registered nurse turnover | 57.1% | 43.9% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.98 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 3.18 on weekdays and 2.77 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 24.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.17 in April to June 2025 to 3.06 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 | 3.06 | 0.33 | 3.18 | 2.77 | 24.4% | 0 of 90 | 74 |
| Oct to Dec 2025 | 3.19 | 0.35 | 3.32 | 2.87 | 15.6% | 0 of 92 | 74 |
| Jul to Sep 2025 | 3.21 | 0.45 | 3.37 | 2.83 | 9.4% | 0 of 92 | 72 |
| Apr to Jun 2025 | 3.17 | 0.39 | 3.32 | 2.79 | 14.7% | 0 of 91 | 72 |
| 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 | 4.6 | 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 | 5.7 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.7 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 1.8 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.9 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.5 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.2 | 1.8 | 1.8 |
Owners and operators
Legal business name: BROOKVIEW 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 | 01/01/2020 | |
| 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 | 01/01/2020 | |
| 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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on February 25, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on February 25, 2026: "Ensure medication error rates are not 5 percent or greater."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on July 1, 2026: "Provide and implement an infection prevention and control program."
- 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 January 11, 2024: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.77 hours per resident per day, below the Ohio average of 3.28.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Laurels of Defiance the Defiance, 1.8 mi · 4 of 5 stars · 21 citations
- Vancrest Health Care Ctr of Ho Holgate, 13.1 mi · 4 of 5 stars · 12 citations
- Lutheran Home Napoleon, 14.4 mi · 5 of 5 stars · 30 citations
- Northcrest Rehab and Nursing Center Napoleon, 14.9 mi · 3 of 5 stars · 31 citations
- Majestic Care of Bryan Bryan, 15.5 mi · 1 of 5 stars · 61 citations
- Gardens of Paulding the Paulding, 15.8 mi · 2 of 5 stars · 31 citations
- Williams Co Hillside Country L Bryan, 16.3 mi · 4 of 5 stars · 17 citations
- Fairlawn Haven Archbold, 16.8 mi · 5 of 5 stars · 23 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 Brookview Healthcare Center's Medicare star rating?
- CMS rates Brookview Healthcare Center 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brookview Healthcare Center get at its last inspection?
- 7 health deficiencies at the standard inspection on March 27, 2025. The Ohio average is 10.5.
- Has Brookview Healthcare Center been fined?
- CMS lists no fines in the last three years.
- Does Brookview Healthcare Center 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 Brookview Healthcare Center?
- CMS lists 18 owners and managers, and links the home to Lionstone Care. Legal business name: BROOKVIEW 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.