Presidential Post-Acute
524 James Way, Marion, OH 43302 · Marion County · (740) 389-6306
99 certified beds, about 92 residents a day · For profit - Corporation · Medicare and Medicaid since 1984
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365618 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 23, 2026, inspectors cited 10 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 17 health citations since April 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $71,295 in the last three years; the largest was $71,295, and the latest is dated March 23, 2026.
Nurses and nurse aides worked 3.01 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.
48.8% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to PACS Group, an affiliated group of 275 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.
004/23
305/24
212/24
210/25
1003/26
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
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
13D
2E
0F
Potential for minimal harm
0A
0B
0C
March 23, 2026Standard inspection, Complaint inspection · 10 citations
- J Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteNumber of residents sampled: Number of residents cited: Based on medical record review, observations, staff interviews, review of the mechanical lift manufacturer's instructions, review of the Hoyer sling owner's manual, review of the facility's investigation including witness statements, review of the Emergency Medical Services (EMS) report, review of hospital documentation, review of the death certificate, and review of the facility policies, the facility failed to ensure Resident #96 was transferred safely with a mechanical lift. This resulted in Immediate Jeopardy when Resident #96 suffered serious life-threatening injuries on [DATE] when Resident #96 was transferred using a mechanical lift and the top two straps supporting Resident #96's upper body simultaneously broke. [...]
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, staff interview, and review of the facility policy, the facility failed to ensure a homelike environment. This affected four (#53, #4, #8, and #90) residents reviewed for physical environment and had the potential to affect all residents. The facility census was 89. Observation on 03/09/26 at 9:37 A.M. of Resident #53's bedroom revealed behind the bed a large, discolored area behind the bed frame with chipped paint. Further observation of Resident #4's bedroom revealed a wall with pealing wallpaper and chipped paint. Additional observation of Resident #8's bedroom revealed a large area on the wall with dry wall chipped and missing paint. Additional observation of Resident #90's bedroom revealed two holes in the wall behind the bed with visible paint chipping. Observation on 03/09/26 at 10:00 A.M. [...]
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and medical record review, the facility failed to ensure Resident #49's dignity was maintained when her exposed body could be observed from the hallway during colostomy care. This affected one resident (#49) of one resident reviewed for dignity. The facility census was 89.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, staff interview, review of the witnessed fall investigation, and policy review, the facility failed to report an incident of potential neglect to the state agency. This affected one resident (#96) of three residents reviewed for Self-Reported Incidents (SRI). The facility census was 89.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on resident record review, interview, and policy review, the facility failed to ensure care plans were person-centered and reflected the residents' current status. This affected three residents (#01, #23, and #49) of 25 residents reviewed for care planning. The facility census was 89.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on interview and medical record review, the facility failed to ensure vision and hearing services were arranged for Resident #49. This affected one resident (#49) of one resident reviewed for communication and sensory. The facility census was 89.
- D Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Inspectors wroteBased on interview and record review, the facility failed to provide colostomy care as ordered for Resident #49. This affected one resident (#49) of one resident reviewed for constipation and diarrhea. The facility census was 89.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, observation, interview, and policy review, the facility failed to ensure medications were not inappropriately crushed per physician order. This affected one (#110) resident of five residents observed for medication administration. The facility census was 89.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to follow physician orders regarding insulin administration. This affected one resident (Resident #23) reviewed for insulin. The facility census was 89.
- D Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on record review, resident interviews, staff interviews, and policy review the facility failed to ensure residents understood arbitration agreements prior to signing them. This affected four (#7, #55, #62, and #68) of six residents reviewed for arbitration agreements. The facility census was 89.
October 20, 2025Complaint inspection · 2 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of a self-reported incident (SRI), record review, facility investigation, policy review, and resident and staff interviews, and radiologist interview, the facility failed to ensure Resident #7 received proper assistance during transfers to prevent accidents. Actual Harm occurred on 07/11/25 when Resident #7 sustained a left rib fracture following an improper transfer by facility staff. This affected one (#7) of six residents reviewed for accidents. The facility census was 91.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, medical record review, review of Centers for Disease Control and Prevention (CDC) guidance, and facility policy review, the facility failed to implement enhanced barrier precautions (EBP) as physician ordered during wound care for Resident #67. This affected one (#67) of three residents reviewed for wounds. The facility identified 13 residents who had EBP in place. The facility census was 91.
December 24, 2024Complaint inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, policy review, review of manufacturer instructions, observation, and staff interview, the facility failed to ensure appropriate needles were used during intramuscular medication administration. This affected one (Resident #81) of two residents observed for injectable medications. The facility census was 97.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on staff interviews, review of facility policy, and medical record review, the facility failed to ensure the resident's weight loss was timely addressed and recommendations were timely followed through with. This affected one (#100) of three residents reviewed for weight loss. The facility census was 97.
