215 Seth Avenue, Jackson, OH 45640 · Jackson County · (740) 286-7551
86 certified beds, about 74 residents a day · Non profit - Corporation · Medicare and Medicaid since 1986
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365669 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 20, 2025, inspectors cited 9 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 21 health citations since February 2020 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 3.18 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
42.2% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to United Church Homes, an affiliated group of 9 nursing homes.
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.
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 21 health citations on file.
Inspectors wroteBased on record reviews, resident and staff interviews, review of facilities investigation report and facilities policy and procedure, the facility failed to report an allegations of staff to resident abuse to the State Agency. This affected four ( #54, #62, #136 and #146) of four residents reviewed for abuse. The facility census was 72.
Inspectors wroteBased on record reviews, resident and staff interviews, review of facilities investigation report and facilities policy and procedure, the facility failed to have documented evidence that an allegation of abuse was thoroughly investigated for residents. This affected four ( #54, #62, #136 and #146) of four residents reviewed for abuse. The facility census was 72.
Inspectors wroteBased on record review, review of physician notes, policy review, and interview, the facility failed to ensure laboratory services were completed as ordered. This affected one (#22) resident of three residents reviewed for change in condition. The facility census was 70.
Inspectors wroteBased on medical record review, policy review, and staff interview, the facility failed to implement their antibiotic stewardship program that included antibiotic use protocols to ensure residents did not receive antibiotics when they were not warranted. This affected four (Residents #27, #45, #65, and #126) of six residents reviewed for antibiotic use. The facility census was 75.
Inspectors wroteBased on review of resident personal fund records and staff interview, the facility failed to ensure that a resident/responsible party was notified when the amount in their account reached $200 less than the resource limit for one person and that, if the amount in the account reaches the resource limit ($2000) the resident may lose eligibility for Medicaid. This affected one (Resident #23) of 45 residents whose funds were handled by the facility. The facility census was 75.
Inspectors wroteBased on review of a facility investigation report, policy review, and staff interview, the facility failed to have evidence that an allegation of emotional/verbal abuse was thoroughly investigated. This affected one ( Resident #32) of 75 residents residing in the facility.
Inspectors wrote3. Review of the closed medical record for Resident #71 revealed an admission date of 01/08/25 and diagnoses including metabolic encephalopathy, diabetes, dementia, and cellulitis of the left leg. Review of nurses notes on 02/15/25 at 5:17 P.M. revealed the resident was noted to be gurgling and wheezing bilaterally. Vital signs were blood pressure 90/48, pulse 128, respirations 24, temperature 99.2 and oxygen saturation 94%. The resident's daughter was visiting and wanted the resident sent to the hospital. The physician was notified and the resident was sent to the hospital. The resident was admitted with pneumonia and Flu A. At the time of the transfer, there was no evidence the facility provided the resident or resident representative a written notice which specified the duration of the bed-hold policy. This was confirmed by Corporate Administrator #100 on 03/19/25 at 9:00 A.M. [...]
Inspectors wroteBased on record review and interview the facility failed to complete an updated Pre admission Screening and Resident Review (PASARR) for Resident #14 when a new antidepressant medication was added and failed to complete an updated PASARR for Resident #23 with a new diagnosis of anxiety. This affected two ( Resident #14 and #23) of four residents reviewed for PASARR. The facility census was 75.
Inspectors wroteBased on interview, record review and facility policy, the facility failed to provide evidence of care conference meetings with Resident #14 and or the resident's representative. This affected one resident (Resident #14) of two reviewed for care planning. The facility census was 75.
Inspectors wroteBased on observation, interview, record review and facility policy the facility failed to ensure Resident #26 fluid restriction had breakdown of the amount of fluids for each department daily. This affected one resident (Resident #26) of one reviewed for hydration. The facility census was 75.
Inspectors wroteBased on interview, record review and facility policy the facility failed to ensure Resident #14 had an appropriate diagnosis for the use of long term antibiotic. This affected one (Resident #14) of one resident reviewed for antibiotic use. The facility census was 75.
Inspectors wroteBased on observation, record review, staff interview, and policy review, the facility failed to follow an infection control program to help prevent the development and transmission of communicable diseases and infections when staff did not change gloves after handling soiled wound packing for Resident #45. This affected one (Resident #45) of one resident reviewed for pressure ulcers. The facility census was 75.
Inspectors wroteBased on record review and interview the facility failed to provide appropriate notification when Medicare Part A services were discontinued. This affected one resident (Resident #177) of three residents reviewed for beneficiary notifications. The facility census was 73. Findings Include: Closed Record Review for Resident #177 on 04/13/23 revealed an admission date of 01/15/23 with diagnoses including right femur fracture, osteoarthritis, morbid obesity, muscle weakness, difficulty with ambulation, bariatric surgery, and malignant neoplasm of the prostate. The resident was discharged home on [DATE]. Review of his Minimum Data Set (MDS) five-day assessment, dated 01/22/23, revealed the resident had mild cognitive impairment. [...]
