1701 S Jefferson Ave, Defiance, OH 43512 · Defiance County · (419) 782-7879
107 certified beds, about 93 residents a day · For profit - Corporation · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365389 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 12, 2025, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 21 health citations since December 2019, 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 3.36 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
31.3% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Ciena Healthcare/Laurel Health Care, an affiliated group of 81 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 21 health citations on file.
Inspectors wroteBased on observation, staff interview, facility policy, and pharmacy documentation, the facility failed to store resident insulin in a safe and sanitary manner. This affected six of 17 residents (#14, #24, #25, #31, #34 #51) identified by the facility to receive insulin administration in a facility census of 93.
Inspectors wroteBased on observation, medical record review, staff interview, and facility policy, the facility failed to ensure an incontinent resident received timely interventions. This affected one (#191) of two residents reviewed for urinary and bowel incontinence care and services in a facility census of 93.
Inspectors wroteBased on observation, medical record review, staff interview, and facility policy, the facility failed to ensure tracheostomy care was provided with approved technique to prevent cross contamination. This affected one (#191) of one residents reviewed for tracheostomy care and treatment. Facility census 93.
Inspectors wroteBased on medical record review, staff interview, and review of a facility policy, the facility failed to ensure pharmacy recommendations were responded to in a timely manner. This affected two residents (#48 and #24) of five residents reviewed for unnecessary medications. The census was 93 residents. Findings Include: 1. Review of Resident #48's medical record revealed an admission date of 11/01/21. Diagnoses included dementia with behavioral disturbance, multiple sclerosis, impulsiveness, adjustment disorder with mixed anxiety and depression, and central nervous system disorder. Review of Resident #48's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 11 indicating Resident #48 was moderately cognitively impaired. Resident #48 required maximal assistance with toilet use, bathing, personal hygiene. [...]
Inspectors wroteBased on observation, medical record review, staff interview, and review of facility policy, the facility failed to ensure adequate infection control practices were carried out. This affected three residents (#82, #55, and #303) of five residents reviewed for infection control practices. The facility census was 93. Findings Include: 1. Review of Resident #82's medical record reveals an admission date of 05/13/25 Diagnoses included right femur fracture subsequent encounter, type II diabetes, heart disease, chronic obstructive pulmonary disease (COPD) and clostridium difficile (C-Diff). Review of Resident #82's physician orders revealed an order dated 06/04/25 for oxygen at two liters via nasal cannula to maintain greater than 92% and an order for contact isolation for C-Diff all services provided in room and in room by self. Observation on 06/09/25 at 12:20 P.M. [...]
Inspectors wroteBased on record review, interview and policy review, the facility failed to terminate employment for a State Tested Nursing Assistant (STNA) who had a finding entered in the State Nurse Aide Registry concerning abuse, neglect, or misappropriation. This resulted in one employee, STNA #101, working at the facility while he was not eligible to work in a long-term care facility. This had the potential to affect all residents in the facility. The facility census was 85.
Inspectors wroteBased on medical record review, observation, staff interview, and facility cleaning schedule, the facility failed to ensure resident wheelchairs were maintained in a clean and sanitary manner. This affected four (#12, #43, #48, #63) of four residents reviewed for clean equipment. The census was 101.
Inspectors wroteBased on medical record review, staff interview, review of facility policy, and review of the Centers for Disease Control and Prevention (CDC) guidance for Coronavirus 2019 (COVID-19) vaccination and boosters, the facility failed to ensure residents were offered the COVID-19 vaccine booster in a timely manner. This affected six (#4, #11, #19, #20, #26, and #43) of nine residents reviewed for the COVID-19 vaccine. The census was 101.
Inspectors wroteBased on observation, resident interview, staff interview, and review of facility policy, the facility failed to ensure resident preference and choice for when to get up was honored. This affected two (#37 and #35) of five residents reviewed for choices. The census was 101.
Inspectors wroteBased on medical record review, staff interview, review of an incident and accident log, and review of facility policy, the facility failed to ensure proper notifications were made following resident falls and transfers to the emergency room. This affected two (#16 and #77) of eight residents reviewed for notification. The census was 101.
Inspectors wroteBased on observation, resident interview, staff interview, and review of facility policy, the facility failed to ensure residents who required staff assistance with activities of daily living, received adequate and timely care to maintain good personal hygiene including shaving, nail care, and received timely and adequate assistance with meals. This affected three (#16, #29, and #71) of five residents reviewed for activities of daily living. The census was 101.
Inspectors wroteBased on medical record review, staff interview, review of an incident and accident log, and review of facility policy, the facility failed to ensure neurological checks were completed following unwitnessed falls. This affected one (#16) of five residents reviewed for falls. The census was 101.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure an as-needed anti-anxiety medication order had an end date. This affected one (#50) of five residents reviewed for unnecessary medications. The census was 101.
Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to properly store and secure medications. This affected one (#97) of one residents reviewed for medication storage. The census was 101.
