GRANDE LAKE HEALTHCARE CENTER

1209 INDIANA AVENUE
ST MARYS, OH, 45885
4193947611
CCN: 365809
4
Overall
3
Health
3
Staffing
5
Quality
ChainCOMMUNICARE HEALTH
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (3)
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.
CROSS HEALTHCARE, INC
1128b8
Excluded 2004-10-20
LAMB HEALTHCARE, INC
1128b8
Excluded 2004-10-20
LIFE HEALTHCARE, INC
1128b8
Excluded 2004-10-20
Ownership
NameRole%
SXCY MSTR LSCO, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
C.R. STOLTZ FAMILY INVESTMENT COMPANY INC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
C.R. STOLTZ IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
HEALTH CARE LEASE FACILITIES, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
I. ROSEDALE IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
R.S. WILHEIM IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
RONALD S WILHEIM 2012 SPOUSAL TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
ROSEDALE FAMILY INVESTMENT COMPANY, INC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
RRW, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
S.L. ROSEDALE IRREVOCABLE TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
SXCY HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
WILHEIM FAMILY INVESTMENT COMPANY, INC.5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
SKILLED HC HOLDINGS, LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
ROMEO, DOMINICCORPORATE OFFICERNOT APPLICABLE
STOLTZ, CHARLESCORPORATE OFFICERNOT APPLICABLE
WILHEIM, RONALDCORPORATE OFFICERNOT APPLICABLE
ROMEO, DOMINICOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
INDIANA MGT CO., LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
TAYLOR, JANEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GROVES, DONNAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PEYTON, JOSEPHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (33)
2025-02-27 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F847 · Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
D
F810 · Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
G
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
D
F554 · Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-06-27 · Health
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.
2023-02-13 · Health
D
F791 · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
D
F756 · 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.
D
F693 · 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.
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
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F
F680 · Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
F
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
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
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2020-01-04 · Health
E
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
D
F881 · Infection Control Deficiencies
Implement a program that monitors antibiotic use.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F809 · Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
D
F773 · Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
D
F756 · 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.
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
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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
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
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
D
F623 · 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.
E
F603 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
D
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.29
3.68
RN Hrs/Resident/Day
0.55
0.54
LPN Hrs/Resident/Day
0.97
0.81
CNA Hrs/Resident/Day
1.77
2.33
PT Hrs/Resident/Day
0.02
0.12
Data as of 2026-03-01