What is Roselawn Gardens Nursing & Rehabilitation's Medicare star rating?

CMS rates Roselawn Gardens Nursing & Rehabilitation 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Roselawn Gardens Nursing & Rehabilitation get at its last inspection?

4 health deficiencies at the standard inspection on February 13, 2025. The Ohio average is 10.5.

Has Roselawn Gardens Nursing & Rehabilitation been fined?

CMS lists no fines in the last three years.

Does Roselawn Gardens Nursing & Rehabilitation accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Roselawn Gardens Nursing & Rehabilitation?

CMS lists 13 owners and managers, and links the home to Hillstone Healthcare. Legal business name: ROSELAWN GARDENS HEALTHCARE LLC.

Roselawn Gardens Nursing & Rehabilitation: Inspections

The record in brief

At its most recent standard inspection, on February 13, 2025, inspectors cited 4 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 18 health citations since June 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 3.06 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.

36.7% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Hillstone Healthcare, an affiliated group of 9 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.

706/19

606/22

402/25

106/25

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 18 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

11D

Potential for minimal harm

June 18, 2025Complaint inspection · 1 citation

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 · found on a complaint visit · Corrected (the home has a date of correction) June 30, 2025

Inspectors wroteBased on record review and interview, the facility failed to ensure Resident #10 and Resident #15 was free from resident to resident sexual abuse. This finding affected two residents (Resident #10 and Resident #15) of three residents reviewed for abuse.

February 13, 2025Standard inspection · 4 citations

E

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 26, 2025

Inspectors wroteBased on medical record review, interview, and review of the facility policy, the facility failed to ensure Resident #31 received the pneumococcal vaccine after signing consent, failed to ensure that Residents #34, #36, and #39 or their resident representative were given the opportunity to consent to or refuse the pneumococcal vaccine, and failed to ensure the medical record contained evidence Residents #31, #34, #36, #38, and #39 received education regarding the benefits and risks of immunization against the pneumococcal virus and each of these residents either received or did not receive the pneumococcal vaccine. This affected five residents (#31, #34, #36, #38, and #39) of 13 residents who were reviewed for immunizations. The facility census was 40.
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) February 26, 2025

Inspectors wroteBased on record review, interview and facility policy review, the facility failed to ensure non-pharmacological interventions and parameters were in place to effectively manage pain for Resident #19. This affected one resident (#19) of five residents reviewed for unnecessary medications. The facility census was 40.
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) February 26, 2025

Inspectors wroteBased on observation, interview, review of the medical record, review of the manufacturer's instructions and review of the facility policy, the facility failed to ensure Resident #38's medications were given per physician's orders. This affected one resident (#38) of six residents reviewed for medication administration. The facility census was 40.
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) February 26, 2025

Inspectors wroteBased on observation, record review, interview and review of facility policies, the facility failed to properly clean and disinfect the blood glucose monitor (BGM/glucometer) between resident use. This affected two residents (#6 and #18) of six residents observed during medication administration and had the potential to affect seven additional residents (#1, #2, #8, #10, #19, #21, and #23) in the 300 hall who had orders for blood sugar monitoring. The facility census was 40.

June 2, 2022Standard inspection · 6 citations

F

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

F802 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 23, 2022

Inspectors wroteBased on observation, record review and interview the facility failed to ensure sufficient staff to effectively carry out the functions of the food and nutrition services. This affected one sampled resident (#24) and had the potential to affect all 41 residents residing in the facility.
F

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 23, 2022

Inspectors wroteBased on observation, record review, facility policy and procedure review and interview the facility failed to ensure food items were served at an appetizing and palatable temperature for all residents. This affected four residents (#14, #3, #17 and #24) and had the potential to affect all 41 residents residing in the facility.
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) June 23, 2022

Inspectors wroteBased on observation, facility policy and procedure review and interview the facility failed to ensure food items were prepared and distributed under sanitary conditions to prevent contamination and/or food borne illness. This had the potential to affect all 41 residents residing in the facility.
D

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 23, 2022

Inspectors wroteBased on observation, record review and interview the facility failed to provide adequate wound care for Resident #23 to prevent infection and to promote optimal healing. This affected one resident (#23) of two residents reviewed for wound care.
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) June 23, 2022

Inspectors wroteBased on observation, record review and interview the facility failed to ensure weight loss interventions were provided as ordered by the physician for Resident #24. This affected one resident (#24) of two residents reviewed for nutrition.
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) June 23, 2022

Inspectors wroteBased on record review, review of the facility infection control logs, facility policy and procedure review and staff interview the facility failed to implement an effective antibiotic stewardship program to ensure antibiotics were not used unless residents' met the criteria to treat an infection. This affected one resident (#23) of two residents reviewed for pressure ulcers.

