Elms Retirement Village Inc
136 S Main St., Wellington, OH 44090 · Lorain County · (440) 647-2414
60 certified beds, about 50 residents a day · For profit - Corporation · Medicare and Medicaid since 1997
Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366118 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 28, 2024, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 17 health citations since March 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 3.67 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
42.6% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Sprenger Health Care Systems, an affiliated group of 12 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.
503/19
308/21
203/24
411/24
205/25
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
2E
1F
Potential for minimal harm
0A
0B
0C
July 8, 2026Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY.Based on medical record review, review of facility self-reported incident (SRI) including investigation, review of staff timecard, observation, staff and resident interviews, and policy review, the facility failed to ensure a resident was free from neglect when Resident #37 was not provided any activities of daily living (ADL) for a twelve-hour shift. This affected one (#37) of three residents reviewed for abuse and neglect. The facility census was 47.
May 2, 2025Complaint inspection · 2 citations
- 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 review of the medical record, review of the facility investigation, interview with the staff, and review of facility policy and procedure, the facility failed to ensure the legal representative, physician and Resident #50 were notified of a medication error for Resident #50. This affected one resident (Resident #50) of three reviewed for medication errors.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of the medical record, review of the facility investigation, interview with the staff, and review of facility policy and procedure, the facility failed to ensure Resident #50 was free of significant medication errors. This affected one resident (Resident #50) of three reviewed for medication errors.
November 13, 2024Complaint inspection · 4 citations
- 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 observation, record review, and interview, the facility failed to ensure the physician was notified of unavailable medications. This affected two residents (#29 and #51) of three residents reviewed for notification. The facility census was 50.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interview the facility failed to ensure on going monitoring of resident status. This affected one (Resident #51) of three reviewed for quality of care. The facility census was 50.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure medications were available for administration. This affected two residents (Resident #29 and Resident #51) of three reviewed for medication administration. The facility census was 50.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure the residents were free of significant medication errors. This affected two residents (Resident #29 and Resident #51) of three reviewed for medication administration. The facility census was 50.
March 28, 2024Standard inspection · 2 citations
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure all required notices were provided to residents when skilled services were discontinued. This affected two (#2 and #11) of three residents review for beneficiary notices. The facility census was 41.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, medical record review, and resident and staff interview, the facility failed to ensure dependent residents received appropriate nail care. This affected one (#22) of two residents reviewed for activities of daily living. The facility census was 41.
August 26, 2021Standard inspection · 3 citations
- E Assure the security of all personal funds of residents deposited with the facility.
Inspectors wroteBased on review of the surety bond, trial balance funds sheet and staff interview the facility failed to provide a surety bond large enough to cover the total amount of money in all resident personal funds accounts. This affected 26 residents who currently had a resident funds account with the facility. The facility census was 39.
- 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 record review, interview and policy review, the facility failed to ensure the bowel regimen protocol was followed to prevent constipation. This affected one resident (Resident #7) of the three residents reviewed for incontinence care. The facility census was 39.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, interview and manufacturer's recommendations, the facility failed to use distilled water in a continuous positive airway pressure (CPAP) machine. This affect one (Resident #29) of three residents reviewed for respiratory care. The facility census was 39.
March 7, 2019Standard inspection · 5 citations
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on review of nursing schedules and staff interviews, the facility failed to ensure they used the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week. This affected all 50 residents residing in the facility.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview and policy review, the facility failed to ensure a medication cart was locked. This had the potential to affect 26 residents (#1, #6, #10, #15, #17, #18, #19, #22, #23, #26, #27, #29, #33, #34, #35, #38, #40, #41, #42, #43, #48, #50, #51, #52, #53, and #153) with medications stored in the unlocked cart as identified by the facility. The facility census was 50.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on medical record review, observation, staff interview and policy review, the facility failed to ensure a resident's dignity was maintained by appropriately covering a urinary catheter collection bag for one (#153) of one resident reviewed for urinary catheters. The facility census was 50.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, medical record review, staff interview, and review of facility policy, the facility failed to ensure fall interventions were in place for one (#3) of three sampled residents reviewed for accidents. The facility census was 50. Findings Included: Medial record review for Resident #3 revealed an admission date of 11/03/17. Diagnoses included history of falls, vascular dementia with behavioral disturbance, fracture of lower end left femur, and subsequent encounter for closed fracture with routine healing. Review of the physician orders dated 07/17/18 revealed Resident #3 was to have floor mats to bilateral sides of bed while occupied. Review of the care plan dated 12/10/18 revealed the resident had a potential for falls. Interventions included floor mats to bilateral sides of the bed. Observations on 03/04/19 at 9:17 A.M. and on 03/05/19 at 9:17 A.M. [...]
