Good Shepherd Village
422 North Burnett Road, Springfield, OH 45503 · Clark County · (937) 322-1911
81 certified beds, about 58 residents a day · For profit - Corporation · Medicare and Medicaid since 2002
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366236 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 30, 2026, inspectors cited 17 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 59 health citations since December 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 3.29 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
48.6% 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.
312/22
109/23
110/23
311/23
204/24
403/25
2805/25
1706/26
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 59 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
37D
15E
5F
Potential for minimal harm
0A
1B
1C
June 30, 2026Standard inspection, Complaint inspection · 17 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations and resident and staff interviews, the facility failed to ensure meals were palatable and served at proper temperature. This had the potential to affect all 59 residents who receive their meals from the kitchen.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, personnel file review, staff interview, and policy review, the facility failed to ensure staff completed proper hand hygiene during tracheostomy care and failed to ensure tuberculosis (TB) Mantoux screenings were completed according to the facility's TB Risk Assessment. This affected Resident #5 and had the potential to affect all 59 residents residing in the facility.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, staff interview, and facility policy review, the facility failed to maintain accurate documentation on the disposition of controlled substances. This affected one (Resident #20) of one resident reviewed for pain management. This had the potential to affect 31 residents at the facility who utilize controlled substances. The facility census was 59.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observation, resident and staff interviews, and medical record review, the facility failed to honor a resident's preferences for bathing. This affected one (Resident #77) of three residents reviewed for preferences. The facility census was 59.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to ensure a Preadmission Screening and Resident Review (PASARR) assessment was accurately completed for Resident #10. This affected one (#10) of one resident reviewed for PASARR. The facility census was 59.
- 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 record reviews, staff interview, and policy review, the facility failed to ensure care plans accurately reflected the resident's medical conditions and failed to ensure the care plan was fully completed. This affected one (Resident #12) of four residents reviewed for care plan accuracy. The facility census was 59.
- 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, resident and staff interviews, and policy review, the facility failed to ensure quarterly care conferences were offered/completed for Resident #34 and failed to ensure Resident #12's care plan was updated timely. This affected one (Resident #34) of three residents reviewed for care plan conferences and one (Resident #12) of 24 residents reviewed for care plan revisions. The facility census was 59.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, staff interview, hospice interview, the failed to provide joint collaborative effort and ongoing hospice communication when Resident #61 exhibited a change in condition. This affected one (Resident #61) of two residents reviewed for death. The facility census was 59.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on resident and interviews, medical record review, and policy review, the facility failed to ensure appropriate follow-up was completed to obtain the hearing assistive device recommended for a resident. This affected one (#20) of one resident reviewed for assisted devices. The facility census was 59.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, staff interviews, policy review, and review of manufacturer instructions, the facility failed to ensure adequate supervision and assistance were provided to the residents to prevent falls and failed to complete thorough investigations into the resident's falls. This affected two (Residents #54 and #61) of four residents reviewed for accidents. The facility census was 59.
- 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 record review and staff interviews, the facility failed to ensure a resident who had a history of septic shock and urinary tract infection (UTI) received physician ordered antibiotics to treat the UTI and seen by infectious disease as recommended on the hospital discharge orders. This affected one (Resident #67) of five residents reviewed for UTIs. The facility census was 59.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, staff and resident interviews, medical record review, and policy review, the facility failed to ensure the resident's oxygen was being administered according to physician orders. This affected three (Residents #34, #47, and #75) of four residents reviewed for oxygen. The facility census was 59.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on resident and staff interviews, record review, and policy review, the facility failed to have a complete policy to address when it was the facilities responsibility to replace lost or missing dentures. This affected one (Resident #36) of three residents reviewed for dental services. The facility census was 59.
- D Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on record reviews, observations, and resident and staff interviews, the facility failed to ensure residents were served the appropriate diet. This affected one (Resident #12) of three residents reviewed for nutrition. The facility census was 59.
- D Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on interviews with residents and staff, and record review, the facility failed to ensure arbitration agreements were properly and thoroughly explained to the residents. This affected one (Resident #24) of three residents reviewed for arbitration. The facility identified 36 residents who had active signed arbitration agreements. The facility census was 59.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observations and staff and resident interviews, the facility failed to ensure the resident's doors could open and close easily. This affected two (#34 and #44) of five residents reviewed for physical environment. The facility census was 59.
