Sanctuary at Ohio Valley
2932 South 5th Street, Ironton, OH 45638 · Lawrence County · (740) 532-6188
93 certified beds, about 77 residents a day · Non profit - Corporation · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365791 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 6, 2025, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 11 health citations since January 2020 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 3.43 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.
40.6% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to American Health Foundation, an affiliated group of 5 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.
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 11 health citations on file.
March 6, 2025Standard inspection · 5 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure resident Pre-admission Screening and Resident Review (PASRR) documents were accurate to resident current conditions and diagnoses. This affected one (Resident #5) of three residents reviewed for PASRR documents. The census was 79. Findings Include: Resident #5 was admitted to the facility on [DATE]. Her diagnoses were cerebral infarction, diabetes mellitus type II, muscle weakness, abnormal posture, constipation, atrial fibrillation, unspecified psychosis, hypertension, Chronic Obstructive Pulmonary disease, hyperlipidemia, anxiety, depression, renal dialysis, chronic kidney disease, arteriovenous fistula, end stage renal disease, and morbid obesity. Review of her Minimum Data Set (MDS) assessment, dated 01/28/25 revealed she had minimal cognitive impairment. [...]
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, medical record review and facility policy review the facility failed to ensure Resident #59 had a physicians order for oxygen therapy. This affected one (Resident #59) of one residents reviewed for respiratory care. The facility census was 79.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on interview, medical record review, and facility policy review the facility failed to ensure Resident #80 had physician order for dialysis treatment and care. This affected one (Resident #80) of two residents reviewed for dialysis. The facility census was 79.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on record reviews and interviews, the facility failed to ensure a resident with Post Traumatic Stress Disorder (PTSD) was appropriately assessed to identify the cause of the residents PTSD and minimize triggers and/or re-traumatization. This affected two residents (#23 and #70) out of two residents identified by the facility as having PTSD/trauma. The facility census was 79.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on interview, medical record review and facility policy review the facility failed to ensure Resident #22 and Resident #72 had low blood sugar parameters and directions of action when obtaining accucheck blood sugars with sliding scale insulin. This affected two (Resident #22 and Resident #72) of five residents reviewed for unnecessary medications. The facility census was 79.
December 17, 2024Complaint inspection · 1 citation
- 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 Electronic Information Dissemination and Collection (EIDC) portal for Self-Reporting Incidents (SRI) and review of the facility policy, the facility failed to report an allegation of sexual abuse to the state agency and failed to implement the abuse policy. This affected one (Resident #64) of three reviewed for sexual abuse. The facility census was 82.
September 15, 2022Standard inspection · 2 citations
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and interview the facility failed to complete the Pre-admission Screening and Resident Review (PASARR) Identification Screen correctly for two residents (Resident #20 and #58) out of six residents reviewed during the annual survey. The facility census was 64.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to administer oxygen as ordered by the physician and failed to obtain physician orders for the administration of oxygen. This affected two residents (#36 and #38) of the three residents reviewed for respiratory care. The facility census was 64.
January 16, 2020Standard inspection · 3 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on resident interview, staff interview and a test tray, the facility failed to ensure food was served at an appetizing temperature. This had the potential to affect all residents except three residents (Resident #17, #48, and #78) who received no food from the kitchen. The facility census was 75.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Inspectors wroteBased on observation, staff interview and medical record review, the facility failed to ensure a resident with mental disorders received treatment for the disorder. This affected one (Resident #28) of two sampled residents reviewed for mood and behavior. The facility census was 75.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on staff interview and medical record review, the facility failed to ensure residents who received psychotropic drugs had target behaviors identified and were monitored for those behaviors. This affected two (Residents #28 and #50) of five sampled residents reviewed for unnecessary medications.
Fire safety inspections
9 fire safety citations on file: 4 on March 6, 2025, 3 on September 15, 2022, 2 on January 16, 2020.
