51 East 4th Street, The Plains, OH 45780 · Athens County · (740) 797-4561
90 certified beds, about 71 residents a day · For profit - Corporation · Medicare and Medicaid since 1982
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365589 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 11, 2025, inspectors cited 3 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 24 health citations since October 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.69 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.
42.4% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Foundations Health Solutions, an affiliated group of 64 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 24 health citations on file.
Inspectors wroteBased on record review, review of on-call physician contact procedures, and staff interview, the facility failed to ensure a resident, who had a significant change in condition, received appropriate and timely consultation with the on-call advanced level provider for a transfer to the hospital for an evaluation. This affected one (Resident #36) of two residents reviewed for hospitalization. Actual Harm occurred when Resident #36 displayed a significant change in condition consistent with a cerebrovascular accident (CVA) and did not receive a timely transfer to the hospital for evaluation and treatment. Resident #36 suffered an ischemic stroke but could not be given tissue plasminogen activator (a medication used to break down blood clots) due to being outside the treatment window for optimal results. [...]
Inspectors wroteBased on medical record review and staff interview, the facility failed to provide proper justification for the use of medication for dementia. This affected one, (Resident #3) of five residents reviewed for unnecessary medications. The census was 78. Findings Include: Resident #3 was admitted to the facility on [DATE]. His diagnoses were acute kidney failure, chronic obstructive pulmonary disease (COPD), type II diabetes, morbid obesity, muscle weakness, chronic respiratory failure, dysphagia, congestive heart failure, schizoaffective disorder, atrial fibrillation, anemia, anxiety disorder, anemia, acute embolism and thrombosis, osteoarthritis, mild cognitive impairment, hyperlipidemia, peripheral vascular disease, and hernia. Review of his minimum data set (MDS) assessment, dated 06/30/25, revealed he was cognitively intact. [...]
Inspectors wroteBased on record review, observation, staff interview, and facility policy review, the facility failed to ensure indwelling urinary catheter care was provided in accordance with acceptable infection control practices to prevent infections. The facility also failed to ensure a resident's indwelling urinary catheter's collection bag was maintained off the floor to help prevent infection. This affected one, (Resident #5) of two residents reviewed for indwelling urinary catheters. The facility census was 78.
Inspectors wroteBased on record review, observation, and interview, the facility failed to provide continued mental health services and implement interventions for a resident at risk of suicide. This affected one resident (#24) of three residents reviewed for depression. The facility census was 74.
Inspectors wroteBased on observations, medical record review, staff interview, and policy review, the facility failed to maintain an infection prevention and control program to prevent the development and transmission of diseases and infections. This affected one of nine residents on enhanced barrier precautions (Resident #11), one of two residents receiving glucometer checks on the Brookside wing (Resident #15), and one of two residents reviewed for indwelling catheters (Resident #18).
Inspectors wroteBased on medical record review, resident interview, staff interview, and observations, the facility failed to conduct accurate assessments in the area of hearing status. This affected two of four residents reviewed for communication (Residents #3 and #37).
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure all resident Pre-admission Screening and Resident Review (PASRR) documents were accurate to resident current conditions and diagnoses. This affected two residents (Resident #45 and Resident #46) of three residents reviewed for PASRR documents. The census was 77. Findings Include: 1. Record review revealed Resident #45 was admitted to the facility on [DATE]. Her diagnoses were COPD, congestive heart failure, muscle weakness, cognitive communication deficit, hypertension, depression, anxiety disorder, atherosclerotic heart disease, atrial fibrillation, and bipolar disorder. Review of her Minimum Data Set (MDS) assessment, dated 03/04/24, revealed she was cognitively intact. [...]
Inspectors wroteBased on medical record review, resident interview, staff interview, and observation, the facility failed to develop a comprehensive care plan in the area of hearing status. This affected one of four residents reviewed for communication (Resident #37).
Inspectors wroteBased on medical record review, resident interview, staff interview, and observations, the facility failed to residents received proper treatment and assistive devices to maintain hearing abilities. This affected two of four residents reviewed for communication (Residents #3 and #37).
