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Home / Ohio / Coshocton

Roscoe Gardens Skilled Nursing and Rehab

100 South Whitewoman Street, Coshocton, OH 43812 · Coshocton County · (740) 622-1220

72 certified beds, about 61 residents a day · For profit - Corporation · Medicare and Medicaid since 1992

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365880 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 30, 2025, inspectors cited 16 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 52 health citations since July 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $60,645 in the last three years; the largest was $60,645, and the latest is dated May 14, 2024.

Nurses and nurse aides worked 3.09 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.

50.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).

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 52 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
38D
3E
6F
Potential for minimal harm
0A
0B
3C
June 9, 2026Complaint inspection · 5 citations
  1. D
    Keep residents' personal and medical records private and confidential.
    F583 · 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) June 27, 2026
    Inspectors wroteBased on observation, review of the medical record, interview, and review of facility policy, the facility failed to ensure resident privacy during medication administration. This affected one resident (Resident #45) of three observed for medication administration. Findings Include: Review of the medical record revealed Resident #45 was admitted to the facility on [DATE]. Diagnoses included dementia, transient cerebral ischemic attack, atrial fibrillation, anemia, hypertension, chronic obstructive pulmonary disease, and overactive bladder. Review of the Annual Minimum Data Set assessment dated [DATE] revealed Resident #45 had intact cognition. Observation of medication administration on 06/09/26 at 9:15 A.M. revealed Resident #45 was outside in the smoking tent. [...]
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · 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) June 27, 2026
    Inspectors wroteBased on review of the medical record, review of the controlled substance administration record, interview, and review of the facility policy, the facility failed to ensure narcotic medications were signed out and administered by the same licensed nurse. This affected one resident (Resident #56) of three reviewed for medication administration. Findings Include: Review of the medical record revealed Resident #56 was admitted to the facility on [DATE]. Diagnoses Alzheimer's disease, anxiety disorder, hypertension, congestive heart failure, dementia, and metabolic encephalopathy. Review of the Quarterly Minimum Data Set assessment dated [DATE] revealed Resident #56 had severely impaired cognition and had a prognosis of less than six months. [...]
  3. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · 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) June 27, 2026
    Inspectors wroteBased on observation, review of the medical record, interview, review of manufacture guidelines, and review of the facility policy, the facility failed to maintain a medication error rate of less than five percent when medications were not timely administered before meals as ordered, expired medications were administered, and insulin was administered without priming. Out of 36 opportunities for error, four errors were made to equal an error rate of 11.1 percent (%). This affected one resident (Resident #34) of three observed for medication administration. Findings Include: 1. a. Review of the medical record revealed Resident #34 was admitted to the facility on [DATE]. Diagnoses included diabetes, pemphigus vulgaris, bullous pemphigoid, ocular hypertension, chronic obstructive pulmonary disease, asthma, depression, pain in right knee, anxiety disorder, and insomnia. [...]
  4. 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 · found on a complaint visit · Corrected (the home has a date of correction) June 27, 2026
    Inspectors wroteBased on observation, review of the medical record, interview, and review of the facility policy, the facility failed to ensure controlled mediations were not pre-poured and stored in the top drawer of the unlocked medication cart, without being promptly administered to the resident. This affected one resident (Resident #56) of 13 residents (#3, #9, #12, #26, #32, #33, #35, #45, #46, #47, #48, #51, and #56) who had medication in the Buckeye Hall medication cart #1. Findings Include:Review of the medical record revealed Resident #56 was admitted to the facility on [DATE]. Diagnoses Alzheimer's disease, anxiety disorder, hypertension, congestive heart failure, dementia, and metabolic encephalopathy. Review of the Quarterly Minimum Data Set assessment dated [DATE] revealed Resident #56 had severely impaired cognition and had a prognosis of less than six months. [...]
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 27, 2026
    Inspectors wroteBased on observations, review of the medical record, interview, and review of the facility policy, the facility failed to maintain proper infection control procedures during medication administration. This affected two residents (Resident #34 and #45) of three observed for medication administration. Findings Include:1. Review of the medical record revealed Resident #34 was admitted to the facility on [DATE]. Diagnoses included diabetes, pemphigus vulgaris, bullous pemphigoid, ocular hypertension, chronic obstructive pulmonary disease, asthma, depression, pain in right knee, anxiety disorder, and insomnia. Review of the Annual Minimum Data Set assessment dated [DATE] revealed Resident #34 had intact cognition. [...]
