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Monarch Meadows Nursing and Rehabilitation

299 Commerce Dr, Seaman, OH 45679 · Adams County · (937) 386-6375

50 certified beds, about 47 residents a day · For profit - Corporation · Medicare and Medicaid since 1993

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365906 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on September 18, 2025, inspectors cited 12 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 17 health citations since July 2021, 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 3.79 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.79 of those hours.

49.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Continuing Healthcare Solutions, an affiliated group of 12 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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

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 17 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
14D
0E
2F
Potential for minimal harm
0A
0B
0C
September 18, 2025Standard inspection, Complaint inspection · 12 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 7, 2025
    Inspectors wroteBased on observations staff interviews, policy review, and record review, the facility failed to store and prepare foods and maintain the kitchen in a sanitary manner. This had the potential to affect 46 residents who received food from the kitchen. The facility census was 47.
  2. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 7, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to ensure signed Do Not Resuscitate (DNR) paperwork was present in the chart for a resident who requested DNR code status. This affected one (#52) of 19 residents reviewed for advance directives. The facility census was 47.
  3. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 7, 2025
    Inspectors wroteBased on record review, staff interviews, and facility policy review, the facility failed to ensure the physician was notified timely of a resident's change in condition. This affected one (#5) of one resident reviewed for notification of change in condition. The facility census was 47.
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 7, 2025
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure Minimum Data Set (MDS) assessments were coded accurately. This affected one (#4) of 19 residents reviewed for MDS assessments. The facility census was 47.
  5. D
    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
    F646 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 7, 2025
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure the resident's Pre-admission Screening and Resident Review (PASARR) were completed accurately following residents' significant changes in serious mental diagnosis. This affected three (#2, #9 and #13) of three residents reviewed for PASARR. The facility census was 47.
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 7, 2025
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure residents had care plans in place for dementia care and history of severe weight loss. This affected two (#3 and #7) of 19 residents reviewed for care planning. The facility census was 47.
  7. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 7, 2025
    Inspectors wroteBased on record reviews and staff interviews, the facility failed to ensure the residents receive timely care and services during a change in condition and failed to obtain weights as physician ordered. This affected three residents (#1, #5, and #23) of four residents reviewed for changes in condition. The facility census was 47.
  8. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 7, 2025
    Inspectors wroteBased on observation, staff interview, record review, and review of facility policy, the facility failed to ensure the residents received timely assessments and treatment for pressure ulcers. This affected one (#34) of two residents reviewed for pressure ulcers. The facility census was 47.
  9. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 7, 2025
    Inspectors wroteBased on record review, staff interview, and review of facility policy, the facility failed to ensure the appropriate fall interventions were in place to prevent falls and failed to ensure fall interventions were updated on the plan of care following a fall. This affected one (#34) of four residents reviewed for falls. The facility census was 47.
  10. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 7, 2025
    Inspectors wroteBased on medical record review, and resident and staff interviews, the facility failed to ensure a resident was assessed and received trauma informed care accounting for the resident's experiences with spousal abuse. This affected one (Resident #42) of one resident reviewed for trauma informed care. The facility census was 47.
  11. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 7, 2025
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure residents were free from significant medication errors. This affected one (#34) of seven residents reviewed for medication administration. The facility census was 47.
  12. D
    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
    F776 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 7, 2025
    Inspectors wroteBased on medical record review, staff interviews, and review of the facility's radiology contract, the facility failed to obtain stat (immediately) x-rays in a timely manner. This affected one (#5) of one resident reviewed for radiology services. The facility census was 47.
November 7, 2023Standard inspection · 2 citations
  1. D
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on medical record review, resident and staff interviews, and review of facility policy, the facility failed to ensure residents had access to personal funds on the weekends. This affected one resident (#38) out of the five residents reviewed for personal funds during the annual survey. The facility census was 47.
  2. D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 22, 2023
    Inspectors wroteBased on medical record review and staff interview the facility failed to ensure accurate advance directives were included in the residents' medical records. This affected one (Resident #21) of one residents reviewed for advanced directives. The facility census was 47.
July 8, 2021Standard inspection · 3 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) August 4, 2021
    Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to provide appropriate supervision to a resident while eating that was at high risk for choking. This resulted in actual harm when Resident #11 was left unsupervised alone, in the room to eat and the resident choked on food, requiring the Heimlich Maneuver to be performed. Subsequently the resident developed aspiration pneumonia requiring treatment. The facility failed to provide supervision again for the resident during a meal observation of the resident eating alone in the room. This affected one (#11) of the three residents sampled for assistance with Activities of Daily Living (ADL). The facility census was 48.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 4, 2021
    Inspectors wroteBased on observation, recipe review, policy reviews and staff interviews, the facility failed to appropriately store and prepare food items. This had the potential to affect 48 of 48 residents who resided in the facility and received their meals from the kitchen.
  3. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2021
    Inspectors wroteBased on observation, medical record review and staff interview, the facility failed to accurately assess a residents teeth. This affected one (#19) of one residents reviewed for dental. The faciltiy census was 48. Findings Include: Review of the Resident #19's medical record revealed an admission date of 01/18/21, with the admitting diagnoses of diabetes mellitus, right below the knee amputation, malignant neoplasm of prostate, hypertension, major depressive disorder and congestive heart failure. Review of the resident's admission assessment dated [DATE] revealed the the assessment failed to identify if the resident had natural teeth, dentures or was edentulous. Review of the resident's comprehensive minimum data set (MDS) assessment dated [DATE], revealed the resident had clear speech, understood others, made himself understood and had a moderate cognitive deficit. [...]

