01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-04-29 | 2 | 2026-04-29 | 3 |
| Cycle 2 | 2025-04-10 | 5 | 2025-04-10 | 3 |
| Cycle 3 | 2023-02-23 | 9 | 2023-02-23 | 3 |
CMS CCN 3660372026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Bowerston Hills Nursing & Rehabilitation
9076 Cumberland Road · Bowerston, OH 44695 · Carroll County
Certified beds25CMS provider file
Recent citation rows25current CMS citation release
Penalty rows0current 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
25 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-29 · 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 · 2026-05-202026-04-29 · 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 · 2026-05-202026-04-29 · FIREK0372Severity F · widespread; 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 · 2026-05-202026-04-29 · FIREK0374Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2026-05-202026-04-29 · FIREK0915Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper power supply for life support equipment.
Correction field: Deficient, Provider has date of correction · 2026-05-202025-04-10 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-05-012025-04-10 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-05-012025-04-10 · HEALTHF0880Severity F · widespread; 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 · 2025-05-012025-04-10 · HEALTHF0881Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2025-05-012025-04-10 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2025-05-012025-04-10 · FIREK0372Severity F · widespread; 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 · 2025-05-012025-04-10 · FIREK0511Severity F · widespread; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2025-05-012025-04-10 · 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 · 2025-05-012023-02-23 · HEALTHF0572Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
Give residents a notice of rights, rules, services and charges.
Correction field: Deficient, Provider has date of correction · 2023-03-312023-02-23 · HEALTHF0585Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2023-03-312023-02-23 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2023-03-312023-02-23 · 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 · 2023-03-312023-02-23 · 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 · 2023-03-312023-02-23 · HEALTHF0685Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2023-03-312023-02-23 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2023-03-312023-02-23 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2023-03-312023-02-23 · HEALTHF0791Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Correction field: Deficient, Provider has date of correction · 2023-03-312023-02-23 · FIREK0341Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2023-03-312023-02-23 · 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 · 2023-03-3103 / 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 |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- HILLSTONE HEALTHCARE INC.Organization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 05/01/2013
- CORWIN, RUSSIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/30/1989
- DAPORE, MATTHEWIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 03/23/2022
- HILLSTONE HEALTHCARE INC.Organization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 05/01/2013
- DAPORE, MATTHEWIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 05/01/2013
- BERGSTEN, PAULIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/01/2013
- BERGSTEN, PAULIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2013
- DAPORE, MATTHEWIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2013
- HILLSTONE HEALTHCARE INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2013
- BERGSTEN, PAULIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/01/2013
- MIZER, LUANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 11/13/2017
- LTC PROVIDER SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 01/01/2019
- RW CORWIN & COMPANY INCOrganization · ADP OF THE SNFNOT APPLICABLE · since 02/28/2019
- BERGSTEN, PAULIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/01/2013
- MIZER, LUANIndividual · ADP OF THE SNFNOT APPLICABLE · since 11/13/2017
- STILTNER, SEANIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/01/2024
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 hours3.69per resident day
RN hours0.54per resident day
Weekend nurse hours3.52per resident day
Staff turnover11.1%CMS reported field
06 / LOCAL RECORDS
Open the Bowerston ledger →