Average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Carecore At Minster during CMS and state inspections, most recent first.
Unsafe food storage, cleaning, and hand hygiene practices were observed in the kitchen. A handwashing sink lacked paper towels, prep surfaces had greasy debris, and a juice dispenser had sticky buildup on the nozzles and surrounding areas despite manufacturer instructions for daily cleaning. Expired and wilted lettuce, uncovered lettuce heads, and sanitizer below the required concentration were also found. In addition, a dietary staff member handled meat after cleaning a food processor without washing hands.
Incorrect MDS Coding for Mobility and Fracture Status: A resident with cognitive impairment, DM, morbid obesity, and Down syndrome sustained an impacted right humeral neck fracture after a fall and was later coded on MDS assessments as independent with transfers and ambulation and as not using a wheelchair. ADL records and staff interviews showed the resident needed staff assistance with transfers and ambulation after the fall and independently propelled a wheelchair, while the chart lacked documentation supporting osteoporosis or another bone density disorder for the pathological fracture coding.
Failure to develop PTSD care plans for two residents. One resident had PTSD along with MDD, anxiety, and dementia, and the other had PTSD with bipolar disorder, MDD, suicidal ideations, and anxiety. Although assessments and a trauma screen identified PTSD and trauma history, the care plans did not address the residents’ trauma, triggers, or interventions. CNA and DON interviews showed staff did not know the residents’ PTSD-related triggers or causes, and the facility policy required comprehensive, person-centered care plans based on assessments by the IDT.
A resident with impaired cognition and a history of multiple falls had a fall care plan that was not updated with all current interventions after repeated falls. The record showed several falls and new interventions added after each event, including two-staff assistance, a night light, staff ambulating behind the resident in the doorway, and non-skid strips, but the DON confirmed the care plan did not include the doorway ambulation intervention.
Failure to assist residents with preferred activities: Two residents were not consistently brought to or supported in activities identified in their care plans and preferences. One resident with spastic quadriplegic cerebral palsy and aphasia remained in bed during multiple observations, including during BINGO, despite an order for daily wheelchair time and family expectations for activity participation. Another resident with dementia and severe cognitive impairment had documented preferences for group activities, animals, and religious services, but activity records showed multiple days with no participation or entries marked NA, and observed Rosary and other activities were held outside the memory care unit without the resident present.
Failure to Follow Ordered Dressing Change Instructions: The facility failed to complete ordered daily wound care for a resident with a left lower leg contusion and left posterior ankle blister. Observations showed the dressing was wrapped with kerlix but not Coban as ordered, and the treatment was undated and falling off; the resident said the dressing had last been changed two days earlier, and an LPN confirmed the Coban wrap was missing.
Incomplete dialysis communication and assessment documentation. A resident with ESRD and dependence on renal dialysis had scheduled HD treatments, but the facility only documented the time the resident left for dialysis in the communication binder. No VS, meds taken, incidents, pre- or post-dialysis assessments, or pre/post weights were documented, and the DON verified the facility sent only an order sheet and face sheet to the dialysis provider.
A resident with a history of UTI, CKD, and cognitive impairment received prophylactic Bactrim DS while also being treated with cephalexin for urinary symptoms and later Cipro for a UTI. The record showed Bactrim was continued during both treatment courses, and no UA was completed during the earlier episode. The ADON confirmed the overlap, and the MD stated the prophylactic antibiotic should have been held while the other antibiotics were given.
Pureed meat was prepared improperly when a dietary staff member processed country fried steak and added water instead of cream gravy. The recipe called for cream gravy to be used to achieve the proper puree consistency, and the DM confirmed water was used even though facility policy said water was not to be used because it causes flavor loss and poor intake. The issue affected three residents on a pureed meat diet.
A resident with a history of UTI and CKD III was receiving prophylactic Bactrim DS for UTI prevention. When the resident developed urinary symptoms and agitation, a CNP ordered cephalexin for a UTI, but the record showed no UA/culture was obtained and the prophylactic Bactrim continued while cephalexin was administered. The ADON confirmed the overlap, and the physician stated he would expect a UA with culture before antibiotics and the prophylactic antibiotic to be held during treatment.
