Gardens at St. Henry the
522 Western Avenue, Saint Henry, OH 45883 · Mercer County · (419) 678-9800
25 certified beds, about 24 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2000
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366197 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 4, 2025, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 7 health citations since August 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.27 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
38.5% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Lionstone Care, an affiliated group of 24 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.
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.
September 4, 2025Standard inspection · 5 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interview and facility policy review, the facility failed to maintain a safe sanitary kitchen. This had the possibly to affect 23 out 25 residents who receive food from the kitchen. The facility identified Resident #1 and #2 did not receive food from the kitchen. The facility census was 25. Findings Include: Observation of the kitchen on 09/02/25 at 9:48 A.M. revealed the trash can by the food serving table had a flip lid. The here was observed multiple areas of thick food particles on the can. Observation of the kitchen freezer revealed the door handles had a red sticky substance on them as did the surface of the refrigerator behind the door handles.
- 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 upon observation and interview the facility failed to properly place a catheter bag. This affected one (#33) of one residents in the facility with a catheter. Census was 25. Records Reviews for Resident #33 revealed resident was admitted on [DATE] with diagnosis fracture of shaft of humerus and left arm, major depressive disorder, anxiety, and panic disorder. The Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #33 was cognitively intact and was admitted with suprapubic catheter due to neuromuscular dysfunction of bladder. Observation of Resident #33 on 09/02/25 at 10:38 A.M. revealed suprapubic catheter bag laying on the floor folded in half beside Resident #33's bed. Interview with RN #101 verified suprapubic catheter bag was laying on the floor beside the bed.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on observation, medical record review, staff interview, and policy review the facility failed to provide care for peripherally inserted central catheter. This directly affected one resident, #12, of one reviewed for intravenous catheters. The facility census was 25. Findings Include:Review of the medical record of Resident #12 revealed an admission date of 03/18/25. Diagnoses include urinary tract infection and Extended-Spectrum Beta-Lactamase in urine. Review of the quarterly Minimum Data Set assessment dated [DATE] revealed Resident #12 to be cognitively intact. The assessment indicated no intravenous catheter. Review of the physician order dated 08/25/25 revealed an order to change the midline dressing every week. The order indicated this should occur on Mondays. Interview and direct observation of Resident #12 on 09/02/25 at 8:45 A.M. [...]
- D 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 medications were securely stored. This had the potential to affect two residents, (#18 and #19), identified by the facility as being confused and independently mobile residents. The facility census was 25. Findings Include:Observation on 09/02/25 at 8:50 A.M. an antibiotic was noted on the medication cart which was located in the hallway. The cart was unattended. Registered Nurse (RN) #110 was observed to exited a resident room and verified the medication had been lying on the medication cart unattended. The medication was labeled Resident #12 and contained Ertapenem sodium (antibiotic) solution reconstituted 1 gram. Review of the policy titled Medication Storage, undated, revealed medications will be stored in a manner that ensures the safety of the residents. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, medical record review, staff interview, and policy review the facility failed to follow infection control procedures for residents in isolation. This directly affected one resident, (#12), and had the potential to affect five residents, #01, #02, #12, #16, and #33, on isolation. The facility census was 25. Findings Include:Review of the medical record of Resident #12 revealed an admission date of 03/18/25. Diagnoses include urinary tract infection and Extended-Spectrum Beta-Lactamase in urine. Review of the quarterly Minimum Data Set assessment dated [DATE] revealed Resident #12 to be cognitively intact. The assessment indicated no isolation. Review of the physician order dated 08/26/25 revealed an order for contact isolation. Observation on 09/02/25 at 8:45 A.M. revealed a sign on the door to Resident #12's room indicating enhanced barrier precautions. [...]
November 9, 2022Standard inspection · 2 citations
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on medical record review, observations, staff interview and review of the facility's policy, the facility failed to ensure residents oxygen tubing was changed according to the physicians orders and the facility policy. This affected one (#15) of one resident reviewed for oxygen use. The facility census was 24.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to ensure a resident was free from the unnecessary medications regarding the use of an antibiotic medication without an adequate indication for use. This affected one (#17) of six residents reviewed for unnecessary medications. The census was 24.
August 15, 2019Standard inspection · 0 citations
Fire safety inspections
2 fire safety citations on file: 1 on November 9, 2022, 1 on August 15, 2019.
Every fire safety citation2 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Inspect, test, and maintain automatic sprinkler systems.
