7143 Route 23 South, Piketon, OH 45661 · Pike County · (740) 289-2394
155 certified beds, about 85 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365446 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 17, 2025, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 27 health citations since May 2022, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.92 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.50 of those hours.
59.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to The Pavilion Group, an affiliated group of 6 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 27 health citations on file.
Inspectors wroteBased on record review, review of facility policy titled Abuse, Neglect, Exploitation, or Misappropriation-Reporting and Investigating, and interviews, the facility failed to appropriately report an allegation of resident to resident abuse to the proper agencies. This affected one resident (Resident #73) out of three reviewed for abuse. The facility census was 102.
Inspectors wroteBased on record reviews and staff interview, the facility failed to ensure the Preadmission Screening and Resident Review (PASARR) was accurately completed. This affected one resident (#71) out of the six residents reviewed for PASARR during the annual survey. The facility census was 102.
Inspectors wroteBased on observation, interview and record review the facility failed to provide timely podiatry care and services to Resident #3. This affected one (Resident #3) of four residents reviewed for activities of daily living. The facility census was 102.
Inspectors wroteBased on staff interview, record review, observation, and document review the facility failed to ensure residents were free of significant medication errors when staff failed to prime an insulin pen for Resident #90. This affected one (Resident #90) of five residents reviewed for medication administration. The facility census was 102.
Inspectors wroteBased on staff interview, record review, observation, and document review, the facility failed to appropriately clean a blood glucose monitoring machine between patient uses. This affected one (Resident #90) of five residents reviewed for medication administration. This had the potential to affect three Residents (Resident #90, #298, and #303) who resided on the E hallway and received blood sugar glucose monitoring. The facility census was 102.
Inspectors wroteBased on medical record review, observation, staff interview, and facility policy review, the facility failed to develop and implement comprehensive and individualized interventions to prevent the onset of joint contractures for Resident #38. Actual harm occurred on 01/10/24 when Resident #38, who was admitted to the facility without contractures was assessed to have developed contractures to the third and fourth fingers on the left and right hands which caused pain upon range of motion for the resident due to a lack of interventions to prevent the contractures from occurring. This affected one (Resident #38) of one resident reviewed for range of motion. The facility census was 84.
Inspectors wroteBased on medical record review, observation, staff interview, review of hospital progress notes, review of the facility policy, and review of manufacturer's guidelines, the facility failed to ensure Resident #70 was provided adequate and necessary interventions to prevent falls including a fall with injury and failed to ensure post-fall investigations were completed for Resident #69. This affected two residents (Resident #69 and #70) of four residents reviewed for falls. The facility census was 84. [...]
Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to ensure target behaviors were identified and monitored in conjunction with the use of anti-psychotic medications. This affected four (Residents #15, #54, #59, and #76) of 22 facility-identified residents with orders for anti-psychotic medications. The facility census was 84.
Inspectors wroteBased on observation and staff interview the facility failed to maintain a clean and functional environment with evidence of poor repair to five rooms that required wall repairs, room heater repairs, and painting. This affected five residents in rooms numbered B-1, B-5, B-8, B-12, and F-64. The facility census was 84.
Inspectors wroteBased on medical record review, resident representative interview, staff interview, and facility policy review, the facility failed to ensure resident representatives were notified of significant changes in resident status. This affected one (Resident #78) of 22 sampled residents. The facility census was 84.
Inspectors wroteBased on medical record review and staff interview the facility failed to ensure the accuracy of resident assessments. This affected two (Residents #15 and #60) of 22 sampled residents. The facility census was 84.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure resident Pre-admission Screening and Resident Review (PASARR) documents were accurate regarding resident current conditions and diagnoses and were completed when appropriate. This affected two (Residents #25 and #59) of four residents reviewed for PASARR documents. The census was 84.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure comprehensive care plans were developed and implemented to reflect the need for care in the area of Post Traumatic Stress Disorder (PTSD) and Preadmission Screening and Resident Review (PASARR) recommendations. This affected one (Residents #76) of 22 residents reviewed for care planning. The facility census was 84.
Inspectors wroteBased on medical record review, observation, staff interview, and facility policy review, the facility failed to ensure staff provided assistance with nail care and routine shaving for dependent residents. This affected two (Residents #38 and #78) of four residents reviewed for activities of daily living (ADLs). The facility census was 84. Findings Include: 1. Review of the medical record for Resident #38 revealed an admission date of 10/12/23 with diagnoses including fracture of lumbar vertebra, cardiac arrest, chronic respiratory failure, chronic obstructive pulmonary disease (COPD), diabetes mellitus, morbid obesity, hypertension, constipation, gastro-esophageal reflux disease, hyperlipidemia, chronic kidney disease, atrial fibrillation, congestive heart failure, osteoarthritis, anemia, anxiety disorder, and major depressive disorder. [...]
Inspectors wroteBased on medical record review, observation, staff interview, facility policy review, and review of guidelines from the National Pressure Ulcer Advisory Panel (NPUAP), the facility failed to ensure pressure ulcers were thoroughly assessed and failed to ensure treatments for pressure ulcers were completed as ordered. This affected one (Resident #57) of five residents reviewed for pressure ulcers. The facility census was 84.
Inspectors wroteBased on medical record review, observation, and staff interview the facility failed to ensure accurate monitoring regarding resident consumption of physician ordered snacks. This affected one (Resident #54) of the three residents reviewed for nutrition. The facility census was 84.
Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to ensure oxygen saturation levels and respiratory rates were monitored as ordered by the physician for residents with impaired respiratory status. This affected one (Resident #21) of two residents reviewed for respiratory care. The facility census was 84.
Inspectors wroteBased on medical record review and staff interviews the facility failed to ensure residents with post-traumatic stress disorder (PTSD) were appropriately assessed with care plans implemented to minimize triggers and/or re-traumatization. This affected one (Resident #76) of two facility-identified residents with PTSD/history of trauma. The facility census was 84.
Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to ensure residents were free of significant medication errors. This affected one (Resident (#54) out of the five residents reviewed for unnecessary medications. The facility census was 84.
Inspectors wroteBased on medical record review and staff interview the facility failed to ensure physician visit notes were accurately documented in the resident medical record. This affected one (Resident #15) of 22 resident records sampled. The facility census was 84.
Inspectors wroteBased on record review and staff interview the facility failed to ensure quarterly Quality Assessment and Assurance (QAA) meetings were conducted. This had the potential to affect all 84 residents residing in the facility. Findings Include: Review of the QAA sign in sheets from 2021 and 2022 revealed meetings were held on 07/29/21 and 11/19/21. The facility failed to provide any additional sign in sheets to reflect quarterly meetings being conducted. Interview with the Administrator on 05/19/22 at 1:50 P.M. verified no further meeting sign in sheets could be found or provided as the only records were from meetings held on 07/29/21 and 11/19/21.
Inspectors wroteBased on observation and interview the facility failed to provide residents a comfortable and homelike environment. This affected five residents (#2, #19, #329, #75 and #64) of five residents interviewed regarding the environment. Findings Include: On 05/16/22 at 9:35 A.M. interview with Resident #2 revealed he had a complaint about Resident #45 always yelling. Resident #2 stated Resident #45 was keeping him awake because he yells 12 hours per day. Resident #2 further stated he had told several staff about the noise, but nothing had changed. On 05/18/22 at 9:20 A.M. a follow up interview requested by Resident #2 was conducted. Resident #2 revealed he was concerned Resident #64 might hurt Resident #45 because the resident (#45) had been yelling all night again. Resident #2 did not state when or how Resident #64 would hurt Resident #45. On 05/18/22 from 9:24 A.M. through 9:30 A.M. [...]
Inspectors wroteBased on observation, record review, facility policy and procedure review and interview the facility failed to communicate with therapy about range of motion and assistive device recommendations for Resident #23 and failed to ensure restorative range of motion was provided as ordered and addressed in the plan of care for the resident. This affected one resident (#23) of five residents reviewed for range of motion. Findings Include: Review of the medical record for Resident #23 revealed an admission date of 06/02/16 with diagnoses including chronic pulmonary edema, aphasia, mixed hyperlipidemia, sequelae of protein-calorie malnutrition, Alzheimer's disease, dysphagia, contracture of right ankle and right hand, major depression disorder, anorexia, hemiplegia affecting right side, cognitive communication deficit and cerebral infarction. [...]
Inspectors wroteBased on observation, record review and interview the facility failed to ensure fall interventions were in place for Resident #50 to prevent falls. This affected one resident (#50) of three residents reviewed for falls.
Inspectors wroteBased on record review, facility policy and procedure review and interview the facility failed to monitor meal and supplement intake for Resident #23 who had a significant weight loss. This affected one resident (#23) of seven residents reviewed for nutrition. Findings Include: Review of the medical record for Resident #23 revealed the resident was admitted to the facility on [DATE] with diagnoses including chronic pulmonary edema, aphasia, mixed hyperlipidemia, sequelae of protein-calorie malnutrition, Alzheimer's disease, dysphagia, contracture right ankle and right hand, major depression disorder, anorexia, hemiplegia affecting right side, cognitive communication deficit and cerebral infarction. [...]
Inspectors wroteBased on observation, record review and interview the facility failed to develop and implement a comprehensive and individualized behavior management plan to address the total care needs of Resident #45 and to decrease and/or eliminate yelling behaviors the resident was exhibiting. This affected one resident (#45) of one resident reviewed for accommodation of needs. Findings Include: A review of the medical record for Resident #45 revealed an admission date of 01/25/21 with diagnoses including paraplegia, hemiplegia to left hand, end stage renal disease, paralytic syndrome and chronic respiratory failure. A review of the resident's care plans revealed no plan of care related to or addressing behaviors or difficulty with range of motion to the resident's upper and lower extremities. [...]
Inspectors wroteBased on record review and interview the facility failed to provide an appropriate diagnosis for the use of antipsychotic medication for Resident #51. This affected one resident (#51) of five residents reviewed for unnecessary medication use. Findings Include: Record review for Resident #51 revealed the resident was admitted to the facility on [DATE] with diagnoses including dementia, muscle weakness, depression, hypertension, anxiety, insomnia, Vitamin D deficiency, seizures, dementia, falls and diabetes mellitus type II. Review of the Minimum Data Set (MDS) 3.0 assessment, completed on 02/09/22 revealed the resident had severe cognitive impairment. [...]
20 fire safety citations on file: 5 on April 17, 2025, 6 on January 29, 2024, 9 on May 19, 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) | 3.92 | 3.69 | 3.86 |
| Registered nurses | 0.50 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.55 | 3.28 | 3.42 |
| Nurse aides | 2.48 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 59.0% | 48.7% | 45.8% |
| Registered nurse turnover | 55.6% | 43.9% | 42.9% |
| Administrators who left | 2 |
CMS expects 5.31 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 4.08 on weekdays and 3.55 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.87 in April to June 2025 to 3.92 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 | 3.92 | 0.50 | 4.08 | 3.55 | 1.5% | 0 of 90 | 85 |
| Oct to Dec 2025 | 3.98 | 0.51 | 4.12 | 3.62 | 2.4% | 0 of 92 | 90 |
| Jul to Sep 2025 | 4.65 | 0.53 | 4.86 | 4.14 | 13.6% | 0 of 92 | 87 |
| Apr to Jun 2025 | 3.87 | 0.52 | 4.03 | 3.46 | 14.3% | 0 of 91 | 95 |
| 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.
Trains nurse aides: this home runs a state-approved CNA program (state list: ODH Nurse Aide Training Program Locations, as of October 8, 2026). A nursing home cannot charge aides it employs, or has offered a job, for state-approved training (42 CFR 483.152(c)). See The Pavilion at Piketon CNA training on CareerFunded, our sister site for career training.
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. If you work here, your report helps start one.
| 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 | 5.1 | 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 | 2.1 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.8 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.1 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 10.5 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.1 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.5 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for The Pavilion at Piketon's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.3% this home
No different from 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. 49 eligible stays.
13.5% 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. 71 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 23 eligible stays.
61.9% 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. 21 residents counted.
2.7% 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. 37 residents counted.
2.0% 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. 37 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 4 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: PAVILION AT PIKETON FOR NURSING AND REHABILITATION LLC. CMS links this home to The Pavilion Group, a group of 6 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Piketon Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 06/01/2018 |
| 101 LLC | 5% or greater indirect ownership interest | Organization | 06/01/2018 | |
| Acm Ashem Holdings, LLC | 5% or greater indirect ownership interest | Organization | 06/01/2018 | |
| Ydr 18 LLC | 5% or greater indirect ownership interest | Organization | 06/01/2018 | |
| Yp 18 LLC | 5% or greater indirect ownership interest | Organization | 06/01/2018 | |
| Lieberman, Nechemia | 5% or greater indirect ownership interest | Individual | 06/01/2018 | |
| Krieser, Akiva | Operational/managerial control | Individual | 06/01/2018 | |
| Ramsey, Tara | Operational/managerial control | Individual | 06/01/2018 | |
| 101 LLC | Adp of the SNF | Organization | 06/01/2018 | |
| Acm Ashem Holdings, LLC | Adp of the SNF | Organization | 06/01/2018 | |
| Pavilion Healthcare Group LLC | Adp of the SNF | Organization | 06/01/2018 | |
| Piketon Holdings LLC | Adp of the SNF | Organization | 06/01/2018 | |
| Ydr 18 LLC | Adp of the SNF | Organization | 06/01/2018 | |
| Yp 18 LLC | Adp of the SNF | Organization | 06/01/2018 | |
| Juschka, Dirk | Adp of the SNF | Individual | 06/01/2018 | |
| Lieberman, Nechemia | Adp of the SNF | Individual | 06/01/2018 | |
| Ramsey, Tara | Adp of the SNF | Individual | 06/01/2018 | |
| Rimberg, Riki | Adp of the SNF | Individual | 06/01/2018 |
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.