1050 Clinton Street, Ironton, OH 45638 · Lawrence County · (740) 532-6096
125 certified beds, about 115 residents a day · For profit - Corporation · Medicare and Medicaid since 1981
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365564 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 30, 2025, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 37 health citations since February 2020, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.82 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
43.8% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Ecc Trust, an affiliated group of 3 nursing homes.
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.
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 37 health citations on file.
Inspectors wroteBased on observations, record review, and staff interview, the facility failed to ensure a resident received assistance devices to prevent accidents. This affected one resident (#31) of three residents reviewed for falls. The facility census was 115.
Inspectors wroteBased on observations, record review, staff interview, and policy review, the facility failed to provide pharmacy services to assure the accurate acquiring and administering of all drugs to meet the needs of each resident. This affected two residents (#3, #116) of 11 sampled residents. The facility census was 115.
Inspectors wroteBased on observations, record review, staff interview, and policy review, the facility failed to ensure the medication error rate was not greater than 5%. The observed medication error rate was 9% (three errors in 32 opportunities for error). This affected two residents (#3, #92) of four residents observed for medication administration. The facility census was 115.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure the state Ombudsman's office was notified of resident discharge or transfer from the facility as required. This affected three (Resident #25, #76 and #99 ) of four residents reviewed. The facility census was 102.
Inspectors wroteBased on medical record review and staff interview, the facility failed to develop a care plan that addressed dementia care and specific symptoms for depression care. This affected two (Resident #4 and #47) of five reviewed for dementia and depression. Facility census was 102.
Inspectors wroteBased on closed medical record review, review of an Against Medical Advice (AMA) form, hospital record review, review of the policy and procedure titled Discharging a Resident without a Physician's Approval policy and interviews with facility staff, Physician #399, a Patriot Emergency Medical Service representative, and an Amedysis Home Health representative, the facility failed to ensure a safe and orderly discharge for Resident #94, who had diagnoses including respiratory failure, protein-calorie malnutrition, osteomyelitis, cerebral infarction, sepsis, COVID-19 and dementia when the resident was discharged to an unsafe home environment on [DATE]. [...]
Inspectors wroteBased on record review, staff interviews, review of facilities fall investigation and facility policy review, the facility failed to ensure adequate assistance and safety interventions were in place to prevent falls during resident ambulation. This affected one resident (#27) of four residents reviewed for falls. Actual harm occurred on 02/20/23 when Resident #27, who required extensive assistance from one staff for ambulation sustained a fall resulting in a subarachnoid hemorrhage (bleeding in the space between the brain and the surrounding membrane), posterior head laceration and traumatic closed displaced fracture of shaft of right femur requiring surgical repair. At the time of the fall, State Tested Nursing Assistant (STNA) #560 failed to utilize a gait belt while ambulating the resident. [...]
Inspectors wroteBased on observation, record review and staff interviews, the facility failed to ensure five residents (#46, #52, #57, #85 and #195) Minimum Data Set (MDS) were accurate in the area of diagnoses, contracture's and psychotropic medications. This affected five of 26 sampled residents. The census was 92. Findings Include: 1. Review of the medical record for Resident #52 revealed an initial admission date of 08/16/21 with the latest readmission of 03/23/23. [...]
Inspectors wrote3. Review of the medical record for Resident #52 revealed an initial admission date of 08/16/21 with the latest readmission of 03/23/23. Diagnoses included quadriplegia, cervical disc disorder, acute transverse myelitis in demyelinating disease of central nervous system, polyosteoarthritis, hypothyroidism, anemia, chronic viral hepatitis C, stiffness of unspecified joint, resistance to multiple antibiotics, major depressive disorder, hereditary and idiopathic neuropathy, contracture of unspecified joint, osteoporosis, gastro-esophageal reflux disease, neuromuscular dysfunction of bladder and bipolar disorder. Review of the nursing admission screening/history dated 08/16/21 revealed the resident had contracture's to the left hand, right hand, had foot drop and wears brace/boot for prevention and had foot drop to the left foot. [...]
Inspectors wroteBased on record reviews, staff interviews, and review of facility policy, the facility failed to ensure appropriate antibiotic therapy was prescribed for the treatment of residents urinary tract infections. This affected four residents (#1, #19, #28, and #67) who were reviewed for prescribed antibiotic therapy during the annual survey. The facility census 92.
