Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Apostolic Christian Home Inc during CMS and state inspections, most recent first.
The facility failed to properly monitor and label food items in a resident refrigerator, with several items found unlabeled, undated, and past expiration. The Executive Chef was unaware of the refrigerator's existence, and the facility's policy requires proper labeling and monitoring of food brought by family and visitors.
A resident with cognitive impairment and mobility issues experienced a significant weight loss over several months, which was not timely addressed by the facility. Despite having a care plan for potential altered nutrition, the resident's steady weight decline was not monitored or addressed by the dietitian or physician. Interviews confirmed the resident was eating less, and the facility's weight committee policy was not followed.
A facility failed to coordinate care between a hospice provider and the facility for a resident with a terminal prognosis. The resident's hospice notes were missing from the designated binder, and interviews revealed a lack of communication and documentation processes. The ADON was unaware of how notes were provided, and the Hospice RN was not informed of the missing notes. The Hospice LPN reported infrequent delivery of notes, and the DON expressed uncertainty about the hospice process.
The facility failed to maintain infection control during incontinence care for two residents. A CNA did not wash hands or change gloves after providing care to a resident with an indwelling catheter, while another CNA used the same gloves for cleaning and handling items during care for a cognitively impaired resident. The DON confirmed the improper procedures, which violated the facility's infection prevention policies.
The facility failed to protect a resident from sexual abuse by another resident. Despite observing inappropriate behavior, the facility's interventions, including 15-minute checks, were ineffective, leading to actual harm. Both residents were severely cognitively impaired and dependent on staff for care.
Improper Monitoring and Labeling of Resident Food Items
Penalty
Summary
The facility failed to ensure proper monitoring and labeling of food items stored in the resident refrigerator located in the activity room. During an observation, it was found that several food items were unlabeled and undated, including styrofoam containers of soup, a fast-food hamburger, and various other containers of food and liquid. Some items were past their expiration dates, such as a glass container of red-beet eggs and a container labeled beef broth. Executive Chef #635 was unaware of the refrigerator's existence and confirmed that it should be monitored daily, with items properly labeled with the resident's name, open date, and use-by date. The facility's policy on food from outside sources, revised in November 2023, mandates safe and sanitary storage, handling, and consumption of all food, including those brought by family and visitors. The policy requires that outside foods be labeled with the resident's name, room number, common name of the food, date of storage, use-by date, and the initials of the staff completing the storage label. The failure to adhere to this policy had the potential to affect 68 residents, with two residents identified as receiving nothing by mouth.
Failure to Address Significant Weight Loss in Resident
Penalty
Summary
The facility failed to timely address a significant weight loss for a resident, identified as Resident #43, who was admitted with diagnoses including stiff man syndrome, abnormalities of gait and mobility, and lack of coordination. The resident was moderately cognitively impaired and required assistance for meals. Despite having a care plan in place to address potential altered nutrition, which included providing alternatives for oral intake less than 50% at meals and serving nutritional supplements, the facility did not adequately monitor or address the resident's weight loss. Resident #43 experienced a significant weight loss of 10.24% from 166 pounds to 149 pounds over a period from November to February, with a further decline to 147 pounds. The facility's weight records showed a steady and consistent loss of body weight, yet there was no evidence that the weight decline was monitored or addressed by the dietitian or physician after November. Interviews with facility staff confirmed that the resident had been eating less, and the dietitian acknowledged not addressing the weight loss after November. The facility's policy required the weight committee to monitor significant weight changes, but this was not followed in Resident #43's case.