December 30, 2025Standard inspection · 16 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on observation, medical record review, hospital record review, review of radiological studies, interview, and policy review, the facility failed to ensure appropriate care, services and interventions were in place to prevent the development of an avoidable pressure ulcer for Resident #8. Actual Harm occurred on 10/24/25 when Resident #8 developed an avoidable suspected deep tissue injury (DTI) (a severe pressure-related wound damaging skin and underlying soft tissues, often starting under intact skin as a bruise-like purple or maroon area, that rapidly deteriorates to reveal significant tissue death-necrosis) to the left heel following a fall with a fracture to the right fibula, which impaired the resident's mobility and increased her dependence and need for assistance with activities of daily living (ADL). [...]
  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) January 16, 2026
    Inspectors wroteBased on observations, interviews, review of facility policy, and review of the United States Department of Agriculture (USDA) website, the facility failed to store and serve food under sanitary conditions. This had the potential to affect all 59 residents residing in the facility, who ate food from the kitchen. Findings Include:1. Observation of the kitchen on 12/15/25 from 8:55 A.M. to 9:14 A.M. revealed in the over the tray foodservice serving area, there were two dirty exhaust fans with a large amount of a brown and gray fuzzy substance on them. The white paint on the ceiling over the food serving area was also chipping and bulging from the ceiling. An interview with [NAME] #117 on 12/15/25 at 9:06 A.M. confirmed the presence of a brown and gray fuzzy substance on the exhaust fans and the presence of chipping ceiling paint over the food serving area. [...]
  3. F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on observation, staff interview, and review of facility policy, the facility failed to ensure smoking regulations were being adhered to in accordance with NFPA 101 - 2012 Edition, Section 19.7.4 per the regulations. This deficient practice had the potential to affect all 59 residents residing in the facility. Findings Include: Observation on 12/18/25 during a tour of the facility at 8:56 A.M. with the Director of Maintenance (DM) #131 noted the designated smoking area in the central enclosed courtyard was not being properly maintained. Thirty-seven cigarette butts were on the ground. Three butts were in a pine bush and had burned some of the needles. A cigarette receptacle was also present. An interview with the DM #131 verified the findings at the time of observation. An interview with the Administrator on 12/17/25 at 3:23 P.M. [...]
  4. E
    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, pattern · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on record review, observation, interviews, review of the National Institutes of Health (NIH) instructions on how to use a nebulizer, and facility policy review, the facility failed to ensure Resident #7's oxygen was administered as ordered. This affected one (Resident #7) out of six residents reviewed for respiratory care. The facility also failed to ensure oxygen tubing was dated for Resident #6, Resident #26, Resident #27, Resident #44, and Resident #70. This affected five (Resident #6, #26, #27, #44, and #70) out of six residents reviewed for respiratory care. The facility census was 59.
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on record review, observations, staff interviews, review of the Centers for Disease Control and Prevention (CDC) guidance, and review of the facility policy, the facility failed to follow infection control procedures while serving food to residents under contact precautions. This affected two (Residents #21 and 26) out of five residents reviewed for infection control. Also, the facility failed to properly clean the glucometer and place a barrier between the glucometer and a potentially contaminated surface. This affected one (Resident #60) of one resident observed for blood glucose check on the Sycamore hallway and had the potential to affect the five additional (Residents #4, #5, #17, #32, and #54) identified by the facility that had blood glucose checks on Sycamore hallway. [...]
  6. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on observation, record review, interview, and policy review, the facility failed to ensure privacy was maintained while Resident #17 was being taken to the shower room. This affected one (Resident #17) out of one reviewed for dignity and respect. Facility census was 59.
  7. D
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on observation and interview, the facility failed to maintain a safe environment. This affected one resident (#4) of four sampled for environment. The facility census was 59. Findings Include: Review of Resident #4's medical record revealed an admission date of 07/20/22, a re-entry date of 07/07/24 and diagnoses including but not limited to diabetes, dysphagia, heart failure, chronic obstructive pulmonary disease, osteomyelitis, schizoaffective disorder, schizophrenia, peripheral vascular disease, anxiety disorder, major depressive disorder and hypertension. Review of Resident #4's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating that the resident was cognitively intact. [...]
  8. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on resident record review, staff interview, and review of facility policy, the facility failed to provide a bed hold letter to a resident and failed to notify the Ombudsman when the resident discharged to the hospital. This affected one resident (Resident #3) out of three residents reviewed for discharges. The facility census was 59 residents. Findings Include:Review of the medical record revealed Resident #3 was admitted to the facility on [DATE] and had diagnoses that included vascular dementia, and displaced fracture of neck of right femur. Review of Resident #3's Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed he was assessed as having a Brief Interview for Mental Status (BIMS) score of 14, indicative of intact cognitive status. [...]
  9. 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) January 16, 2026
    Inspectors wroteBased on observation, record review, interview, and policy review, the facility failed to ensure Resident #7's fingernails were trimmed and cleaned. This affected one (Resident #7) out of three reviewed for activities of daily living. Facility census was 59.
  10. 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) January 16, 2026
