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Covington Skilled Nursing & Rehab Center

100 Covington Drive, East Palestine, OH 44413 · Columbiana County · (330) 426-2920

65 certified beds, about 61 residents a day · For profit - Corporation · Medicare and Medicaid since 2009

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 366378 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 1, 2025, inspectors cited 4 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 22 health citations since August 2019 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 3.03 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.

39.3% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Michael Slyk, an affiliated group of 7 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 22 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
5E
2F
Potential for minimal harm
0A
0B
2C
May 1, 2025Standard inspection · 4 citations
  1. D
    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
    F559 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure residents and or responsible parties received room change notifications in writing. This affected three residents (Resident #4, Resident #17, Resident #18) of six residents reviewed for room change notifications. The census was 56.
  2. 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) May 21, 2025
    Inspectors wroteBased on record review, observation and interview, the facility failed to ensure a physician's order for oxygen was in place for Resident #37. This affected one (Resident #37) of one resident reviewed for oxygen use. The facility had a total of nine residents who were on oxygen. The facility census was 56.
  3. C
    Ensure the activities program is directed by a qualified professional.
    F680 · Quality of Life and Care · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on review of the personnel files and interview with staff the facility failed to ensure the activities program was directed by a qualified professional. This had the potential to affect all 56 residents.
  4. C
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) May 21, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure the facility assessment was accurately completed. This had the potential to affect all 56 residents residing in the facility.
August 8, 2022Standard inspection · 7 citations
  1. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 1, 2022
    Inspectors wroteBased on interview and record review the facility failed substantiate self-reported incident (SRI) tracking number (#)223300 dated 06/27/22 after resident personal checks written to the facility were compromised. This affected six (Residents #5, #19, #22, #27, #29, and #44) of six residents reviewed for misappropriation. The facility census was 44.
  2. E
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 1, 2022
    Inspectors wroteBased on record review and interview, the facility failed to ensure a representative of the Office of the State Long-Term Care Ombudsman was notified of facility initiated discharges. This affected 19 residents (Residents #35, #46, #244, #245, #246, #247, #248, #249, #250, #251, #252, #253, #254, #255, #256, #257, #258, #259 and #260). The facility census was 44.
  3. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 1, 2022
    Inspectors wroteBased on observation, record review, interview, drug manufacture review, and facility policy review the facility failed to ensure drugs in the medication storage room refrigerator were stored at the proper temperatures and dated when opened. This affected eight (Resident's #1, #4, #10, #23, #36, #40, #41, #194) and had the potential to affect all 44 residents residing in the facility.
  4. D
    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
    F569 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2022
    Inspectors wroteBased on interview and record review, the facility failed to ensure closed resident accounts were refunded within 30 days. This affected two (Resident's #145 and #261) of two residents reviewed for closed accounts. The facility census was 44.
  5. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 1, 2022
    Inspectors wroteBased on record review and interview, the facility failed to ensure Resident #9's annual assessment was submitted within 14 days after completion. This affected one (Resident #9) of one resident reviewed for assessments. The facility census was 44.
  6. 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) September 1, 2022
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure Resident #28's hearing aid was replaced in a timely manner. This affected one (Resident #28) of one resident reviewed for hearing. The facility census was 44.
  7. 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) September 1, 2022
    Inspectors wroteBased on interview and record review the facility failed to provide documented evidence indwelling urinary catheter care was provided to Resident #22. This affected one (Resident #22) of two (Resident's #5 and #22) the facility identified as having an indwelling urinary catheter. The facility census was 44.
August 29, 2019Standard inspection · 11 citations
  1. F
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 6, 2019
    Inspectors wroteBased on review of personnel files, review of the facility's criminal background check log, review of the abuse prohibition policy and interview, the facility failed to implement the abuse policy to ensure all potential employees had criminal background checks and reference checks completed upon hire. This affected one (Licensed Nursing Home Administer) of eight personnel files reviewed. This had the potential to affect all 54 residents.
  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) November 6, 2019
    Inspectors wroteBased on observation, medical record review, Infection Control Log review and staff interview, the facility failed to administer eye drops to in a sanitary manner and failed to maintain a comprehensive Infection Control Log indicating the pathogens for residents who had urinary tract infections. This affected one resident (Resident #7) of seven observed for medication administration and five residents (Resident #32, Resident #152, Resident #17, Resident #31 and Resident #257) with urinary tract infections but had the potential to affected all 54 residents in the facility.
  3. E
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 6, 2019
    Inspectors wroteBased on review of resident council meeting minutes, review of resident grievance/concern logs and associated forms and interview, the facility failed to adequately address resident concerns regarding call light response times. This had the potential to affect all 54 residents.
  4. E
    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, pattern · Corrected (the home has a date of correction) November 6, 2019
    Inspectors wroteBased on review of the Beneficiary Notice worksheet, review of Skilled Nursing Facility (SNF) Beneficiary Protection Notification Review forms, review of a Notice of Medicare Non-Coverage (NOMNC) form and interview, the facility failed to provide residents with the correct forms when their services were no longer covered under Medicare. This affected three (Resident #49, Resident #152 and Resident #153) of three residents reviewed for provision of beneficiary notices. The facility census was 54.
  5. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2019
    Inspectors wroteBased on medical record review and interview, the facility failed to complete comprehensive resident assessments a minimum of every 12 months. This affected two (Residents #1 and #10) of four residents reviewed for resident assessments. The facility census was 54.
  6. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2019
    Inspectors wroteBased on medical record review and interview, the facility failed to complete quarterly Minimum Data Set (MDS) assessments a minimum of every three months. This affected one (Resident #9) of four residents reviewed for MDS assessments.
  7. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2019
    Inspectors wroteBased on medical record review and interview, the facility failed to transmit a Minimum Data Set (MDS) assessment in a timely manner. This affected one (Resident #3) of four residents whose resident assessments were reviewed.
  8. 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) November 6, 2019
    Inspectors wroteBased on observation, interview and record review, the facility failed to adequately care plan and monitor behavior for Resident #21. This affected one of one resident reviewed for behavior.
  9. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2019
    Inspectors wroteBased on medical record review and interview, the facility failed to implement a resident's bowel protocol. This affected one (Resident #23) of five residents whose records were reviewed for medication use.
  10. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2019
    Inspectors wroteBased on observation, medical record review, policy review, and interview, the facility failed to administer nutritional formula through a feeding tube in a manner to prevent microbial growth. This affected one (Resident #10) of one resident reviewed for feeding tubes. The facility identified three residents receiving tube feedings.
  11. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2019
    Inspectors wroteBased on record review, staff interview and Medscape website review, the facility failed to ensure Resident #4's laboratory results were addressed timely. This affected one resident (Resident #4) of five residents reviewed for unnecessary medications.