Failure in Hospice Care Coordination and Documentation
Penalty
Summary
The facility failed to ensure proper coordination of care between the hospice provider and the facility for a resident receiving hospice services. The resident, who had a terminal prognosis and was admitted to hospice care with a diagnosis of cerebral atrophy, required comprehensive care coordination to meet their spiritual, emotional, intellectual, physical, and social needs. However, the facility did not maintain proper documentation of hospice visits, as evidenced by the absence of hospice notes in the designated binder at the nurse's station. This lack of documentation was confirmed by the Assistant Director of Nursing (ADON), who was responsible for overseeing hospice care coordination. Interviews with facility and hospice staff revealed a breakdown in communication and documentation processes. The ADON was unaware of how hospice notes were being provided to the facility, and the Hospice RN was not informed that notes were missing. Additionally, the Hospice LPN reported infrequent delivery of electronic hospice notes to the facility, with the last delivery occurring months prior. The Director of Nursing (DON) also expressed uncertainty about the hospice process, indicating a lack of oversight and understanding of the hospice documentation requirements. The facility's policy on hospice services emphasized the need for coordination and cooperation with hospice staff, which was not effectively implemented in this case.
Infection Control Deficiencies During Incontinence Care
Penalty
Summary
The facility failed to maintain proper infection control practices during incontinence care for two residents. Resident #20, who was cognitively intact and had an indwelling catheter, was observed receiving incontinence care from a CNA who did not remove her gloves or wash her hands after cleaning the resident. The CNA continued to handle various items and assist the resident without performing hand hygiene, despite leaving and re-entering the room multiple times. This lack of hand hygiene was confirmed by the CNA and observed by the surveyor. Resident #16, who had severely impaired cognition and was always incontinent of bladder and bowel, received incontinence care from two CNAs. During the procedure, one CNA used the same gloves to clean the resident's buttocks and peri area, and then touched a moisturizer container without changing gloves or performing hand hygiene. The other CNA confirmed the improper procedure, and both CNAs washed their hands only after completing the care. The Director of Nursing confirmed that the CNAs did not follow proper infection control procedures, which should include hand washing before and after care, and changing gloves between different tasks. The facility's policies on incontinence care and infection prevention emphasize the importance of hand hygiene and proper glove use, which were not adhered to in these instances.
Failure to Protect Resident from Sexual Abuse
Penalty
Summary
The facility failed to protect Resident #263 from an incident of resident-to-resident sexual abuse. On 03/30/24, Resident #264, who was severely cognitively impaired, was observed with his hands inside the pants of his roommate, Resident #263, who was also severely cognitively impaired and dependent on staff for mobility. The facility did not implement effective safety measures to protect Resident #263 when Resident #264 began displaying sexual behaviors towards him on 03/29/24. This failure placed Resident #263 at risk for actual physical and/or psychosocial harm. Resident #263's medical record revealed severe cognitive impairment, non-ambulatory status, and dependency on staff for mobility and other needs. On 03/29/24, staff observed Resident #264 exhibiting inappropriate sexual behavior towards Resident #263, including standing by his bed with his pants down and touching his own genitals. Despite these observations, the facility only initiated 15-minute checks, which proved ineffective. On 03/30/24, Resident #264 was again observed engaging in inappropriate behavior, including disrobing and attempting to touch Resident #263. Interviews with staff and review of progress notes indicated that the facility's interventions were insufficient. The Director of Nursing (DON) was notified of the incidents, and although 15-minute checks were initiated, they did not prevent further incidents. Resident #264 was eventually sent to the hospital for psychiatric evaluation but returned to the facility, where one-on-one monitoring was implemented. The facility's failure to provide adequate protection and supervision for Resident #263 resulted in actual harm and demonstrated non-compliance with their abuse prevention policy.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 636 citations issued within 25 miles in the last 12 months — including the 4 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Rittman
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Autumnwood Nursing & Rehab Center | 3.5 mi | ★★★★★ | 0 | 0 |
| Doylestown Health Care Center | 5.2 mi | ★★★★★ | 3 | 0 |
| Accord Care Community Orrville Llc | 5.7 mi | ★★★★★ | 3 | 0 |
| Orrville Pointe | 6.5 mi | ★★★★★ | 5 | 0 |
| Sanctuary Wadsworth | 6.8 mi | ★★★★★ | 1 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Apostolic Christian Home Inc.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.