The facility failed to protect residents from various forms of abuse and neglect, including physical, mental, and sexual abuse, as well as physical punishment, by any individual.
The facility failed to ensure the Activities Director was qualified, potentially affecting 28 residents who regularly attend activities. The Activities Director was hired as a part-time assistant with no prior experience and later promoted without documentation of qualifications. She was taking a certification program but did not have a certificate at the time of the survey.
The facility failed to maintain accurate and accessible accounting of resident trust accounts, affecting three residents. Discrepancies in account balances were found, and quarterly statements were not provided. The issue arose after a change in facility ownership, leading to a lack of transparency and adherence to policies regarding the management of residents' personal funds.
The facility failed to prevent resident-to-resident abuse involving two residents. One resident with Alzheimer's was assaulted by another with severe cognitive impairment and a history of behavioral issues. Despite previous incidents, the aggressive resident's care plan lacked interventions for managing behaviors. The facility's policy required assessment and care planning for such behaviors, but this was not followed.
The facility failed to maintain the laundry room wall in good repair, with missing drywall and a black substance observed on the wall and around the window. Staff confirmed the condition had persisted for over a year, potentially affecting 55 residents who use the facility's laundry services.
Unsafe Food Storage, Cleaning, and Hand Hygiene Practices
Penalty
Summary
The facility failed to store, prepare, and distribute food in a safe and sanitary manner. During kitchen observation, one of two handwashing sinks did not have paper towels, and the storage shelves under the preparation tables and the cabinet shelf above the preparation table were covered in greasy debris. The dietary staff member present confirmed these findings at the time of observation. The four-flavor cold beverage juice dispenser had sticky dried-on substance on all four nozzles, with additional sticky dried substance on top of and under the shelf holding the concentrate bottles in the refrigerated section. A dietary aide stated the dispenser was cleaned once a week and had been cleaned about one week earlier, but it was not listed on the daily or weekly cleaning list. Manufacturer instructions required daily cleaning, including removal and washing of the dispense nozzles, drip tray, drip tray cover, and cleaning of the splash panel and refrigerated compartment. In the walk-in refrigerator, expired and wilted lettuce was found, including bags with best-by dates of 09/07/25, 09/08/25, and 09/09/25, along with three uncovered wilted heads of lettuce. The dietary manager stated products were checked for expiration by one dietary aide each day they worked and confirmed the expired and uncovered lettuce, noting the heads were used only for garnish. In addition, a sanitizer bucket used to clean the preparation table tested between 100 and 200 ppm, while staff stated the sanitizer concentration must be at least 200 ppm. Finally, a dietary staff member removed gloves, washed a food processor in the dish area, returned to the prep area, put gloves back on, and handled meat without washing hands; the staff member confirmed no handwashing occurred after removing gloves and cleaning the equipment.
Incorrect MDS Coding for Mobility and Fracture Status
Penalty
Summary
The facility failed to ensure accurate coding on MDS assessments for one resident reviewed for accidents. Resident #50 was admitted with diagnoses including convulsions, diabetes mellitus, morbid obesity, and Down syndrome, and later received a diagnosis of a pathological fracture of the right humerus after being found on the floor in his room with right shoulder pain and limited movement of the right arm. Hospital x-ray documentation showed an impacted right humeral neck fracture with mild degenerative changes, and the medical record did not contain documentation supporting osteoporosis or another bone density disorder prior to the fracture diagnosis. The discharge MDS with ARD 08/16/25 and the annual MDS with ARD 08/27/25 both coded the resident as moderately cognitively impaired, independent with bed mobility, transfers, and ambulation up to 10 feet, requiring only supervision for ambulation up to 50 and 150 feet, and not using a wheelchair. However, ADL documentation from 08/10/25 through 08/16/25 and from 08/21/25 through 08/27/25 did not support independence with transfers or ambulation and instead showed the resident required varying levels of staff assistance. Facility documentation also did not include wheelchair mobility, despite observations showing the resident propelling himself in a wheelchair around the facility. Staff interviews confirmed the resident no longer walked in the hallways after the fall and required staff assistance with transfers and ambulation in his room, while using a wheelchair independently for mobility around the facility. The DON and Medical Director confirmed there was no documentation supporting osteoporosis, and the Medical Director stated the fracture was coded as pathological because the x-ray did not indicate whether it was acute. An LPN confirmed both MDS assessments contained incorrect coding for ambulation, transfers, and wheelchair mobility.