- D Have policies on smoking.
Inspectors wroteBased on observation, record review, resident interview, staff interview and policy review, the facility failed to follow secure resident smoking materials per the facility policy. This affected one (#29) of two residents the facility identified as smokers. The facility census was 50.
Fire safety inspections
4 fire safety citations on file: 2 on March 28, 2024, 1 on August 26, 2021, 1 on March 7, 2019.
Every fire safety citation4 citations
- F Provide properly protected cooking facilities.
- F Have properly installed electrical wiring and gas equipment.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have properly located and lighted "Exit" signs.
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) | 3.67 | 3.69 | 3.86 |
| Registered nurses | 0.57 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.39 | 3.28 | 3.42 |
| Nurse aides | 2.23 | ||
| Licensed practical nurses | 0.86 | ||
| Nursing staff turnover (share who left in a year) | 42.6% | 48.7% | 45.8% |
| Registered nurse turnover | 55.6% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.89 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 3.78 on weekdays and 3.39 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.71 in April to June 2025 to 3.67 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 | 3.67 | 0.57 | 3.78 | 3.39 | 4.9% | 0 of 90 | 50 |
| Oct to Dec 2025 | 3.72 | 0.51 | 3.87 | 3.34 | 10.1% | 0 of 92 | 47 |
| Jul to Sep 2025 | 3.54 | 0.60 | 3.66 | 3.25 | 9.6% | 0 of 92 | 48 |
| Apr to Jun 2025 | 3.71 | 0.87 | 3.92 | 3.20 | 3.3% | 0 of 91 | 49 |
| 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.
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.
Official wage estimates for Ohio
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 2.3 | 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 | 0.0 | 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 | 4.6 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.5 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.6 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 18.4 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.4 | 12.9 | 12.0 |
Owners and operators
Legal business name: ELMS RETIREMENT VILLAGE, INC.. CMS links this home to Sprenger Health Care Systems, a group of 12 nursing homes averaging 3.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sprenger Enterprises, Inc | 5% or greater direct ownership interest | Organization | 100% | 12/01/1996 |
| Bluesky Healthcare Inc | 5% or greater indirect ownership interest | Organization | 01/22/2001 | |
| Hutsenpiller, Wendie | 5% or greater indirect ownership interest | Individual | 07/01/2008 | |
| Malanowski, Kenneth | 5% or greater indirect ownership interest | Individual | 07/01/2008 | |
| Sprenger, Nicole | 5% or greater indirect ownership interest | Individual | 06/01/2002 | |
| Sprenger, Tracey | 5% or greater indirect ownership interest | Individual | 07/01/2008 | |
| Fox, Emily | Corporate officer | Individual | 12/31/2024 | |
| Kuhn, Shannon | Corporate officer | Individual | 12/31/2024 | |
| Malanowki, Brandon | Corporate officer | Individual | 12/31/2024 | |
| Cms & Co. Management Services, Inc. | Operational/managerial control | Organization | 01/22/2001 | |
| Courtock, Melissa | Operational/managerial control | Individual | 12/02/2002 | |
| Epperly, Robert | Operational/managerial control | Individual | 01/20/2022 | |
| Eren, Itri | Operational/managerial control | Individual | 12/31/1999 | |
| Fox, Emily | Operational/managerial control | Individual | 12/31/2024 | |