Fire safety inspections

17 fire safety citations on file: 3 on September 18, 2025, 5 on November 7, 2023, 9 on July 8, 2021.

Every fire safety citation17 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 18, 2025 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 18, 2025 · Corrected (the home has a date of correction)
  3. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · September 18, 2025 · Corrected (the home has a date of correction)
  4. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 7, 2023 · Corrected (the home has a date of correction)
  5. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 7, 2023 · Corrected (the home has a date of correction)
  6. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · November 7, 2023 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 7, 2023 · Corrected (the home has a date of correction)
  8. 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.
    K 222 · November 7, 2023 · Corrected (the home has a date of correction)
  9. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 8, 2021 · Corrected (the home has a date of correction)
  10. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 8, 2021 · Corrected (the home has a date of correction)
  11. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 8, 2021 · Corrected (the home has a date of correction)
  12. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 8, 2021 · Corrected (the home has a date of correction)
  13. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 8, 2021 · Corrected (the home has a date of correction)
  14. E
    Meet requirements for sections of health care facilities separated by fire resistive construction.
    K 131 · July 8, 2021 · Corrected (the home has a date of correction)
  15. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · July 8, 2021 · Corrected (the home has a date of correction)
  16. E
    Install corridor and hallway doors that block smoke.
    K 363 · July 8, 2021 · Corrected (the home has a date of correction)
  17. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 8, 2021 · Corrected (the home has a date of correction)

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.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.793.693.86
Registered nurses0.790.640.69
All nursing staff on weekends3.433.283.42
Nurse aides2.16
Licensed practical nurses0.84
Nursing staff turnover (share who left in a year)49.0%48.7%45.8%
Registered nurse turnover33.3%43.9%42.9%
Administrators who left0

CMS expects 4.09 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 3.94 on weekdays and 3.43 on weekends, 13% 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 3.56 in April to June 2025 to 3.79 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.790.793.943.43 0.0%0 of 9047
Oct to Dec 20253.750.703.873.44 0.0%0 of 9247
Jul to Sep 20253.550.733.693.20 0.0%0 of 9246
Apr to Jun 20253.560.833.733.15 0.0%0 of 9147
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%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. If you work here, your report helps start one.

Official wage estimates for Ohio

JobMedianMiddle halfEmployed
Ohio, all employers
CNAs (nursing assistants)$18.76$17.93 to $21.4463,280
LPNs and LVNs$29.78$27.34 to $31.6839,900
Registered nurses$39.67$38.08 to $47.61143,730
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Monarch Meadows Nursing and Rehabilitation. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
5.45.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.93.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.06.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.83.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
8.28.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.624.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
19.812.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
5.91.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Monarch Meadows Nursing and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (55.5% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

55.5% 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. 83 eligible stays.

Potentially preventable readmissions

8.8% 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. 100 eligible stays.

Infections that led to a hospital stay

5.9% 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. 56 eligible stays.

Self-care and mobility at discharge

36.8% 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. 57 residents counted.

Falls with major injury

1.5% 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. 67 residents counted.

New or worsened pressure ulcers

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. 67 residents counted.

Medication list given at discharge

97.7% 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. 43 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.

Owners and operators

Legal business name: MONARCH MEADOWS NURSING AND REHABILITATION LLC. CMS links this home to Continuing Healthcare Solutions, a group of 12 nursing homes averaging 2.2 stars overall.

NameRoleTypeShareSince
Bunner, MichaelCorporate directorIndividual04/30/2013
Mallett, ChristopherCorporate directorIndividual04/30/2013
Parsons, BenjaminCorporate directorIndividual04/30/2013
Sprenger, MarkCorporate directorIndividual04/30/2013
Sprenger, TimothyCorporate directorIndividual04/30/2013
Hughey, TracyCorporate officerIndividual01/01/2026
Kauffman, KevinCorporate officerIndividual08/01/2024
Kauffman, KevinOperational/managerial controlIndividual08/01/2024
Hughey, TracyAdp of the SNFIndividual04/15/2013
Kauffman, KevinAdp of the SNFIndividual08/01/2024

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on September 18, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on September 18, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on September 18, 2025: "Ensure each resident receives an accurate assessment."
  4. 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 September 18, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is Monarch Meadows Nursing and Rehabilitation's Medicare star rating?
CMS rates Monarch Meadows Nursing and Rehabilitation 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Monarch Meadows Nursing and Rehabilitation get at its last inspection?
12 health deficiencies at the standard inspection on September 18, 2025. The Ohio average is 10.5.
Has Monarch Meadows Nursing and Rehabilitation been fined?
CMS lists no fines in the last three years.
Does Monarch Meadows Nursing 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 Monarch Meadows Nursing and Rehabilitation?
CMS lists 10 owners and managers, and links the home to Continuing Healthcare Solutions. Legal business name: MONARCH MEADOWS NURSING AND REHABILITATION LLC.

Sources

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