Failure to Develop PTSD Care Plans
Penalty
Summary
The facility failed to develop care plans to address PTSD for two residents, #7 and #43, both of whom had documented diagnoses of PTSD. Resident #7 was admitted with diagnoses including PTSD, major depressive disorder, anxiety disorder, and dementia, and an MDS assessment showed moderate cognitive impairment and PTSD. Although a psychiatric note listed PTSD as a diagnosis and a trauma screen was completed by Social Services in June 2025, the resident’s care plan did not address PTSD, the trauma history, or any triggers. During interview, CNA #345 stated she did not know what Resident #7’s PTSD was related to, what the triggers were, or what interventions to use if symptoms worsened, and the DON stated she did not know the resident’s triggers or what caused the PTSD. Resident #43 was admitted with diagnoses including bipolar disorder, major depressive disorder, PTSD, suicidal ideations, and anxiety disorder, and an MDS assessment showed the resident was cognitively intact with PTSD. A Social Service trauma screen documented that the resident reported past frightening and abusive experiences involving two husbands, and she stated she had not had issues since being at the facility, though she was watchful of another resident because of that resident’s behavior. Despite this information, the resident’s care plan did not include PTSD, the trauma history, or triggers. CNA #345 stated she did not know the resident’s trauma or triggers, and the DON stated she did not know the resident’s triggers or why she had PTSD. The facility policy stated comprehensive, person-centered care plans are based on resident assessments and developed by an interdisciplinary team.
Fall care plan not updated with current interventions
Penalty
Summary
The facility failed to ensure Resident #50’s care plan was updated with current fall interventions after repeated falls. Resident #50 was admitted on 09/01/24 with diagnoses including convulsions, diabetes mellitus, morbid obesity, and Down syndrome. The annual MDS indicated moderately impaired cognition, independence with bed mobility, transfers, and ambulation up to 10 feet, supervision needed for ambulation up to 50 and 150 feet, and no wheelchair use. The MDS also indicated two or more falls with no injury since readmission. The fall care plan, dated 09/23/24, identified the resident as at risk for falls related to impulsive behavior, medication side effects, and abnormalities of gait and mobility. The care plan included interventions added on 07/15/25 to offer activity upon rising, on 07/16/25 to use two staff members during transfers when behaviors are noted, on 07/17/25 to use a night light during nighttime hours, and on 08/04/25 for non-skid strips to bedside. Medical record review showed falls on 07/10/25, 07/17/25, 07/18/25, and 08/03/25, and the fall investigation reports identified new interventions after each fall, including having staff ambulate behind the resident in the doorway after the 07/18/25 fall. During interview on 09/17/25 at 12:10 P.M., the DON confirmed the fall care plan did not contain documentation of that 07/18/25 intervention.