| Gollinger, Kristen | Operational/managerial control | Individual | 11/13/2000 | |
| Hardoby, Janeal | Operational/managerial control | Individual | 01/21/2022 | |
| Kuhn, Shannon | Operational/managerial control | Individual | 12/31/2024 | |
| Malanowki, Brandon | Operational/managerial control | Individual | 12/31/2024 | |
| Marino-Freetage, Jaime | Operational/managerial control | Individual | 03/01/2011 | |
| Micale, Jacob | Operational/managerial control | Individual | 02/20/2023 | |
| Yost, Cheryl | Operational/managerial control | Individual | 03/20/2023 | |
| Bsh Investments LLC | Adp of the SNF | Organization | 11/04/2003 | |
| Cms & Co. Management Services, Inc. | Adp of the SNF | Organization | 07/03/2025 | |
| Elms Limited Co. | Adp of the SNF | Organization | 05/15/1996 | |
| Courtock, Melissa | Adp of the SNF | Individual | 12/02/2002 | |
| Epperly, Robert | Adp of the SNF | Individual | 01/20/2022 | |
| Eren, Itri | Adp of the SNF | Individual | 01/28/2006 | |
| Fox, Emily | Adp of the SNF | Individual | 12/31/2024 | |
| Gollinger, Kristen | Adp of the SNF | Individual | 11/13/2000 | |
| Hardoby, Janeal | Adp of the SNF | Individual | 01/21/2022 | |
| Hutsenpiller, Wendie | Adp of the SNF | Individual | 07/01/2008 | |
| Kuhn, Shannon | Adp of the SNF | Individual | 12/31/2024 | |
| Malanowki, Brandon | Adp of the SNF | Individual | 12/31/2024 | |
| Malanowski, Kenneth | Adp of the SNF | Individual | 07/01/2008 | |
| Marino-Freetage, Jaime | Adp of the SNF | Individual | 03/01/2011 | |
| Micale, Jacob | Adp of the SNF | Individual | 02/20/2023 | |
| Sprenger, Nicole | Adp of the SNF | Individual | 06/01/2002 | |
| Sprenger, Tracey | Adp of the SNF | Individual | 07/01/2008 | |
| Yost, Cheryl | Adp of the SNF | Individual | 03/20/2023 |
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 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 2, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- 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 November 13, 2024: "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 4 problems in this area, most recently on May 2, 2025: "Ensure that residents are free from significant medication errors."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on July 8, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
Other nursing homes nearby
- Keystone Pointe Health and Rehabilitation Lagrange, 7.2 mi · 5 of 5 stars · 5 citations
- Welcome Nursing Home Oberlin, 7.8 mi · 2 of 5 stars · 22 citations
- Kendal at Oberlin Oberlin, 9.3 mi · 5 of 5 stars · 0 citations
- Laurels of New London the New London, 11.4 mi · 5 of 5 stars · 8 citations
- Wesleyan Village Elyria, 14.4 mi · 2 of 5 stars · 52 citations
- Life Care Center of Elyria Elyria, 14.9 mi · 5 of 5 stars · 16 citations
- Life Care Center of Medina Medina, 15.4 mi · 4 of 5 stars · 33 citations
- Amherst Manor Nursing Home Amherst, 16.1 mi · 2 of 5 stars · 19 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 Elms Retirement Village Inc's Medicare star rating?
- CMS rates Elms Retirement Village Inc 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Elms Retirement Village Inc get at its last inspection?
- 2 health deficiencies at the standard inspection on March 28, 2024. The Ohio average is 10.5.
- Has Elms Retirement Village Inc been fined?
- CMS lists no fines in the last three years.
- Does Elms Retirement Village Inc 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 Elms Retirement Village Inc?
- CMS lists 39 owners and managers, and links the home to Sprenger Health Care Systems. Legal business name: ELMS RETIREMENT VILLAGE, INC..
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.