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Genoa Retirement Village

300 Cherry St., Genoa, OH 43430 · Ottawa County · (419) 855-7755

68 certified beds, about 63 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1985

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365663 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 27, 2026, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 15 health citations since April 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 3.43 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 1.08 of those hours.

23.1% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Trilogy Health Services, an affiliated group of 127 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.

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 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
2E
3F
Potential for minimal harm
0A
0B
0C
January 27, 2026Standard inspection · 5 citations
  1. F
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, staff interview, medical record review, and review of the Centers for Medicare and Medicaid Services (CMS) Provider History Profile document, the facility failed to have an effective Quality Assurance and Performance Improvement (QAPI) program to address repeated infection control deficiencies identified during five consecutive comprehensive surveys. This had the potential to affect all residents in the facility. The facility census was 66.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on medical record review, observation, staff interview, review of the Centers for Disease Control and Prevention (CDC) guidelines and review of facility policy, the facility failed to ensure appropriate personal protective equipment (PPE) was utilized while providing care for residents on transmission-based precautions (TBP). This affected two (#8 and #1) of two residents reviewed for TBP. Additionally, the facility failed to ensure intravenous (IV) medication administration tubing was maintained in a sanitary manner. This affected one (#43) of one resident reviewed for IV medication administration. Lastly, the facility failed to ensure appropriate hand hygiene during wound dressing changes. This affected one (#48) of one resident reviewed for pressure ulcers. The facility census was 66.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on observation, record review, and staff interview, the facility failed to ensure skin assessments were completed accurately. This affected one (#24) resident reviewed for skin assessments. The facility census was 66. Findings Include: Review of the medical record for Resident #24 revealed an admission date of 01/08/26 with diagnoses of congestive heart failure, type II diabetes mellitus, and chronic kidney disease. Review of the admission Observation and Data Collection, dated 01/08/26, revealed Resident #24 was oriented to person, place, time and situation. Review of a physician order dated 01/08/26 revealed Resident #24 received weekly skin assessments. Review of the Treatments Administration History revealed Resident #24 had no skin findings identified during the skin assessment completed 01/19/26. Observation on 01/20/26 at 2:21 P.M. [...]
  4. 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) February 27, 2026
    Inspectors wroteBased on medical record review, review of wound clinic notes, observation, and staff interview, the facility failed to ensure pressure ulcer wound treatments and pressure reducing interventions were implemented as physician ordered. This affected one (#41) of two residents reviewed for pressure ulcers. The facility census was 66.
  5. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 27, 2026
    Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to ensure consistent communication with the hemodialysis (HD) clinic. This affected one (#3) of one resident identified by the facility as receiving HD. The facility census was 66.
August 7, 2025Complaint inspection · 1 citation
  1. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on observation, medical record review, staff interview, and review of facility policy, the facility failed to ensure resident incontinence care was provided timely. This affected one (#1) of three residents reviewed for incontinence care. The facility census was 64.
January 4, 2024Standard inspection · 6 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 26, 2024
    Inspectors wroteBased on observation, staff interview, record review, and review of the policy, the facility failed to ensure dietary staff used appropriate hand hygiene during food service. This affected three (#16, #46, and #48) residents and had the potential to affect all residents in the facility. The facility confirmed all residents received food from the kitchen. The facility census was 56.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 26, 2024
    Inspectors wroteBased on medical record review, observation, staff interview and policy review, the facility failed to ensure hand hygiene was completed prior to the administration of eye medication. Additionally the facility failed to ensure staff properly transported soiled linen. This affected one (#50) of three residents reviewed for medication administration. This had the potential to affect 19 additional residents (#24, #25, #21, #44, #10, #22, #4, #2, #40, #48, #36, #39, #32, #8, #30, #6, #57, #28, #53) residing on the 100-hall.
  3. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 26, 2024
    Inspectors wroteBased on observation, staff interview, medical record review, and policy review, the facility failed to ensure a resident had access to a call light. This affected one (#7) of one residents reviewed for call lights being within reach. The facility census was 56.
  4. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 26, 2024
    Inspectors wroteBased on medical record review, resident interview, staff interview, and policy review, the facility failed to timely address resident concerns. This affected one (#18) of one resident reviewed for concerns. The facility census was 56.
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 26, 2024
    Inspectors wroteBased on observation, staff interview, record review, and policy review, the facility failed to have fall mats in place to reduce risk of injury if the resident falls out of bed. This affected one (#7) of one resident reviewed for falls. The facility census was 56.
  6. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 26, 2024
    Inspectors wroteBased on medical record review, staff interview, and review of the policy, the facility failed to ensure the provider addressed pharmacist recommendations. This affected one (#3) of five residents reviewed for unnecessary medications. The facility census was 56.
April 22, 2021Standard inspection · 3 citations
  1. 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) June 14, 2021
    Inspectors wroteBased on observation, staff interview, review of facility's guidelines, review of facility policy, and review of the Centers for Disease Control and Prevention (CDC) Coronavirus Disease 2019 (COVID-19) Pandemic guidance, the facility failed to ensure healthcare personnel applied appropriate transmission based infection control precautions and personal protective equipment (PPE) to potentially prevent the spread of COVID-19. Additionally, the facility failed to ensure medications were administered to prevent cross contamination. This had the potential to affect all 39 residents residing in the facility. The facility census was 39.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 14, 2021
    Inspectors wroteBased on medical record review, observation, staff interview, and facility policy review, the facility failed to ensure a resident's privacy was not compromised during personal care. This affected one Resident (#82) of 16 reviewed for privacy and dignity. The facility census was 39.
  3. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 14, 2021
    Inspectors wroteBased on medical record review, observation, resident and staff interview, the facility failed to ensure interventions to prevent incontinence and potential associated urinary tract infections (UTIs) were implemented timely. This affected one Resident (#8) of 16 reviewed for incontinence care. The facility census was 39.

Fire safety inspections

17 fire safety citations on file: 9 on January 27, 2026, 5 on January 4, 2024, 3 on April 22, 2021.

Every fire safety citation17 citations
  1. F
    Address subsistence needs for staff and patients.
    E 15 · January 27, 2026 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 27, 2026 · Corrected (the home has a date of correction)
  3. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 27, 2026 · Corrected (the home has a date of correction)
  4. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 27, 2026 · Corrected (the home has a date of correction)
  5. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · January 27, 2026 · Corrected (the home has a date of correction)
  6. F
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · January 27, 2026 · Corrected (the home has a date of correction)
  7. 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 · January 27, 2026 · Corrected (the home has a date of correction)
  8. E
    Install corridor and hallway doors that block smoke.
    K 363 · January 27, 2026 · Corrected (the home has a date of correction)
  9. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 27, 2026 · Corrected (the home has a date of correction)
  10. F
    Provide properly protected cooking facilities.
    K 324 · January 4, 2024 · Corrected (the home has a date of correction)
  11. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 4, 2024 · Corrected (the home has a date of correction)
  12. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 4, 2024 · Corrected (the home has a date of correction)
  13. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 4, 2024 · Corrected (the home has a date of correction)
  14. E
    Ensure proper usage of power strips and extension cords.
    K 920 · January 4, 2024 · Corrected (the home has a date of correction)
  15. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 22, 2021 · Corrected (the home has a date of correction)
  16. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 22, 2021 · Corrected (the home has a date of correction)
  17. E
    Have exits that are accessible at all times.
    K 271 · April 22, 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.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.433.693.86
Registered nurses1.080.640.69
All nursing staff on weekends2.933.283.42
Nurse aides1.73
Licensed practical nurses0.62
Nursing staff turnover (share who left in a year)23.1%48.7%45.8%
Registered nurse turnover13.3%43.9%42.9%
Administrators who left1

CMS expects 4.20 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 3.63 on weekdays and 2.93 on weekends, 19% 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 3.56 in April to June 2025 to 3.43 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.431.083.632.93 0.0%0 of 9063
Oct to Dec 20253.381.063.582.89 0.0%0 of 9264
Jul to Sep 20253.341.113.502.95 0.0%0 of 9264
Apr to Jun 20253.561.213.763.06 0.0%0 of 9163
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%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.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
4.25.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.93.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
4.56.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.73.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
1.68.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.824.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.612.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.51.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.71.81.8

Owners and operators

Legal business name: TRILOGY HEALTHCARE OF OTTAWA, LLC. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Continental Merger Sub LLC5% or greater indirect ownership interestOrganization10/01/2021
Northstar Healthcare Income Inc5% or greater indirect ownership interestOrganization10/01/2021
Northstar Healthcare Income Operating Partnership LP5% or greater indirect ownership interestOrganization10/01/2021
Trilogy Holdings Nt-Hci, LLC5% or greater indirect ownership interestOrganization10/01/2021
Keybank National Association5% or greater mortgage interestOrganization12/01/2016
Corbin, KathyW-2 managing employeeIndividual11/21/2011
Fightmaster, LisaW-2 managing employeeIndividual12/01/2015
Barney, LeighCorporate officerIndividual11/01/2019
Bryant, WilliamCorporate officerIndividual01/05/2016
Bufford, RandallCorporate officerIndividual11/01/2019
Conner, GregoryCorporate officerIndividual01/31/2022
Davis, DavidCorporate officerIndividual08/21/2017
Mehaffey, ToddCorporate officerIndividual01/31/2022
Pietrowski, CristinaCorporate officerIndividual01/31/2022
Prosky, DannyCorporate officerIndividual12/01/2015
Streiff, MathieuCorporate officerIndividual12/01/2015
Trilogy Management Services LLCOperational/managerial controlOrganization10/01/2021
Vernon, MichelleOperational/managerial controlIndividual01/09/2021

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on January 27, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on January 27, 2026: "Provide and implement an infection prevention and control program."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on January 4, 2024: "Reasonably accommodate the needs and preferences of each resident."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on January 27, 2026: "Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.93 hours per resident per day, below the Ohio average of 3.28.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is Genoa Retirement Village's Medicare star rating?
CMS rates Genoa Retirement Village 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Genoa Retirement Village get at its last inspection?
5 health deficiencies at the standard inspection on January 27, 2026. The Ohio average is 10.5.
Has Genoa Retirement Village been fined?
CMS lists no fines in the last three years.
Does Genoa Retirement Village 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 Genoa Retirement Village?
CMS lists 18 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF OTTAWA, LLC.

Sources

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