Inspectors wroteBased on interviews and record reviews, the facility failed to ensure Minimum Data Set (MDS) assessments were completed accurately. This affected two residents (#10 and #60) of five residents reviewed for unnecessary medications. The facility census was 73.
Inspectors wroteBased on observation, record review, interview, and facility policy review, the facility failed to ensure residents were assisted with oral care. This affected one resident (Resident #22) of two residents reviewed for activities of daily living (ADL). The facility census was 73. Findings Include: Review of the medical record for Resident #22 revealed an initial admission date of 06/11/21 with the latest readmission date of 11/03/21 with diagnoses including COVID-19, cerebral infarction (stroke), dementia with behavioral disturbances, dysphagia (difficulty swallowing), cerebrovascular accident (CVA) with left sided hemiplegia (paralysis). [...]
Inspectors wroteBased on observation, record review and interview, the facility failed to provide residents with a resident centered activity program. This affected one resident (Residents #22) of two residents reviewed for activities. The facility census was 73. Findings Include: Review of the medical record for Resident #22 revealed an initial admission date of 06/11/21 with the latest readmission of 11/03/21 with diagnoses including COVID-19, cerebral infarction (stroke), dementia with behavioral disturbances, dysphagia (difficulty swallowing), adjustment disorder, and cerebrovascular accident (CVA) with left sided hemiplegia. Review of the plan of care dated 12/30/21 revealed the resident was completely dependent on staff for activities and will take part in appropriate one on one activities. [...]
Inspectors wroteBased on observation, medical record review, review of patient leaflet and staff interview, the facility failed to ensure a medication error rate of less than five percent. Twenty-five opportunities for error were observed with two medication errors resulting in an eight percent (8%) medication error rate. This affected two (Resident #25 and Resident #26) of four residents observed during medication administration. The facility census was 73. Findings Include: 1. Review of the medical record for Resident #26 revealed an initial admission date of 10/13/21 with the admitting diagnoses including dementia, diabetes mellitus, congestive heart failure, chronic kidney disease and major depressive disease. [...]
Inspectors wroteBased on observations, review of the activity calendar, resident interview, and staff interview, the facility failed to ensure a resident was able to participate in activities of his/her choice. This affected one of one residents reviewed for choices (Resident #53) in a sample of 18. The facility census was 89.
Inspectors wroteBased on review of resident fund accounts and staff interview, the facility failed to notify each resident that receives Medicaid benefits when the amount in the resident's account reaches $200 less than the SSI resource limit and that, if the amount in the account, in addition to the value of the resident's other nonexempt resources, reaches the SSI resource limit for one person, the resident may lose eligibility for Medicaid or SSI. This affected three of five residents personal fund accounts were reviewed (Residents #8, #49, and #77). The facility handles the funds for 58 residents. The facility census was 89.
Inspectors wroteBased on record review and staff interview, the facility failed to notify two residents who were discharged from Medicare part A services and remained in the facility with an estimated cost of services by providing an Advanced Beneficiary Notice. The deficient practice affected two (Resident #71 and Resident #385) of three residents reviewed for beneficiary notices. The facility census was 89. Findings Include: Review of the beneficiary notices for Resident #71 on 02/11/20 at 5:00 P.M. showed the resident was discharged from Medicare part A services on 11/01/19 and remained in the facility. The resident was provided with a completed Notice of Medicare Non-Coverage (NOMNC) form on 10/30/19. [...]
Inspectors wroteBased on observations, medical record review, and staff interview, the facility failed to ensure each resident received adequate supervision to prevent accidents. This affected one of one residents reviewed for accidents (Resident #53) in a sample of 18. The facility census was 89.
7 fire safety citations on file: 2 on March 20, 2025, 3 on April 13, 2023, 2 on February 13, 2020.
| Date | Penalty | Amount or length |
|---|---|---|
| March 20, 2025 | Payment Denial | 10 days from June 20, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.18 | 3.69 | 3.86 |
| Registered nurses | 0.51 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.89 | 3.28 | 3.42 |
| Nurse aides | 1.88 | ||
| Licensed practical nurses | 0.79 | ||
| Nursing staff turnover (share who left in a year) | 42.2% | 48.7% | 45.8% |
| Registered nurse turnover | 40.0% | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.56 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.30 on weekdays and 2.89 on weekends, 12% 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 3.27 in April to June 2025 to 3.18 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 | 3.18 | 0.51 | 3.30 | 2.89 | 0.0% | 0 of 90 | 74 |
| Oct to Dec 2025 | 3.13 | 0.48 | 3.22 | 2.91 | 1.0% | 0 of 92 | 73 |
| Jul to Sep 2025 | 3.15 | 0.40 | 3.28 | 2.81 | 0.6% | 0 of 92 | 73 |
| Apr to Jun 2025 | 3.27 | 0.45 | 3.36 | 3.02 | 1.1% | 0 of 91 | 75 |
| 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
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.
| 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.
