Keystone Pointe Health and Rehabilitation
383 Opportunity Way, Lagrange, OH 44050 · Lorain County · (440) 355-4616
121 certified beds, about 111 residents a day · For profit - Corporation · Medicare and Medicaid since 2008
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366372 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 18, 2024, inspectors cited 0 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 5 health citations since November 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 3.59 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
34.3% 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.
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.
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 5 health citations on file.
April 18, 2024Standard inspection · 0 citations
July 13, 2023Standard inspection · 1 citation
- C Dispose of garbage and refuse properly.
Inspectors wroteBased on observation and staff interview, the facility failed to maintain its garbage disposal area in a clean and sanitary condition. This had the potential to affect all 112 residents residing in the facility.
November 21, 2019Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on personnel file review, observation, staff interview, and review of facility policy, the facility failed to ensure food was served in a sanitary manner when staff was observed not wearing appropriate hair coverings. This had the potential to affect the 24 residents (#3, #9, #10, #14, #17, #22,#28, #39, #43 #48, #50, #52, #63, #66, #69, #70, #85, #87, #90, #105, #410, #411, #412 and #413) who received food from the [NAME] 100/200 unit servery. The facility census was 112.
- 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 medical record review, staff interview, and facility policy review, the facility failed to update a resident's care plan to implement precautions for the diagnosis of Methicillin-Resistant Staphylococcus Aureus (MRSA) infection. This affected one resident (#35) of four reviewed for infection. The facility census was 112.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on medical record review, review of facility agreement with the dialysis center, resident and staff interview, the facility failed to ensure there was documented evidence of collaboration of care and communication between the nursing facility and the dialysis provider. This affected one resident (#33) of one reviewed for dialysis. The facility census was 112.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to ensure staff were informed of a resident who was diagnosed with Methicillin-Resistant Staphylococcus Aureus (MRSA) infection so precautions could be implemented. This affected one resident (#35) of four reviewed for infection. The facility census was 112.
Fire safety inspections
18 fire safety citations on file: 8 on April 18, 2024, 7 on July 13, 2023, 3 on November 21, 2019.
Every fire safety citation18 citations
- F Meet requirements for sections of health care facilities separated by fire resistive construction.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have properly located and lighted "Exit" signs.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have properly installed electrical wiring and gas equipment.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 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 Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E Ensure proper usage of power strips and extension cords.
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.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.59 | 3.69 | 3.86 |
| Registered nurses | 0.44 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.14 | 3.28 | 3.42 |
| Nurse aides | 2.09 | ||
| Licensed practical nurses | 1.06 | ||
| Nursing staff turnover (share who left in a year) | 34.3% | 48.7% | 45.8% |
| Registered nurse turnover | 16.7% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.21 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 3.78 on weekdays and 3.14 on weekends, 17% 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 3.55 in April to June 2025 to 3.59 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 | 3.59 | 0.44 | 3.78 | 3.14 | 0.0% | 0 of 90 | 111 |
| Oct to Dec 2025 | 3.75 | 0.44 | 3.97 | 3.17 | 0.0% | 0 of 92 | 113 |
| Jul to Sep 2025 | 3.57 | 0.46 | 3.81 | 2.96 | 0.0% | 0 of 92 | 117 |
| Apr to Jun 2025 | 3.55 | 0.42 | 3.81 | 2.90 | 0.0% | 0 of 91 | 115 |
| 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
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
| 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.
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 | 3.4 | 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 | 0.3 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.7 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.5 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.1 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.5 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.2 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.8 | 1.8 |
Owners and operators
Legal business name: LAGRANGE NURSING & REHABILITATION CENTER, 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 | |
| Hope, Christopher | Operational/managerial control | Individual | 06/01/2018 | |
| Krystowski, John | Operational/managerial control | Individual | 06/01/2018 | |
| Foundations Health Solutions, LLC | Adp of the SNF | Organization | 04/14/2025 | |
| Colleran, Brian | Adp of the SNF | Individual | 01/01/2019 | |
| Eren, Itri | Adp of the SNF | Individual | 06/01/2018 | |
| Hope, Christopher | Adp of the SNF | Individual | 06/01/2018 | |
| Krystowski, 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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on July 13, 2023: "Dispose of garbage and refuse properly."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on November 21, 2019: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on November 21, 2019: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on November 21, 2019: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.14 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Welcome Nursing Home Oberlin, 6.6 mi · 2 of 5 stars · 22 citations
- Kendal at Oberlin Oberlin, 7.2 mi · 5 of 5 stars · 0 citations
- Elms Retirement Village Inc Wellington, 7.2 mi · 5 of 5 stars · 17 citations
- Life Care Center of Elyria Elyria, 8.7 mi · 5 of 5 stars · 16 citations
- Wesleyan Village Elyria, 8.8 mi · 2 of 5 stars · 52 citations
- Life Care Center of Medina Medina, 9.7 mi · 4 of 5 stars · 33 citations
- O'Neill Healthcare North Ridgeville North Ridgeville, 10.8 mi · 5 of 5 stars · 10 citations
- Northridge Rehabilitation and Care Center North Ridgeville, 12 mi · 2 of 5 stars · 40 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 Keystone Pointe Health and Rehabilitation's Medicare star rating?
- CMS rates Keystone Pointe Health and Rehabilitation 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Keystone Pointe Health and Rehabilitation get at its last inspection?
- 0 health deficiencies at the standard inspection on April 18, 2024. The Ohio average is 10.5.
- Has Keystone Pointe Health and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Keystone Pointe Health and Rehabilitation 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 Keystone Pointe Health and Rehabilitation?
- CMS lists 12 owners and managers, and links the home to Foundations Health Solutions. Legal business name: LAGRANGE NURSING & REHABILITATION CENTER, INC..
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.