    Inspectors wroteBased on observation, record review, interviews, and policy review, the facility failed to ensure timely care and services were provided to Resident #8 who had a fall which resulted in a fracture. This affected one resident (#8) out of five reviewed for accidents. Additionally, the facility failed to ensure appropriate catheter care was provided for Resident #7 when the resident's indwelling urinary catheter drainage bag was not properly positioned or secured in accordance with facility policy and accepted catheter care standards. This deficient practice affected one resident (#7) of two residents reviewed for catheter care. The facility reported ten residents with indwelling urinary catheters. Facility census was 59.
  11. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on medical record review, review of resident diet slips, interview, and observation, the facility failed to ensure timely initiation of nutritional supplement recommendations and failed to ensure nutritional supplements were available and received as ordered. This affected two residents (#3 and #8) of three residents reviewed for nutrition.
  12. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on resident record review, staff interviews and review of a facility policy, the facility failed to have parameters in place for as needed pain medications. This affected one (Resident #3) out of two residents reviewed for pain management. The facility census was 59.
  13. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on record review and interviews, the facility failed to implement pharmacy recommendations signed by the provider in a timely manner. This affected one resident (#49) of five reviewed for unnecessary medications. The facility census was 59.
  14. 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) January 16, 2026
    Inspectors wroteBased on record review, review of facility investigations, interview, and policy review, the facility failed to ensure residents were free from significant medication errors. This affected three residents (#28, #50, and #69) out of nine residents reviewed for medication administration. Facility census was 59.
  15. D
    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, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on observation, staff interviews, review of the menu spreadsheet, and review of facility policy, the facility failed to provide and serve pureed bread as planned on the menu. This affected two out of two residents (Resident #8 and #13) who received pureed diets in the facility. The facility census was 59 residents.
  16. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2026
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure Resident #42's call light was within reach. This affected one (Resident #42) out of 28 residents observed for call lights within reach. Facility census was 59.
June 12, 2025Complaint inspection · 1 citation
  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 · found on a complaint visit · Corrected (the home has a date of correction) June 28, 2025
    Inspectors wroteBased on medical record review, observations, staff interviews, and facility policy review the facility failed to maintain sanitary conditions in the kitchen during meal service by not wearing facial hair covering and handling food with bare hands. This affected one resident (Resident #5) and had the potential to affect all residents residing in the facility. The facility census was 54. Findings Include: A review of the medical record for Resident #5 revealed an admission on [DATE] with diagnoses including but not limited to dementia, weakness, and indigestion. Resident #5 required assistance from staff to complete activities of daily living (ADL) tasks and was independent with eating. A review of Resident #5's physician orders revealed an order dated 05/15/25 for a regular, mechanical soft texture, thin liquids consistency diet and preferred small portions. [...]
April 7, 2025Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) April 25, 2025
    Inspectors wroteBased on medical record review and staff interview the facility failed to ensure weekly skin inspections were completed as indicated in the resident's comprehensive care plan. This affected one (Resident #54) of three residents reviewed for skin impairment. The facility census was 53.
October 10, 2024Standard inspection · 12 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) November 13, 2024
    Inspectors wroteBased on review of invoices, review of alternative menu, review of the contract, observation, and interviews the facility failed to ensure alternate menu items were available. This had the potential to affect all 57 residents residing in the facility.
  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) November 13, 2024
    Inspectors wroteBased on observation and interview the facility failed to ensure the ice machine was maintained and cold air-vents were cleaned. This had the potential to affect all 57-resident residing in the facility.
  3. 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 · Corrected (the home has a date of correction) November 13, 2024
    Inspectors wroteBased on self-reported incident review, medical record review, interview and policy review the facility failed to ensure allegations of abuse were reported to the state survey agency in a timely manner. This affected one (Resident #26) of one residents reviewed for abuse. The facility census was 57.
  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 13, 2024
    Inspectors wroteBased on medical record review and interview, the facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected medication and pertinent diagnosis. This affected two residents (#6 and #9) of five residents reviewed for unnecessary medications.
  5. 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) November 13, 2024
