Geneva Center for Rehabilitation and Nursing
1140 South Broadway, Geneva, OH 44041 · Ashtabula County · (440) 466-5809
80 certified beds, about 69 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2006
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366326 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 16, 2026, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 25 health citations since May 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.06 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
66.7% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Aom Healthcare, an affiliated group of 20 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.
805/23
1406/24
105/25
204/26
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 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
16D
2E
4F
Potential for minimal harm
0A
1B
1C
April 16, 2026Standard inspection · 2 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation and interviews, the facility failed to serve hot and palatable foods. This affected four residents (Residents #2, #6, #8 and #61) and had the potential to affect all 68 residents residing in the facility. The facility census was 68.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations, interviews, and review of email correspondence, water temperature audit forms and facility policy, the facility failed to maintain adequate hot water temperatures in resident rooms. This affected four residents (Residents #9, #14, #17 and #54) out of 12 residents reviewed for hot water temperatures. The facility census was 68.
May 15, 2025Complaint inspection · 1 citation
- 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, interview and review of the facility policy, the facility failed to ensure Resident #63's comprehensive care plan was revised regarding her desire to live in the community and failed to assist Resident #63 with her discharge planning. This affected one resident (#63) out of three residents reviewed for discharge planning. The facility census was 62.
June 3, 2024Standard inspection · 14 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, facility policy review and interview the facility failed to provide comprehensive, individualized and necessary pressure ulcer assessment and care for Resident #56. This affected one resident (#56) of two residents reviewed for pressure related wound care. The facility census was 63. Actual harm occurred on 03/26/24 when the facility failed to adequately assess and implement pressure ulcer wound care for Resident #56, a new admission who had impaired cognition and bowel incontinence. On 03/28/24 the resident was transferred to the emergency room where hospital staff identified an extensive coccyx/sacral pressure ulcer with surrounding cellulitis and additional concern for osteomyelitis. The facility had not implemented any type of pressure ulcer wound care for the resident prior to the hospitalization. [...]
- F Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on record review and interview, the facility failed to ensure state-tested nursing aides (STNAs) received annual performance evaluations. This affected two STNAs (#604 and #614) of three reviewed for completed employee files. This had the potential to affect all 63 residents residing in the facility.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner and the dish machine was monitored to ensure all service ware, cutlery, and utensils were sanitized effectively. This had the potential to affect 63 residents residing in the facility. The facility identified no residents received nothing by mouth.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, facility policy review, and review of the memorandum from the Department of Health and Human Services, the facility failed to initiate and use enhanced barrier precautions (EBP) when appropriate for Residents #56, #262, #264, and #313. This affected four residents (#56, #262, #264 and #313) of seven residents reviewed for infection prevention and control and had the potential to affect all 63 residents residing in the facility.
- E 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 interview, observation, record review and review of the facility policy, the facility failed to ensure comprehensive care plans and/or Kardex's were complete for Residents #14, #16, #50, and #52. This affected four residents (#14, #16, #50, and #52) out of 22 resident's care plans reviewed. The facility census was 63.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation and interview, the facility failed to puree all items in a manner that preserved nutrient value and taste. This had the potential to affect the five residents (#13, #18, #31, #46, and #213) identified by the facility as receiving pureed consistency foods. The facility census was 63.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review and interview, the facility failed to provide privacy for urinary catheter drainage bags. This affected three residents (#25, #56 and #264) of four residents reviewed for urinary catheters. The facility census was 63.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, observation, record review and review of the facility policy, the facility failed to ensure Resident #16 and Resident #60's embolic stockings (tight stockings applied to lower extremities to reduce edema) were applied as ordered by the physician. This affected two residents (#16 and #50) out of two residents reviewed for edema. This had the potential to affect five additional residents (#3, #4, #7, #38, and #42) identified by the facility as residents who had orders for embolic stockings. The facility census was 63.
- 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 observation, interview and record review, the facility failed to obtain physician's orders and provide sufficient care for an indwelling urinary catheter. This affected one resident (#264) of four residents reviewed for urinary catheters. The facility census was 63.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on interview, observation, record review and review of the facility policy, the facility failed to ensure Resident #16's midline (intravenous catheter inserted in the upper arm with the tip located just below the axilla area) catheter was appropriately monitored and maintained. This affected one resident (#16) out of one resident reviewed for intravenous (IV) access and had the potential to affect two residents (#16 and #313) identified by the facility with IV access. The facility census was 63.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on interview, observation, record review and review of the facility policy, the facility failed to ensure residents had oxygen orders, oxygen was secured safely, and/or residents had oxygen signs indicating oxygen was in use. This affected two residents (#52 and #264) out of two residents reviewed for respiratory care. This had the potential to affect ten residents (#2, #9, #12, #25, #52, #56, #211, #264, #311, and #312) that were identified by the facility with oxygen. The facility census was 63.
- 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 record review, interview and facility policy review, the facility failed to ensure pharmacy recommendations were addressed by the physician in a timely manner. This affected three residents (#15, #21, and #25) of five residents reviewed for unnecessary medications. The facility census was 63.
- C Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Inspectors wroteBased on record review and interview, the facility failed to ensure all staff members received reference checks before hire. This affected four employees, Licensed Practical Nurse (LPN) #642, State-Tested Nursing Aide (STNA) #604, STNA #614, and Maintenance Director (MD) #603, of six employees reviewed for completed employee files. This had the potential to affect all 63 residents residing in the facility.
