What is Friends Extended Care Center's Medicare star rating?

CMS rates Friends Extended Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Friends Extended Care Center get at its last inspection?

3 health deficiencies at the standard inspection on February 19, 2026. The Ohio average is 10.5.

Has Friends Extended Care Center been fined?

CMS lists no fines in the last three years.

Does Friends Extended Care 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 Friends Extended Care Center?

CMS lists 11 owners and managers. Legal business name: FRIENDS HEALTH CARE ASSOCIATION, INC.

Friends Extended Care Center: Inspections & Ratings

The record in brief

At its most recent standard inspection, on February 19, 2026, inspectors cited 3 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 7 health citations since August 2021 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 4.57 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.

32.8% of nursing staff left within the year CMS measured (Ohio average 48.7%).

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.

208/21

206/23

302/26

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 7 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

February 19, 2026Standard inspection · 3 citations

F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 26, 2026

Inspectors wroteBased on record review, staff interview, and procedure review, the facility failed to maintain documentation of all routine activities related to maintenance, testing, and treatment of water systems. This had the potential to affect all 49 residents residing in the facility. The facility census was 49.
F

Keep all essential equipment working safely.

F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 26, 2026

Inspectors wroteBased on observation and staff interviews, the facility failed to maintain essential kitchen equipment in safe, working condition. This had the potential to affect all 49 residents residing in the facility. The census was 49.
D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 26, 2026

Inspectors wroteBased on record review, observation, staff interview and policy review, the facility failed to assess and document wound descriptions including measurements. This affected one (#06) out of two residents reviewed for pressure ulcers/injuries. The facility census was 49.

June 22, 2023Standard inspection · 2 citations

D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2023

Inspectors wroteBased on record review, staff interview and review of a facility policy, the facility failed to ensure residents were offered pneumococcal vaccines. This affected two residents (#02 and #18) out of the five residents reviewed for immunizations. The facility census was 43.
D

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 11, 2023

Inspectors wroteBased on interview and record review, the facility failed to ensure a resident was offered a Coronavirus (COVID-19) vaccine. This affected one resident (#17) out of five residents reviewed for immunizations. The facility census was 43.

August 27, 2021Standard inspection · 2 citations

F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 12, 2021

Inspectors wroteBased on record review, interview and policy review, the facility failed to test for Legionella in the hot water sources from the facility kitchen, shower room, and shower room for the rehabilitation unit. This had the potential to affect all residents who resided in the facility. The census was 54.
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) October 12, 2021

Inspectors wroteBased on record review and interview, the facility failed to convey a resident's funds within 30 days of death. This affected one (Resident #403) of one resident reviewed who had expired. This had the potential to affect twenty-four residents with personal funds accounts. The facility census was 54.

Fire safety inspections

15 fire safety citations on file: 7 on February 19, 2026, 4 on June 22, 2023, 4 on August 27, 2021.

Every fire safety citation15 citations

F
Meet other general requirements.

K 100 · February 19, 2026 · Corrected (the home has a date of correction)
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · February 19, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 19, 2026 · Corrected (the home has a date of correction)
F
Provide a written emergency evacuation plan.

K 711 · February 19, 2026 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · February 19, 2026 · Corrected (the home has a date of correction)
F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · February 19, 2026 · Corrected (the home has a date of correction)
E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.

K 232 · February 19, 2026 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · June 22, 2023 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · June 22, 2023 · Corrected (the home has a date of correction)
E
Have exits that are accessible at all times.

K 271 · June 22, 2023 · Corrected (the home has a date of correction)
E
Install an approved automatic sprinkler system.

K 351 · June 22, 2023 · Waiver
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.

K 222 · August 27, 2021 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · August 27, 2021 · Corrected (the home has a date of correction)
E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · August 27, 2021 · Corrected (the home has a date of correction)
E
Have restrictions on the use of portable space heaters.

K 781 · August 27, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Ohio	United States
All nursing staff (RN, LPN and aides)	4.57	3.69	3.86
Registered nurses	0.66	0.64	0.69
All nursing staff on weekends	3.99	3.28	3.42
Nurse aides	2.80
Licensed practical nurses	1.11
Nursing staff turnover (share who left in a year)	32.8%	48.7%	45.8%
Registered nurse turnover	33.3%	43.9%	42.9%
Administrators who left	0

CMS expects 4.67 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 4.81 on weekdays and 3.99 on weekends, 17% 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 4.28 in April to June 2025 to 4.57 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	4.57	0.66	4.81	3.99	0.0%	0 of 90	48
Oct to Dec 2025	4.56	0.65	4.83	3.87	0.0%	0 of 92	43
Jul to Sep 2025	4.70	0.44	4.94	4.11	0.0%	0 of 92	42
Apr to Jun 2025	4.28	0.40	4.44	3.88	0.0%	0 of 91	43
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.

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.

Measure	This home	Ohio	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	7.7	5.3	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.2	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	0.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.3	3.2	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	4.5	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	1.6	6.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	0.7	3.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	20.6	8.8	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	30.5	24.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	12.1	12.9	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.6	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	4.3	1.8	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Friends Extended Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (53.0% 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

53.0% 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. 77 eligible stays.

Potentially preventable readmissions

10.7% 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. 73 eligible stays.

Infections that led to a hospital stay

9.1% 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. 53 eligible stays.

Self-care and mobility at discharge

63.8% 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. 47 residents counted.

Falls with major injury

1.5% 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. 66 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. 66 residents counted.

Medication list given at discharge

100.0% 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. 37 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: FRIENDS HEALTH CARE ASSOCIATION, INC.

Name	Role	Type	Since
Zalar, Karl	W-2 managing employee	Individual	12/17/2007
Bean, Rodney	Corporate director	Individual	04/01/2017
Cooper, Ann	Corporate director	Individual	04/01/2015
Jackson, Kevin	Corporate director	Individual	03/01/2017
Porter, Elizabeth	Corporate director	Individual	11/01/2016
Reed, Kathrine	Corporate director	Individual	04/01/2017
Silvert, Donna	Corporate director	Individual	04/01/2016
Wright, Sterling	Corporate director	Individual	06/01/2016
Bowers, Alma	Corporate officer	Individual	04/01/2015
Bradtmiller, Bruce	Corporate officer	Individual	04/01/2014
Rubin, Beth	Corporate officer	Individual	04/01/2015

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.

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 February 19, 2026: "Provide and implement an infection prevention and control program."
Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on February 19, 2026: "Keep all essential equipment working safely."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on February 19, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on August 27, 2021: "Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death."

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Atrium Nursing and Rehabilitation
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Overbrook Landing Health and Rehabiliation
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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 Friends Extended Care Center's Medicare star rating?: CMS rates Friends Extended Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Friends Extended Care Center get at its last inspection?: 3 health deficiencies at the standard inspection on February 19, 2026. The Ohio average is 10.5.
Has Friends Extended Care Center been fined?: CMS lists no fines in the last three years.
Does Friends Extended Care 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 Friends Extended Care Center?: CMS lists 11 owners and managers. Legal business name: FRIENDS HEALTH CARE ASSOCIATION, 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.