CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3662172026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Autumn Court

CMS lists this provider in Ottawa, OH, with 50 certified beds, an overall rating of 4/5, and 20 citation rows in the current August 2026 release.

1925 E Fourth St · Ottawa, OH 45875 · Putnam County

CMS OVERALL RATING★★★★☆4/5CMS field—not our score or recommendation
Certified beds50CMS provider file
Recent citation rows20current 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.

01 / INSPECTION LEDGER

Autumn Court survey cycles in this release

CMS supplies 3 survey-cycle rows for Autumn Court in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12024-10-1772024-10-174
Cycle 22022-07-0742022-07-071
Cycle 32019-06-1332019-06-131
02 / CITATION DETAIL

Autumn Court citations in the current release

CMS reports 20 citation rows, including 1 with G–L codes and 1 with J–L codes.

1 row carry G–L scope/severity codes; 1 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-06-25 · HEALTHF0805Severity J · isolated immediate jeopardy

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Correction field: Past Non-Compliance · complaint
2024-10-17 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Honor 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.

Correction field: Deficient, Provider has date of correction · 2024-10-30
2024-10-17 · HEALTHF0761Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure 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.

Correction field: Deficient, Provider has date of correction · 2024-10-30
2024-10-17 · HEALTHF0805Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Correction field: Deficient, Provider has date of correction · 2024-10-30
2024-10-17 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2024-10-30
2024-10-17 · HEALTHF0880Severity D · isolated; 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 · 2024-10-30
2024-10-17 · HEALTHF0949Severity C · widespread; potential for minimal harm

Administration Deficiencies

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Correction field: Deficient, Provider has plan of correction · 2024-10-23
2024-10-17 · FIREK0271Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have exits that are accessible at all times.

Correction field: Deficient, Provider has date of correction · 2024-10-30
2024-10-17 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-10-30
2024-10-17 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2024-10-30
2024-10-17 · FIREK0741Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Correction field: Deficient, Provider has date of correction · 2024-10-30
2022-07-07 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2022-09-04
2022-07-07 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Correction field: Deficient, Provider has date of correction · 2022-09-04
2022-07-07 · HEALTHF0689Severity D · isolated; potential for more than minimal 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: Deficient, Provider has date of correction · 2022-09-04
2022-07-07 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2022-09-04
2022-07-07 · FIREK0222Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Correction field: Deficient, Provider has date of correction · 2022-09-04
2019-06-13 · HEALTHF0565Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

Correction field: Deficient, Provider has date of correction · 2019-07-01
2019-06-13 · HEALTHF0578Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor 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.

Correction field: Deficient, Provider has date of correction · 2019-07-01
2019-06-13 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Correction field: Deficient, Provider has date of correction · 2019-07-01
2019-06-13 · FIREK0741Severity E · pattern; potential for more than minimal harm

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Correction field: Deficient, Provider has date of correction · 2019-07-01
03 / ENFORCEMENT FILE

CMS penalties reported for Autumn Court

The August 2026 file contains 1 penalty row and $25,495 in listed fines for this provider record.

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2026-06-25Fine$25,4950
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Autumn Court

CMS matched 18 ownership disclosure rows to Autumn Court; names and roles are reported fields, not independently verified identities.

  • LIONSTONE HZ OPCO HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 01/01/2023
  • KAZARNOVSKY, SOLOMONIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    50% · since 01/01/2023
  • STEIN, ABBAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    50% · since 01/01/2023
  • CUSNER, ADAMIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/27/2025
  • DEGYANSKY, JEFFREYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2020
  • GOLDISH, ELIEZERIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 10/09/2023
  • KAZARNOVSKY, SOLOMONIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2023
  • STEIN, ABBAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2023
  • CUSNER, ADAMIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/27/2025
  • DEGYANSKY, JEFFREYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2023
  • GOLDISH, ELIEZERIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/09/2023
  • KAZARNOVSKY, SOLOMONIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2023
  • STEIN, ABBAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2023
  • CUSNER, ADAMIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/27/2025
  • DEGYANSKY, JEFFREYIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2023
  • GOLDISH, ELIEZERIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 10/09/2023
  • KAZARNOVSKY, SOLOMONIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2023
  • STEIN, ABBAIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 01/01/2023

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

Staffing hours and turnover for Autumn Court

CMS reports 3.14 total nurse hours and 0.32 RN hours per resident day for this provider.

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.14per resident day
RN hours0.32per resident day
Weekend nurse hours2.84per resident day
Staff turnover51.2%CMS reported field
06 / LOCAL RECORDS

Facilities published near Autumn Court

The local peer set contains 1 other published facility record near Ottawa, OH, with separate bed, rating, and citation-row fields.

Open the Ottawa ledger →
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.