Failure to Assist Residents With Preferred Activities
Penalty
Summary
The facility failed to assist residents in attending scheduled activities of their preference and on a consistent basis for two residents. Resident #10 was admitted with spastic quadriplegic cerebral palsy and aphasia, was completely dependent for all care, and had care plan interventions to bring the resident to the activity room and escort the resident to activities of interest. The resident also had an order to be up in a wheelchair once daily for two hours between 7:00 A.M. and 3:00 P.M. for therapeutic positioning, and the family stated they expected the resident to be brought to activities such as BINGO. Observations showed Resident #10 remained in bed with the TV on throughout multiple checks on two days, including during a BINGO activity being held in the activities room. An LPN verified the resident was not up in the wheelchair before 3:00 P.M., and stated staff got the resident up by 6:00 P.M. but did not take the resident outside or down to activities. The AD stated Resident #10 was never brought down to activities because the resident was on continuous tube feeding and needed to be plugged in, and verified the resident was not brought down for the observed BINGO activity. Resident #9 had diagnoses including displaced fracture of the left humerus, dementia, depression, and restlessness and agitation, and MDS assessments showed severe cognitive impairment with delusions. The resident’s activity preferences included being around animals, doing things with groups, favorite activities, and participating in religious services. The care plan included BINGO, trivia, talking, going outside, Rosary, church services, and socializing, with staff to assist the resident to and from activities. However, activity documentation for August and September showed multiple days with no documentation or activities marked not applicable, and observation showed Rosary and other activities were held in the main lobby outside the memory care unit, with no residents from the memory care unit, including Resident #9, observed participating. The AD verified there was no consistent documentation of staff providing activities for Resident #9 and that Rosary was held outside the memory care unit.
Failure to Follow Ordered Dressing Change Instructions
Penalty
Summary
The facility failed to ensure that ordered dressing changes were completed as ordered for Resident #44, who was admitted with diagnoses including unspecified atrial fibrillation and diabetes mellitus with neuropathy. The resident’s MDS assessment showed a BIMS score of 15, indicating intact cognitive function. The care plan identified the resident as at risk for impaired skin integrity due to a left lower extremity contusion and a left posterior ankle blister, with interventions to provide treatment as ordered. Physician orders required daily dressing changes for a left lower leg contusion using wound cleanser, calcium alginate, kerlix, and Coban, and for a left posterior ankle blister using wound cleanser, betadine, kerlix, and Coban. Observation showed the left lower leg dressing was wrapped with kerlix but had no Coban, and the treatment was undated and falling off. The resident stated the dressing had last been changed two days earlier. A later observation again showed the left lower leg dressing dated 09/15/25 and wrapped with kerlix but not Coban. An LPN verified that the order included a Coban wrap and confirmed the dressing was not wrapped with Coban. The facility policy stated the wound should be washed, dried with gauze, and treatment applied as indicated in the order.
Incomplete Dialysis Communication and Assessment Documentation
Penalty
Summary
The facility failed to ensure adequate and appropriate clinical information was provided to and received from a dialysis provider for a resident who required dialysis services. Resident #4 was admitted with diagnoses including end stage renal disease, non-compliance with renal dialysis, and dependence on renal dialysis, and had physician orders for dialysis on Mondays, Wednesdays, and Fridays. The care plan identified renal failure and hemodialysis needs, with interventions to monitor access site condition, laboratory values, edema, depression, signs of infection, changes in consciousness, skin turgor, oral mucosa, heart and lung sounds, and to obtain weights and vital signs per protocol. Review of the dialysis communication binder showed only the time the resident left the facility for dialysis was documented. There was no documentation of vital signs, medications taken, or incidents that occurred with the resident. The medical record also contained no pre- or post-dialysis vital signs or assessments completed by the facility, and the resident’s weights were obtained monthly with no pre- or post-dialysis weights recorded. The DON stated the facility did not complete pre- or post-dialysis assessments and only sent an order sheet and face sheet with the resident to dialysis, and verified the facility did not send weights, vital signs, medications taken prior to dialysis, or blood sugar readings, and did not obtain vital signs or assessments when the resident returned from dialysis.