Inspectors wroteBased on review of Medicare Notice of Non-Coverage forms, medical record review, facility policy review, and staff interview, the facility failed to provide accurate and timely notification of Medicare non-coverage. This affected one (Resident #149) of three residents reviewed for Medicare non-coverage. The facility census was 92.
Inspectors wroteBased on medical record review and staff interview, the facility failed to complete a new Pre-admission Screening and Resident Review (PASRR) document after a significant change occurred. This affected one (Resident #57) of nine PASRR documents reviewed. The census was 92. Findings Include: [...]
Inspectors wroteBased on review of Medicare Notice of Non-Coverage forms, medical record review, and staff interview, the facility failed to develop and implement an effective discharge plan for a resident who was notified their Medicare coverage ended. This affected one (Resident #149) of three residents reviewed for Medicare non-coverage. The facility census was 92.
Inspectors wroteBased on review of Medicare Notice of Non-Coverage forms, medical record review, and staff interview, the facility failed to have a discharge summary that included a recapitulation of the resident's stay, a final summary of the resident's status, a reconciliation of medications, and a post-discharge plan of care developed with the resident/resident representative for a resident who was notified their Medicare coverage ended and left the facility. This affected one (Resident #149) of three residents reviewed for Medicare non-coverage. The facility census was 92.
Inspectors wroteBased on observations, medical record review, and staff interview, the facility failed to ensure a resident who was unable to carry out activities of daily living received the necessary services to maintain good grooming. This affected one ( Resident #41) of four residents reviewed for activities of daily living. The facility census was 92.
Inspectors wroteBased on observation, record review, interview, the facility failed to identify, assess and monitor skin conditions for Resident #57 and failed to ensure Resident #85's physician ordered wound dressings were in place. This affected two residents ( #57 and #85) of five residents review for skin conditions. The facility census was 92. Findings Include: 1. [...]
Inspectors wroteBased on observations, staff interviews, review of medical records, and review of facility policy, the facility failed to ensure adequate care and services were provided to prevent worsening of contracture's. This affected two residents (#2 and #52) out of two residents reviewed for limited range of motion. The facility census was 92.
Inspectors wroteBased on observations, staff interviews, record reviews, and review of facility policy, the facility failed to ensure physician orders were in place for the administration of oxygen and failed to ensure oxygen was administered as ordered by the physician. This affected two residents (#1 and #345) out of the four residents reviewed for respiratory care. The facility census was 92.
Inspectors wroteBased on observation, staff interview, medical record review, the facility failed to provide Resident #2 a prescribed medication. This affected one resident (#2) of four residents reviewed for medication administration. The facility census was 92.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure irregularities identified by the pharmacist were reported to the physician and acted upon timely. This affected two (Residents #27 and #46) of five residents reviewed for unnecessary medications. The facility census was 92.
Inspectors wroteBased on record review, staff interview, and facility policy review, the facility failed to ensure Resident #57's medication regimen was free of unnecessary medications when they failed to obtain physician ordered blood pressure (BP) to monitor the effectiveness of antihypertensive medication. This affected one resident (#57) of five residents reviewed for unnecessary medication use. The facility census was 92.
Inspectors wroteBased on record review, staff interviews, and facility policy review, the facility failed to provide an appropriate diagnosis for the use of an antipsychotic medication and failed to provide a Gradual Dose Reduction (GDR) for a resident without behaviors. This affected two residents (Resident #26 and Resident #46) out of five residents reviewed for unnecessary medications. The facility census was 92.
Inspectors wroteBased on record review, staff interview and facility policy review, the facility failed to ensure significant medication errors did not occur. This affected one resident (#27) of five residents reviewed for unnecessary medications. The facility census was 92. Findings Include: [...]
Inspectors wroteBased on observation, resident and staff interview, medical record review and facility policy review the facility failed to ensure Resident #85's medication was properly stored. This had the potential to affect 21 cognitively impaired, ambulatory residents. The facility census was 92.
Inspectors wroteBased on observation, staff interview, and record review, the facility failed to ensure dental services were provided for a resident with dental concerns. This affected one resident (#9) who was reviewed for dental concerns. The facility census was 92.
