Gables Care Center
350 Lahm Drive, Hopedale, OH 43976 · Harrison County · (740) 937-2900
86 certified beds, about 74 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366052 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 30, 2026, inspectors cited 16 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 29 health citations since May 2022 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 3.85 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.73 of those hours.
28.0% 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.
805/22
304/24
202/26
1604/26
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 29 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
23D
3E
2F
Potential for minimal harm
0A
0B
1C
April 30, 2026Standard inspection · 16 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of facility's infection prevention and control program, review of the facility's legionella prevention program, review of infection logs and reports, observations, interviews with facility staff, review of Centers for Disease Control (CDC) guidelines, and facility policy review, the facility failed to identify and address infection trends, failed to adequately monitor water temperatures per the facility's water management plan, failed to ensure gloves were appropriately changed during incontinence care for Resident #74, and failed to perform hand hygiene to prevent the spread of infection prior to insulin administration for Resident #40. This had the potential to affect 75 residents residing in the facility. The facility census was 75.
- E Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on medical record review and interview, the facility failed to ensure residents were provided baseline care plans as required. This affected five residents (#6, #38, #84, #102) of 15 residents sampled for baseline care plans. The census was 75.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, medical record review, drug information review, policy review and interview, the facility failed to ensure medications were administered as ordered. There were four errors out of 25 medication administration opportunities for an error rate of 16%. This affected three residents (#40, #66 and #89) of six residents reviewed for medication administration. The facility census was 75.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents or their representative received written notice which specified the duration of the facility's bed-hold policy at the time of transfer. This affected two residents (#65 and #74) of three residents reviewed for hospitalization. The facility census was 75.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review and interview, the facility failed to ensure comprehensive assessments were accurate. This affected two residents (#38 and #84) of 24 residents reviewed for comprehensive assessments. The census was 75.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on medical record review and interview, the facility failed to ensure comprehensive care plans were completed as required. This affected two residents (#5 and #39) of 25 residents reviewed for care plans. The census was 75.
- 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 interview, the facility failed to ensure dependent residents received adequate hygiene and showers. This affected one resident (#30) of one resident reviewed for activities of daily living. The census was 75.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on review of medical records, review of activity logs and calendars, and interviews with staff and residents, the facility failed to provide activities to meet the needs and interest for Resident #3 and Resident #84. This affected two residents (Resident #3 and Resident #84) of two residents reviewed for activities. The facility census was 75.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, medical record review, contract review, policy review and interview, the facility failed to ensure vision services were provided as needed. This affected one resident (#84) of one resident sampled for communication. The census was 75.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview, record review, and policy review the facility failed to ensure a resident's incontinence brief was applied correctly resulting in the development of a pressure injury. This affected one resident (#74) of four residents reviewed for skin impairments. The census was 75.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on medical record review, infection control log review and interview, the facility failed to ensure residents were treated for urinary tract infections as ordered. This affected one resident (#78) of two residents reviewed for urinary tract infections. The census was 75.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, medical record review, policy review and interview, the facility failed to provide adequate care and services to manage Resident #5's pain. This affected one resident (#5) of one sampled for pain management. The census was 75.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on review of medical records, staff interviews, and facility policy review, the facility failed to thoroughly address pharmacy recommendations in a timely manner. This affected three residents (#2, #78, and #83) of six residents reviewed for unnecessary medications. The facility census was 75.
- D Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on medical record review, observation, interviews, and facility policy review, the facility failed to ensure suitable and nourishing snack options were available for Resident #1. This affected one (Resident #1) of four residents reviewed for nutrition and hydration. The facility census was 75.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on review of infection control reports, review of medical records, and staff interview, the facility failed to perform antibiotic stewardship for Resident #77 when the facility did not confirm a diagnosis of a urinary tract infection (UTI) using diagnostic testing before instituting and continuing antibiotic therapy. This affected one resident (#77) reviewed for antibiotic stewardship. The facility census was 75.
