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Ohio Valley Manor Care Center

5280 State Routes 62 68, Ripley, OH 45167 · Brown County · (937) 392-4318

140 certified beds, about 132 residents a day · For profit - Corporation · Medicare and Medicaid since 1978

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365376 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 26, 2025, inspectors cited 4 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 13 health citations since December 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.99 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.56 of those hours.

54.2% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Lionstone Care, an affiliated group of 24 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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
10D
2E
1F
Potential for minimal harm
0A
0B
0C
August 26, 2025Standard inspection · 4 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) September 25, 2025
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure dented cans were discarded, food items were dated and labeled, and kitchen staff washed their hands utilizing proper technique. These failures had the potential to affect all residents who received meals from the dietary department.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to follow physician's orders for supplemental oxygen administration for 1 (Resident #41) of 5 residents reviewed for oxygen use.
  3. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on interview and record review, the facility failed to immediately notify hospice services of a significant change in a resident's physical, mental, social, or emotional status for 1 (Resident #129) of 1 resident reviewed for hospice services. Specifically, Resident #129 fell due to a seizure on 07/27/2025, and the facility did not notify hospice until 07/28/2025.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure hand hygiene occurred between glove changes for 1 (Resident #32) of 1 residents observed during wound care and the facility failed to store oxygen equipment appropriately when not in use for 1 (Resident #61) of 5 residents reviewed for respiratory services.
June 13, 2025Complaint inspection · 1 citation
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2025
    Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to ensure residents were free of significant medication errors. This affected one resident (Resident #150) of three reviewed for medication errors. The facility census was 130 residents.
February 24, 2025Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 11, 2025
    Inspectors wroteBased on record reviews, interviews, review of facility Self Reported Incidents (SRIs), and review of facility policy, the facility failed to ensure a SRI was filed with the State Agency following an allegation of sexual abuse. This affected one resident (#83) out of the three residents reviewed for abuse. The facility census was 136.
May 24, 2024Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 25, 2024
    Inspectors wroteBased on medical record review, review of the facility investigation, staff interview, and review of the facility handbook, the facility failed to ensure the resident environment was free of potentially hazardous substances/prescription medications. This affected one (Resident #130) of three residents reviewed for accidents and accident hazards. The facility census was 130.
September 9, 2022Standard inspection · 4 citations
  1. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 21, 2022
    Inspectors wroteBased on record review, observation and interview, the facility failed to prepare and serve the puree diet as planned by a Registered Dietitian for Residents #40, #28, # 22, #75, #68, #23, #2, and #20. The facility census was 134. Findings Include: Record review for Resident # 40 revealed admission date of 06/01/22, medical diagnosis of Alzheimer's disease and No Added Salt puree diet order. Record review for Resident #28 revealed admission date of 12/05/17, medical diagnosis of dementia with behavioral disturbance and Regular puree diet order. Record review for Resident # 22 revealed admission date of 10/03/19, medical diagnosis of Alzheimer's Disease and Regular, puree, nectar consistency diet order. [...]
  2. E
    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, pattern · Corrected (the home has a date of correction) October 21, 2022
    Inspectors wroteBased on observation and interview, the facility failed to store foods, discard expired foods and monitor refrigerator temperatures. This had the potential to affect 133 residents who received food from the kitchen. The facility census was 134.
  3. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2022
    Inspectors wroteBased on record review and staff interviews, the facility failed to ensure a resident's mental health diagnoses were accurately coded on the Pre-admission Screening and Resident Review (PASARR). This affected two (#44, #96) of four residents reviewed for PASARR. The facility census was 134.
  4. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2022
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure Resident #96 received appropriate nail care. This affected one of four residents reviewed for activities of daily living. The facility census was 134.
December 5, 2019Standard inspection · 2 citations
  1. 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) February 5, 2020
    Inspectors wroteBased on medical record review, resident and staff interview, the facility failed to notify the a resident of a change in medications. This affected one resident (#85) of one reviewed for care planning. The facility census was 135.
  2. D
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 5, 2020
    Inspectors wroteBased on observation, staff interview, facility policy review, and review of manufacture's guidelines, the facility failed to date open vials of medications. This had potential to affect one Resident (#231) identified by facility as a new admission. The facility further failed to remove expired medications out of active medication use, this had the potential to affect one Resident (#67) for who it was prescribed for. The facility census 135.

Fire safety inspections

11 fire safety citations on file: 1 on August 26, 2025, 5 on September 9, 2022, 5 on December 5, 2019.

Every fire safety citation11 citations
  1. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · August 26, 2025 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 9, 2022 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 9, 2022 · Corrected (the home has a date of correction)
  4. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · September 9, 2022 · Corrected (the home has a date of correction)
  5. 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 · September 9, 2022 · Corrected (the home has a date of correction)
  6. E
    Ensure proper usage of power strips and extension cords.
    K 920 · September 9, 2022 · Corrected (the home has a date of correction)
  7. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 5, 2019 · Corrected (the home has a date of correction)
  8. E
    Install corridor and hallway doors that block smoke.
    K 363 · December 5, 2019 · Corrected (the home has a date of correction)
  9. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · December 5, 2019 · Corrected (the home has a date of correction)
  10. E
    Have restrictions on the use of portable space heaters.
    K 781 · December 5, 2019 · Corrected (the home has a date of correction)
  11. E
    Have proper medical gas storage and administration areas.
    K 923 · December 5, 2019 · 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)3.993.693.86
Registered nurses0.560.640.69
All nursing staff on weekends3.613.283.42
Nurse aides2.33
Licensed practical nurses1.10
Nursing staff turnover (share who left in a year)54.2%48.7%45.8%
Registered nurse turnover14.3%43.9%42.9%
Administrators who left0

CMS expects 3.85 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 4.15 on weekdays and 3.61 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 4.15 in April to June 2025 to 3.99 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.990.564.153.61 0.0%0 of 90132
Oct to Dec 20253.940.544.083.59 0.0%0 of 92135
Jul to Sep 20253.880.514.033.50 0.0%0 of 92134
Apr to Jun 20254.150.544.363.63 0.0%0 of 91130
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.

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
1.65.313.9
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
3.63.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.61.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
2.06.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.93.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.78.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.324.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.812.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.51.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.81.8

Owners and operators

Legal business name: OVM INVESTMENT GROUP LLC. CMS links this home to Lionstone Care, a group of 24 nursing homes averaging 2.5 stars overall.

NameRoleTypeShareSince
Boymel, Steven5% or greater direct ownership interestIndividual100%03/01/2017
Balz, GeorgeW-2 managing employeeIndividual03/01/2017
Boymel, AlexanderCorporate officerIndividual03/01/2017
Boymel, JonasCorporate officerIndividual03/01/2017
Boymel, StevenCorporate officerIndividual03/01/2017
Miller, GregoryCorporate officerIndividual03/01/2017

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. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on August 26, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 26, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on June 13, 2025: "Ensure that residents are free from significant medication errors."
  4. Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on August 26, 2025: "Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services."

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 Ohio Valley Manor Care Center's Medicare star rating?
CMS rates Ohio Valley Manor Care Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Ohio Valley Manor Care Center get at its last inspection?
4 health deficiencies at the standard inspection on August 26, 2025. The Ohio average is 10.5.
Has Ohio Valley Manor Care Center been fined?
CMS lists no fines in the last three years.
Does Ohio Valley Manor Care Center 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 Ohio Valley Manor Care Center?
CMS lists 6 owners and managers, and links the home to Lionstone Care. Legal business name: OVM INVESTMENT GROUP LLC.

Sources

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