ADDISON HEALTHCARE CENTER
8055 ADDISON ROAD SE
MASURY, OH, 44438
3304482547
CCN: 365991
5
Overall5
Health3
Staffing5
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (6)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
CARITAS HOME HEALTHCARE AND SU
1128a1
Excluded 2020-01-20
CHRIS-JEN HEALTHCARE, INC
1128b8
Excluded 2004-10-20
CROSS HEALTHCARE, INC
1128b8
Excluded 2004-10-20
DOVE HEALTHCARE, INC
1128b8
Excluded 2004-10-20
LAMB HEALTHCARE, INC
1128b8
Excluded 2004-10-20
LIFE HEALTHCARE, INC
1128b8
Excluded 2004-10-20
Ownership
| Name | Role | % |
|---|---|---|
| SXCY MSTR LSCO, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| C.R. STOLTZ FAMILY INVESTMENT COMPANY INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| C.R. STOLTZ IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| HEALTH CARE LEASE FACILITIES, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| I. ROSEDALE IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| R.S. WILHEIM IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| RONALD S WILHEIM 2012 SPOUSAL TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| ROSEDALE FAMILY INVESTMENT COMPANY, INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| RRW, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| S.L. ROSEDALE IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SXCY HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| WILHEIM FAMILY INVESTMENT COMPANY, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SKILLED HC HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| ROMEO, DOMINIC | CORPORATE OFFICER | NOT APPLICABLE |
| STOLTZ, CHARLES | CORPORATE OFFICER | NOT APPLICABLE |
| WILHEIM, RONALD | CORPORATE OFFICER | NOT APPLICABLE |
| ADDISON MGT CO., LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| STARR, VIVIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| LASLO, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROMEO, DOMINIC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Health Deficiencies (12)
2025-02-25 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
2024-01-04 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2022-11-15 · Health
C
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F688 · 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.
2019-12-28 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · 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.
E
F584 · 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.
D
F580 · 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.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.57
RN Hrs/Resident/Day0.54
0.68
LPN Hrs/Resident/Day0.81
0.82
CNA Hrs/Resident/Day2.33
2.07
PT Hrs/Resident/Day0.12
0.07
Data as of 2026-03-01