FOUR WINDS NURSING FACILITY

215 SETH AVENUE
JACKSON, OH, 45640
7402867551
CCN: 365669
4
Overall
4
Health
2
Staffing
4
Quality
ChainUNITED CHURCH HOMES
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
GREEN, CATHERINECORPORATE DIRECTORNOT APPLICABLE
KUTSCHBACH, ROBERTCORPORATE DIRECTORNOT APPLICABLE
SHEIDLER, SUSANCORPORATE DIRECTORNOT APPLICABLE
BROWNFIELD, THOMASCORPORATE DIRECTORNOT APPLICABLE
HENRY, JAMESCORPORATE DIRECTORNOT APPLICABLE
RENNER, JOHNCORPORATE OFFICERNOT APPLICABLE
DANIEL, KENNETHCORPORATE OFFICERNOT APPLICABLE
DANIEL, KENNETHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
RENNER, JOHNOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CASEY, MARYW-2 MANAGING EMPLOYEENOT APPLICABLE
Penalties (1)
DateTypeAmount
2025-03-20Payment Denial10 days
Health Deficiencies (19)
2025-07-23 · Health
D
F773 · Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
2025-03-20 · Health
E
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F757 · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
D
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
D
F569 · Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
2023-04-13 · Health
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2020-02-13 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
F569 · Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
D
F561 · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.15
3.68
RN Hrs/Resident/Day
0.40
0.54
LPN Hrs/Resident/Day
0.90
0.81
CNA Hrs/Resident/Day
1.85
2.33
PT Hrs/Resident/Day
0.05
0.12
Data as of 2026-03-01