535 Lexington Avenue, Mansfield, OH 44907 · Richland County · (419) 756-7111
68 certified beds, about 56 residents a day · For profit - Individual · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365475 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 13, 2025, inspectors cited 13 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 35 health citations since September 2019, 4 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $41,243 in the last three years; the largest was $41,243, and the latest is dated May 13, 2025.
Nurses and nurse aides worked 3.64 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.93 of those hours.
32.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).
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 35 health citations on file.
Inspectors wrote2. Review of Resident #18's medical records revealed an admission date of 10/22/24. Diagnoses included constipation. Review of care plan dated 02/02/25 revealed Resident #18 had constipation related to decreased mobility. Interventions included following the facility bowel protocol and recording bowel movement patterns each day. Review of current physician orders for May 2025 included bowel protocol, if no bowel movement in three days give 30 ml of Milk of Magnesia. If no result, give a Bisacodyl suppository on the fourth day. If there is no result on the shift after the suppository, administer Fleet enema. Notify the doctor if there were no results and/or severe abdominal pain, rectal bleeding, or vomiting noted during this regimen. [...]
Inspectors wroteBased on observation and staff interview, the facility failed to maintain a clean and sanitary kitchen. This had the potential to affect all 57 residents who received food from the kitchen. The facility identified one resident (#313) as receiving nothing by mouth. The facility census was 58.
Inspectors wroteBased on review of an all-staff roster, review of staff COVID-19 declination forms, staff interview, and policy review, the facility failed to ensure all staff received education and vaccine information sheets regarding the COVID-19 vaccine. This affected 54 of 79 staff and had the potential to affect all residents. The facility census was 58.
Inspectors wrote5. Review of the medical record for Resident #45 revealed an admission date of 12/21/22 with a diagnoses of Parkinson's disease, peripheral vascular disease, and dementia. Review of the MDS quarterly assessment dated [DATE] revealed Resident #45 was severely cognitively impaired. Review of Resident #45's physician orders dated 06/01/23 revealed an order for Citalopram 20 mg daily for depression and an order dated 02/11/25 for trazodone HCL (an antidepressant) 150 mg, one half tablet by mouth at bedtime related to adjustment disorder with mixed anxiety and depressed mood. Review of Resident #45's care plan revised 05/05/25 revealed the resident used psychotropic medications related to behavior management. Interventions included monitoring side effects and effectiveness every shift. Further review of the care plan revealed the resident used antidepressant medication related to depression. [...]
Inspectors wroteBased on medical record review, resident interview, staff interview, review of the facility shower log, and facility policy review, the facility failed to honor a resident's preference for showers. This affected one resident (#19) of three residents reviewed for activities of daily living. The facility census was 58.
Inspectors wroteBased on interview, record review and review of facilities Self Reported Incident (SRI) the facility failed to report an allegation of sexual abuse to local law enforcement. This affected one resident (#4) of three residents reviewed for abuse and had the potential to affect all residents residing in the facility. The facility census was 58.
Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to ensure the Pre-admission Screening and Resident Review evaluation (PASARR) was complete after receiving a new psychiatric diagnosis. This affected one (Resident #45) of two residents reviewed for PASARR. The facility census was 58.
Inspectors wrote2. Review of the medical record revealed Resident #56 was admitted to the facility on [DATE]. Diagnoses included severe obesity, shortness of breath, and edema. Review of the Minimum Data Set (MDS) five-day assessment dated [DATE], revealed Resident #56 was cognitively intact. The resident required substantial/maximal assistance from staff for transfers. Review of Resident #56's active physician orders for May 2025 identified an order dated 04/02/25 for Hoyer (mechanical) lift for all transfers with the assistance of two staff. Interview on 05/05/25 at 12:17 P.M. with Resident #56 revealed the resident required use of a mechanical lift for transfers. Resident #56 reported they had gotten stuck in the air while being transferred in the Hoyer lift on several occasions. [...]