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a Pre-admission Screening and Resident Review (PASRR) document accurately reflected diagnoses. This affected two (Resident #6 and Resident #9) of three residents reviewed for PASRR documents. The census was 57. Findings Include: 1. Review of the medical record revealed Resident #6 was admitted to the facility on [DATE]. Diagnoses included schizoaffective disorder, dysphagia, chronic kidney disease, low back pain, and muscle wasting and atrophy. Review of the quarterly Minimum Data Set (MDS) assessment, dated 09/05/24, revealed the resident had intact cognition and a diagnosis of anxiety disorder. Review of Resident #6's PASRR document, dated 08/24/23, revealed under Section E, there was no check mark selected to indicate the diagnosis of anxiety. [...]
  6. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2024
    Inspectors wroteBased on record review, and staff interview, the facility failed to ensure there was consistent communication between the facility and the dialysis center regarding a resident's hemodialysis treatments. This affected one (Resident #52) of one resident reviewed for dialysis. Resident #52 was the only resident in the facility receiving dialysis treatments. The facility census was 57.
  7. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2024
    Inspectors wroteBased on interview, record review, and pharmacy recommendations the facility failed to timely address pharmacy recommendation related to Resident #3's pain medication and lab work. This affected one (#3) of five residents reviewed for unnecessary medications. The facility census was 57.
  8. 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 13, 2024
    Inspectors wroteBased on medical record review, interview and policy review the facility failed to ensure residents were free of significant medication errors. This affected one resident (Resident #13) of five residents reviewed for unnecessary medication use. The facility census was 57.
  9. 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) November 13, 2024
    Inspectors wroteBased on medical record review, observation, interview, and policy review revealed the facility failed to ensure medications were stored appropriately. This had the potential to affect all 57 residing in facility.
  10. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2024
    Inspectors wroteBased on medical record review, observation, interview, and policy review the facility failed to ensure a resident received dental services timely. This affected one (Resident #11) of one reviewed for dental services.
  11. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 13, 2024
    Inspectors wroteBased on observation, record review, and interview, the facility failed to provide an appropriate assistive device to maintain/improve the ability to eat independently. This affected one (Resident #5) of two residents reviewed for mobility/restorative.
  12. 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) November 13, 2024
    Inspectors wroteBased on observation, interview, record review, and policy review the facility failed to ensure Enhanced Barrier Precautions (EBP) were in place for Resident #261 who was admitted with a chronic venous ulcer. This affected one (Resident #261) of one residents reviewed for wounds. The facility census was 57.
June 29, 2024Complaint inspection · 3 citations
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 15, 2024
    Inspectors wroteBased on observation, interview with staff, and review of the facility policy the facility failed to ensure three medication carts were locked when unattended. This had the potential to affect 12 residents (#1, #5, #18, #22, #24, #32, #33, #42, #46, #51, #55, and #56) who were cognitively impaired and independently mobile residents. The facility census was 54.
  2. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · 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 15, 2024
    Inspectors wroteBased on review of the medial record, review of the facility investigation, interview with the staff, and facility policy review the facility failed to ensure Resident #58 was administered the correct medication. This affected one resident (#58) of three residents reviewed for medication errors. The facility census was 54.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 15, 2024
    Inspectors wroteBased on observations and interview with staff the facility to ensure staff used proper hand hygiene during medication administration. This affected three residents (#25, #51, and #54) of eight residents reviewed for medication administration. The facility census was 54.
May 14, 2024Complaint inspection · 3 citations
  1. J
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 15, 2024
    Inspectors wroteBased on observation, medical record review, review of a facility Self-Reported Incident (SRI) and investigation, review of the facility's abuse policy titled Abuse, Neglect and Misappropriation of Property, and interviews with staff, residents and the authorities, the facility failed to ensure Resident #2 was free from an incident of resident-to-resident abuse. This resulted in Immediate Jeopardy and physical and psychosocial harm on 04/21/24 at approximately 7:45 A.M., when Resident #2, was physically abused/assaulted by Resident #3. Resident #3 struck Resident #2 multiple times resulting in two facial lacerations with bleeding, a laceration to the lower lip, and multiple hematomas (bruises) to the resident's bilateral arms, upper portion of her breasts, and upper chest wall. The incident occurred in the dining room where there were no staff present. [...]
  2. F
    Administer the facility in a manner that enables it to use its resources effectively and efficiently.
    F835 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 15, 2024
    Inspectors wroteBased on record review, review of the Administrator and Director of Nursing (DON) Job Descriptions, review of a facility self-reported incident (SRI) and investigation, and interviews the facility failed to maintain effective administrative services to provide a comprehensive abuse prohibition program to prevent, timely identify and investigate situations of resident-to-resident physical abuse. This affected one resident (#2) and had the potential to affect all residents residing in the facility. The census was 58.
  3. D
    Respond appropriately to all alleged violations.
    F610 · 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) May 15, 2024
