390 Gables Drive, Marysville, OH 43040 · Union County · (937) 642-3893
102 certified beds, about 93 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365864 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on February 26, 2026, inspectors cited 9 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 23 health citations since July 2022 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 3.85 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.
39.6% 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.
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.
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 23 health citations on file.
Inspectors wroteBased on record review, staff interview, observations, and policy review, the facility failed to ensure one resident (#33) had applied oxygen appropriately and stored nebulizer mask and tubing appropriately. This affected one (Resident #33) of one resident reviewed for oxygen. The facility census was 85.
Inspectors wroteBased on record review, observations, policy review, and staff interviews, the facility failed to ensure a resident received the appropriate mechanical soft diet and thickened liquids per physician orders. This affected one (#67) of four residents reviewed for diets. The facility census was 85.
Inspectors wroteBased on record review and staff interview, the facility failed to provide required the Skilled Nursing Facility Advance Beneficiary Notices ( SNF ABNs) to residents who remained in the facility with Medicare benefit days remaining when skilled therapy services were discontinued. This affected four (#03, #59, #62, and #65) out of five residents reviewed. The facility census was 92Findings Included:1. Review of the medical record revealed Resident #03 admitted to the facility on [DATE] and remained in the facility after therapy services were discontinued. Review of a Notice of Medicare Non-Coverage (NOMNC) was issued with a cut date of 12/05/25. No Advance Beneficiary Notice (SNF ABN) was present in the medical record.2. Review of the medical record revealed Resident #62 admitted to the facility on [DATE] and remained in the facility after therapy services were discontinued. [...]
Inspectors wroteBased on observation, staff interview, and review of facility policy, the facility failed to ensure staff performed hand hygiene during meals service and when feeding residents. This had the ability to affect 15 Residents (#06, #09, #12, #13, #14, #18, #40, #46, #48, #50, #52, #70, #74, #81, and #97) that were served and fed meals in the 100/200/300 halls dining room. The census was 92.
Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to ensure staff fed dependent residents in a dignified manner. This affected two (#09 and #52) out of six residents observed during dining. The facility census was 92.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure discrepancies in a resident code status was identified and corrected timely. This affected one resident (#80) out of 36 residents reviewed for advance directives. The facility census was 92.
Inspectors wroteBased on medical record review and staff and resident interview, the facility failed to provide follow up care related to audiology services. This affected one (Resident #64) out of two residents reviewed for hearing/vision. The facility census was 92.
Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to implement a pressure ulcer/injury prevention intervention. This affected one (Resident #13) out of four residents reviewed for pressure ulcer/injury. The census was 92. Findings Included:Review of Resident #13's medical record revealed an admission date of 02/03/24. Diagnoses included chronic respiratory failure, severe protein-calorie malnutrition, heart failure, muscle weakness, peripheral vascular disease, and dementia. Review of Resident #13's care plan dated 01/09/26 revealed a focus area stating the resident was at risk for alteration in skin integrity related to falls, impaired mobility, and prolonged pressure to bony prominences. Intervention for this focus was to encourage and assist resident to elevate heels when in bed as need/tolerated. [...]
Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to ensure appropriate infection control practices were followed during tracheostomy care for one (Resident #111) of one resident reviewed for tracheostomy care. The facility census was 92.
Inspectors wroteBased on record review and interview, the facility failed to ensure pharmacy recommendations were reviewed and acted upon. This affected one resident (Resident #72) out of five residents reviewed for pharmacy recommendations. The facility census was 92.
Inspectors wroteBased on observation, staff interview, record review, review of online resources from the Centers for Disease Control and Prevention (CDC), and policy review, the facility failed to ensure staff wore appropriate personal protective equipment (PPE) with residents in enhanced barrier precautions (EBP) (infection control measures in Skilled Nursing Facilities requiring gowns and gloves during high-contact resident care to reduce multidrug-resistant organism [MDRO] transmission). This affected two (Residents #01 and #74) observed during personal care. The facility census was 92.
Inspectors wroteBased on observations, staff interviews, cleaning schedule review, and policy reviews, the facility failed to date food items in the walk-cooler, dispose of out of date food items, maintain the kitchen in a clean condition, obtain the correct sanitizer test strips, and properly sanitize dishware and utensils. This had the potential to affect all 95 residents who reside in the facility. The facility census was 95.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to ensure the dishwasher was maintained in working order. This had the potential to affect all 95 residents who reside in the facility. The facility census was 95.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure a new Pre-admission Screening and Resident Review (PASARR) was completed when a new qualifying diagnosis was received. This affected one (#16) of one resident reviewed for PASARR. The facility census was 95.
Inspectors wroteBased on record review, resident interview, staff interview, and policy review, the facility failed to ensure a care plan was updated to include dental needs after teeth extractions. This affected one (#23) of one resident reviewed for dental. The facility census was 95.
Inspectors wroteBased on observation, medical record review, review of the incident log, review of fall investigation, resident interview, and staff interview, the facility failed to safely transport a resident resulting in a fall. This affected one (#13) of five residents reviewed for falls. The current census is 95.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure all pharmacist recommendations were completed in regards to antipsychotic medication assessments. This affected one (#21) of three residents reviewed for antipsychotic medication use. The current census is 95.
Inspectors wroteBased on medical record review, infection control log review, and staff interview, the facility failed to ensure there was no unnecessary medications administered to residents. This affected two (#13 and #72) of five residents reviewed for unnecessary medications. The current census is 95.
Inspectors wroteBased on medical record review, policy review, staff interviews, and review of email communications, the facility failed to ensure pharmacy recommendations were retained and provided to the physician for Gradual Dose Reductions (GDRs) and laboratory recommendations. This affected one (#22) of five residents reviewed for unnecessary medications. The facility census was 95.
Inspectors wroteBased on medical record review, staff interview, review of the facility policy, and review of an online medication resource, the facility failed to ensure residents were free from significant medication errors. This affected one (Resident #10) of three residents reviewed for medication administration. The census was 87.
Inspectors wroteBased on observation, resident and staff interviews, the facility failed to ensure the facility floors were well maintained for 17 of 29 resident's rooms on the 100, 200, and 300 hallways. The facility census was 74.
Inspectors wroteBased medical record review, observations, resident and staff interviews, the facility failed to ensure a resident had her hearing aids in place on a daily basis. This affected one (Resident #18) of one resident reviewed for communication. The facility census was 74.
Inspectors wroteBased on medical record review, observation, family and staff interviews, the facility failed to use a splint device as ordered by the physician. This affected one (Resident #17) of one resident reviewed for limited range of motion. The facility identified 13 residents with contractures. The facility census was 74.
23 fire safety citations on file: 11 on February 26, 2026, 10 on June 13, 2024, 2 on July 14, 2022.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.85 | 3.69 | 3.86 |
| Registered nurses | 0.38 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.46 | 3.28 | 3.42 |
| Nurse aides | 2.32 | ||
| Licensed practical nurses | 1.14 | ||
| Nursing staff turnover (share who left in a year) | 39.6% | 48.7% | 45.8% |
| Registered nurse turnover | 14.3% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.57 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.00 on weekdays and 3.46 on weekends, 14% 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 3.73 in April to June 2025 to 3.85 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 | 3.85 | 0.38 | 4.00 | 3.46 | 0.0% | 2 of 90 | 93 |
| Oct to Dec 2025 | 3.71 | 0.28 | 3.88 | 3.29 | 0.0% | 6 of 92 | 93 |
| Jul to Sep 2025 | 3.70 | 0.29 | 3.87 | 3.27 | 0.0% | 3 of 92 | 90 |
| Apr to Jun 2025 | 3.73 | 0.35 | 3.91 | 3.26 | 0.0% | 1 of 91 | 93 |
| 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
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.
| 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.
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 | 2.4 | 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 | 0.3 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.2 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 0.5 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.2 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.0 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.2 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.8 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Gables of Marysville Health and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (62.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
62.7% 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. 180 eligible stays.
9.2% 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. 182 eligible stays.
9.0% 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. 118 eligible stays.
66.2% 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. 68 residents counted.
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. 104 residents counted.
7.9% 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. 104 residents counted.
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. 66 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.
Legal business name: FHS GABLES, 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 officer | Individual | 10/01/2024 | |
| Krystowski, John | Corporate officer | Individual | 10/01/2024 | |
| Foundations Health Solutions, LLC | Operational/managerial control | Organization | 11/20/2024 | |
| Colleran, Brian | Operational/managerial control | Individual | 11/20/2024 | |
| Krystowski, John | Operational/managerial control | Individual | 11/20/2024 | |
| Limbacher, Lauren | Operational/managerial control | Individual | 11/20/2024 | |
| Colleran Fam Tr Dated 01-01-2018 | Adp of the SNF | Organization | 11/20/2024 | |
| Foundations Health LLC | Adp of the SNF | Organization | 11/20/2024 | |
| Foundations Health Solutions, LLC | Adp of the SNF | Organization | 11/20/2024 | |
| Colleran, Brian | Adp of the SNF | Individual | 11/20/2024 | |
| Krystowski, John | Adp of the SNF | Individual | 11/20/2024 | |
| Limbacher, Lauren | Adp of the SNF | Individual | 11/20/2024 | |
| Olson, Lyle | Adp of the SNF | Individual | 11/20/2024 |
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.
Chosen from this home's own inspection record.
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.