Inspectors wroteBased on record review, observation, resident interview, and staff interview, the facility failed to ensure recommended specialized rehabilitative services were implemented. This affected one (Resident #13) of one resident reviewed for rehabilitation services. The facility census was 58.
Inspectors wroteBased on medical record review, interview, and review of facility policy, the facility failed to ensure appropriate and accurate documentation was recorded in the electronic medical records. This affected one resident (#18) of three residents reviewed for documentation. The facility census was 58.
Inspectors wroteBased on review of the medical record, review of resident arbitration agreements, and staff interview, the facility failed to ensure the inclusion of all required components of an arbitration agreement. This affected five (#21. #47, #11, #41, #39) of seven residents reviewed for arbitration agreements. The facility identified 33 residents who had entered into arbitration agreements. The facility census was 58.
Inspectors wrote2. Review of the medical record for Resident #7 revealed an admission date of 12/23/24 with diagnoses of mechanical complication of internal left knee prosthesis, benign prostatic hyperplasia with lower urinary tract symptoms, and neuromuscular dysfunction of bladder. Review of the MDS quarterly assessment dated [DATE] revealed Resident #7 was cognitively intact. Review of the physician orders dated 12/26/24 for Resident #7 revealed an order for a urinary catheter, change bag and tubing every month and as needed. Review of the care plan dated 12/23/24 revealed Resident #7 have a foley catheter due to obstructive uropathy and benign prostatic hyperplasia. The intervention stated to position and secure the catheter bag and tubing below the level of the bladder. Observation on 05/07/25 at 7:48 A.M. [...]
Inspectors wroteBased on review of the medical record, staff interview, review of the Centers for Disease Control and Prevention (CDC) guidelines, and review of facility policy, the facility failed to ensure pneumococcal vaccines were administered per CDC guidelines. This affected two residents (#11 and #45) of five residents reviewed for pneumococcal vaccinations. The facility census was 58.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure residents were treated in a respectful and dignified manner. This affected one (#51) of three residents reviewed for dignity. The facility census was 49.
Inspectors wroteBased on medical record review, review of a police report, staff interview, review of self-reported incidents, and review of a facility policy, the facility failed to report allegations of abuse to the State Survey Agency as required. This affected one (#51) of three residents reviewed for abuse. The census was 49.
Inspectors wroteBased on medical record review, review of a police report, staff interview, and review of a facility policy, the facility failed to initiate an investigation into an allegation of abuse. This affected one (#51) of three residents reviewed for abuse. The census was 49.
Inspectors wroteBased on medical record review, hospital documentation review, and staff interview, the facility failed to ensure medications were administered as ordered. This affected one (#13) of three residents reviewed for medication administration. The facility census was 50.
Inspectors wroteBased on medical record review, observation, interview, and review of the National Pressure Injury Advisory Panel (NPIAP) staging, the facility failed to ensure early identification and ensure treatments of skin injuries were completed. This resulted in Actual Harm when Resident #50 acquired a pressure ulcer to the coccyx and the wound was not assessed or treated until the wound progressed into a stage three pressure ulcer (full thickness skin loss involving damage or necrosis of subcutaneous tissue that may extend down to, but not through underlying fascia). This affected one resident (#50) out of three residents reviewed for pressure ulcers. The facility census was 49.
Inspectors wroteBased on observation and interview, the facility failed to ensure a medication storage room was clean and sanitary, where resident medications were stored. This affected one out of two medication storage rooms observed. The facility had a total of three medication storage rooms. The facility census was 49.
Inspectors wroteBased on medical record review, observation, staff, resident, and family interview, review of the shower schedule, review of the shower sheets, and policy review, the facility failed to ensure routine scheduled showers were provided for residents. This affected five residents (#34, #50, #19, #105, and #154) out of five residents reviewed for showers. The facility census was 49.