June 26, 2019Standard inspection · 7 citations

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 5, 2019

Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure food was stored under safe techniques and the kitchen was maintained and arranged to avoid unsanitary conditions. This had the potential to affect all 33 residents in the facility who receive food from the kitchen. The facility census was 33.
F

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

F813 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 5, 2019

Inspectors wroteBased on observation, interview, and policy review, the facility failed to ensure food brought in for residents was handled to ensure safe storage and consumption. This had the potential to affect all 33 residents in the facility who receive food from the kitchen. The facility census was 33.
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) August 5, 2019

Inspectors wroteBased on record review and interview, the facility failed to ensure Resident #29 was invited and had scheduled care conferences. This affected one resident (#29) out of 16 residents reviewed for care conferences. The facility census was 33.
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) August 5, 2019

Inspectors wroteBased on record review, observations and interviews, the facility failed to ensure Resident #28 was positioned properly in a wheelchair. This affected one resident (#28) out of one reviewed for positioning. Facility census was 33.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 5, 2019

Inspectors wroteBased on medical record review, observation, and interview, the facility failed to ensure Resident #30 used adaptive equipment (smoking apron) properly. This affected one resident (#30) out of six residents that required supervision and adaptive equipment. The facility also failed to ensure cigarettes were discarded in an appropriate container. This had the potential to affect the 12 residents that smoke out of the 33 residents. Facility census was 33.
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) August 5, 2019

Inspectors wroteBased on record review, observation, interview, and the dressing policy and procedure, the facility failed to maintain acceptable infection control standards during a dressing change for Resident #4. This affected one resident (#4) out of one resident reviewed for a dressing change. Facility census was 33.
B

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) August 5, 2019

Inspectors wroteBased on record review and interview, the facility failed to ensure Minimum Data Set (MDS) 3.0 assessments were completed accurately regarding medications received for six residents (Residents #6, #7, #8, #28, #29, and #35) out of ten residents (Residents #1, #3, #4, #6, #7, #8, #14, #28, #29, and #35) reviewed. The facility census was 33.

Fire safety inspections

26 fire safety citations on file: 6 on February 13, 2025, 4 on June 2, 2022, 16 on June 26, 2019.

Every fire safety citation26 citations

F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 13, 2025 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · February 13, 2025 · Corrected (the home has a date of correction)
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 · February 13, 2025 · Corrected (the home has a date of correction)
E
Install a fire alarm system that can be heard throughout the facility.

K 341 · February 13, 2025 · Corrected (the home has a date of correction)
E
Meet other general requirements that are deficient.

K 500 · February 13, 2025 · Corrected (the home has a date of correction)
E
Have properly installed electrical wiring and gas equipment.

K 511 · February 13, 2025 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · June 2, 2022 · Corrected (the home has a date of correction)
E
Use approved construction type or materials.

K 161 · June 2, 2022 · Corrected (the home has a date of correction)
E
Install an approved automatic sprinkler system.

K 351 · June 2, 2022 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · June 2, 2022 · Corrected (the home has a date of correction)
F
Develop a communication plan.

E 29 · June 26, 2019 · Corrected (the home has a date of correction)
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 · June 26, 2019 · Corrected (the home has a date of correction)
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · June 26, 2019 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · June 26, 2019 · Corrected (the home has a date of correction)
F
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

K 362 · June 26, 2019 · Corrected (the home has a date of correction)
F
Install corridor and hallway doors that block smoke.

K 363 · June 26, 2019 · Corrected (the home has a date of correction)
F
Have properly installed electrical wiring and gas equipment.

K 511 · June 26, 2019 · Corrected (the home has a date of correction)
F
Provide a written emergency evacuation plan.

K 711 · June 26, 2019 · Corrected (the home has a date of correction)
F
Have simulated fire drills held at unexpected times.

K 712 · June 26, 2019 · Corrected (the home has a date of correction)
F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · June 26, 2019 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · June 26, 2019 · Corrected (the home has a date of correction)
F
Ensure operating rooms are properly protected and written records are maintained and available for inspection.

