01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2023-08-31 | 2 | 2023-08-31 | 6 |
| Cycle 2 | 2019-12-05 | 7 | 2019-12-05 | 5 |
| Cycle 3 | 2018-10-23 | 11 | 2018-10-23 | 4 |
CMS CCN 3657412026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Ashtabula County Nursing Home
5740 Dibble Road · Kingsville, OH 44048 · Ashtabula County
Certified beds133CMS provider file
Recent citation rows35current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
35 rows in the current release
4 rows carry G–L scope/severity codes; 1 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-25 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · complaint2024-11-04 · HEALTHF0624Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Prepare residents for a safe transfer or discharge from the nursing home.
Correction field: Deficient, Provider has date of correction · 2024-11-30 · complaint2023-08-31 · HEALTHF0804Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2023-10-062023-08-31 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2023-10-062023-08-31 · FIREK0361Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Correction field: Deficient, Provider has date of correction · 2023-10-062023-08-31 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2023-10-062023-08-31 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2023-10-062023-08-31 · FIREK0521Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2023-10-062023-08-31 · FIREK0781Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has date of correction · 2023-10-062019-12-05 · HEALTHF0602Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Deficient, Provider has date of correction · 2020-01-232019-12-05 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2020-01-232019-12-05 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2020-01-232019-12-05 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2020-01-232019-12-05 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Correction field: Deficient, Provider has date of correction · 2020-01-232019-12-05 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2020-01-232019-12-05 · FIREK0132Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
Correction field: Deficient, Provider has date of correction · 2020-01-242019-12-05 · FIREK0161Severity E · pattern; potential for more than minimal harm
Construction Deficiencies
Use approved construction type or materials.
Correction field: Deficient, Provider has date of correction · 2020-01-232019-12-05 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2020-01-242019-12-05 · FIREK0361Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Correction field: Deficient, Provider has date of correction · 2020-01-242019-12-05 · FIREK0711Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Correction field: Deficient, Provider has date of correction · 2020-01-232018-10-23 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2018-11-052018-10-23 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2018-11-052018-10-23 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2018-11-052018-10-23 · HEALTHF0679Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2018-11-0503 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-02-25 | Fine | $13,870 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- COUNTY OF ASHTABULAOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 06/21/1989
- DUCRO, JIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/02/2017
- KOZLOWSKI, CASEYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/02/2018
- WHITTINGTON, KATHRYNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/03/2017
- COUNTY OF ASHTABULAOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/21/1989
- CADOVEC, REGINAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/27/2023
- CRICK, ROBINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/02/2023
- DUBIC, GEORGEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/12/2021
- FREY, MARYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 03/03/2025
- FURMAN, DIANAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2016
- NEARHOOF, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/17/2023
- SALLEE, DONNAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 04/19/2007
- TOIKKANEN, TAMMYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/01/1999
- WEBER, ROSEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/20/2004
- COUNTY OF ASHTABULAOrganization · TRUSTEE OF THE SNFNOT APPLICABLE · since 06/21/1989
- DUCRO, JIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/02/2017
- KOZLOWSKI, CASEYIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/02/2017
- WHITTINGTON, KATHRYNIndividual · TRUSTEE OF THE SNFNOT APPLICABLE · since 01/02/2017
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.88per resident day
RN hours0.31per resident day
Weekend nurse hours3.59per resident day
Staff turnover34.5%CMS reported field
06 / LOCAL RECORDS
Open the Ohio ledger →Other published facilities nearby
No second facility in the same city met the directory rule.