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) | 3.27 | 3.69 | 3.86 |
| Registered nurses | 0.45 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.80 | 3.28 | 3.42 |
| Nurse aides | 1.70 | ||
| Licensed practical nurses | 1.12 | ||
| Nursing staff turnover (share who left in a year) | 38.5% | 48.7% | 45.8% |
| Registered nurse turnover | not reported | 43.9% | 42.9% |
| Administrators who left | not reported |
CMS expects 4.03 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 3.46 on weekdays and 2.80 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.49 in April to June 2025 to 3.27 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 | 3.27 | 0.45 | 3.46 | 2.80 | 5.5% | 0 of 90 | 24 |
| Oct to Dec 2025 | 3.25 | 0.57 | 3.43 | 2.80 | 2.3% | 0 of 92 | 24 |
| Jul to Sep 2025 | 3.43 | 0.65 | 3.68 | 2.81 | 6.8% | 0 of 92 | 24 |
| Apr to Jun 2025 | 3.49 | 0.67 | 3.76 | 2.81 | 5.6% | 0 of 91 | 24 |
| 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 | 5.5 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 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 | 1.2 | 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 | 6.7 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.4 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.8 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.8 | 1.8 |
Owners and operators
Legal business name: GARDENS AT ST. HENRY OPERATING COMPANY, LLC. CMS links this home to Lionstone Care, a group of 24 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lionstone Hz Opco Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 01/01/2023 |
| Kazarnovsky, Solomon | 5% or greater indirect ownership interest | Individual | 50% | 01/01/2023 |
| Stein, Abba | 5% or greater indirect ownership interest | Individual | 50% | 01/01/2023 |
| Cusner, Adam | Corporate officer | Individual | 01/27/2025 | |
| Degyansky, Jeffrey | Corporate officer | Individual | 01/01/2020 | |
| Goldish, Eliezer | Corporate officer | Individual | 10/09/2023 | |
| Kazarnovsky, Solomon | Corporate officer | Individual | 01/01/2023 | |
| Stein, Abba | Corporate officer | Individual | 01/01/2023 | |
| Cusner, Adam | Operational/managerial control | Individual | 01/27/2025 | |
| Degyansky, Jeffrey | Operational/managerial control | Individual | 01/01/2023 | |
| Goldish, Eliezer | Operational/managerial control | Individual | 10/09/2023 | |
| Kazarnovsky, Solomon | Operational/managerial control | Individual | 01/01/2023 | |
| Stein, Abba | Operational/managerial control | Individual | 01/01/2023 | |
| Cusner, Adam | Adp of the SNF | Individual | 01/27/2025 | |
| Degyansky, Jeffrey | Adp of the SNF | Individual | 01/01/2023 | |
| Goldish, Eliezer | Adp of the SNF | Individual | 10/09/2023 | |
| Kazarnovsky, Solomon | Adp of the SNF | Individual | 01/01/2023 | |
| Stein, Abba | Adp of the SNF | Individual | 01/01/2023 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on September 4, 2025: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on September 4, 2025: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 4, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 4, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.80 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Briarwood Village Coldwater, 4.5 mi · 2 of 5 stars · 28 citations
- Celina Manor Celina, 10.8 mi · 4 of 5 stars · 19 citations
- Gardens at Celina Celina, 10.9 mi · 4 of 5 stars · 21 citations
- Otterbein St. Marys Retirement Community St. Marys, 13.3 mi · 4 of 5 stars · 20 citations
- Carecore at Minster Minster, 14.6 mi · 3 of 5 stars · 29 citations
- Grande Lake Healthcare Center St. Marys, 15.7 mi · 3 of 5 stars · 33 citations
- Versailles Rehabilitation and Health Care Center Versailles, 16.4 mi · 2 of 5 stars · 24 citations
- Vancrest of St. Mary's St. Marys, 16.8 mi · 5 of 5 stars · 10 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 Gardens at St. Henry the's Medicare star rating?
- CMS rates Gardens at St. Henry the 4 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Gardens at St. Henry the get at its last inspection?
- 5 health deficiencies at the standard inspection on September 4, 2025. The Ohio average is 10.5.
- Has Gardens at St. Henry the been fined?
- CMS lists no fines in the last three years.
- Does Gardens at St. Henry the 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 Gardens at St. Henry the?
- CMS lists 18 owners and managers, and links the home to Lionstone Care. Legal business name: GARDENS AT ST. HENRY OPERATING COMPANY, LLC.
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.