Inspectors wroteBased on observation, staff interview, and review of the facility policy, the facility failed to ensure residents received appropriately thickened liquids. This affected one (#46) of two residents reviewed for thickened liquids. The census was 101.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff interview, review of the hospital report, review of the written statements, review of the employee education, review of an employee personnel file, and review of the facility ' s audits, the facility failed to safely transfer a resident as care planned. This resulted in actual harm when Resident #50 suffered a fractured tibia and fibula following an improper transfer by facility staff. This affected one (#50) of one resident reviewed for accidents. The facility census was 96.
Inspectors wroteBased on observation, medical record review, staff interview and review of the facility policy, the facility failed to ensure a restraint was medically necessary and failed to follow the care plan interventions for restraint use. This affected one (Resident #27) of one resident reviewed for restraints. Resident #27 was the only resident identified by the facility with a restraint. The facility census was 96.
Inspectors wroteBased on medical record review, review of self-reported incidents, staff interview and policy review, the facility failed implement their abuse policy when they did not report to the State Survey Agency, the Ohio Department of Health (ODH), an allegation of neglect involving Resident #50. This affected one (Resident #50) of one resident reviewed for abuse. The facility census was 96.
Inspectors wroteBased on medical record review, staff interview, review of facility's self-reported incidents and policy review, the facility failed to report to the State Survey Agency, the Ohio Department of Health (ODH), an allegation on neglect involving Resident #50. This affected one (Resident #50) of one resident reviewed for abuse. The facility census was 96.
Inspectors wroteBased on medical record review, observation, staff interview and policy review, the facility failed to provide personal hygiene for Resident #34. This affected one (Resident #34) of one resident reviewed for activities of daily living (ADL) for dependent residents. The facility identified 94 residents that require assistance with ADLs. The facility census was 96.
Inspectors wroteBased on medical record review, staff interview and policy review, the facility failed to provide documentation of monitoring and rationale for continued use of a prophylactic antibiotic for a resident. This affected one (Resident #58) of two residents reviewed for antibiotic stewardship. The facility identified two residents that received prophylactic antibiotics. The facility census was 96.
13 fire safety citations on file: 3 on June 12, 2025, 7 on April 6, 2023, 3 on December 5, 2019.
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) | 3.36 | 3.69 | 3.86 |
| Registered nurses | 0.52 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.01 | 3.28 | 3.42 |
| Nurse aides | 1.78 | ||
| Licensed practical nurses | 1.06 | ||
| Nursing staff turnover (share who left in a year) | 31.3% | 48.7% | 45.8% |
| Registered nurse turnover | 27.3% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.97 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 3.50 on weekdays and 3.01 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.33 in April to June 2025 to 3.36 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 | 3.36 | 0.52 | 3.50 | 3.01 | 0.3% | 0 of 90 | 93 |
| Oct to Dec 2025 | 3.45 | 0.62 | 3.62 | 3.01 | 0.2% | 0 of 92 | 86 |
| Jul to Sep 2025 | 3.39 | 0.58 | 3.58 | 2.92 | 0.1% | 0 of 92 | 84 |
| Apr to Jun 2025 | 3.33 | 0.49 | 3.50 | 2.90 | 0.2% | 0 of 91 | 91 |
| 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.
Trains nurse aides: this home runs a state-approved CNA program (state list: ODH Nurse Aide Training Program Locations, as of October 8, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See The Laurels of Defiance CNA training on CareerFunded, our sister site for career training.
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 | 7.8 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.7 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 3.5 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.3 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.6 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.8 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.4 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Laurels of Defiance the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
54.8% 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. 204 eligible stays.
13.0% 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. 230 eligible stays.
7.9% 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. 137 eligible stays.
68.8% 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. 80 residents counted.
0.8% 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. 119 residents counted.
0.0% 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. 119 residents counted.
97.2% 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. 36 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: OAK HEALTH CARE INVESTORS OF DEFIANCE, INC.. CMS links this home to Ciena Healthcare/Laurel Health Care, a group of 81 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Qazi, Mohammad | Corporate director | Individual | 02/01/2016 | |
| Khan, Anis | Corporate officer | Individual | 02/01/2016 | |
| Qazi, Mohammad | Corporate officer | Individual | 02/01/2016 | |
| Stobb, David | Corporate officer | Individual | 02/01/2016 | |
| Laurel Health Care Company | Operational/managerial control | Organization | 01/02/2016 | |
| Karatsoridis, Stavros | Operational/managerial control | Individual | 01/01/2025 | |
| Khan, Anis | Operational/managerial control | Individual | 02/01/2016 | |
| Potts, Kandace | Operational/managerial control | Individual | 03/15/2021 | |
| Laurel Health Care Company | Adp of the SNF | Organization | 04/02/2025 | |
| Select Rehabilitation, LLC | Adp of the SNF | Organization | 07/01/2024 | |
| Zenith Financial Group, LLC | Adp of the SNF | Organization | 08/01/2022 | |
| Karatsoridis, Stavros | Adp of the SNF | Individual | 01/01/2025 | |
| Khan, Anis | Adp of the SNF | Individual | 02/01/2016 | |
| Potts, Kandace | Adp of the SNF | Individual | 03/15/2021 | |
| Stobb, David | Adp of the SNF | Individual | 02/01/2016 |
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.