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 | 4.8 | 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 | 2.9 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.7 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.4 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.1 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.1 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Four Winds Nursing Facility's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.0% this home
No different from the national rate
US median of homes 51.5% · Ohio: 147 better, 20 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 86 eligible stays.
12.1% 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. 103 eligible stays.
8.0% 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. 67 eligible stays.
61.0% 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. 41 residents counted.
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. 61 residents counted.
1.3% 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. 61 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Ohio100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 18 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.
Legal business name: UNITED CHURCH HOMES, INC.. CMS links this home to United Church Homes, a group of 9 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| United Church Homes, Inc. | 5% or greater direct ownership interest | Organization | 100% | 04/01/2000 |
| Bailey, Peter | Corporate director | Individual | 06/01/2024 | |
| Bates, Trevor | Corporate director | Individual | 02/01/2017 | |
| Benjamin, Pamela | Corporate director | Individual | 06/01/2021 | |
| Black, Geoffrey | Corporate director | Individual | 06/01/2016 | |
| D'agostino, Joanna | Corporate director | Individual | 06/01/2024 | |
| Graham, George | Corporate director | Individual | 06/01/2025 | |
| Guess, James | Corporate director | Individual | 06/01/2021 | |
| Hawes-Saunders, Ro Nita | Corporate director | Individual | 02/01/2024 | |
| Henry, James | Corporate director | Individual | 06/01/2019 | |
| James, Jill | Corporate director | Individual | 06/01/2025 | |
| Long-Higgins, David | Corporate director | Individual | 11/01/2018 | |
| Sandman, Robert | Corporate director | Individual | 06/01/2025 | |
| Ulrich, Karl | Corporate director | Individual | 06/01/2016 | |
| Williams, Stephanie | Corporate director | Individual | 06/01/2024 | |
| Winfrey, Lapearl | Corporate director | Individual | 06/01/2020 | |
| Naderhoff, Judith | Corporate officer | Individual | 01/01/2026 | |
| Young, Kenneth | Corporate officer | Individual | 02/07/2025 | |
| United Church Homes, Inc. | Operational/managerial control | Organization | 04/01/2000 | |
| Bills, Ashley | Operational/managerial control | Individual | 08/26/2022 | |
| Bollinger, Nathan | Operational/managerial control | Individual | 03/31/2023 | |
| Brubaker, Tamra | Operational/managerial control | Individual | 08/19/2022 | |
| Burnette, Diana | Operational/managerial control | Individual | 06/16/2021 | |
| Dixon, Maria | Operational/managerial control | Individual | 04/13/2010 | |
| Durbin, Debra | Operational/managerial control | Individual | 08/08/2022 | |
| Eusanio, Vincent | Operational/managerial control | Individual | 03/31/2025 | |
| Farrell, Laura | Operational/managerial control | Individual | 01/26/1996 | |
| Hall, Richard | Operational/managerial control | Individual | 06/07/2006 | |
| Hurwitz, Gloria | Operational/managerial control | Individual | 10/07/2013 | |
| Kelley, Megan | Operational/managerial control | Individual | 08/01/2023 | |
| Klenzman, William | Operational/managerial control | Individual | 07/15/2022 | |
| Long, Jeremy | Operational/managerial control | Individual | 10/09/2023 | |
| Long-Higgins, Elizabeth | Operational/managerial control | Individual | 04/02/2022 | |
| Maghes, Michelle | Operational/managerial control | Individual | 03/24/2025 | |
| Miller, Daniel | Operational/managerial control | Individual | 12/04/2017 | |
| Morgan, Jason | Operational/managerial control | Individual | 05/06/2024 | |
| Naderhoff, Judith | Operational/managerial control | Individual | 01/01/2026 | |
| Rosenberger, Kathy | Operational/managerial control | Individual | 05/12/2025 | |
| Shaw, Janis | Operational/managerial control | Individual | 08/21/1990 | |
| Slutz, Scott | Operational/managerial control | Individual | 02/01/2016 | |
| Spitznagel, Teresa | Operational/managerial control | Individual | 07/15/2022 | |
| Tillman, Michelle | Operational/managerial control | Individual | 08/21/2020 | |
| Toothman, James | Operational/managerial control | Individual | 01/01/2025 | |
| Yeager, Jessica | Operational/managerial control | Individual | 08/10/2017 | |
| Young, Kenneth | Operational/managerial control | Individual | 02/07/2025 | |
| United Church Homes, Inc. | Adp of the SNF | Organization | 04/01/2000 | |
| Long, Jeremy | Adp of the SNF | Individual | 02/03/2026 | |
| Toothman, James | Adp of the SNF | Individual | 01/01/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.