- B Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased on record review and staff and resident interviews, the facility failed to ensure detailed documentation of accounting practices were in place for four (Residents #9, #26, #34, and #38) of five active resident accounts reviewed. The facility census was 59.
May 1, 2025Standard inspection, Complaint inspection · 28 citations
- F Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observations, staff and resident interviews, medical record record review, meals substitute log review, menu review, diet tech audit review, and policy review, the facility failed to follow meal tickets and scheduled menu and an updated/ accurate substitution log. This affected two (#16 and #30) of three residents reviewed for nutrition with potential to affect all residents who receive meals from the dining room. Facility identified all facility residents eat food from the kitchen. The facility census was 65.
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on an observation, staff and resident interviews, medical record review, diet tech audit review, and policy review, the facility failed to ensure food had a palatable taste and was served at an appetizing temperature. This affected four (#1, #16, #30, and #367) of six residents reviewed for dietary needs. The facility identified all residents eat food from the kitchen. The facility census was 65.
- 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, staff interviews and policy review, the facility failed to ensure food was stored in a safe and sanitary manner. This had the potential to affect all 65 residents. The facility census was 65.
- E Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on medical record review, facility list review, resident interview, staff interviews, and policy review, the facility failed to ensure residents' personal funds were available in a timely manner. This had the potential to affect 22 Residents (#2, #3, #4, #7, #11, #12, #13, #20, #22, #23, #24, #26, #37, #43, #46, #48, #52, #53, #54, #56, #266, #367) of 22 identified to have personal fund accounts with the facility. The facility census was 65.
- 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 review of the medical records and staff interviews, the facility failed to develop care plans to meet the needs of the residents. This affected four (#30, #36, #266, and #366) of 24 residents reviewed for care plans. The facility census was 65.
- E 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 medical record review, resident interviews, family interviews, staff interviews, and policy review, the facility failed to ensure care conferences were completed quarterly and the interdisciplinary team was present for five (#7, #13, #16, #26, and #55) of five residents reviewed for care conferences. The facility also failed to ensure revisions of care plans were updated for six (#7, #18, #30, #33, #51 and #62) of 24 care plans reviewed during the annual survey. The facility census was 65.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, review of physician orders, staff interviews, Certified Nursing Practitioner interview, and review of policy, the facility failed to ensure physician orders were clarified when to contact the physician for a resident daily weight change for Resident #41. The facility failed to physician orders were followed to obtain blood sugars and contact the physician when blood sugars were out of the parameters for Resident #51. The facility failed to ensure coordination with hospice services were established for hospice care for Resident #30. The facility failed to ensure skin assessments and treatments were completed for Resident #13. This affected four (#13, #30, #41 and #51) of 24 residents records reviewed for quality of care . The facility census was 65.
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, medical record review, staff and resident interviews, and policy review, the facility failed to ensure safe water temperatures in resident rooms. This affected five (#18, #37, #51, #59, and #60) of five residents reviewed for water temperatures. The facility failed to ensure safe smoking parameters were in place for one (#20) of one resident reviewed for smoking. The facility census was 65.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, staff and resident interviews, review of Medscape resource website and policy review, the facility failed to ensure extended release medications were not crushed, administer medications as ordered and/or in a timely manner. This affected six (#1, #7, #26, #266, #366, and #367 ) of 11 residents reviewed for medication administration. The facility census was 65.
- E 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, medical record review, staff interview and policy review, the facility failed ensure medications were not left unattended in residents rooms and safely store medications. This affected three residents (#7, #9 and #41) directly and had the potential to affect the 16 residents who resided on Unit #2. The facility census was 65.
- E Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observations, staff and resident interviews, recipe review and diet tech audit review, the facility failed to ensure pureed food was made to the correct consistency and the menu was followed. This affected four (#27, #46, #54, and #62) of four residents who received purred diets. The facility census was 65.