Fire safety inspections

6 fire safety citations on file: 1 on May 1, 2025, 3 on August 8, 2022, 2 on August 29, 2019.

Every fire safety citation6 citations
  1. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 1, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 8, 2022 · Corrected (the home has a date of correction)
  3. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 8, 2022 · Corrected (the home has a date of correction)
  4. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 8, 2022 · Corrected (the home has a date of correction)
  5. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 29, 2019 · Corrected (the home has a date of correction)
  6. E
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · August 29, 2019 · 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)3.033.693.86
Registered nurses0.550.640.69
All nursing staff on weekends3.093.283.42
Nurse aides1.72
Licensed practical nurses0.76
Nursing staff turnover (share who left in a year)39.3%48.7%45.8%
Registered nurse turnover40.0%43.9%42.9%
Administrators who left1

CMS expects 4.75 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 3.00 on weekdays and 3.09 on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.57 in April to June 2025 to 3.03 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.030.553.003.09 17.1%0 of 9061
Oct to Dec 20253.230.563.313.02 10.6%0 of 9254
Jul to Sep 20253.410.663.473.28 9.2%0 of 9253
Apr to Jun 20253.570.673.733.15 8.7%0 of 9154
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 Covington Skilled Nursing & Rehab Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
8.85.313.9
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
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.73.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.51.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
17.66.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.63.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.78.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
27.524.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.612.912.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Covington Skilled Nursing & Rehab Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (61.4% 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

61.4% this home

Better than the national rate

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

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 69 eligible stays.

Potentially preventable readmissions

9.5% 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. 89 eligible stays.

Infections that led to a hospital stay

6.3% 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. 56 eligible stays.

Self-care and mobility at discharge

47.8% this home

Median of homes: Ohio55.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 23 residents counted.

Falls with major injury

0.0% this home

Median of homes: Ohio0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 38 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Ohio1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 38 residents counted.

Medication list given at discharge

95.5% this home

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. 22 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: COVINGTON SNF INC.. CMS links this home to Michael Slyk, a group of 7 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Michael P. Slyk Revocable Trust5% or greater direct ownership interestOrganization100%12/31/2023
Slyk, Michael5% or greater indirect ownership interestIndividual100%10/01/2009
Chesney, TimothyManaging control - governing bodyIndividual10/01/2009
D'amico, DanielCorporate officerIndividual04/01/2022
Ryder, GwynnCorporate officerIndividual06/01/2018
Slyk, MichaelCorporate officerIndividual10/01/2009
Mstc Development IncOperational/managerial controlOrganization10/01/2009
D'amico, DanielOperational/managerial controlIndividual05/18/2018
Chesney, TimothyAdp of the SNFIndividual10/01/2009
Crawford, DinaAdp of the SNFIndividual03/13/2024
Lockso, TimothyAdp of the SNFIndividual09/07/2024
Ryder, GwynnAdp of the SNFIndividual06/01/2018
Slyk, MichaelAdp of the SNFIndividual10/01/2009

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. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on August 8, 2022: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on May 1, 2025: "Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on May 1, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
  4. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on August 8, 2022: "Respond appropriately to all alleged violations."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.09 hours per resident per day, below the Ohio average of 3.28.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

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Common questions

What is Covington Skilled Nursing & Rehab Center's Medicare star rating?
CMS rates Covington Skilled Nursing & Rehab Center 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Covington Skilled Nursing & Rehab Center get at its last inspection?
4 health deficiencies at the standard inspection on May 1, 2025. The Ohio average is 10.5.
Has Covington Skilled Nursing & Rehab Center been fined?
CMS lists no fines in the last three years.
Does Covington Skilled Nursing & Rehab 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 Covington Skilled Nursing & Rehab Center?
CMS lists 13 owners and managers, and links the home to Michael Slyk. Legal business name: COVINGTON SNF INC..

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