Sycamore Run Nursing and Rehab Ctr
6180 State Route 83 N, Millersburg, OH 44654 · Holmes County · (330) 674-0015
108 certified beds, about 87 residents a day · For profit - Corporation · Medicare and Medicaid since 1995
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366024 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 16, 2025, inspectors cited 4 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 20 health citations since October 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 3.62 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
44.3% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Foundations Health Solutions, an affiliated group of 64 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.
410/19
512/22
211/23
103/24
401/25
101/26
304/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 20 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
20D
0E
0F
Potential for minimal harm
0A
0B
0C
April 30, 2026Complaint inspection · 3 citations
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on medical record review, observation, interview, and medication manufacturer guideline review the facility failed to provide respiratory care following inhaled respiratory medication as administered. This deficient practice affected two residents (Resident #3 and #11) out of three residents reviewed for respiratory medication administration. The facility census was 90. 1. Review of Resident #11's medical record revealed admission date 02/27/26 with diagnoses including but not limited to Chronic Obstructive Pulmonary Disease (COPD), emphysema, and heart disease. Review of Resident #11's physician orders revealed an order dated 03/04/26 for respiratory medication Ellipta 62.5 micrograms (MCG) per actuation Aerosol Powder, breath activated 1 puff inhale orally one time a day related to Emphysema, Rinse mouth with water after using. [...]
- 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.
Inspectors wroteBased on record review, observation, interview and facility policy review the facility failed to ensure medications were labeled and stored securely. This deficient practice affected one resident (Resident #42) out of 10 residents reviewed for medication administration. The facility census was 90. Findings Include:Review of Resident #42's medical record revealed admission date 04/14/26 with diagnoses including but not limited to type two Diabetes, vascular dementia, and Congestive Heart Failure (CHF). Review of Resident #42's admission Minimum Data Set (MDS) dated [DATE] revealed Resident #42 had impaired cognition with a Brief Interview of Mental Status (BIMS) score of four out of possible 15 and required assistance from staff to complete Activities of Daily Living (ADL) tasks. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observation, interview and facility policy review the facility failed to follow infection control procedures related to medication administration This deficient practice affected one resident (Resident #42) of 10 residents reviewed for medication administration. The facility census was 90.
January 21, 2026Complaint inspection · 1 citation
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENCE OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEYBased on record review, interview and policy review, the facility failed to ensure residents were assessed for alterations in skin integrity upon admission. This deficient practice affected one resident (Resident #89) out of two residents reviewed for alterations in skin integrity. The facility census was 88.
January 16, 2025Standard inspection · 4 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, record review and interview, the facility failed to maintain resident dignity when an indwelling urinary catheter drainage bag was not covered. This deficient practice affected one resident (Resident #48) of two reviewed for dignity. The facility census was 89. Findings Include: Review of the medical record for Resident #48 revealed an admission date of 03/12/18 with diagnoses including but not limited to unspecified injury at unspecified level of the cervical spinal cord, type two diabetes mellitus, paraplegia and neuromuscular dysfunction of the bladder. Review of the physician order dated 10/14/24 for Resident #48 revealed 16 French foley catheter with 10 cubic centimeter (cc) balloon to continuous drainage due to neuromuscular dysfunction of the bladder; Catheter care every shift; [...]
- D Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on record review, interviews and review of the facility Management of Personal Funds form revealed the facility failed to have written authorization to manage Resident #54's funds. This affected one (Resident #54) of five residents reviewed for personal funds. The facility census was 89.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record record review, observation, staff interview, and policy review, the facility failed to ensure fall interventions were implemented. This affected two (Resident #10 and Resident #34) of four residents reviewed for accidents. The facility census was 89.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and interview, the facility failed to maintain an accurate medical record for Resident #47. This affected one resident (#47) of 16 reviewed. The facility census was 89.
March 25, 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 review of self-reported incident (SRI), review of facility investigation, review of witness statements, medical record review, resident interview, staff interview, and review of the policy, the facility failed to timely report an allegation of abuse to the Ohio Department of Health and report the allegation to the local Police Department. This affected one (#93) of three residents reviewed for abuse. The facility census was 98.
November 15, 2023Complaint inspection · 2 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record reviews and interviews the facility failed to report an allegation of abuse reported on 11/07/23 involving Resident #42. This affected one (Resident #42) of four residents reviewed for abuse. The census was 99.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record reviews and interviews the facility failed to thoroughly investigate an allegation of abuse reported on 11/07/23 involving Resident #42. This affected one (Resident #42) of four residents reviewed for abuse. The census was 99.
December 7, 2022Standard inspection · 5 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations, medical record review, and resident and staff interviews, the facility failed to ensure Resident #37 had access to her call light at all times. This affected one resident (Resident #37) of 19 residents reviewed for accommodation of needs.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, facility policy review, and staff interview, the facility failed to report an alleged incident of misappropriated narcotics to the State Survey Agency within five working days of the incident. This affects one resident (Resident #37) of six residents reviewed for controlled narcotic medication.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, medical record review, and resident and staff interviews, the facility failed to ensure Resident #37 and Resident #148 received assistance with activities of daily living (ADL). This affected two residents (Resident #37 and Resident #148) of three residents reviewed for ADL.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure new pressure ulcer treatment orders were transcribed and completed per physician orders. This affected one resident (Resident #91) of one resident reviewed for pressure ulcers. Findings Include: Review of the medical record for Resident #91 revealed an admission dated 10/04/22. Resident #91's diagnoses included non-pressure ulcer left foot, atrial fibrillation, and pressure ulcer. Review of the admission Minimum Data Set (MDS) dated [DATE] revealed Resident #91 had intact cognition. The resident required extensive assistance of two staff for bed mobility, transfers, ambulation. [...]
