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Heather Knoll Retirement Village

1134 North Ave, Tallmadge, OH 44278 · Summit County · (330) 688-8600

115 certified beds, about 106 residents a day · For profit - Corporation · Medicare and Medicaid since 1989

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365739 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 6, 2025, inspectors cited 1 health deficiency (the Ohio average is 10.5, the national average 9.2).

None of its 9 health citations since September 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.25 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.

52.8% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Sprenger Health Care Systems, an affiliated group of 12 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 9 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
0E
0F
Potential for minimal harm
0A
0B
0C
January 29, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 10, 2026
    Inspectors wroteBased on record review, interview, review of AccuWeather forecast and facility policy review, the facility failed to ensure Resident #61 did not exit the facility without staff knowledge, failed to complete a full investigation and health assessment after Resident #61 exited the facility without a coat in 18 degrees Fahrenheit (F) temperatures, and failed to notify Resident #61's responsible party of the incident. This affected one (Resident #61) of three residents reviewed for safety.
August 15, 2025Complaint inspection · 1 citation
  1. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 9, 2025
    Inspectors wroteBased on record review and interview, the facility failed to ensure Resident #1's medical record was accurate and complete. This finding affected one (Resident #1) of three resident records reviewed for accurate documentation. The facility census was 110.
March 6, 2025Standard inspection · 1 citation
  1. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2025
    Inspectors wroteBased on observations, interviews, record review and policy review, the facility failed to provide meaningful activities of interest. This affected one resident #(#89) of one resident reviewed for activities. The facility census was 107.
October 16, 2024Complaint inspection · 3 citations
  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) October 29, 2024
    Inspectors wroteBased on observation, interview, record review, review of facility policy and review of manufacturers instructions, the facility failed to ensure Resident #108 received proper treatment and care planned interventions to prevent the development of redness and moisture associated skin damage to his buttocks, scrotum, and penis. In addition the facility failed to ensure Resident #20 had appropriate incontinence care. This affected two residents (Resident's #20 and #108) out of four reviewed for incontinence care. The facility census was 107.
  2. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 29, 2024
    Inspectors wroteBased on observation, interview, record review, and review of the facility policy the facility failed to follow Resident #66's physician orders and care planned interventions to ensure the resident was free from significant medication error. This affected one resident out of five reviewed for medication administration. The facility census was 107.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 29, 2024
    Inspectors wroteBased on observation, interview, record review and review of the facility policy the facility failed to ensure Resident #65's incontinence care was provided in a sanitary manner and staff donned appropriate PPE for Resident #66 who required enhanced barrier precautions when entering the room to provide incontinence care. This affected one resident (Resident #65) of four residents reviewed for incontinence care and one resident (Resident #66) of one resident observed for enhanced barrier precautions.
September 29, 2022Standard inspection · 1 citation
  1. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 7, 2022
    Inspectors wroteBased on observation, record review and interview, the facility failed to ensure appropriate tracheostomy care was completed for Resident #2. This affected one (Resident #2) of one resident reviewed for tracheostomy care.
September 12, 2019Standard inspection · 2 citations
  1. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2019
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide full visual privacy during the provision of wound care for two (Resident #7 and Resident #51) of two sampled residents observed during the provision of wound care.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 9, 2019
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide care in a manner to prevent cross contamination for two (Resident #7 and Resident #30) of four sampled residents for whom the provision of care was observed.

Fire safety inspections

16 fire safety citations on file: 5 on March 6, 2025, 6 on September 29, 2022, 5 on September 12, 2019.

Every fire safety citation16 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 6, 2025 · Corrected (the home has a date of correction)
  2. E
    Have exits that are accessible at all times.
    K 271 · March 6, 2025 · Corrected (the home has a date of correction)
  3. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · March 6, 2025 · Corrected (the home has a date of correction)
  4. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · March 6, 2025 · Corrected (the home has a date of correction)
  5. E
    Have restrictions on the use of portable space heaters.
    K 781 · March 6, 2025 · Corrected (the home has a date of correction)
  6. F
    Use approved construction type or materials.
    K 161 · September 29, 2022 · Corrected (the home has a date of correction)
  7. F
    Install an approved automatic sprinkler system.
    K 351 · September 29, 2022 · Corrected (the home has a date of correction)
  8. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · September 29, 2022 · Corrected (the home has a date of correction)
  9. 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 · September 29, 2022 · Corrected (the home has a date of correction)
  10. D
    Ensure proper usage of power strips and extension cords.
    K 920 · September 29, 2022 · Corrected (the home has a date of correction)
  11. D
    Have proper medical gas storage and administration areas.
    K 923 · September 29, 2022 · Corrected (the home has a date of correction)
  12. F
    Conduct testing and exercise requirements.
    E 39 · September 12, 2019 · Corrected (the home has a date of correction)
  13. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 12, 2019 · Corrected (the home has a date of correction)
  14. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · September 12, 2019 · Corrected (the home has a date of correction)
  15. E
    Ensure proper usage of power strips and extension cords.
    K 920 · September 12, 2019 · Corrected (the home has a date of correction)
  16. C
    Address subsistence needs for staff and patients.
    E 15 · September 12, 2019 · deficient, provider has