May 8, 2024Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interviews, and policy review, the facility failed to properly store chemicals in the kitchen to prevent cross contamination. This had the potential to affect 74 of 76 residents who received food from the kitchen. The facility identified two residents (Resident #7 and Resident #42) who did not receive food from the kitchen. The facility census was 76.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, record review, facility staff interview, and policy review, the facility failed to maintain proper position of a urinary catheter drainage bag for one (Resident #23) of one reviewed for urinary catheters. The facility census was 76.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and policy review, the facility failed to maintain a replacement tracheostomy tube at the bedside of one resident reviewed for tracheostomy care. This affected one of one resident (Resident #7) reviewed for tracheostomy care. The facility census was 76.
April 6, 2023Standard inspection · 0 citations
Fire safety inspections
21 fire safety citations on file: 7 on March 23, 2026, 8 on May 8, 2024, 6 on April 6, 2023.
Every fire safety citation21 citations
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F Have simulated fire drills held at unexpected times.
- F Have power receptacles that are properly grounded.
- E Inspect, test, and maintain automatic sprinkler systems.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Install corridor and hallway doors that block smoke.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Ensure proper usage of power strips and extension cords.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have simulated fire drills held at unexpected times.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 23, 2026 | Fine | $71,295 |
| March 23, 2026 | Payment Denial | 36 days from April 16, 2026 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
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) | 3.01 | 3.69 | 3.86 |
| Registered nurses | 0.61 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.65 | 3.28 | 3.42 |
| Nurse aides | 1.91 | ||
| Licensed practical nurses | 0.48 | ||
| Nursing staff turnover (share who left in a year) | 48.8% | 48.7% | 45.8% |
| Registered nurse turnover | 27.3% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.82 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 3.16 on weekdays and 2.65 on weekends, 16% 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 3.09 in April to June 2025 to 3.01 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 | 3.01 | 0.61 | 3.16 | 2.65 | 0.0% | 0 of 90 | 92 |
| Oct to Dec 2025 | 3.15 | 0.60 | 3.32 | 2.71 | 1.5% | 0 of 92 | 91 |
| Jul to Sep 2025 | 3.13 | 0.50 | 3.27 | 2.76 | 2.3% | 0 of 92 | 89 |
| Apr to Jun 2025 | 3.09 | 0.55 | 3.28 | 2.59 | 1.6% | 0 of 91 | 90 |
| 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.
Quality measures
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 | 7.2 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.0 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.7 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.8 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.0 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: MARION POST ACUTE, LLC. CMS links this home to PACS Group, a group of 275 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Providence Group Inc | 5% or greater direct ownership interest | Organization | 100% | 03/07/2019 |
| Piacentini, Mark | Contracted managing employee | Individual | 05/01/2006 | |
| Kellogg, Shannon | W-2 managing employee | Individual | 07/01/2019 | |
| Apt, Frederick | Corporate officer | Individual | 01/01/2024 | |
| Jergensen, Joshua | Corporate officer | Individual | 01/01/2024 | |
| Mitchell, John | Corporate officer | Individual | 01/01/2024 | |
| Kellogg, Shannon | Operational/managerial control | Individual | 07/01/2019 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on March 23, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 23, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on March 23, 2026: "Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on March 23, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.65 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Marion Nursing & Rehab Marion, 2.3 mi · 1 of 5 stars · 27 citations
- Marion Pointe Marion, 2.7 mi · 3 of 5 stars · 22 citations
- Marion Valley Post Acute Marion, 2.7 mi · 1 of 5 stars · 37 citations
- Meadows of Marion Health and Rehabilitation the Marion, 3.1 mi · not rated · 3 citations
- Harding Pointe Marion, 3.1 mi · 3 of 5 stars · 18 citations
- Woodside Village Care Center Mount Gilead, 11.8 mi · 3 of 5 stars · 29 citations
- Altercare of Bucyrus Center Fo Bucyrus, 15.9 mi · 4 of 5 stars · 20 citations
- Unger Park Post Acute Bucyrus, 17 mi · 2 of 5 stars · 45 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Presidential Post-Acute's Medicare star rating?
- CMS rates Presidential Post-Acute 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Presidential Post-Acute get at its last inspection?
- 10 health deficiencies at the standard inspection on March 23, 2026. The Ohio average is 10.5.
- Has Presidential Post-Acute been fined?
- Yes. CMS lists 1 fine totaling $71,295 in the last three years.
- Does Presidential Post-Acute 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 Presidential Post-Acute?
- CMS lists 7 owners and managers, and links the home to PACS Group. Legal business name: MARION POST ACUTE, LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.