804 South Mumaugh Road, Lima, OH 45804 · Allen County · (419) 225-9040
54 certified beds, about 43 residents a day · For profit - Corporation · Medicare and Medicaid since 1983
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365600 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 30, 2026, inspectors cited 9 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 31 health citations since November 2022, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $55,088 in the last three years; the largest was $34,894, and the latest is dated June 9, 2025.
Nurses and nurse aides worked 3.11 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.
51.2% 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 31 health citations on file.
Inspectors wroteBased on observation, staff interviews, and policy review, the facility failed to ensure a safe smoking environment for the residents. This had the potential to affect four residents (Residents #2, #23, #31, and #33) who the facility identified as smokers. The facility census was 38.
Inspectors wroteBased on policy review, observations, and staff interview, the facility failed to ensure medications were stored securely. This had the potential to affect all residents on the 200-hall when the medication cart was left unlocked, with the key in the lock during medication administration. The facility census was 38.
Inspectors wroteBased on record review, staff interview, guardian interview, and policy review, the facility failed to ensure the proper authorization was obtained for the facility to manage a resident funds funds account. This affected one (#9) of five residents reviewed for Resident Fund Accounts. The facility census was 38.
Inspectors wroteBased on record review, staff interviews, and policy review the facility failed to develop a comprehensive person-centered care plan. This affected three (Resident #5, #32, and #37) of 18 residents reviewed for care plans. The facility census was 38.
Inspectors wroteBased on record review, observations, staff and physician interviews, and policy review. the facility failed to assess, treat, and monitoring of resident's wounds. The affected two (Residents #3 and #8) of two resident reviewed for skin issues. The facility census was 38.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to obtain laboratory values as physician ordered. This affected one (#1) of five residents reviewed for unnecessary medications. The facility census was 38.
Inspectors wroteBased on staff interviews, record review, and policy review the facility failed to residents were provided timely dental services. This affected two (#8 and #32) of two residents reviewed for dental services. The facility census was 38.
Inspectors wroteBased on record review, review of a Self-Reported Incident and investigation, and staff interviews, the facility failed to submit accurate and pertinent information in the SRI. This affected one (#8) of five residents reviewed for SRIs. The facility census was 38.
Inspectors wroteBased on record review, staff interviews, and policy review, the facility failed to follow their Antibiotic Stewardship program and policy to ensure antibiotic use was appropriate. This affected three (Resident #1, #34, and #36) of three residents reviewed for antibiotic use. The facility census was 38.
Inspectors wroteBased on medical record review, observation, staff interviews, and review of the resource from the National Pressure Injury Advisory Panel titled Best Practices for Prevention of Medical Device-Related Pressure Injuries in Long Term Care, the facility failed to monitor a resident's leg where a brace was applied. This resulted in actual harm when the resident developed a Deep Tissue Injury (DTI) later resulting in a stage four pressure ulcer (deep wound that may impact muscle, tendons, ligaments, and bone) that ultimately required two surgical debridements in an attempt to promote wound healing. This affected one (#9) of three residents reviewed for pressure wounds. The facility census was 39.
Inspectors wroteBased on employee file review and interview, the facility failed to ensure Certified Nursing Assistants (CNAs) received 12 hours of inservices annually. This affected two (CNA #510 and CNA #519) of three CNA employee files reviewed. This had the potential to affect all residents who reside in the facility. The facility census was 39.
Inspectors wroteBased on record review, interview, and policy review, the facility failed to ensure quarterly care conferences were held including the families, residents, and interdisciplinary team and failed to ensure care conferences were held timely. This affected five (#10, #16, #33, #5, and #6) of 21 residents reviewed for care conferences. The facility census was 39.
Inspectors wroteBased on record review, observation, interview, and policy review, the facility failed to ensure call lights were in reach of residents. This affected two (#17 and #27) of 21 residents reviewed for call lights. The facility census was 39.
Inspectors wroteBased on record review and interview the facility failed to ensure the hard chart and the electronic medical record contained the correct advance directive information. This affected one (#27) of 21 residents reviewed for advanced directives. The facility census was 39.