    Inspectors wroteBased on review of a facility Self-Reported Incident (SRI) and investigation, review of the facility's abuse policy titled, Abuse, Neglect, and Misappropriation of Property, and interviews the facility failed to ensure a complete and thorough investigation following an allegation of physical abuse. This affected one (Resident #2) of six residents reviewed for abuse. The facility census was 58.
July 27, 2023Standard inspection · 11 citations
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2023
    Inspectors wroteBased on record review, policy review, and interview, the facility failed to implement interventions to prevent further potential abuse after allegations of staff being rough and making inappropriate comments were reported to staff. This affected one resident (Resident #7) of 11 residents interviewed regarding abuse. The census was 41.
  2. 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 · Corrected (the home has a date of correction) September 15, 2023
    Inspectors wroteBased on record review, policy review, and interview, the facility failed to report allegations of rough handling by staff, inappropriate intimidating remarks made to residents, and allegations of misappropriation of property. This affected one resident (Resident #7) of 11 residents interviewed regarding abuse and missing items. The census was 41.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2023
    Inspectors wroteBased on record review, policy review, and interview, the facility failed to investigate allegations of staff being rough and making inappropriate comments toward residents. This affected one resident (#7) of 11 residents interviewed regarding abuse. The census was 41.
  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) September 15, 2023
    Inspectors wroteBased on medical record review and interview, the facility failed to ensure the Minimum Data Set (MDS) assessment accurately reflected opioid medication use and significant weight loss. This affected two residents (#28 and #29) of five residents reviewed for unnecessary medications.
  5. 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) September 15, 2023
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure all resident Pre-admission Screening and Resident Review (PASARR) documents were accurate to resident current conditions and diagnoses. This affected two residents (Resident #35 and #40) of three residents reviewed for PASARR documents. The census was 41. Findings Include: 1. Medical record review revealed Resident #40 was admitted to the facility on [DATE] with diagnoses including sepsis, pressure ulcers, depression, bipolar disorder, and paraplegia. Review of Resident #40's PASARR document, dated 05/30/23, revealed under Section E, there were no diagnosis listed. Review of the resident's diagnoses list revealed bipolar disorder and depression were added on 06/09/23. [...]
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2023
    Inspectors wroteBased on record review, policy review, and interview, the facility failed to ensure Resident #7 and/or her representative was provided an opportunity to participate in the development and revisions of the plan of care. This affected one resident (Resident #7) of 11 residents interviewed regarding participation in planning care. The census was 41.
  7. 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 15, 2023
    Inspectors wroteBased on observation, record review and interview the facility failed to maintain Resident #7's respiratory equipment in a clean manner and ensure the equipment was inspected and air filter exchanged annually as appropriate. This affected one (Resident #7) of one residents reviewed for environmental concerns. The facility identified six residents (Residents #5, #7, #13, #22, #23 and #25) currently utilizing oxygen concentrators. The census was 41.
  8. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 15, 2023
    Inspectors wroteBased on medical record review, staff interview and policy review the facility failed to ensure antibiotics were assessed for appropriate indication for use prior to initiating antibiotic therapy. This affected one resident (Resident #4) of five residents reviewed for medication use. The facility census was 41.
  9. C
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for minimal harm, widespread · deficient, provider has September 5, 2023
    Inspectors wroteBased on medical record review and staff interview, the facility failed to adequately inform/specify in writing, skilled services that would be discontinued. This affected three residents (#6, #203, and #204) of three residents reviewed for beneficiary notices. The census was 41. Findings Include: 1. Medical record review revealed Resident #6 was admitted to the facility on [DATE] with diagnoses including diabetes mellitus, partial intestinal obstruction, chronic obstructive pulmonary disease, and chronic kidney disease. Review of Resident #6's Notice of Medicare Non-Coverage (NOMNC) form, dated 02/10/23, revealed services would discontinue on 02/14/23. The NOMNC form did not specify which services would be discontinued. The form stated, the effective date coverage of your current skilled nursing facility will end: 02/14/23. 2. [...]
  10. C
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 15, 2023
    Inspectors wroteBased on record review and interview the facility failed to ensure residents and/or resident representatives were provided with transfer notices following hospital transfers. This affected three residents (#46, #49, and #7) of three residents reviewed for hospitalization and discharge and had the potential to affect all 41 residents residing in the facility. The census was 41.
  11. C
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for minimal harm, widespread · deficient, provider has September 5, 2023
    Inspectors wroteBased on record review and interview the facility failed to ensure residents and/or resident representatives were provided with bed hold notices following hospital transfers. This affected three residents (#46, #49, and #7) of three residents reviewed for hospitalization and discharge and had the potential to affect all 41 residents residing in the facility.