Inspectors wroteBased on observations, staff interviews, record reviews, and facility policy review, the facility failed to ensure accurate and complete physicians orders for the administration of medication and wound care treatments. This affected two residents (#2 and #195) who were reviewed for medication administration and wound care treatment. The facility census was 92.
Inspectors wroteBased on observation, staff interview, and policy review the facility failed to store and prepare food under sanitary conditions. This had the potential to affect all but two residents' (Resident #14 and #66 did not receive nutrition from the kitchen).
Inspectors wroteBased on observation, policy review, and staff interview the facility failed to ensure pureed food was properly prepared and did not have large pieces of meat in it. This had the potential to affect nine residents who received a pureed diet (Resident #2, #3, #18, #31, #79, #93, #106, #309, and #400). The faciity census was 120.
Inspectors wroteBased on record review, observation, and interviews the facility failed to notify the physician and hospice services after a resident was found with copious amounts of sanguineous fluid visible in a tracheostomy mask and the tracheostomy tube. This affected one resident (Resident #2) out of three residents reviewed with tracheostomy care. The facility census was 120.
Inspectors wroteBased on observation, medical record review, and staff interview the facility failed to assess a resident's activity interests and provide on-going activities. This affected one of one sampled resident reviewed for activities (Resident #14).
Inspectors wroteBased on medical record review and interview, the facility failed to ensure a resident did not receive an antibiotic that was listed as an allergy. This affected one (Resident #361) of one resident sampled for antibiotic use. The facility census was 120.
Inspectors wroteBased on observation, medical record review, and staff interview the facility failed to ensure devices were in place to protect the resident's palm from breakdown. This affected one of four sampled residents reviewed for impaired skin integrity (Resident #14).
Inspectors wroteBased on record review, observation, and interviews the facility failed to provide appropriate respiratory related services to residents. This affected three residents (Residents #2, #14, and #316) of three residents reviewed who were receiving respiratory services in the facility. The facility census was 120.
Inspectors wroteBased on interview and record review, the facility failed to ensure timely communication from the dialysis center to ensure continuity of care. This affected one resident (Resident #108) of two residents reviewed for dialysis. Findings Include: Record review revealed Resident # 108 was admitted to the facility on [DATE] and readmitted after acute care hospitalization on 02/04/20 with diagnoses including atherosclerosis and gangrene bilateral legs, congestive heart failure, end stage renal disease, diabetes mellitus Type II, and peripheral vascular disease. Review of the quarterly Minimum Data Set completed on 02/11/20 indicated no cognitive delay. The physician orders for 02/2020 included low concentrated sweet diet, dialysis every Tuesday, Thursday and Saturday; evaluate shunt site in right upper arm for thrill or bruit each shift and as needed; [...]
Inspectors wroteBased on resident interview, a test tray, and staff interview the facility failed to ensure residents food was palatable. This affected one of one sampled resident reviewed for food (Resident #160) and one randomly observed resident (Resident #108).
Inspectors wroteBased on observation, staff interview, medical record review, and policy review the facility failed to maintain an infection prevention program that was followed by facility staff. This affected one of three residents reviewed for respiratory care (Resident #14).
Inspectors wroteBased on interview, observation and record review, the facility failed to ensure residents were provided with a secured lock box. This affected one resident (Resident #105) of two residents reviewed for personal property. Findings Include: Record review revealed Resident #105 was admitted to the facility on [DATE] with diagnoses including diabetes mellitus Type II, atherosclerotic heart disease, neuropathy, weakness, difficulty walking, depression, hypertension, right foot drop and repeated falls. Review of the quarterly minimum data set completed on 02/11/20 indicated Resident #105 had no cognitive delay. During an interview with Resident #105 on 02/24/20 at 11:18 A.M. he stated he had a locked drawer on his night stand, however, the door did not lock. He stated he had two sets of keys, however, anyone could just open the drawer. [...]
