01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-07-18 | 7 | 2024-07-18 | 5 |
| Cycle 2 | 2022-03-03 | 6 | 2022-03-03 | 1 |
| Cycle 3 | 2019-04-05 | 14 | 2019-04-05 | 0 |
CMS CCN 3650932026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
The Good Shepherd Health And Rehabilitation Center
622 Center St · Ashland, OH 44805 · Ashland County
Certified beds125CMS provider file
Recent citation rows33current 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
33 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-07-18 · HEALTHF0582Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-18 · HEALTHF0688Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-18 · 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 · 2024-08-162024-07-18 · 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 · 2024-08-162024-07-18 · 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 · 2024-08-162024-07-18 · 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 · 2024-08-162024-07-18 · HEALTHF0881Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-18 · 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: Waiver has been granted · 2024-08-162024-07-18 · 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 · 2024-08-162024-07-18 · FIREK0761Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Correction field: Deficient, Provider has date of correction · 2024-08-162024-07-18 · 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: Waiver has been granted · 2024-08-162024-07-18 · FIREK0920Severity E · pattern; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-08-162023-11-27 · 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 · 2023-11-24 · complaint2022-03-03 · HEALTHF0623Severity B · pattern; potential for 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 plan of correction · 2022-04-012022-03-03 · 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 · 2022-04-082022-03-03 · 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 · 2022-04-082022-03-03 · HEALTHF0694Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2022-04-082022-03-03 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has plan of correction · 2022-04-012022-03-03 · HEALTHF0761Severity F · widespread; 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 · 2022-04-082022-03-03 · 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 · 2022-04-082019-04-05 · 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 · 2019-05-172019-04-05 · HEALTHF0553Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Correction field: Deficient, Provider has date of correction · 2019-05-172019-04-05 · 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 · 2019-05-172019-04-05 · 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 · 2019-05-1703 / 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
- LUTHERAN SOCIAL SERVICES OF CENTRAL OHIO, INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/29/1999
- DUNN, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- KENDALL, EARLIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2019
- KERR, RONALDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2022
- MANSER, MARLENEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2023
- MARTIN-TERRY, WANDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- MCCLENDON, AARONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2020
- MEEK, VIOLETIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2024
- MESLOW, ANDREWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2019
- MITCHELL, DEBORAHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/01/2020
- PRILLERMAN, SHEILAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 02/01/2023
- RIGGINS, BRANDONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2020
- STEINBRENNER, ADAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2019
- SUITER, BRIANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2020
- TUNIS PHEISTER, ERINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/01/2024
- FRATIANNE, JULIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/07/2025
- LUSTIG, RACHELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/15/2023
- MILLER, KIMBERLYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/11/2024
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 hours4.73per resident day
RN hours0.98per resident day
Weekend nurse hours3.79per resident day
Staff turnover31.1%CMS reported field