Fire safety inspections

13 fire safety citations on file: 4 on December 30, 2025, 4 on October 10, 2024, 5 on July 27, 2023.

Every fire safety citation13 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 30, 2025 · Corrected (the home has a date of correction)
  2. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 30, 2025 · Corrected (the home has a date of correction)
  3. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · December 30, 2025 · Corrected (the home has a date of correction)
  4. E
    Ensure proper usage of power strips and extension cords.
    K 920 · December 30, 2025 · Corrected (the home has a date of correction)
  5. F
    Provide properly protected cooking facilities.
    K 324 · October 10, 2024 · Corrected (the home has a date of correction)
  6. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 10, 2024 · Corrected (the home has a date of correction)
  7. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · October 10, 2024 · Corrected (the home has a date of correction)
  8. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 10, 2024 · Corrected (the home has a date of correction)
  9. F
    Address subsistence needs for staff and patients.
    E 15 · July 27, 2023 · Corrected (the home has a date of correction)
  10. F
    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 · July 27, 2023 · Corrected (the home has a date of correction)
  11. F
    Install corridor and hallway doors that block smoke.
    K 363 · July 27, 2023 · Corrected (the home has a date of correction)
  12. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · July 27, 2023 · Corrected (the home has a date of correction)
  13. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · July 27, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 14, 2024Fine $60,645