- C Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on review of survey result postings, review of the survey results binder, and interviews with residents and staff, the facility failed to provide the most recent survey results to residents. This had the potential to affect all 75 residents. The facility census was 75.
February 11, 2026Complaint inspection · 2 citations
- F Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on observation, record review, review of the administrator job description, review of the resident rights policy and interviews, the facility failed to be administered in a manner that enabled all residents to attain/maintain their highest practicable physical, mental and psychosocial well-being. This had the potential to affect all 75 residents residing in the facility.
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on observations, record review, activity calendars review, review of facility policy and interview, the facility failed to ensure activities were available to meet the needs of the residents and included adequate activity staff members to assist the residents with activities as needed. This affected three residents (Residents #39, #50 and #70) of five residents reviewed for activities and three residents (Resident #3, #44 and #67) observed during a group activity of 20 residents involved in the activity. The facility census was 75.
April 12, 2024Standard inspection · 3 citations
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure a resident with contractures received appropriate services to maintain mobility and prevent further decrease in range of motion. This affected one (Resident #51) of one residents reviewed for position/mobility. The facility census was 79.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased observation, record review, interview and policy review the facility failed to ensure an indwelling urinary catheter drainage bag and tubing were not resting on the floor. This affected one (Resident #3) of two residents reviewed for indwelling urinary catheter use. The facility identified eight residents (Residents #3, #4, #7, #15, #25, #32, #43 and #132) currently utilizing indwelling urinary catheters. The facility census was 79.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on medical record review, review of the infection control log, interview, and policy review the facility failed to ensure antibiotic use was appropriate and infections met treatment criteria. This affected one resident (#25) of two residents reviewed for antibiotic use. The facility census was 79.
May 5, 2022Standard inspection · 8 citations
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review, facility policy and procedure review and interview the facility failed to ensure the advance directives/code status for Resident #26 and Resident #281 were consistent between each residents' electronic health record, the hard chart/paper record on the unit and the sticker on the first page of the hard chart for quick reference. This affected two residents (#26 and #281) of two residents reviewed for advanced directives.
- 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 record review and interview the facility failed to ensure Resident #73's physician was notified as ordered when the resident's blood glucose level (blood sugar) was greater than 400. This affected one resident (#73) of five residents reviewed for unnecessary medication use.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review, facility policy and procedure review and interview the facility failed to provide residents and resident representatives a written notice indicating the reason for the discharge and appeal rights. This affected two residents (#45 and #81) of 24 residents interviewed/reviewed for hospitalization.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record review, facility policy and procedure review and interview the facility failed to provide residents or resident representatives a written notice of the bed hold policy. This affected two residents (#45 and #81) of 24 residents interviewed/reviewed for hospitalization.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, facility policy and procedure review and interview the facility failed to ensure Resident #17 was invited to attend a quarterly care conference to be a part of the care planning process. This affected one resident (#17) of one resident reviewed for participation in care planning.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, review of physician standing orders and interview the facility failed to recheck Resident 23's blood glucose level after an initial blood sugar check was below 65 milligrams/ deciliter (mg/dl). This affected one resident (#23) of five residents reviewed for unnecessary medication use.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review, facility policy and procedure review and interview the facility failed to complete accurate assessments and failed to update the physician regarding failure to heal and/or decline in a pressure ulcer for Resident #72 to determine if a change in treatment was indicated. This affected one resident (#72) of one resident reviewed for pressure ulcers.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review and interview the facility failed to ensure fall interventions were in place for Resident #70, who had a history of falls to decrease the risk of additional falls. This affected one resident (#70) of two residents reviewed for falls.
Fire safety inspections
24 fire safety citations on file: 10 on April 30, 2026, 7 on April 12, 2024, 7 on May 5, 2022.
Every fire safety citation24 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Install a fire alarm system that can be heard throughout the facility.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Ensure proper usage of power strips and extension cords.
- F Use approved construction type or materials.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Install an approved automatic sprinkler system.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Meet requirements for the use and maintenance of medical gas equipment.
- E Have properly located and lighted "Exit" signs.
