01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-26 | 12 | 2026-03-26 | 3 |
| Cycle 2 | 2023-06-29 | 3 | 2023-06-29 | 4 |
| Cycle 3 | 2021-06-17 | 5 | 2021-06-17 | 2 |
CMS CCN 3652652026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Piqua Manor
1840 West High Street · Piqua, OH 45356 · Miami County
Certified beds99CMS provider file
Recent citation rows29current 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
29 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 3 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-07-01 · 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 · 2026-07-20 · complaint2026-03-26 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2026-05-012026-03-26 · 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 · 2026-05-012026-03-26 · 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 · 2026-05-012026-03-26 · HEALTHF0580Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2026-05-01 · complaint2026-03-26 · 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 · 2026-05-012026-03-26 · HEALTHF0761Severity D · isolated; 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 · 2026-05-012026-03-26 · 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 · 2026-05-012026-03-26 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-05-012026-03-26 · 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 · 2026-05-012026-03-26 · 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 · 2026-05-012026-03-26 · 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 · 2026-05-012026-03-26 · 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 · 2026-05-012025-08-22 · 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 · 2025-09-15 · complaint2025-08-22 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-09-15 · complaint2024-02-26 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-03-25 · complaint2024-02-26 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2024-03-25 · complaint2023-06-29 · 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 · 2023-08-042023-06-29 · HEALTHF0761Severity D · isolated; 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 · 2023-08-042023-06-29 · 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 · 2023-08-042023-06-29 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2023-08-042023-06-29 · 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 · 2023-08-042023-06-29 · FIREK0363Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2023-08-042023-06-29 · 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 · 2023-08-0403 / 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
- CHAD M. UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/13/2021
- DAVID V. UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/13/2021
- JEFFREY L. UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/13/2021
- JOANN C. UNVERFERTH 12-29-04 REVOCABLE TRUSTOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST5% · since 12/13/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KENDRA M. UOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/13/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KERRI A. ROOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/13/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KEVAN R. UNOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/13/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KRISTEN S.Organization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/13/2021
- JOANN C. UNVERFERTH 12-31-12 IRREVOCABLE GRANTOR TRUST FBO KYLE J. UNVOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST7% · since 12/13/2021
- JOSEPH L. UNVERFERTH 12-15-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/13/2021
- LAWRENCE G. UNVERFERTH 12-13-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/13/2021
- R. STEVEN UNVERFERTH 12-14-11 IRRV GRANTOR TROrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST6% · since 12/13/2021
- KLAY, CELESTEIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/01/2011
- ROMES, KERRIIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/01/2013
- SAINTIGNON, MEGANIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 04/17/2023
- SHAW, ANTHONYIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 08/29/1994
- UNVERFERTH, CHADIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 03/17/2003
- KLAY, CELESTEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2016
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 hours3.77per resident day
RN hours0.62per resident day
Weekend nurse hours3.35per resident day
Staff turnover34.4%CMS reported field
06 / LOCAL RECORDS
Open the Piqua ledger →