- E Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on medical record review, staff interview and review of facility policy, the facility failed to ensure COVID-19 vaccines were offered to residents, failed to ensure education was provided related to the vaccination, and further failed to ensure vaccines were administered as consented to. Additionally, the facility failed to ensure COVID-19 vaccination consent forms were thoroughly and accurately completed to reflect resident decisions related to the vaccination. This affected four (#7, #30, #33, and #53) of five residents reviewed for COVID-19 vaccination status. The facility census was 65.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, staff interview, medical record review and review of facility policy, the facility failed to ensure resident bathrooms were free from odors for five (#7, #18, #37, #51, and #60) five residents reviewed for clean and sanitary bathrooms. Additionally, the facility failed to ensure the corridors were free from pervasive odors. This affected all residents except for 16 residents (#2, #5, #6, #8, #14, #22, #23, #33, #39, #40, #41, #43, #52, #56, #58, #62) identified as living on the rehabilitation unit. The facility census was 65.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure psychotropic medications were ordered for an approved diagnosis. This affected one (#9) of five residents reviewed for unnecessary medication. The facility census was 65.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on medical record review, staff and resident family interview, observation, and policy review, the facility failed to implement the abuse policy for reporting and investigating an alleged injury of unknown origin. This affected one (#55) of three residents reviewed for abuse. The census was 65.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, staff and resident family interview, observation, and policy review, the facility failed to report an alleged injury of unknown origin. This affected one (#55) of three residents reviewed for abuse. The census was 65.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on medical record review, staff and resident family interview, observation, and policy review, the facility failed to thoroughly investigate an alleged injury of unknown origin. This affected one (#55) of three residents reviewed for abuse. The census was 65.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, medical record review, staff and family interview, and policy review, the facility failed to ensure a resident dependent on staff for assistance with activities of daily living was provided oral hygiene. This affected one (#55) of five residents reviewed for Activities of Daily Living (ADL). The facility census was 65.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure completion of physician ordered treatments to promote wound healing. This affected one (#33) of three residents reviewed for pressure ulcers. The facility census was 65.
- 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, medical record review, staff interview, and policy review, the facility failed to ensure incontinence care was provided correctly. This affected one (#7) of one resident reviewed for incontinence care. The census was 65.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of the medical record, staff interviews, and policy review, the facility failed to adequately monitor and implement interventions timely for residents with significant weight loss. This affected three (#18, #26, and #53) residents of eight reviewed for nutrition. The facility census was 65.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, medical record review, staff interview, review of the undated manufacture guidelines, and review of Medscape resource website, the facility failed to ensure the medication error rate did not exceed five percent when three medication errors were observed of 25 opportunities resulting in an error rate of 12 percent. This affected three (#26, #266, and #368) of four residents observed for medication administration. The facility census was 65.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observations, record review, review of physician orders, staff interview, and review of manufacture guidelines, the facility failed to ensure residents were free from significant medication errors. This affected two (#366 and #368) of five residents reviewed for medications. The facility census was 65.
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on medical record review, family interview, and staff interviews, the facility failed to ensure therapeutic rehabilitation services were provided as ordered. This affected one (#366) of one resident reviewed for reviewed for therapy services. Facility census was 65.
- D Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on review of the medical record, resident interview, staff interview, and review of the arbitration agreement, the facility failed to ensure residents understood the arbitration agreement in a simple manner for residents to understand. This affected three (#4, #10, and #57) of 39 residents who had arbitration. The facility census was 65.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, medical record review, staff interview and review of facility policy, the facility failed to ensure staff performed hand hygiene after providing resident care. This affected two residents (#7 and #266). Additionally, the facility failed to ensure proper disposal of personal protective equipment (PPE) following care provided to Resident #7, who was on enhanced barrier precautions (EBP). This affected two residents (#7 and #266) of two residents reviewed for infection control. The facility census was 65.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on medical record review, staff interview and review of facility policy, the facility failed to ensure influenza (flu) and pneumococcal vaccinations were offered to residents and further failed to ensure education on the vaccinations was provided to residents and/or their representatives. This affected one resident (#7) of five residents reviewed for vaccination status. The facility census was 65.
- C Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on resident interview, staff interview and policy review, the facility failed to ensure residents received mail on the weekends. This had the potential to affect all 65 residents residing in the facility. The facility census was 65.