Inspectors wroteBased on observation, interview, review of the temperature logs, and policy review, the facility failed to monitor the temperatures daily to maintain a temperature of 36 to 41 degrees Fahrenheit in the resident medication storage refrigerators. This affected two medication storage room refrigerators out of two reviewed. The facility identified three medication storage room refrigerators. The facility census was 49.
Inspectors wroteBased on observation, interview, policy review, review of online resources for the Centers for Disease Control and Prevention (CDC), and the Center for Medicare and Medicaid Services (CMS), the facility failed to ensure staff wore Personal Protective Equipment (PPE) as required to the prevent the potential spread of COVID-19. This had the potential to affect all 49 residents residing in the facility.
Inspectors wroteBased on medical record review, resident and staff interview, review of the Self-Reported Incident (SRI), review of the disciplinary notices, review of the witness statement, and policy review, the facility failed to ensure a resident was treated with dignity and respect. This affected one resident (#42) out of one resident reviewed for dignity and respect. The facility census was 49. Findings Include: Review of the medical record for Resident #42 with admission date of 04/11/19. Diagnosis included atrial fibrillation, type II diabetes with diabetic polyneuropathy, and neuromuscular dysfunction of bladder. Review of the quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #42 had intact cognition. Review of the SRI dated 04/04/22 revealed on 3/25/22 the resident family placed a camera in Resident #42's room on 03/25/22. [...]
Inspectors wroteBased on medical record review, interview, and policy review, the facility failed to ensure a restorative/maintenance program was provided. This affected one resident (#50) out of one resident reviewed reviewed for restorative Care. The facility census was 49.
Inspectors wroteBased on observation, staff interview, and medical record review, the facility failed to ensure activities in the secured memory care unit, were provided throughout the day. This affected one resident (#36) out of one resident reviewed for activities in the secure memory care unit. There were seven residents residing in the secure memory care unit. The facility census was 49. Findings Include: Review of the medical record for Resident #36 revealed an admission date of 06/27/22. Diagnosis including anxiety, dementia, and adult failure to thrive. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had impaired cognition. Review of the physician orders for August 2022 revealed admit Resident #36 to the secured memory care unit related to dementia. [...]
Inspectors wroteBased on observation, resident and staff interview, and medical record review, the facility failed to follow the audiologist recommendations to remove excessive wax build up. This affected one resident (#08) out of two residents reviewed for axillary services. The census was 49. Findings Include: Review of the medical record for resident #08 revealed an admission date of 08/12/20. Diagnosis included heart failure, edema and weakness. The resident had highly impaired hearing and no hearing aids. Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed impaired cognition. Review of the plan of care dated 08/13/20 revealed resident has a communication problem related to intermittent confusion, difficulty finding works at times, and hard of hearing. [...]
Inspectors wroteBased on medical record review, review of facility policy, resident interview, and staff interviews, the facility failed to monitor daily bowel movements, failed to hold antidiarrheal medication in the absence of any bowel movements, and failed to have a care plan in place to address a resident's bowel needs. This resulted in actual harm when Resident #49 was not having her bowel movements monitored, did not have a bowel movement documented for five consecutive days, and continued to receive an antidiarrheal medication three times a day which resulted in the resident being hospitalized for a fecal impaction. This affected one (#49) of five residents sampled for medication reviews. The facility census was 78.
Inspectors wroteBased on medical record review, staff interview, responsible party interview, observation, review of skin sweeps, and policy review, the facility failed to provide appropriate pressure ulcer prevention and treatment for a resident identified at risk. This resulted in actual harm when Resident #279 was admitted without a pressure ulcer, was assessed to be at risk for the development of a pressure ulcer, and was not provided pressure reduction prior to or immediately after the development of reddened areas on the buttocks. The reddened areas worsened into a stage 3 pressure ulcer on the right buttock and a stage 2 pressure ulcer on the left buttocks. This affected one (#279) out of four residents reviewed for pressure ulcers. The facility identified six residents with pressure ulcers. The facility census was 78.