K 913 · June 26, 2019 · Corrected (the home has a date of correction)
F
Have proper power supply for life support equipment.

K 915 · June 26, 2019 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · June 26, 2019 · Corrected (the home has a date of correction)
E
Meet other general requirements that are deficient.

K 500 · June 26, 2019 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · June 26, 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.

Measure	This home	Ohio	United States
All nursing staff (RN, LPN and aides)	3.06	3.69	3.86
Registered nurses	0.48	0.64	0.69
All nursing staff on weekends	2.66	3.28	3.42
Nurse aides	1.86
Licensed practical nurses	0.72
Nursing staff turnover (share who left in a year)	36.7%	48.7%	45.8%
Registered nurse turnover	not reported	43.9%	42.9%
Administrators who left	1

CMS expects 4.07 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 3.23 on weekdays and 2.66 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 3.14 in April to June 2025 to 3.06 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	3.06	0.48	3.23	2.66	0.0%	0 of 90	41
Oct to Dec 2025	3.26	0.48	3.45	2.79	0.0%	0 of 92	40
Jul to Sep 2025	3.06	0.49	3.22	2.64	0.0%	0 of 92	41
Apr to Jun 2025	3.14	0.42	3.30	2.74	0.0%	0 of 91	40
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Ohio, Jan to Mar 2026	3.64	0.60	3.80	3.24	4.6%	0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

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.

Official wage estimates for Ohio

Job	Median	Middle half	Employed
Ohio, all employers
CNAs (nursing assistants)	$18.76	$17.93 to $21.44	63,280
LPNs and LVNs	$29.78	$27.34 to $31.68	39,900
Registered nurses	$39.67	$38.08 to $47.61	143,730
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

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.

Measure	This home	Ohio	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	6.0	5.3	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.2	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	0.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.9	3.2	3.2
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	6.1	6.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.1	3.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	6.3	8.8	15.4

Owners and operators

Legal business name: ROSELAWN GARDENS HEALTHCARE LLC. CMS links this home to Hillstone Healthcare, a group of 9 nursing homes averaging 4 stars overall.

Name	Role	Type	Since
Hillstone Healthcare Inc.	Direct ownership interest	Organization	09/01/2013
Corwin, Russ	Direct ownership interest	Individual	10/30/1989
Bergsten, Paul	Indirect ownership interest	Individual	09/01/2013
Bergsten, Paul	Managing control - governing body	Individual	03/23/2022
Bergsten, Paul	Corporate officer	Individual	08/01/2013
Dapore, Matthew	Corporate officer	Individual	08/01/2013
Hillstone Healthcare Inc.	Operational/managerial control	Organization	09/01/2013
Bergsten, Paul	Operational/managerial control	Individual	09/01/2013
Mizer, Luan	Operational/managerial control	Individual	11/13/2017
LTC Provider Services LLC	Adp of the SNF	Organization	01/01/2019
Bergsten, Paul	Adp of the SNF	Individual	09/01/2013
Mizer, Luan	Adp of the SNF	Individual	11/13/2017
Stiltner, Sean	Adp of the SNF	Individual	10/01/2024

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.

Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on June 2, 2022: "Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on February 13, 2025: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on June 2, 2022: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 13, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.66 hours per resident per day, below the Ohio average of 3.28.
How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

Other nursing homes nearby

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Canterbury Villa of Alliance
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Bel Air Care Center
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Green Meadows Skilled Nursing and Rehab
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Crandall Nursing Home
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Louisville Gardens Care Center
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Altercare of Louisville Ctr for Rehab & Nsg Care
Louisville, 8.3 mi · 3 of 5 stars · 36 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 Roselawn Gardens Nursing & Rehabilitation's Medicare star rating?: CMS rates Roselawn Gardens Nursing & Rehabilitation 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Roselawn Gardens Nursing & Rehabilitation get at its last inspection?: 4 health deficiencies at the standard inspection on February 13, 2025. The Ohio average is 10.5.
Has Roselawn Gardens Nursing & Rehabilitation been fined?: CMS lists no fines in the last three years.
Does Roselawn Gardens Nursing & Rehabilitation accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Roselawn Gardens Nursing & Rehabilitation?: CMS lists 13 owners and managers, and links the home to Hillstone Healthcare. Legal business name: ROSELAWN GARDENS HEALTHCARE 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.