CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3658092026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Grande Lake Healthcare Center

CMS lists this provider in St Marys, OH, with 45 certified beds, an overall rating of 3/5, and 40 citation rows in the current August 2026 release.

1209 Indiana Avenue · St Marys, OH 45885 · Auglaize County

CMS OVERALL RATING★★★☆☆3/5CMS field—not our score or recommendation
Certified beds45CMS provider file
Recent citation rows40current 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.

01 / INSPECTION LEDGER

Grande Lake Healthcare Center survey cycles in this release

CMS supplies 3 survey-cycle rows for Grande Lake Healthcare Center in this release; health and fire inspection dates remain separate.

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-02-2772025-02-272
Cycle 22023-02-13102023-02-133
Cycle 32020-01-04162020-01-042
02 / CITATION DETAIL

Grande Lake Healthcare Center citations in the current release

CMS reports 40 citation rows, including 1 with G–L codes and 0 with J–L codes.

1 row carry G–L scope/severity codes; 0 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-02-27 · 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 · 2025-03-21 · complaint
2025-02-27 · HEALTHF0554Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

Correction field: Deficient, Provider has date of correction · 2025-03-21
2025-02-27 · HEALTHF0583Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Correction field: Deficient, Provider has date of correction · 2025-03-21
2025-02-27 · HEALTHF0760Severity G · isolated actual harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2025-03-21 · complaint
2025-02-27 · HEALTHF0810Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Correction field: Deficient, Provider has date of correction · 2025-03-21
2025-02-27 · HEALTHF0847Severity D · isolated; potential for more than minimal harm

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Correction field: Deficient, Provider has date of correction · 2025-03-21
2025-02-27 · 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 · 2025-03-21
2025-02-27 · 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 · 2025-03-21
2025-02-27 · 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 · 2025-03-21
2024-06-27 · 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 · 2024-07-03 · complaint
2023-02-13 · 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 · 2023-03-06
2023-02-13 · 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 · 2023-03-06
2023-02-13 · HEALTHF0679Severity F · widespread; 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 · 2023-03-06
2023-02-13 · HEALTHF0680Severity F · widespread; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

Correction field: Deficient, Provider has date of correction · 2023-03-06
2023-02-13 · 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 · 2023-03-06
2023-02-13 · 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 · 2023-03-06
2023-02-13 · 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 · 2023-03-06
2023-02-13 · HEALTHF0756Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Correction field: Deficient, Provider has date of correction · 2023-03-06
2023-02-13 · HEALTHF0760Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2023-03-06
2023-02-13 · 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 · 2023-03-06
2023-02-13 · 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 · 2023-03-06
2023-02-13 · FIREK0353Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2023-03-06
2023-02-13 · FIREK0914Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Correction field: Deficient, Provider has date of correction · 2023-03-06
2020-01-04 · HEALTHF0558Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Correction field: Deficient, Provider has date of correction · 2020-02-04
03 / ENFORCEMENT FILE

CMS penalties reported for Grande Lake Healthcare Center

The August 2026 file contains 0 penalty rows and $0 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
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Ownership disclosures for Grande Lake Healthcare Center

CMS matched 26 ownership disclosure rows to Grande Lake Healthcare Center; names and roles are reported fields, not independently verified identities.

  • SXCY MSTR LSCO, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 01/01/2022
  • HEALTH CARE LEASE FACILITIES, LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 03/01/2018
  • SXCY HOLDINGS, LLCOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 01/01/2022
  • ROMEO, DOMINICIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 04/01/2023
  • STOLTZ, CHARLESIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 03/01/2018
  • WILHEIM, RONALDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 03/01/2018
  • INDIANA MGT CO., LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/01/2018
  • GROVES, DONNAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/14/2023
  • PEYTON, JOSEPHIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/28/2022
  • ROMEO, DOMINICIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/01/2023
  • TAYLOR, JANEIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/01/2021
  • C.R. STOLTZ FAMILY INVESTMENT COMPANY INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2018
  • C.R. STOLTZ IRREVOCABLE TRUSTOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2018
  • HEALTH CARE LEASE FACILITIES, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2018
  • I. ROSEDALE IRREVOCABLE TRUSTOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2018
  • INDIANA MGT CO., LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 05/16/2025
  • R.S. WILHEIM IRREVOCABLE TRUSTOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2018
  • RONALD S WILHEIM 2012 SPOUSAL TRUSTOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2018

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 Grande Lake Healthcare Center

CMS reports 3.22 total nurse hours and 0.39 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 hours3.22per resident day
RN hours0.39per resident day
Weekend nurse hours2.89per resident day
Staff turnover43.2%CMS reported field
06 / LOCAL RECORDS

Facilities published near Grande Lake Healthcare Center

The local peer set contains 2 other published facility records near St Marys, OH, with separate bed, rating, and citation-row fields.

Open the St Marys 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.