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on medical record review, facility policy and staff interview the facility failed to maintain an accurate reconciliation of narcotic medication for Resident #37. This affected one resident (Resident #37) of six residents reviewed for controlled narcotic medication.
October 24, 2019Standard inspection · 4 citations
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure Resident #57 was assessed quarterly for the use of alarming devices. This affected one (Resident #57) of six residents reviewed for restraints.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review and staff interview the facility failed to ensure comprehensive assessments were accurate regarding prognosis for Resident #56 and falls for Resident #57. This affected two (Residents #56 and #57) of 26 reviewed for plans of care. The facility census was 108.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, record review, and interview the facility failed to ensure two residents (Residents #56 and #79) had care plans in place to address the use of positioning devices. This affected two of 25 residents reviewed for care plans. The facility census was 108.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure CPAP (continuous positive airway pressure) equipment for Resident #81 was cleaned regularly to reduce the risk for infection. This affected one (Resident #81) of one resident reviewed for the use of a CPAP machine. The facility census was 108.
Fire safety inspections
10 fire safety citations on file: 5 on January 16, 2025, 3 on December 7, 2022, 2 on October 24, 2019.
Every fire safety citation10 citations
- F Address subsistence needs for staff and patients.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Provide properly protected cooking facilities.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
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) | 3.62 | 3.69 | 3.86 |
| Registered nurses | 0.45 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.18 | 3.28 | 3.42 |
| Nurse aides | 1.98 | ||
| Licensed practical nurses | 1.19 | ||
| Nursing staff turnover (share who left in a year) | 44.3% | 48.7% | 45.8% |
| Registered nurse turnover | 22.2% | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 4.72 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 3.80 on weekdays and 3.18 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.62 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 | 3.62 | 0.45 | 3.80 | 3.18 | 0.0% | 0 of 90 | 87 |
| Oct to Dec 2025 | 3.53 | 0.41 | 3.70 | 3.11 | 0.0% | 0 of 92 | 91 |
| Jul to Sep 2025 | 3.59 | 0.44 | 3.78 | 3.12 | 0.0% | 0 of 92 | 88 |
| Apr to Jun 2025 | 3.82 | 0.43 | 4.03 | 3.30 | 0.0% | 0 of 91 | 90 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 1.3 | 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 | 3.5 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.6 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 2.7 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.3 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.4 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.9 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.8 | 1.8 |
Owners and operators
Legal business name: CASTLE NURSING HOMES, INC.. CMS links this home to Foundations Health Solutions, a group of 64 nursing homes averaging 4.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Colleran, Brian | Corporate director | Individual | 01/01/2019 | |
| Colleran, Brian | Corporate officer | Individual | 01/01/2019 | |
| Krystowski, John | Corporate officer | Individual | 06/01/2018 | |
| Foundations Health Solutions, LLC | Operational/managerial control | Organization | 01/01/2019 | |
| Colleran, Brian | Operational/managerial control | Individual | 01/01/2019 | |
| Krystowski, John | Operational/managerial control | Individual | 06/01/2018 | |
| Miller, Carrie | Operational/managerial control | Individual | 09/09/2024 | |
| Foundations Health Solutions, LLC | Adp of the SNF | Organization | 07/02/2025 | |
| Colleran, Brian | Adp of the SNF | Individual | 01/01/2019 | |
| Krystowski, John | Adp of the SNF | Individual | 06/01/2018 | |
| Latouf, Butros | Adp of the SNF | Individual | 05/01/2007 | |
| Miller, Carrie | Adp of the SNF | Individual | 09/09/2024 |
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.
- 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 April 30, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on March 25, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on January 16, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on January 16, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.18 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
- Majora Lane Ctr for Rehab & Nsg Care Inc Millersburg, 2.8 mi · 4 of 5 stars · 26 citations
- Scenic Pointe Nursing and Rehab Ctr Millersburg, 3.5 mi · 5 of 5 stars · 12 citations
- Walnut Hills Nursing Home Walnut Creek, 10.8 mi · 4 of 5 stars · 32 citations
- Wayne County Care Center Wooster, 14.1 mi · 5 of 5 stars · 12 citations
- Oak Pointe Nursing & Rehabilitation Baltic, 14.8 mi · 5 of 5 stars · 11 citations
- Glendora Health Care Center Wooster, 16.4 mi · 1 of 5 stars · 37 citations
- Wooster Community Hospital SNF Wooster, 16.4 mi · 5 of 5 stars · 2 citations
- West View Healthy Living Wooster, 16.4 mi · 4 of 5 stars · 20 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 Sycamore Run Nursing and Rehab Ctr's Medicare star rating?
- CMS rates Sycamore Run Nursing and Rehab Ctr 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Sycamore Run Nursing and Rehab Ctr get at its last inspection?
- 4 health deficiencies at the standard inspection on January 16, 2025. The Ohio average is 10.5.
- Has Sycamore Run Nursing and Rehab Ctr been fined?
- CMS lists no fines in the last three years.
- Does Sycamore Run Nursing and Rehab Ctr 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 Sycamore Run Nursing and Rehab Ctr?
- CMS lists 12 owners and managers, and links the home to Foundations Health Solutions. Legal business name: CASTLE NURSING HOMES, 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.