Inspectors wroteBased on record review, observation, staff interview, and policy review, the facility failed to ensure residents, who were at risk for falls and had a history of falls, had fall prevention interventions implemented as per their plan of care. This affected two (Resident #18 and #28) of three residents reviewed for accidents.
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to adequately review all medications for proper justification via pharmacy monthly reviews. This affected one (Resident #12) of five residents reviewed for medications. The census was 77. Findings Include: Record review revealed Resident #12 was admitted to the facility on [DATE]. Her diagnoses were type II diabetes, hemiplegia and hemiparesis, chronic bronchitis, COPD, epileptic seizures, allergic rhinitis, hypertension, personal history of traumatic brain injury, insomnia, obesity, age related nuclear cataract, macular degeneration, osteoarthritis of knee, presbyopia, hallux valgus, and dysphagia. Review of her minimum data set (MDS) assessment, dated 04/15/24, revealed she was cognitively intact. [...]
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to provide adequate justification and monitoring regarding the use of an antibiotic. This affected one (Resident #12) of five residents reviewed for medications. The census was 77. Findings Include: Record review revealed Resident #12 was admitted to the facility on [DATE]. Her diagnoses were type II diabetes, hemiplegia and hemiparesis, chronic bronchitis, COPD, epileptic seizures, allergic rhinitis, hypertension, personal history of traumatic brain injury, insomnia, obesity, age related nuclear cataract, macular degeneration, osteoarthritis of knee, presbyopia, hallux valgus, and dysphagia. Review of her minimum data set (MDS) assessment, dated 04/15/24, revealed she was cognitively intact. [...]
Inspectors wroteBased on record review and interview the facility failed to use the services of a registered nurse for at least eight consecutive hours a day, seven days a week as required. This had the potential to affect all 88 residents residing in the facility. Findings Include: Review of the nursing staff schedule for 09/2022 revealed on 09/24/22 and 09/25/22 there was not an RN working in the facility. On 10/03/22 at 3:53 P.M. interview with the Director of Nursing (DON) confirmed there was not a RN working on 09/24/22 or 09/25/22 as required. The DON indicated the facility was working on hiring more RN staff.
Inspectors wroteBased on observation, record review, review of current resident diet orders maintained by the facility kitchen, review of meal tickets and interview, the facility failed to ensure residents received fortified foods as ordered and/or failed to ensure fluids were readily available to maintain hydration. This affected three residents (#13, #50 and #64) of four residents reviewed for nutrition and one resident (#30) of one resident reviewed for hydration. Findings Include: 1. A review of Resident #13's medical record revealed the resident was admitted to the facility on [DATE] with the diagnoses of monoplegia (paralysis of one side of a limb) of an upper limb following a stroke affecting his right dominant side, dysphagia (difficulty swallowing), vascular dementia with behavioral disturbances, major depressive disorder, and adult onset diabetes mellitus. [...]
Inspectors wroteBased on record review, facility policy and procedure review and interview the facility failed to ensure adequate indication of use for an antipsychotic medication and failed to ensure specific target behaviors were being appropriately monitored for residents receiving psychotropic medications. This affected four residents (#13, #44, #53 and #77) of five residents reviewed for unnecessary medications use. Findings Include 1. A review of Resident #13's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including restlessness and agitation, vascular dementia with behavioral disturbances, psychosis, personality disorder, sexual dysfunction and major depressive disorder. [...]
Inspectors wroteBased on observation, record review and interview the facility failed to ensure meals were provided in a timely and dignified manner for Resident #62 and Resident #44. This affected two residents randomly observed for dining in two of three dining rooms observed. Findings Include: 1. Review of the medical record for Resident #44 revealed an admission date of 03/07/22 with diagnoses including dementia with behavioral disturbances, anxiety, adult failure to thrive, depression, and delusional disorder. Review of the quarterly Minimum Data Set (MDS) 3.0 assessment, dated 08/02/22 revealed Resident #44 had severe cognitive impairment with inattention, fluctuating disorganized thinking, delusions, hallucinations, physical and verbal behaviors towards others, rejection of care and wandering. Resident #44 required supervision of set up with meals. An observation on 09/29/22 at 12:15 P.M. [...]