13 fire safety citations on file: 5 on January 30, 2025, 6 on April 10, 2023, 2 on February 27, 2020.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.82 | 3.69 | 3.86 |
| Registered nurses | 0.55 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.42 | 3.28 | 3.42 |
| Nurse aides | 2.29 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 43.8% | 48.7% | 45.8% |
| Registered nurse turnover | 44.4% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.98 on weekdays and 3.42 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.63 in April to June 2025 to 3.82 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 | 3.82 | 0.55 | 3.98 | 3.42 | 0.0% | 0 of 90 | 115 |
| Oct to Dec 2025 | 3.83 | 0.48 | 4.05 | 3.26 | 0.0% | 0 of 92 | 110 |
| Jul to Sep 2025 | 3.53 | 0.29 | 3.68 | 3.14 | 0.0% | 0 of 92 | 113 |
| Apr to Jun 2025 | 3.63 | 0.32 | 3.79 | 3.24 | 0.0% | 0 of 91 | 104 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 9.5 | 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 | 4.0 | 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 | 13.0 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.6 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.0 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.8 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Harbor Healthcare of Ironton's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
45.7% this home
No different from the national rate
US median of homes 51.5% · Ohio: 147 better, 20 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 128 eligible stays.
10.6% this home
No different from the national rate
US median of homes 10.7% · Ohio: 3 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 129 eligible stays.
9.6% this home
No different from the national rate
US median of homes 7.1% · Ohio: 1 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 97 eligible stays.
64.9% this home
Median of homes: Ohio55.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 77 residents counted.
0.0% this home
Median of homes: Ohio0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 106 residents counted.
0.9% this home
Median of homes: Ohio1.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 106 residents counted.
100.0% this home
Median of homes: Ohio100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 41 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: IRONTON OPCO INC. CMS links this home to Ecc Trust, a group of 3 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ecc Trust | 5% or greater direct ownership interest | Organization | 100% | 01/01/2023 |
| Brown, Ervin | 5% or greater indirect ownership interest | Individual | 01/01/2023 | |
| Cox, Gretchen | 5% or greater indirect ownership interest | Individual | 01/01/2023 | |
| Brown, Jody | Managing control - governing body | Individual | 02/23/2023 | |
| Shelton, Jason | Managing control - governing body | Individual | 04/21/2025 | |
| Stewart, Hannah | Managing control - governing body | Individual | 07/09/2024 | |
| Stockton, Eddy | Managing control - governing body | Individual | 07/31/2023 | |
| Tichenor, Holly | Managing control - governing body | Individual | 05/01/2023 | |
| Mitchell, Gregory | Corporate officer | Individual | 02/01/2017 | |
| Brown, Jody | Operational/managerial control | Individual | 02/23/2023 | |
| Cox, Christopher | Operational/managerial control | Individual | 05/01/2023 | |
| Mitchell, Gregory | Operational/managerial control | Individual | 02/01/2017 | |
| Shelton, Jason | Operational/managerial control | Individual | 04/21/2025 | |
| Stewart, Hannah | Operational/managerial control | Individual | 07/09/2024 | |
| Stockton, Eddy | Operational/managerial control | Individual | 07/31/2023 | |
| Cox, Douglas | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 09/26/2025 | |
| First Southern Bancorp, Inc. | Adp of the SNF | Organization | 02/01/2017 | |
| Hargis & Associates, LLC | Adp of the SNF | Organization | 02/01/2017 | |
| Ironton Realco, LLC | Adp of the SNF | Organization | 05/31/2017 | |
| Providence Health, LLC | Adp of the SNF | Organization | 04/08/2021 | |
| The Providence Groups, LLC | Adp of the SNF | Organization | 02/01/2017 | |
| Arnold, Jeffrey | Adp of the SNF | Individual | 05/31/2017 | |
| Brown, Jody | Adp of the SNF | Individual | 02/23/2023 | |
| Carias, Katherine | Adp of the SNF | Individual | 05/24/2023 | |
| Cox, Christopher | Adp of the SNF | Individual | 05/01/2023 | |
| Hargis, Forwood | Adp of the SNF | Individual | 02/01/2017 | |
| McIntosh, Sarah | Adp of the SNF | Individual | 02/01/2017 | |
| Mitchell, Gregory | Adp of the SNF | Individual | 02/01/2017 | |
| Shelton, Jason | Adp of the SNF | Individual | 04/21/2025 | |
| Stewart, Hannah | Adp of the SNF | Individual | 07/09/2024 | |
| Stockton, Eddy | Adp of the SNF | Individual | 07/31/2023 | |
| Tichenor, Holly | Adp of the SNF | Individual | 05/01/2023 | |
| Young, Carmen | Adp of the SNF | Individual | 04/08/2021 |
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.
Chosen from this home's own inspection record.
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