2971 Maple Avenue, Zanesville, OH 43701 · Muskingum County · (740) 452-3800
55 certified beds, about 51 residents a day · For profit - Corporation · Medicare and Medicaid since 2013
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366413 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 28, 2026, inspectors cited 4 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 19 health citations since January 2024, 3 were 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 3.72 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.
26.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Trilogy Health Services, an affiliated group of 127 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 19 health citations on file.
Inspectors wroteBased on record review, interview, facility investigation review and policy review, the facility failed to ensure a resident was not left in the shower alone, resulting in a fall with fracture. This affected one (Resident #2) of four residents reviewed for falls. The facility census was 49. Actual harm occurred on 04/04/26 when Resident #2, who required supervision and touching assistance with showering and bathing, was assisted into the bathroom to shower. Certified Resident Care Assistant (CRCA) exited the shower room leaving Resident #2 to shower herself. Resident #2 suffered a fall which resulted in a comminuted, intra-articular distal radius fracture on the right arm. [...]
Inspectors wroteBased on observation, staff interview and review of facility policy, the facility failed to ensure medications were dated when opened and expired medications were disposed of timely. This affected three residents (Resident #48, #51 and #71) of three residents reviewed for medication storage. Facility census was 49.
Inspectors wroteBased on medical record review, staff interview, physician interview, and facility policy review, the facility failed to complete laboratory orders to ensure residents were able to attend medical appointments. This affected one (Resident #1) of four residents reviewed for condition change. Also, the facility failed to provide timely comfort care during a change in condition. This affected one (Resident #52) of four residents reviewed for a change of condition. The census was 49. Findings Include: 1. Resident #1 was admitted to the facility on [DATE]. Her diagnoses were osteomyelitis, sepsis, cellulitis of right/left lower limb, fibromyalgia, acute kidney failure, bacteremia, rheumatoid arthritis, nonrheumatic aortic valve stenosis, hypothyroidism, hyperlipidemia, atrial fibrillation, and hypertension. [...]
Inspectors wroteBased on observation, medical record review, staff interview and review of facility policy, the facility failed to ensure staff donned personal protective equipment (PPE) prior to entering Resident # 66 room, who was on contact precautions. This had the potential to affect all residents on the long 200-hall. (Resident #2, #6, #7, #11, #15, #22, #23, #24, #46, #51 and #58). The facility census was 49.
Inspectors wroteBased on review of the medical record and interview with staff, the facility failed to ensure wound treatment orders were in place for Resident #56. This affected one resident (Resident #56) of three reviewed for wounds.
Inspectors wroteBased on review of the infection control logs, review Center of Disease Control and Prevention (CDC) guidelines, observation, interview, and policy review, the facility failed to ensure policy and procedures were in place for laundering isolation linens and clothing and failed to ensure staff were knowledgeable on the process to prevent infection transmission throughout the facility. This had the potential to affect all 52 resident residing in the facility.
Inspectors wroteBased on observation, interview, medical record review, and review of policies, the facility failed to notify the physician and address a change in Resident #11's ability to chew and swallow and failed to implement compression stockings or unna boot dressings per order for Resident #9. This affected two residents (#9 and #11) of 15 residents reviewed for quality of care and treatment. The facility census was 52.
Inspectors wroteBased on observation, interview, and medical record review, the facility failed to ensure an order was in place and care was documented for Resident #154 who had a catheter. This affected one resident (#154) of two residents reviewed for catheters. The facility identified four residents with indwelling urinary catheters. The facility census was 52.
Inspectors wroteBased on record review, pharmacy recommendations, and staff interview, the facility failed to implement pharmacy recommendations in a timely manner for Resident #15. This affected one (Resident #15) out of five residents reviewed for unnecessary medications. The facility census was 52.
Inspectors wroteBased on interview and record review the facility failed to monitor pain severity, location, and nonpharmacological interventions for Resident #37 who received as-needed pain medication. This affected one resident (#37) of two residents reviewed for pain management. The facility census was 52.
Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to have justification for prophylactic antibiotics for Resident #38. This affected one resident (#38) of two residents reviewed for antibiotic stewardship. The facility census was 52.
Inspectors wroteBased on observation, record review, resident and staff interviews, review of skin assessments, and facility policy review, the facility failed to prevent, comprehensively assess and timely treat a pressure ulcer and failed to prevent the pressure ulcer from worsening for Resident #298. This affected one resident (#298) of three residents reviewed for skin impairments. The facility census was 51. Actual Harm occurred on 01/05/24 when a new, facility-acquired, skin area was identified on Resident #298's left heel that developed within 30 days of the resident's admission. The area was assessed as a purple-black bruise without swelling and measured 3.5 centimeters (cm) long by 2.5 cm wide. [...]
Inspectors wroteBased on observation, record review, resident and staff interviews, and facility policy review, the facility failed to timely address or implement effective nutritional interventions for Resident #298 who experienced a significant weight loss. This affected one resident (#298) of three residents reviewed for nutrition. The facility census was 51. Actual Harm occurred on 01/05/24 when Resident #298's weight revealed a significant weight loss of 5% in less than 30 days. The Registered Dietitian (RD) was not notified and did not address the significant weight loss until 01/10/24 (five days later) to make nutritional recommendations. The facility did not implement the nutritional recommendations from the RD that were made on 01/10/24 until 01/12/24 (seven days after the significant weight loss was identified). [...]
Inspectors wroteBased on observation, staff interview, and record review, the facility failed to properly store and date foods, dispose of expired foods, and complete proper hand hygiene during lunch meal service. This had the potential to affect 51 residents who received meals from the kitchen. The census was 51.