- B Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on record review and interview, the facility failed to ensure they received signed and witnessed authorizations before managing resident funds. This affected three residents (#55, #39, and #61) of five residents reviewed for funds management. The facility census was 63.
May 10, 2023Standard inspection · 8 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interview, the facility failed to ensure the physician was notified of a significant weight loss for Resident #12. This affected one resident (#12) of seven reviewed for weight loss. The facility census was 54.
- 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 observation, interview, and record review the facility failed to ensure the fall prevention care plan and resulting interventions were updated for Resident #35. This affected one resident (#35) of four residents reviewed for accidents. The facility census was 54.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on record review, interview, and facility policy review the facility failed to ensure discharges were thoroughly documented in the medical record. This affected one resident (#55) of four residents reviewed for discharge. The facility census was 54.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review, interview, and facility policy review the facility failed to ensure Resident #26 received routine showers per preference and as scheduled. This affected one resident (#26) of four residents reviewed for showers/activity of daily living care. The facility census was 54.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review, interview, and facility policy review the facility failed to ensure interventions were in place to promote healing of a pressure ulcer for Resident #28. This affected one resident (#28) of two residents reviewed for pressure ulcers. The facility census was 54.
- 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 maintain interventions to prevent Resident #258's fall. This affected one resident (#258) out of three residents reviewed for falls. The facility census was 54.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review, interview, and facility policy review the facility failed to follow recommendations to ensure Resident #12 maintained weight or did not continue to lose weight. This affected one resident (#12) of seven resident reviewed for weight loss. The facility census was 54.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, interview, and facility policy review the facility failed to follow infection control standards for Resident #28 during wound care to prevent possible cross-contamination of germs. This affected one resident (#28) out of three residents reviewed for wound care. The facility census was 54.
Fire safety inspections
16 fire safety citations on file: 5 on April 16, 2026, 8 on June 3, 2024, 3 on May 10, 2023.
Every fire safety citation16 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- 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 Have generator or other power source capable of supplying service within 10 seconds.
- E Use approved construction type or materials.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have properly sized and located compartments to protect residents from smoke.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- F Install emergency lighting that can last at least 1 1/2 hours.
- 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.
- E Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 3, 2024 | Payment Denial | 13 days from June 29, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.06 | 3.69 | 3.86 |
| Registered nurses | 0.55 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.76 | 3.28 | 3.42 |
| Nurse aides | 1.76 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 66.7% | 48.7% | 45.8% |
| Registered nurse turnover | 58.3% | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.94 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 3.18 on weekdays and 2.76 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.20 in April to June 2025 to 3.06 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 | 3.06 | 0.55 | 3.18 | 2.76 | 16.5% | 0 of 90 | 69 |
| Oct to Dec 2025 | 3.16 | 0.71 | 3.29 | 2.85 | 27.2% | 0 of 92 | 64 |
| Jul to Sep 2025 | 3.30 | 0.70 | 3.48 | 2.83 | 32.3% | 0 of 92 | 56 |
| Apr to Jun 2025 | 3.20 | 0.64 | 3.33 | 2.87 | 34.0% | 0 of 91 | 59 |
| 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 | 1.6 | 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 | 1.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.7 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.2 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.6 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 33.4 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.7 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.0 | 1.8 | 1.8 |
Owners and operators
Legal business name: GENEVA OPCO LLC. CMS links this home to Aom Healthcare, a group of 20 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Goldstein, Jeffery | 5% or greater direct ownership interest | Individual | 49% | 03/04/2021 |
| Sherman, Lea | 5% or greater direct ownership interest | Individual | 49% | 03/04/2021 |
| Goldstein, Jeffery | W-2 managing employee | Individual | 03/04/2021 | |
| Goldstein, Jeffery | Corporate officer | Individual | 03/04/2021 |
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 9 problems in this area, most recently on June 3, 2024: "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 4 problems in this area, most recently on April 16, 2026: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 15, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on April 16, 2026: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.76 hours per resident per day, below the Ohio average of 3.28.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Pine Grove Healthcare Center Geneva, 0.4 mi · 5 of 5 stars · 1 citation
- Rae Ann Geneva Geneva, 1 mi · 1 of 5 stars · 31 citations
- Madison Health Care Madison, 3.5 mi · 3 of 5 stars · 36 citations
- Austinburg Nsg and Rehab Ctr Austinburg, 4.8 mi · 3 of 5 stars · 17 citations
- Cardinal Woods Skilled Nursing & Rehab Ctr Madison, 5.4 mi · 1 of 5 stars · 37 citations
- Saybrook Landing Ashtabula, 7.7 mi · 5 of 5 stars · 4 citations
- Carington Park Ashtabula, 9.8 mi · 5 of 5 stars · 12 citations
- Jefferson Healthcare Center Jefferson, 10.3 mi · 4 of 5 stars · 5 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 Geneva Center for Rehabilitation and Nursing's Medicare star rating?
- CMS rates Geneva Center for Rehabilitation and Nursing 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Geneva Center for Rehabilitation and Nursing get at its last inspection?
- 2 health deficiencies at the standard inspection on April 16, 2026. The Ohio average is 10.5.
- Has Geneva Center for Rehabilitation and Nursing been fined?
- CMS lists no fines in the last three years.
- Does Geneva Center for Rehabilitation and Nursing 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 Geneva Center for Rehabilitation and Nursing?
- CMS lists 4 owners and managers, and links the home to Aom Healthcare. Legal business name: GENEVA OPCO 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.