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)3.253.693.86
Registered nurses0.520.640.69
All nursing staff on weekends2.843.283.42
Nurse aides1.70
Licensed practical nurses1.03
Nursing staff turnover (share who left in a year)52.8%48.7%45.8%
Registered nurse turnover23.1%43.9%42.9%
Administrators who left0

CMS expects 3.95 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 3.42 on weekdays and 2.84 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.21 in April to June 2025 to 3.25 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.250.523.422.84 5.3%0 of 90106
Oct to Dec 20253.190.583.342.81 4.4%0 of 92108
Jul to Sep 20253.130.623.272.77 9.7%0 of 92105
Apr to Jun 20253.210.623.342.89 8.5%0 of 91103
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Ohio

JobMedianMiddle halfEmployed
Ohio, all employers
CNAs (nursing assistants)$18.76$17.93 to $21.4463,280
LPNs and LVNs$29.78$27.34 to $31.6839,900
Registered nurses$39.67$38.08 to $47.61143,730
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

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
2.65.313.9
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
0.30.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.83.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.31.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.86.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.03.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
0.08.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.524.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.712.912.0

Owners and operators

Legal business name: HEATHER KNOLL RETIREMENT VILLAGE INC. CMS links this home to Sprenger Health Care Systems, a group of 12 nursing homes averaging 3.5 stars overall.

NameRoleTypeShareSince
Bluesky Healthcare Inc5% or greater direct ownership interestOrganization100%04/14/2005
Hutsenpiller, Wendie5% or greater indirect ownership interestIndividual18%04/14/2005
Malanowski, Kenneth5% or greater indirect ownership interestIndividual20%04/14/2005
Sprenger, Nicole5% or greater indirect ownership interestIndividual31%04/14/2005
Sprenger, Tracey5% or greater indirect ownership interestIndividual31%04/14/2005
Fox, EmilyCorporate officerIndividual12/31/2024
Kuhn, ShannonCorporate officerIndividual12/31/2024
Malanowki, BrandonCorporate officerIndividual12/31/2024
Cms & Co. Management Services, Inc.Operational/managerial controlOrganization10/01/2005
Courtock, MelissaOperational/managerial controlIndividual12/02/2002
Epperly, RobertOperational/managerial controlIndividual01/20/2022
Fox, EmilyOperational/managerial controlIndividual12/31/2024
Gollinger, KristenOperational/managerial controlIndividual11/13/2000
Kuhn, ShannonOperational/managerial controlIndividual12/31/2024
Malanowki, BrandonOperational/managerial controlIndividual12/31/2024
Marino-Freetage, JaimeOperational/managerial controlIndividual03/01/2011
McQueen, AmandaOperational/managerial controlIndividual12/22/2023
Micale, JacobOperational/managerial controlIndividual02/20/2023
Miller, KimberlyOperational/managerial controlIndividual06/01/2021
Patyak, MichaelOperational/managerial controlIndividual03/21/2022
Citrin Cooperman and Company, LLPAdp of the SNFOrganization02/01/2025
Cms & Co. Management Services, Inc.Adp of the SNFOrganization09/10/2025
Delta Health Care Consultants, Inc.Adp of the SNFOrganization01/01/2008
Heather Knoll Rental Properties LLCAdp of the SNFOrganization04/14/2005
HuntingtonAdp of the SNFOrganization10/01/2001
Wellspring Staffing, Inc.Adp of the SNFOrganization10/15/2021
Courtock, MelissaAdp of the SNFIndividual12/02/2002
Epperly, RobertAdp of the SNFIndividual01/20/2022
Fox, EmilyAdp of the SNFIndividual12/31/2024
Gollinger, KristenAdp of the SNFIndividual11/13/2000
Kuhn, ShannonAdp of the SNFIndividual12/31/2024
Malanowki, BrandonAdp of the SNFIndividual12/31/2024
Malanowski, KennethAdp of the SNFIndividual07/01/2008
Marino-Freetage, JaimeAdp of the SNFIndividual03/01/2011
McQueen, AmandaAdp of the SNFIndividual12/22/2023
Micale, JacobAdp of the SNFIndividual02/20/2023
Miller, KimberlyAdp of the SNFIndividual06/01/2021
Patyak, MichaelAdp of the SNFIndividual03/21/2022
Sawulski, JenniferAdp of the SNFIndividual07/01/2008
Skidmore, JodiAdp of the SNFIndividual07/01/2008
Sprenger, NicoleAdp of the SNFIndividual04/14/2005
Sprenger, TraceyAdp of the SNFIndividual04/14/2005

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 4 problems in this area, most recently on January 29, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on October 16, 2024: "Provide and implement an infection prevention and control program."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on August 15, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on October 16, 2024: "Ensure that residents are free from significant medication errors."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Ohio average of 3.28.

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 Heather Knoll Retirement Village's Medicare star rating?
CMS rates Heather Knoll Retirement Village 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Heather Knoll Retirement Village get at its last inspection?
1 health deficiency at the standard inspection on March 6, 2025. The Ohio average is 10.5.
Has Heather Knoll Retirement Village been fined?
CMS lists no fines in the last three years.
Does Heather Knoll 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 Heather Knoll Retirement Village?
CMS lists 42 owners and managers, and links the home to Sprenger Health Care Systems. Legal business name: HEATHER KNOLL RETIREMENT VILLAGE INC.

Sources

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