Inspectors wroteBased on record review, resident interview, staff interview, and policy review, the facility failed to ensure a resident received the type of bathing activity she preferred on her scheduled shower days. This affected one resident (#5) of one resident reviewed for choices.
Inspectors wroteBased on record review, staff interviews, and facility policy review, the facility failed to timely notify the registered dietitian, physician, or resident representative of one resident's (#298) significant weight loss. The affected one resident (#298) of one resident reviewed for notification of change. The facility census was 51. Findings Include: Review of the medical record for Resident #298 revealed an admission date on 12/22/23. Medical diagnoses included displaced intertrochanteric fracture of right femur, polymyalgia rheumatica, and Type II Diabetes mellitus without complications. Review of the admission Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #298 had intact cognition and scored a 15 out of 15 on the Brief Interview for Mental Status (BIMS) assessment. [...]
Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident's oral hypoglycemic medication that was put on hold per physician's orders was evaluated or resumed timely, after the resident started eating, in accordance with the physician's orders. This affected one resident (#12) of five residents reviewed for unnecessary medications.
Inspectors wroteBased on record review, resident and staff interviews, review of the dialysis contract, and review of the facility policy, the facility failed to adequately communicate with the dialysis center to ensure proper coordination of care for one resident (#42). This affected one resident (#42) of one resident reviewed for dialysis services. The facility census was 51. Findings Include: Review of the medical record for Resident #42 revealed an admission date on 10/25/23. Medical diagnoses included chronic kidney disease-Stage 3, congestive heart failure, and cognitive communication deficit. Review of the physician orders revealed Resident #42 had the following orders: Dialysis port: monitor for signs and symptoms of infection dated 11/25/23 and To Davita dialysis on Monday, Wednesday, and Friday at 2:45 P.M. [...]
Inspectors wroteBased on observations, resident and staff interviews, record review, and facility policy review, the facility failed to ensure a lunch meal was delivered timely to one resident (#42). This affected one resident (#42) of three residents reviewed for nutrition. The facility census was 51. Findings Include: Review of the medical record for Resident #42 revealed an admission date on 10/25/23. Medical diagnoses included chronic kidney disease-Stage 3, congestive heart failure, and cognitive communication deficit. Review of the physician orders revealed Resident #42 had the following order: To Davita dialysis on Monday, Wednesday, and Friday at 2:45 P.M. Review of the meal times revealed lunch meal was open dining in the dining room from 11:30 A.M. to 1:00 P.M. and the nursing facility hall trays were delivered starting at 12:00 P.M. Observation and interview on Wednesday, 01/17/24 at 10:52 A. [...]
3 fire safety citations on file: 1 on January 9, 2025, 2 on January 22, 2024.
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) | 3.72 | 3.69 | 3.86 |
| Registered nurses | 0.89 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.40 | 3.28 | 3.42 |
| Nurse aides | 1.77 | ||
| Licensed practical nurses | 1.06 | ||
| Nursing staff turnover (share who left in a year) | 26.0% | 48.7% | 45.8% |
| Registered nurse turnover | 33.3% | 43.9% | 42.9% |
| Administrators who left | 0 |
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.
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 3.85 on weekdays and 3.40 on weekends, 12% 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 4.03 in April to June 2025 to 3.72 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 | 3.72 | 0.89 | 3.85 | 3.40 | 0.0% | 0 of 90 | 51 |
| Oct to Dec 2025 | 3.77 | 0.86 | 3.87 | 3.53 | 0.0% | 0 of 92 | 51 |
| Jul to Sep 2025 | 3.75 | 0.88 | 3.91 | 3.35 | 0.0% | 1 of 92 | 50 |
| Apr to Jun 2025 | 4.03 | 0.79 | 4.17 | 3.68 | 0.0% | 0 of 91 | 49 |
| 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 | 13.3 | 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 | 1.7 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.7 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.0 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.5 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.4 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 3.9 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Oaks at Bethesda the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (72.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
72.1% this home
Better than 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. 180 eligible stays.
9.7% 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. 194 eligible stays.
6.2% 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. 131 eligible stays.
50.5% 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. 107 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. 149 residents counted.
1.6% 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. 149 residents counted.
98.8% 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. 83 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: TRILOGY HEALTHCARE OF MUSKINGUM II, LLC.. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Continental Merger Sub LLC | 5% or greater indirect ownership interest | Organization | 10/01/2021 | |
| Northstar Healthcare Income Inc | 5% or greater indirect ownership interest | Organization | 10/01/2021 | |
| Northstar Healthcare Income Operating Partnership LP | 5% or greater indirect ownership interest | Organization | 10/01/2021 | |
| Trilogy Holdings Nt-Hci, LLC | 5% or greater indirect ownership interest | Organization | 10/01/2021 | |
| Keybank National Association | 5% or greater mortgage interest | Organization | 07/13/2018 | |
| Corbin, Kathy | W-2 managing employee | Individual | 01/10/2011 | |
| Fightmaster, Lisa | W-2 managing employee | Individual | 12/01/2015 | |
| Barney, Leigh | Corporate officer | Individual | 11/01/2019 | |
| Bryant, William | Corporate officer | Individual | 01/05/2016 | |
| Bufford, Randall | Corporate officer | Individual | 11/01/2019 | |
| Conner, Gregory | Corporate officer | Individual | 06/03/2021 | |
| Davis, David | Corporate officer | Individual | 08/21/2017 | |
| Prosky, Danny | Corporate officer | Individual | 12/01/2015 | |
| Streiff, Mathieu | Corporate officer | Individual | 12/01/2015 | |
| Trilogy Management Services LLC | Operational/managerial control | Organization | 10/01/2021 | |
| Goins, Tiffany | Operational/managerial control | Individual | 11/14/2016 |
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.
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