Inspectors wroteBased on medical record reviews and staff interview, the facility failed to ensure written notification regarding the reason for a hospital transfer was provided to residents and families for six (#24, #49, #64, #80, #179, and #181) out of seven residents reviewed for hospital transfer. The facility census was 78.
Inspectors wroteBased on observation and staff interviews, the facility to ensure a clean environment was maintained in the main dinning room. This affected 24 residents (#3, #6, #11, #12, #14, #15, #17, #18, #22, #23, #24, #29, #31, #37, #38, #50, #59, #60, #64, #68, #70, #71, #76 and #182) whom were identified to eat in the main dinning room. The facility census was 78.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure advanced directives were correct in the medical record for one (Resident #59) of 24 sampled residents. The facility census was 78.
Inspectors wroteBased on medical record review, staff interview, and review of a facility policy, the facility failed to provide private pay residents notification of the facility bed hold policy upon discharge to an acute care hospital for two (#179 and #80) of two private pay residents reviewed for hospitalization. The facility census was 78.
Inspectors wroteBased on observation, medical record review, resident interview, and staff interview, the facility failed to provide interventions to secure a urinary catheter to prevent pulling of the catheter tubing for one (#49) of four residents reviewed for catheters. The facility identified a total of 13 residents who utilize urinary catheters. The facility census was 78.
Inspectors wroteBased on observation, review of medical records, review of meal tickets, and staff interviews, the facility failed to provide specialized eating equipment per physician order for one (#24) out of one resident reviewed for adaptive eating equipment. The facility identified four residents who have orders for adaptive eating equipment. The facility census was 78.
Inspectors wroteBased on resident interview and staff interview, the facility failed to ensure residents received mail on Saturdays. This affected 78 of 78 residents that reside in the facility.
27 fire safety citations on file: 18 on May 13, 2025, 2 on September 7, 2022, 7 on September 12, 2019.
| Date | Penalty | Amount or length |
|---|---|---|
| May 13, 2025 | Fine | $41,243 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.64 | 3.69 | 3.86 |
| Registered nurses | 0.93 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.08 | 3.28 | 3.42 |
| Nurse aides | 2.26 | ||
| Licensed practical nurses | 0.46 | ||
| Nursing staff turnover (share who left in a year) | 32.0% | 48.7% | 45.8% |
| Registered nurse turnover | 0.0% | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.01 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 3.87 on weekdays and 3.08 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.64 in April to June 2025 to 3.64 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 | 3.64 | 0.93 | 3.87 | 3.08 | 0.7% | 0 of 90 | 56 |
| Oct to Dec 2025 | 3.70 | 0.91 | 3.97 | 2.99 | 1.7% | 0 of 92 | 51 |
| Jul to Sep 2025 | 3.80 | 0.80 | 4.07 | 3.13 | 6.7% | 0 of 92 | 53 |
| Apr to Jun 2025 | 3.64 | 0.71 | 3.86 | 3.09 | 2.9% | 0 of 91 | 57 |
| 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 | 9.0 | 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 | 0.5 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.6 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.1 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.6 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.9 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 44.9 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.8 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Liberty Nursing Center of Mansfield's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.0% 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. 32 eligible stays.
12.4% 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. 52 eligible stays.
6.5% 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. 43 eligible stays.
19.4% 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. 31 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. 58 residents counted.
6.1% 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. 58 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. 12 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: LIBERTY NURSING CENTER OF MANSFIELD, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Black-Kurek, Linda | 5% or greater direct ownership interest | Individual | 100% | 07/18/2001 |
| Webber, Angel | W-2 managing employee | Individual | 08/30/2021 | |
| Black-Kurek, Linda | Corporate director | Individual | 09/16/2003 | |
| Black-Kurek, Linda | Corporate officer | Individual | 09/16/2003 | |
| Carpenter, Bruce | Corporate officer | Individual | 09/16/2003 |
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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