Every fire safety citation9 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
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) | 3.43 | 3.69 | 3.86 |
| Registered nurses | 0.48 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.12 | 3.28 | 3.42 |
| Nurse aides | 2.04 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 40.6% | 48.7% | 45.8% |
| Registered nurse turnover | 22.2% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.06 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 3.55 on weekdays and 3.12 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.37 in April to June 2025 to 3.43 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 | 3.43 | 0.48 | 3.55 | 3.12 | 0.0% | 0 of 90 | 77 |
| Oct to Dec 2025 | 3.55 | 0.50 | 3.68 | 3.21 | 0.1% | 0 of 92 | 74 |
| Jul to Sep 2025 | 3.30 | 0.46 | 3.40 | 3.04 | 0.5% | 0 of 92 | 77 |
| Apr to Jun 2025 | 3.37 | 0.52 | 3.47 | 3.10 | 0.5% | 0 of 91 | 73 |
| 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.
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 | 5.0 | 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 | 1.6 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.0 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.9 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.6 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.3 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.1 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.4 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.8 | 1.8 |
Owners and operators
Legal business name: AHF OHIO INC. CMS links this home to American Health Foundation, a group of 5 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lehman, Timothy | Corporate director | Individual | 05/01/2016 | |
| McDonough, James | Corporate director | Individual | 01/01/2017 | |
| Haemmerle, J Michael | Corporate officer | Individual | 11/20/1996 | |
| Haemmerle, Jeffrey | Corporate officer | Individual | 12/20/2023 | |
| Haemmerle, John | Corporate officer | Individual | 11/20/1996 | |
| Haemmerle, Mark | Corporate officer | Individual | 12/29/1995 | |
| Ahf Management Corp | Operational/managerial control | Organization | 05/01/2016 | |
| American Health Foundation , Inc. | Operational/managerial control | Organization | 05/01/2016 | |
| Eichenlaub, Brian | Operational/managerial control | Individual | 05/01/2016 | |
| Haemmerle, J Michael | Operational/managerial control | Individual | 05/01/2016 | |
| Haemmerle, Jeffrey | Operational/managerial control | Individual | 12/20/2023 | |
| Lehman, Timothy | Operational/managerial control | Individual | 05/01/2016 | |
| Salser, Annette | Operational/managerial control | Individual | 05/01/2016 | |
| Ahf Management Corp | Adp of the SNF | Organization | 02/25/2025 | |
| American Health Foundation , Inc. | Adp of the SNF | Organization | 02/25/2025 | |
| Apgar, David | Adp of the SNF | Individual | 05/01/2016 | |
| Eichenlaub, Brian | Adp of the SNF | Individual | 01/30/2025 | |
| Haemmerle, Jeffrey | Adp of the SNF | Individual | 12/20/2023 |
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 5 problems in this area, most recently on March 6, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 6, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 6, 2025: "Ensure each resident’s drug regimen must be free from unnecessary drugs."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on December 17, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.12 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Harbor Healthcare of Ironton Ironton, 0.4 mi · 4 of 5 stars · 37 citations
- Crystal Care of Coal Grove Coal Grove, 0.9 mi · 3 of 5 stars · 25 citations
- Woodland Oaks Ashland, 3 mi · 4 of 5 stars · 5 citations
- Oakmont Manor Flatwoods, 3.1 mi · 3 of 5 stars · 6 citations
- Kingsbrook Lifecare Center Ashland, 4.9 mi · 4 of 5 stars · 16 citations
- Wurtland Nursing and Rehabilitation Wurtland, 7.3 mi · 1 of 5 stars · 24 citations
- Boyd Nursing and Rehabilitation Ashland, 9.9 mi · 3 of 5 stars · 17 citations
- Riverview Post Acute South Point, 10.1 mi · 3 of 5 stars · 33 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 Sanctuary at Ohio Valley's Medicare star rating?
- CMS rates Sanctuary at Ohio Valley 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Sanctuary at Ohio Valley get at its last inspection?
- 5 health deficiencies at the standard inspection on March 6, 2025. The Ohio average is 10.5.
- Has Sanctuary at Ohio Valley been fined?
- CMS lists no fines in the last three years.
- Does Sanctuary at Ohio Valley 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 Sanctuary at Ohio Valley?
- CMS lists 18 owners and managers, and links the home to American Health Foundation. Legal business name: AHF OHIO INC.
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.