Inspectors wroteBased on record review and staff interview the facility failed to provide a discharge notice and notice of transfer to residents, residents' representatives, and the Ombudsman. This affected two residents (#28 and #42) out of four residents reviewed for notices. The facility census was 39.
Inspectors wroteBased on record review, interview, and policy review, the facility failed to ensure the Preadmission Screening and Resident Review (PASARR) was completed accurately. This affected one (#10) of one resident reviewed for PASARR. The facility census was 39.
Inspectors wroteBased on record review and interview the facility failed to implement a baseline care plan that included all care concerns from admission. This affected one (#96) of three residents reviewed for baseline care plan. The facility census was 39.
Inspectors wroteBased on record review and interview the facility failed to ensure a resident had the mental capacity to sign into an arbitration agreement and further failed to explain arbitration agreements in a language that the residents would understand. This affected three (#9, #25, and #31) of five residents reviewed for arbitration agreements. The facility census was 39.
Inspectors wroteBased on observation, record review, and staff interview the facility failed to ensure proper handwashing, cleansing of re-usable equipment, and proper glove use was followed during resident care. This affected two residents (#23 and #9) out of five residents reviewed for infection control protocols. The facility census was 39.
Inspectors wroteBased on observation and interview the facility failed to ensure there was a visible posting on where to locate the survey results. This had the potential to affect all residents. The facility census was 39.
Inspectors wroteBased on observation, medical record review, resident and staff interviews, review of hospital documentation, revealed of fall investigations, review of manufacturer's guidelines, and review of a facility policy, the facility failed to ensure residents dependent for transfers and activities of daily living were kept free from falls. This resulted in actual harm when Resident #10 sustained a fall during a mechanical lift transfer on 06/12/24 which was being completed by one staff member and Resident #2 sustained a fall on 06/07/24 when the resident was left unattended in bed after it was elevated to perform incontinence care. Consequently, Resident #10 suffered a fractured left femur requiring surgery and Resident #2 suffered fractures to both femurs. This affected two (#2 and #10) of three residents reviewed for falls. The census was 41.
Inspectors wroteBased on medical record review, review of immunization records, staff interview, review of policy, and review of the Centers of Disease Control and Prevention (CDC) guidance, the facility failed to ensure residents were offered influenza and pneumococcal vaccinations per CDC recommendations. This affected four (Residents #9, #17, #22, and #48) of five reviewed for influenza and pneumococcal vaccination. The facility census was 40.
Inspectors wroteBased on medical record review, review of immunization records, staff interview, review of policy, and review of the Centers of Disease Control and Prevention (CDC) guidance, the facility failed to ensure residents received or were offered the COVID-19 vaccination. This affected four (Residents #9, #17, #22, and #48) of five reviewed for COVID-19 vaccinations. The facility census was 40.
Inspectors wroteBased on observation, staff interview, record review and policy review, the facility failed to assess newly identified skin breakdown, implement interventions/treatments to aid in the healing of the existing skin breakdown, and conduct ongoing monitoring of the skin breakdown. This resulted in Actual Harm when Resident #32 was found to have a Stage III pressure ulcer to coccyx on 11/14/22 and deep tissue injuries (DTI) to right lateral foot and right lateral fifth toe. This affected one (#32) of one resident reviewed for pressure ulcers. There were a total of two residents identified by the facility with pressure ulcers. The facility census was 38.
Inspectors wroteBased on observation, staff interview, review of facility policy, review of community transmission rate, review of Centers of Medicare and Medicaid Services (CMS) memorandum QSO-23-02-ALL, and review of Centers for Disease Control and Prevention (CDC) guidelines, the facility failed to ensure staff wore face masks as required to potentially prevent the spread of Coronavirus 2019 (COVID-19). This had the potential to affect all 38 residents residing in the facility.
Inspectors wroteBased on medical record review, staff interview, review of facility policy, review of community transmission rate, and review of Centers for Disease Control and Prevention (CDC) guidelines, the facility failed to ensure new admissions were tested for Coronavirus 2019 (COVID-19) upon admission. This affected one (Resident #289), identified as a new admission, and had the potential to affect all 38 residents in the facility.
Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure residents' skin was assessed and monitored appropriately to potentially prevent and treat skin breakdown. Additionally, the facility failed to timely notify the physician of skin breakdown to initiate treatment. This affected two (Residents #289 and #29) of three residents reviewed for skin breakdown. The facility's census was 38.
Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to ensure a resident was free from the unnecessary use of an antibiotic medication. This affected one (Resident #9) of six residents reviewed for unnecessary medications. The census was 38.
Inspectors wroteBased on medical record review, resident interview, staff interview, and contract dental provider interview, the facility failed to ensure residents received routine dental services. This affected two (Residents #17 and #29) of two residents reviewed for dental services. The facility census was 38.
Inspectors wroteBased on review of the personnel files and staff interview, the facility failed to complete performance reviews for State Tested Nursing Assistants (STNA) at least once every 12 months. This affected two (STNAs #320 and #321) of two STNAs reviewed for annual performance evaluations. This had the potential to affect all 38 residents residing in the facility.
Inspectors wroteBased on review of the personnel files and staff interview, the facility failed to conduct 12 hour in-service training for State Tested Nursing Assistants (STNA) per year. This affected two (STNAs #320 and #321) of two STNAs reviewed for 12 hour in-service training. This had the potential to affect all 38 residents residing in the facility.
14 fire safety citations on file: 2 on June 30, 2026, 5 on June 9, 2025, 7 on November 21, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| June 9, 2025 | Fine | $34,894 |
| June 27, 2024 | Fine | $20,194 |
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) | 3.11 | 3.69 | 3.86 |
| Registered nurses | 0.40 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.72 | 3.28 | 3.42 |
| Nurse aides | 1.68 | ||
| Licensed practical nurses | 1.04 | ||
| Nursing staff turnover (share who left in a year) | 51.2% | 48.7% | 45.8% |
| Registered nurse turnover | not reported | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.70 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 3.27 on weekdays and 2.72 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 3.16 in April to June 2025 to 3.11 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 | 3.11 | 0.40 | 3.27 | 2.72 | 0.0% | 1 of 90 | 43 |
| Oct to Dec 2025 | 3.10 | 0.38 | 3.23 | 2.80 | 0.0% | 3 of 92 | 45 |
| Jul to Sep 2025 | 3.20 | 0.37 | 3.34 | 2.85 | 0.0% | 1 of 92 | 43 |
| Apr to Jun 2025 | 3.16 | 0.43 | 3.28 | 2.86 | 0.0% | 0 of 91 | 42 |
| 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 | 0.8 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 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 | 1.3 | 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 | 0.0 | 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 | 5.2 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.1 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.9 | 12.9 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Lost Creek Rehabilitation and Nursing Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (50.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
50.9% 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. 43 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. 56 eligible stays.
7.4% 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. 30 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.
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. 15 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: 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. 19 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: 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. 19 residents counted.
Not reported
CMS note: Newly certified nursing home with less than 12-15 months of data available or the nursing opened less than 6 months ago, and there were no data to submit or claims for this 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.
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: LOST CREEK CENTER FOR LIVING LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Hanna, Salim | Managing control - governing body | Individual | 02/15/2022 | |
| Katz, Larry | Managing control - governing body | Individual | 02/15/2022 | |
| Stewart, Lynsey | Managing control - governing body | Individual | 12/30/2024 | |
| Katz, Larry | Corporate officer | Individual | 02/15/2022 | |
| Hanna, Salim | Operational/managerial control | Individual | 02/15/2022 | |
| Katz, Larry | Operational/managerial control | Individual | 02/15/2022 | |
| Stewart, Lynsey | Operational/managerial control | Individual | 12/30/2024 | |
| Hanna, Salim | Adp of the SNF | Individual | 02/15/2022 | |
| Katz, Larry | Adp of the SNF | Individual | 02/15/2022 | |
| Stewart, Lynsey | Adp of the SNF | Individual | 12/30/2024 |
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.