Unnecessary Duplicate Antibiotic Therapy
Penalty
Summary
The facility failed to ensure a resident’s drug regimen was free from unnecessary medications, including duplicate drug therapy. Resident #45 was admitted with diagnoses including anxiety, anemia, chronic kidney disease stage III, and a history of UTI. The resident’s record showed a prophylactic order for Bactrim DS 800-160 mg by mouth on Monday, Wednesday, and Friday for UTI prevention, and the resident also had a quarterly MDS indicating moderate cognitive impairment and need for substantial staff assistance with several activities of daily living. The record showed that when the resident developed urinary symptoms in February 2025, the resident was prescribed cephalexin 500 mg twice daily for five days, while Bactrim DS continued to be administered on the scheduled prophylactic days during the same period. In June 2025, after a urine culture showed E. coli greater than 100,000 that was susceptible to Cipro and resistant to Bactrim, the resident was prescribed Cipro 500 mg twice daily for a UTI, yet Bactrim DS was still administered on some days and refused on others during the same treatment period. The record also showed no urinalysis was completed in February 2025. The ADON confirmed the resident continued to receive Bactrim DS while receiving cephalexin and Cipro, and the physician stated he would expect a urinalysis with culture before administering an antibiotic and would expect the prophylactic antibiotic to be put on hold while cephalexin and Cipro were administered.
Pureed Meat Prepared With Water Instead of Gravy
Penalty
Summary
The facility failed to ensure pureed food was prepared in a manner that preserved flavor and nutrition. During observation, Dietary [NAME] prepared country fried steak with a pureed texture by placing five portions into a food processor and adding water to puree the meat. The pureed steak was then placed in a container, covered with foil, and put in the oven for service. The deficiency affected three residents identified by the facility as being on a diet with pureed meat, including residents #12, #22, and #56. Review of the recipe for Country Fried Steak with Cream Gravy stated that pureed food should be smooth without lumps, hold its shape on a plate, have a soft pudding-like consistency, and not require chewing. The recipe also directed staff to use cream gravy a little at a time when processing the meat, then serve additional cream gravy to maintain moisture. The Dietary Manager verified that water, not cream gravy, had been added to the puree and stated the recipe called for cream gravy to be used. A facility policy dated August 2025 stated that liquids used for pureed foods may include gravies, broth, juices, or milk, and that water was not to be used because it causes flavor loss and poor intake.
Failure to Follow Antibiotic Stewardship for Resident Receiving Overlapping Antibiotics
Penalty
Summary
The facility failed to ensure its antibiotic stewardship program was followed per policy for one resident reviewed for antibiotic use. Resident #45 had diagnoses including anxiety, anemia, chronic kidney disease stage III, and a personal history of UTI, and the medical record showed the resident was receiving prophylactic Bactrim DS three times weekly for UTI prevention. On 02/24/25, the resident was noted to have increased agitation, difficulty urinating, dark urine, and a foul odor, and the physician was notified. A CNP later assessed the resident and ordered cephalexin 500 mg twice daily for five days for a UTI. The record showed cephalexin was administered from 02/24/25 through 02/28/25, and Bactrim DS was also administered on 02/24/25, 02/26/25, and 02/28/25 while the resident was receiving the new antibiotic. There was no documentation that a urinalysis was completed in February 2025. The ADON confirmed the resident received Bactrim prophylactically for a history of UTIs, that no urinalysis was completed, and that Bactrim continued during cephalexin treatment. The physician stated he would expect a urinalysis with culture before an antibiotic was given and would expect the prophylactic antibiotic to be held while cephalexin was administered. The facility policy stated staff and practitioners would be educated and trained on appropriate prescribing, monitoring, and surveillance of antibiotic use and outcomes.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure resident safety and well-being. No specific details about the residents involved, their medical history, or their condition at the time of the deficiency are provided in the report.
Unqualified Activities Director Affects Resident Engagement
Penalty
Summary
The facility failed to ensure that the Activities Director was qualified, which had the potential to affect 28 residents who regularly attend activities. The employee file review revealed that the Activities Director, identified as AD #340, was hired as a part-time activities assistant with no previous activities experience. There was no documentation regarding when AD #340 transitioned to a full-time role or was promoted to Activities Director. During an interview, AD #340 stated she believed she was promoted approximately a year ago and went full-time about three months after being hired. She also mentioned that she was taking a certification program through a sister facility but confirmed she did not possess a certificate for the Activities Director role. This deficiency was investigated under Complaint Number OH00162380.