Inspectors wroteBased on observation, record review and interview the facility failed to ensure Resident #78's privacy was maintained in regard to the specific reason the resident was in isolation precautions. This affected one resident (#78) of one resident reviewed for COVID-19. Findings Include: A review of Resident #78's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including mild intellectual disabilities, unspecified dementia with behavioral disturbances, and schizophrenia. A review of Resident #78's nursing progress notes revealed a nurse's note, dated 09/24/22 at 1:37 P.M. revealed the resident had a non-productive cough and rhonchi heard in her right and left upper lungs. The physician was notified and the resident was placed in droplet and contact isolation at that time. [...]
Inspectors wroteBased on record review and interview the facility failed to ensure Preadmission Screening and Resident Reviews (PASARR) were submitted as required for Resident #53 and Resident #24. This affected two residents (#53 and #24) of two residents reviewed for PASARR. Findings Include: 1. A review of Resident #53's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including bipolar disorder, anxiety disorder, mood disorder and major depressive disorder all present upon his admission. A review of Resident #53's Preadmission Screening and Resident Review (PASARR) Identification Screen, dated [DATE] revealed the PASARR Identification Screen was being completed as there had been an expired time limit for a hospital exemption. The request was to seek approval for a nursing facility admission for an unspecified period of time. [...]
Inspectors wroteBased on observation, record review and interview the facility failed to ensure Resident #30, who required staff assistance with activities of daily living (ADL) care received adequate and timely oral and hair care to maintain proper hygiene. This affected one resident (#30) of four residents reviewed for activities of daily living (ADL) care. Findings Include: Review of Resident #30's medical record revealed an initial admission date of 01/20/21 with the latest readmission of 09/21/21. [...]
Inspectors wroteBased on observation, record review and interview the facility failed to timely identify, assess and monitor Resident #9 related to bruising. This affected one resident (#9) of two residents reviewed for skin conditions. Findings Include: Review of Resident #9's medical record revealed an initial admission date of 10/27/21 with the latest readmission of 06/15/22. Resident #9 had diagnoses including chronic obstructive pulmonary disease, pancytopenia, anxiety disorder, schizophrenia, hypothyroidism, dementia with behavioral disturbances, vitamin D deficiency, seizures, peripheral vascular disease, obstructive sleep apnea, onychogryphosis, dependence on supplemental oxygen, peripheral venous insufficiency, personal history of COVID-19 and vitamin B12 deficiency and anemia. [...]
Inspectors wroteBased on observation, record review, staff interview and facility policy and procedure review, the facility failed to ensure Resident #9 was provided pressure ulcer treatment as ordered. This affected one resident (#9) of four residents reviewed for pressure ulcers. Findings Include: Review of Resident #9's medical record revealed an initial admission date of 10/27/21 with the latest readmission of 06/15/22. Resident #9 had diagnoses including chronic obstructive pulmonary disease, pancytopenia, anxiety disorder, schizophrenia, hypothyroidism, dementia with behavioral disturbances, vitamin D deficiency, seizures, peripheral vascular disease, obstructive sleep apnea, onychogryphosis, dependence on supplemental oxygen, peripheral venous insufficiency, personal history of COVID-19 and vitamin B12 deficiency and anemia. [...]
Inspectors wroteBased on observation, record review, facility policy and procedure review and interview the facility failed to ensure a fall was reported and investigated when it occurred and/or failed to ensure fall prevention interventions were implemented as ordered. This affected two residents (#13 and 64) of three residents reviewed for falls/accidents. Findings Include: 1. A review of Resident #13's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including monoplegia (paralysis that affects one limb) of upper limb following a stroke affecting his right dominant side, unsteadiness on his feet, restlessness and agitation, epilepsy, hypertension, adult onset diabetes mellitus, vascular dementia with behavioral disturbances, psychosis, insomnia, and personality disorder. [...]