- E Install corridor and hallway doors that block smoke.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Ensure proper usage of power strips and extension cords.
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) | 3.85 | 3.69 | 3.86 |
| Registered nurses | 0.73 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.46 | 3.28 | 3.42 |
| Nurse aides | 2.08 | ||
| Licensed practical nurses | 1.04 | ||
| Nursing staff turnover (share who left in a year) | 28.0% | 48.7% | 45.8% |
| Registered nurse turnover | 15.8% | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.17 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 4.01 on weekdays and 3.46 on weekends, 14% 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 3.66 in April to June 2025 to 3.85 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 | 3.85 | 0.73 | 4.01 | 3.46 | 0.0% | 0 of 90 | 74 |
| Oct to Dec 2025 | 3.78 | 0.68 | 4.03 | 3.14 | 0.0% | 0 of 92 | 75 |
| Jul to Sep 2025 | 3.67 | 0.72 | 3.88 | 3.11 | 0.0% | 0 of 92 | 79 |
| Apr to Jun 2025 | 3.66 | 0.74 | 3.93 | 3.00 | 0.0% | 0 of 91 | 77 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.5 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.8 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.3 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.3 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 22.2 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 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 |
Owners and operators
Legal business name: 350 LAHM DRIVE OPERATING COMPANY INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Capital Health Services Inc | 5% or greater direct ownership interest | Organization | 09/01/2005 | |
| Bernsen, Kara | 5% or greater direct ownership interest | Individual | 01/01/2005 | |
| Bernsen, Kenneth | 5% or greater direct ownership interest | Individual | 01/01/2005 | |
| Huff, Joshua | 5% or greater direct ownership interest | Individual | 01/01/2005 | |
| Manning, Sarah | 5% or greater direct ownership interest | Individual | 01/01/2005 | |
| Bernsen, Kenneth | W-2 managing employee | Individual | 01/01/2005 | |
| Bernsen, Kara | Corporate director | Individual | 01/01/2005 | |
| Bernsen, Kenneth | Corporate director | Individual | 01/01/2005 | |
| Huff, Joshua | Corporate director | Individual | 01/01/2005 | |
| Manning, Sarah | Corporate director | Individual | 01/01/2005 | |
| Bernsen, Kara | Corporate officer | Individual | 01/01/2005 | |
| Bernsen, Kenneth | Corporate officer | Individual | 01/01/2005 | |
| Huff, Joshua | Corporate officer | Individual | 01/01/2005 | |
| Manning, Sarah | Corporate officer | Individual | 01/01/2005 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on April 30, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on April 30, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- 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 April 30, 2026: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on April 30, 2026: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Carriage Inn of Cadiz Cadiz, 6.3 mi · 3 of 5 stars · 24 citations
- Dixon Healthcare Center Wintersville, 10 mi · 1 of 5 stars · 91 citations
- Sienna Skilled Nursing & Rehabilitation Wintersville, 10.9 mi · 1 of 5 stars · 40 citations
- Sienna Hills Nursing & Rehabilitation Adena, 12.2 mi · 3 of 5 stars · 30 citations
- Steubenville Country Club Manor Steubenville, 12.3 mi · 2 of 5 stars · 59 citations
- Villa Vista Royale LLC Steubenville, 12.5 mi · 5 of 5 stars · 20 citations
- Carriage Inn of Steubenville Steubenville, 13.1 mi · 4 of 5 stars · 27 citations
- Laurels of Steubenville the Steubenville, 14.2 mi · 2 of 5 stars · 47 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 Gables Care Center's Medicare star rating?
- CMS rates Gables Care Center 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Gables Care Center get at its last inspection?
- 16 health deficiencies at the standard inspection on April 30, 2026. The Ohio average is 10.5.
- Has Gables Care Center been fined?
- CMS lists no fines in the last three years.
- Does Gables 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 Gables Care Center?
- CMS lists 14 owners and managers. Legal business name: 350 LAHM DRIVE OPERATING COMPANY 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.