Nursing homeActive
Four Winds Nursing Facility
215 Seth Avenue, Jackson, OH 45640740286755186 certified beds · 74 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2020
Deficiencies
21
● 0● 21● 0
Penalties · 3 yrs
—
1 action
Last survey
2026-05-18
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
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 |
|---|---|---|---|---|
| 2026-05-18 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-07-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-03-20 | Standard | 090 | CMS-2567 (Care Compare) | — |
| 2023-04-13 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2020-02-13 | Standard | 040 | 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.
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-07Record 365669-20260518-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-07Record 365669-20260518-F610
F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-08Record 365669-20250723-F773
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 2025-06-30Record 365669-20250320-F569
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 365669-20250320-F610
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 365669-20250320-F625
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 2025-06-30Record 365669-20250320-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 2025-06-30Record 365669-20250320-F657
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 2025-06-30Record 365669-20250320-F684
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 2025-06-30Record 365669-20250320-F757
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 2025-06-30Record 365669-20250320-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-06-30Record 365669-20250320-F881
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 2023-05-15Record 365669-20230413-F582
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-15Record 365669-20230413-F641
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 2023-05-15Record 365669-20230413-F677
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-15Record 365669-20230413-F679
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-15Record 365669-20230413-F759
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2020-03-20Record 365669-20200213-F561
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 2020-03-20Record 365669-20200213-F569
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 2020-03-20Record 365669-20200213-F582
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 2020-03-20Record 365669-20200213-F689
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-03-20 | Denial of payment for new admissions Payment denial for 10 days, from 2025-06-20 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.51
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day3.18
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours2.89
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover42%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover40%
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 | 2.0% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.8% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 8.4% | 8.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 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 | 4.8% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.3% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 26.2% | 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 |
|---|---|---|---|---|
| United Church Homes, Inc. Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bills, Ashley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bollinger, Nathan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Brubaker, Tamra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Burnette, Diana Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dixon, Maria Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Durbin, Debra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Eusanio, Vincent Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Farrell, Laura Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hall, Richard Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hurwitz, Gloria Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kelley, Megan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Klenzman, William Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Long, Jeremy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Long-Higgins, Elizabeth Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Maghes, Michelle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Miller, Daniel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Morgan, Jason Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Naderhoff, Judith Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rosenberger, Kathy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shaw, Janis Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Slutz, Scott Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Spitznagel, Teresa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Tillman, Michelle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Toothman, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| United Church Homes, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Yeager, Jessica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Young, Kenneth Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bailey, Peter Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bates, Trevor Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Benjamin, Pamela Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Black, Geoffrey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| D'agostino, Joanna Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Graham, George Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Guess, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hawes-Saunders, Ro Nita Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Henry, James Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| James, Jill Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Long, Jeremy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Long-Higgins, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Naderhoff, Judith Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Sandman, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Toothman, James Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ulrich, Karl Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| United Church Homes, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Williams, Stephanie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Winfrey, Lapearl Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Young, Kenneth Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
United Church Homes — 9 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 Jackson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Jenkins Care Community Wellston | 2.5 mi | 2025-09-19 | 0120 |
| Edgewood Manor Of Wellston Wellston | 4.3 mi | 2025-09-04 | 0142 |
| Ayden Healthcare Of Jackson Jackson | 8.2 mi | 2025-05-29 | 0100 |
| Maple Hills Skilled Nursing & Rehabilitation Mcarthur | 15.0 mi | 2026-06-17 | 1280 |
| Abbyshire Place Health And Rehabilitation Center L Bidwell | 23.1 mi | 2025-11-26 | 0140 |
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 |