March 20, 2025Complaint inspection · 4 citations
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, medical administration record review, staff schedule review, staff interview, agency staff interview, resident interview, and policy review, the facility failed to ensure there was enough staff available to pass medications in a timely manner. The affected 51 (#1, #2, #3, #5, #6, #7, #9, #10, #11, #12, #14, #15, #16, #17, #18, #20, #22, #24, #25, #26, #27, #28, #35, #36, #37, #38, #39, #41, #42, #43, #45, #46, #48, #50, #51, #52, #53, #54, #55, #56, #57, #58, #60, #62, #63, #65, #67, #68, #69, #70, and #72) of 51 residents reviewed for staffing needs. The census was 71.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, medical record review, computer medication administration record review, staff schedule review, staff interview, agency staff interview, and resident interview and policy review, the facility failed to ensure the continuity of staff to administer medications within the physician ordered time frames. The affected 51 (#1, #2, #3, #5, #6, #7, #9, #10, #11, #12, #14, #15, #16, #17, #18, #20, #22, #24, #25, #26, #27, #28, #35, #36, #37, #38, #39, #41, #42, #43, #45, #46, #48, #50, #51, #52, #53, #54, #55, #56, #57, #58, #60, #62, #63, #65, #67, #68, #69, #70, #72) of 51 residents reviewed for late mediations. The census was 71.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review, observation, interview with wound clinic physician, staff interview and policy review, the facility failed to complete physician ordered dressing changes to promote wound healing. This affected one (#18) of three residents reviewed for pressure ulcers. The census was 71.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, medical record review, staff interview, and policy review, the facility failed to ensure Infection Control practices were followed during a pressure ulcer dressing change. This affected one (#18) of three residents reviewed for infection control with pressure sores. This census was 71.
April 10, 2024Complaint inspection · 2 citations
- 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.
Inspectors wroteBased on clinical record reviews, review of grievance forms, observations, staff interviews, review of two employee files, and policy review, the facility staff failed to implement their policy and provide appropriate and timely resolution to one resident's responsible family member's grievance concerning safe Hoyer transfers. This affected one (Resident #1) of five residents reviewed for grievances. The facility census was 61.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record reviews, review of grievance forms, observations, staff and resident interviews, review of two employee files, and policy review, the facility staff failed to provide safe and appropriate lift transfers and failed to complete an investigation when staff transferred a resident alone with a Hoyer lift. This affected one (Resident #1) observed for safe Hoyer lift transfers. Additionally, the facility failed to provide adequate interventions and/or supervision to ensure a resident who was assessed as being at risk for elopements did not elope from the facility. This affected one (Resident #26) of one resident reviewed for elopements. The facility census was 61.
November 27, 2023Complaint inspection · 3 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to monitor blood sugar levels as ordered. This affected one (#60) out of three reviewed for monitoring of blood sugar levels. The facility census was 50.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on medical record review, observations, staff interview, review of manufacturer's instructions and policy review, the facility failed to ensure medications were administered as ordered resulting in three medication errors out of 25 opportunities or a 12 percent (%) medication error rate. This affected two (#54 and #68) out of the seven residents reviewed for medication administration. The facility census was 50.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on medical record review, observations, staff interviews, review of manufacturer's instructions and policy review, the facility failed to ensure an insulin pen was primed per manufacturer's instructions prior to insulin administration resulting in a significant medication error. This affected one (#68) out of three residents reviewed for insulin administration. The facility census was 50.
October 17, 2023Complaint inspection · 1 citation
- E 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 and staff interview, the facility failed to ensure medications were stored and prepared in a safe manner. This affected five (#14, #15, #18, #19, and #24) of five residents reviewed for medication storage. The census was 51.
September 7, 2023Complaint inspection · 1 citation
- D Give the resident's representative the ability to exercise the resident's rights.
Inspectors wroteBased on record review and interviews with staff, the physician and the local ombudsman, the facility failed to follow up with a resident's Power of Attorney's concerns/grievances related to the resident's care. This affected one resident (#12) out of three residents reviewed. The facility census was 48.
December 19, 2022Standard inspection · 3 citations
- E Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure residents were notified when their account exceeded the Supplemental Security Income (SSI) resource limit and failed to convey a resident's funds after the resident expired. This affected four (#15, #37, #19, and #221) of six resident funds accounts reviewed. The facility census was 69.
- 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, staff interviews and policy review, the facility failed to ensure a resident receiving dialysis treatments had a dialysis care plan. This affected one resident (#65) of one resident reviewed for dialysis. The census was 69.
- D Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on medical record review, observations, staff interviews and policy review, the facility failed to have an effective administration by ensuring staff implemented their Leave of Absence (LOA) policy when a resident frequently left the faciity on LOA's. This affected one (#64) out of three residents reviewed for elopement. The facility census was 69.
Fire safety inspections
39 fire safety citations on file: 7 on June 30, 2026, 19 on May 1, 2025, 3 on January 10, 2024, 10 on December 19, 2022.
Every fire safety citation39 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- 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 Have generator or other power source capable of supplying service within 10 seconds.
- E Provide at least two remote exits on each floor or fire section of the building.
- E Install an approved automatic sprinkler system.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Establish staff and initial training requirements.
- F Conduct testing and exercise requirements.
- 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 Inspect, test, and maintain automatic sprinkler systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Install corridor and hallway doors that block smoke.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have properly installed electrical wiring and gas equipment.
- 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 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 Provide at least two remote exits on each floor or fire section of the building.
- E Have properly located and lighted "Exit" signs.
- E Install an approved automatic sprinkler system.
- E Properly install and monitor supervisory attachments on automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- D Ensure operating rooms are properly protected and written records are maintained and available for inspection.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F 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.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide properly protected cooking facilities.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 1, 2025 | Payment Denial | 20 days from June 13, 2025 |
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) | 3.29 | 3.69 | 3.86 |
| Registered nurses | 0.57 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.84 | 3.28 | 3.42 |
| Nurse aides | 1.91 | ||
| Licensed practical nurses | 0.81 | ||
| Nursing staff turnover (share who left in a year) | 48.6% | 48.7% | 45.8% |
| Registered nurse turnover | 66.7% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.36 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 3.47 on weekdays and 2.84 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.27 in April to June 2025 to 3.29 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 | 3.29 | 0.57 | 3.47 | 2.84 | 4.3% | 0 of 90 | 58 |
| Oct to Dec 2025 | 3.28 | 0.46 | 3.44 | 2.87 | 6.8% | 0 of 92 | 59 |
| Jul to Sep 2025 | 3.28 | 0.57 | 3.45 | 2.86 | 11.7% | 2 of 92 | 65 |
| Apr to Jun 2025 | 3.27 | 0.57 | 3.45 | 2.84 | 11.5% | 0 of 91 | 67 |
| 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 | 4.5 | 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 | 3.4 | 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 | 3.4 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.6 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.9 | 8.8 | 15.4 |
Owners and operators
Legal business name: GOOD SHEPHERD VILLAGE LLC. CMS links this home to Aom Healthcare, a group of 20 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Springfield Nursing LLC | 5% or greater direct ownership interest | Organization | 100% | 02/01/2022 |
| Lt Investor LLC | 5% or greater indirect ownership interest | Organization | 02/01/2022 | |
| Yamo Equities Limited Liability Company | 5% or greater indirect ownership interest | Organization | 02/01/2022 | |
| Goldstein, Jeffery | 5% or greater indirect ownership interest | Individual | 02/01/2022 | |
| Oelbaum, Yitzchok | 5% or greater indirect ownership interest | Individual | 02/01/2022 | |
| Sherman, Lea | 5% or greater indirect ownership interest | Individual | 02/01/2022 | |
| Tratner, Leah | 5% or greater indirect ownership interest | Individual | 02/01/2022 | |
| Goldstein, Jeffery | W-2 managing employee | Individual | 02/01/2022 | |
| Goldstein, Jeffery | Corporate officer | Individual | 02/01/2022 |
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 16 problems in this area, most recently on June 30, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 9 problems in this area, most recently on June 30, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on June 30, 2026: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on June 30, 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 2.84 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Springfield Nursing & Independent Living Springfield, 1.9 mi · 1 of 5 stars · 60 citations
- Allen View Healthcare Center Springfield, 2.2 mi · 1 of 5 stars · 65 citations
- Northwood Skilled Nursing and Rehabilitation Springfield, 2.7 mi · 2 of 5 stars · 33 citations
- Aventura at Oakwood Village Springfield, 2.7 mi · 1 of 5 stars · 42 citations
- Villa Springfield Rehabilitation and Healthcare Ce Springfield, 3 mi · 2 of 5 stars · 21 citations
- Arbors at Springfield Springfield, 3.2 mi · 3 of 5 stars · 26 citations
- Wooded Glen Springfield, 3.7 mi · 5 of 5 stars · 6 citations
- Forest Glen Rehabilitation and Healthcare Center Springfield, 3.8 mi · 4 of 5 stars · 17 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 Good Shepherd Village's Medicare star rating?
- CMS rates Good Shepherd Village 2 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Good Shepherd Village get at its last inspection?
- 17 health deficiencies at the standard inspection on June 30, 2026. The Ohio average is 10.5.
- Has Good Shepherd Village been fined?
- CMS lists no fines in the last three years.
- Does Good Shepherd 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 Good Shepherd Village?
- CMS lists 9 owners and managers, and links the home to Aom Healthcare. Legal business name: GOOD SHEPHERD VILLAGE 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.