Inspectors wroteBased on observation, record review and staff interview, the facility failed to ensure Resident #9 and Resident #64's oxygen cannula and nebulizer administration set were stored in a sanitary manner to prevent potential infection. This affected two residents (#9 and #64) of two residents reviewed for oxygen therapy. Findings Include: 1. Review of Resident #9's medical record revealed an initial admission date of 10/27/21 with the latest readmission of 06/15/22. Resident #9 had diagnoses including chronic obstructive pulmonary disease (COPD), pancytopenia, anxiety disorder, schizophrenia, hypothyroidism, dementia with behavioral disturbances, vitamin D deficiency, seizures, peripheral vascular disease, obstructive sleep apnea, onychogryphosis, dependence on supplemental oxygen, peripheral venous insufficiency, personal history of COVID-19 and vitamin B12 deficiency and anemia. [...]
Inspectors wroteBased on observation, record review and interview the facility failed to complete a comprehensive and complete assessment including documentation of the explanation of risks and benefits for the use of a side rail for Resident #77. This affected one resident (#77) of one resident reviewed for side rails. Findings Include: Review of the medical record for Resident #77 revealed an admission date of 03/02/22 with diagnoses including Alzheimer's disease, dementia without behaviors unsteady gait, major depression, mood disorder, unspecified psychosis and anxiety. Review of the plan of care, dated 03/09/22 revealed Resident #77 required assistance with activities of daily living (ADL) related to decreased ADL self performance, cognitive impairment and being uncooperative with care. [...]
5 fire safety citations on file: 2 on June 6, 2024, 3 on October 4, 2022.
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) | 3.69 | 3.69 | 3.86 |
| Registered nurses | 0.56 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.32 | 3.28 | 3.42 |
| Nurse aides | 2.14 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | 42.4% | 48.7% | 45.8% |
| Registered nurse turnover | 28.6% | 43.9% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.11 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 3.84 on weekdays and 3.32 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 3.45 in April to June 2025 to 3.69 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 | 3.69 | 0.56 | 3.84 | 3.32 | 0.0% | 0 of 90 | 71 |
| Oct to Dec 2025 | 3.60 | 0.52 | 3.73 | 3.27 | 0.0% | 0 of 92 | 73 |
| Jul to Sep 2025 | 3.41 | 0.50 | 3.52 | 3.15 | 0.0% | 0 of 92 | 76 |
| Apr to Jun 2025 | 3.45 | 0.40 | 3.59 | 3.11 | 0.0% | 0 of 91 | 72 |
| 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.
| 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 | 5.8 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 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 | 1.9 | 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 | 8.4 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.2 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.8 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.0 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.1 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Hickory Creek of Athens's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 21 eligible stays.
11.4% 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. 36 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 19 eligible stays.
37.0% 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. 27 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. 36 residents counted.
10.6% 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. 36 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 5 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: 51 THE PLAINS, INC.. CMS links this home to Foundations Health Solutions, a group of 64 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Colleran, Brian | Corporate director | Individual | 01/01/2019 | |
| Colleran, Brian | Corporate officer | Individual | 01/01/2019 | |
| Krystowski, John | Corporate officer | Individual | 06/01/2018 | |
| Foundations Health Solutions, LLC | Operational/managerial control | Organization | 01/01/2019 | |
| Colleran, Brian | Operational/managerial control | Individual | 01/01/2019 | |
| Jonas, Christopher | Operational/managerial control | Individual | 04/01/2025 | |
| Krystowski, John | Operational/managerial control | Individual | 06/01/2018 | |
| Foundations Health Solutions, LLC | Adp of the SNF | Organization | 01/01/2019 | |
| Colleran, Brian | Adp of the SNF | Individual | 01/01/2019 | |
| Jonas, Christopher | Adp of the SNF | Individual | 04/01/2025 | |
| Krystowski, John | Adp of the SNF | Individual | 06/01/2018 | |
| Lloyd, John | Adp of the SNF | Individual | 06/01/2018 |
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.
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.