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.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.093.693.86
Registered nurses0.590.640.69
All nursing staff on weekends2.673.283.42
Nurse aides1.81
Licensed practical nurses0.70
Nursing staff turnover (share who left in a year)50.0%48.7%45.8%
Registered nurse turnover45.5%43.9%42.9%
Administrators who left0

CMS expects 4.20 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 3.26 on weekdays and 2.67 on weekends, 18% 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 2.79 in April to June 2025 to 3.09 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.090.593.262.67 0.0%0 of 9061
Oct to Dec 20253.180.613.312.84 0.0%0 of 9258
Jul to Sep 20253.020.733.262.40 2.9%2 of 9259
Apr to Jun 20252.790.682.962.36 0.0%1 of 9157
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 Roscoe Gardens Skilled Nursing and Rehab. 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
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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
5.15.313.9
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
8.43.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.31.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
1.76.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.03.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.58.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.424.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
11.912.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.41.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Roscoe Gardens Skilled Nursing and Rehab's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (61.7% 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

61.7% 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. 77 eligible stays.

Potentially preventable readmissions

9.9% 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. 96 eligible stays.

Infections that led to a hospital stay

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. 46 eligible stays.

Self-care and mobility at discharge

58.5% 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. 41 residents counted.

Falls with major injury

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. 68 residents counted.

New or worsened pressure ulcers

2.8% 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. 68 residents counted.

Medication list given at discharge

100.0% 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. 23 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: COSHOCTON MEADOWS SKILLED NURSING AND REHABILITATION LLC.

NameRoleTypeShareSince
Allegiance Healthcare Holdco II LLCDirect ownership interestOrganization12/01/2024
Daubenmire, KevinIndirect ownership interestIndividual12/01/2024
Finkelstein, EliezerIndirect ownership interestIndividual12/01/2024
Hochstadter, NatanIndirect ownership interestIndividual12/01/2024
Cibc Bank USA5% or greater security interestOrganization12/01/2024
Finkelstein, EliezerManaging control - governing bodyIndividual12/01/2024
Hochstadter, NatanManaging control - governing bodyIndividual12/01/2024
Dundr, MichaelOperational/managerial controlIndividual12/01/2024
Finkelstein, EliezerOperational/managerial controlIndividual12/01/2024
Hochstadter, NatanOperational/managerial controlIndividual12/01/2024
Shample, DeniseOperational/managerial controlIndividual12/01/2024
Dundr, MichaelAdp of the SNFIndividual12/01/2024
Finkelstein, EliezerAdp of the SNFIndividual12/01/2024
Hochstadter, NatanAdp of the SNFIndividual12/01/2024
Shample, DeniseAdp of the SNFIndividual12/01/2024

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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 10 problems in this area, most recently on June 9, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on December 30, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on June 9, 2026: "Keep residents' personal and medical records private and confidential."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on December 30, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.67 hours per resident per day, below the Ohio average of 3.28.

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 Roscoe Gardens Skilled Nursing and Rehab's Medicare star rating?
CMS rates Roscoe Gardens Skilled Nursing and Rehab 2 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Roscoe Gardens Skilled Nursing and Rehab get at its last inspection?
16 health deficiencies at the standard inspection on December 30, 2025. The Ohio average is 10.5.
Has Roscoe Gardens Skilled Nursing and Rehab been fined?
Yes. CMS lists 1 fine totaling $60,645 in the last three years.
Does Roscoe Gardens Skilled Nursing and Rehab 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 Roscoe Gardens Skilled Nursing and Rehab?
CMS lists 15 owners and managers. Legal business name: COSHOCTON MEADOWS SKILLED NURSING AND REHABILITATION LLC.

Sources

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