Deficiency in Managing Resident Trust Accounts
Penalty
Summary
The facility failed to maintain a complete, accurate, and accessible accounting of resident trust accounts and did not provide quarterly statements to residents. This deficiency affected three residents who had their personal funds managed by the facility. The facility's policy required that funds be managed in accordance with federal and state requirements, including providing quarterly statements and maintaining accurate records of all financial transactions. However, the facility did not adhere to these policies, resulting in discrepancies in the residents' account balances and a lack of transparency regarding their financial status. Resident #1, who was moderately cognitively impaired, had a discrepancy of $65.00 in his account balance. His daughter, who was responsible for his finances, confirmed that she had not received any quarterly statements or updates regarding his account. Similarly, Resident #2, who was cognitively intact, had a discrepancy of $100.00 in her account balance and reported not receiving any recent statements. Resident #3, who was also cognitively intact, had a discrepancy of $10.00 in her account balance, and her Power of Attorney was not reachable for comment. All three residents were unaware of their current account balances due to the facility's failure to provide the necessary financial information. The issue arose when a new company took over ownership of the facility, and the Business Office Manager reported being unable to access the system to log accounting or run quarterly statements. The facility's corporate staff eventually provided some account details, but the information was not timely or accurate. The Administrator confirmed that account statements were not provided when the accounts were closed and transferred to the new company. The facility's failure to manage the residents' personal funds in accordance with their policies and federal/state requirements led to the identified discrepancies and lack of transparency in the residents' financial records.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to prevent resident-to-resident abuse, affecting two residents. Resident #52, diagnosed with Alzheimer's disease, was involved in an incident where another resident, Resident #45, who had severe cognitive impairment and a history of behavioral issues, shoved a pudding cup into her face. This incident occurred while Resident #52 was walking towards the nurse's station. Resident #52's care plan indicated a need for a secured unit, but there was no indication of measures to prevent such incidents. Resident #45, with a diagnosis of unspecified dementia and severe cognitive impairment, had a history of behavioral disturbances, including a previous incident involving a butter knife. Despite these behaviors, Resident #45's care plan lacked any goals or interventions for managing these behaviors. The Director of Nursing confirmed that the care plan had not been updated to include interventions for behaviors or the use of psychotropic medications. The facility's policy on abuse and neglect required assessment and care planning for residents with behaviors that might lead to conflict, but this was not followed in Resident #45's case. The facility unsubstantiated the incident due to Resident #45's dementia diagnosis, which was not in line with their policy.
Laundry Room Wall in Disrepair with Black Substance
Penalty
Summary
The facility failed to ensure the laundry room wall was in good repair, with observations revealing missing drywall and a black substance on the wall and around the window. Interviews with staff, including two laundry aides and the maintenance director, confirmed that the wall near the folding table in the laundry room had been in this condition for over a year. The black substance was noted below the window, around the window, and under the air conditioning unit above the window. The window ledge was also deteriorated and missing parts. The maintenance director mentioned that the air conditioning unit had been replaced twice due to water leaking down the wall, although no recent water or roof issues were reported in that area. This condition had the potential to affect 55 residents who have their laundry washed at the facility, with three residents identified as not using the facility's laundry services. The administrator confirmed the observations and denied any recent concerns with water or roof issues in the affected area. The deficiency was investigated under Complaint Number OH00151864, highlighting the facility's non-compliance in maintaining a safe and clean environment in the laundry room. The facility census was 58, with 55 residents potentially affected by the laundry room's condition.
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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.
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Nursing homes near Minster
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Otterbein St Marys Retirement Community | 8.7 mi | ★★★★★ | 0 | 0 |
| Ohio Living Dorothy Love | 10.2 mi | ★★★★★ | 0 | 0 |
| Transitional Care Unit | 10.3 mi | ★★★★★ | 4 | 0 |
| Vancrest Of St Mary's | 10.4 mi | ★★★★★ | 5 | 0 |
| