Nursing homeActive
Smithville Western Care Center
4110 East Smithville Western Road, Wooster, OH 446913303459050127 certified beds · 92 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2019
Deficiencies
38
● 0● 37● 1
Penalties · 3 yrs
$42,777
1 fine
Last survey
2025-04-28
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Ohio Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-04-28 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-01-15 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2024-10-31 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2024-07-02 | Standard | 0110 | CMS-2567 (Care Compare) | — |
| 2024-04-11 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-02-08 | Infection control | 010 | CMS-2567 (Care Compare) | — |
| 2022-03-24 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2019-04-18 | Standard | 090 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Ohio Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 365317-20250428-F584
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 365317-20250428-F755
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-29Record 365317-20250115-F552
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-16Record 365317-20250115-F583
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-29Record 365317-20250115-F684
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-11-05Record 365317-20241031-F684
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-05Record 365317-20241031-F580
F712Ensure that the resident and his/her doctor meet face-to-face at all required visits.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-05Record 365317-20241031-F712
F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 365317-20240702-F569
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 365317-20240702-F623
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 365317-20240702-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 365317-20240702-F689
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 365317-20240702-F757
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 365317-20240702-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 365317-20240702-F812
F814Dispose of garbage and refuse properly.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 365317-20240702-F814
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 365317-20240702-F842
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 365317-20240702-F921
F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Scope/severity FStandard
Environment
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-13Record 365317-20240702-F925
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-15Record 365317-20240411-F582
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-09Record 365317-20240208-F641
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-29Record 365317-20220324-F584
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-29Record 365317-20220324-F656
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-29Record 365317-20220324-F804
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-29Record 365317-20220324-F805
F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-29Record 365317-20220324-F810
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-04-29Record 365317-20220324-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-29Record 365317-20220324-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-04-29Record 365317-20220324-F921
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 365317-20190418-F550
F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 365317-20190418-F578
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 365317-20190418-F604
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 365317-20190418-F644
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 365317-20190418-F657
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 365317-20190418-F690
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 365317-20190418-F697
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 365317-20190418-F698
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-05-10Record 365317-20190418-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-10-31 | Civil money penalty | $42,777 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.59
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day3.63
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours3.26
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover35%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover39%
Facility
Ohio
National
Ohio 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Ohio | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.6% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.0% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 1.6% | 8.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 0.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 4.4% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.7% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 19.3% | 25.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Wayne Manor, Inc. Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bluesky Healthcare Inc Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Hutsenpiller, Wendie Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Malanowski, Kenneth Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Sprenger Enterprises, Inc Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Sprenger, Nicole Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Sprenger, Tracey Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Childs, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cms & Co. Management Services, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fox, Emily Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kuhn, Shannon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Malanowki, Brandon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Tyler, Christy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wilkins, Scott Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bsh Investments LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Childs, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Citrin Cooperman And Company, LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cms & Co. Management Services, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Delta Health Care Consultants, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fox, Emily Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fox, Emily Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Huntington Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hutsenpiller, Wendie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kuhn, Shannon Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kuhn, Shannon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Malanowki, Brandon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Malanowki, Brandon Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Malanowski, Kenneth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mallett, Christopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sprenger Wayne Ltd. Co. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sprenger, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sprenger, Nicole Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sprenger, Timothy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sprenger, Tracey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tyler, Christy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wellspring Staffing, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wilkins, Scott Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Sprenger Health Care Systems — 12 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Ohio.
No county cost figures on file for Wayne.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avenue At Wooster Wooster | 1.6 mi | 2026-05-19 | 0191 |
| Glendora Health Care Center Wooster | 2.9 mi | 2026-05-12 | 0251 |
| Wooster Community Hospital SNF Wooster | 3.2 mi | 2026-05-28 | 020 |
| Wayne County Care Center Wooster | 4.9 mi | 2026-05-14 | 081 |
| West View Healthy Living Wooster | 4.4 mi | 2025-01-30 | 040 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |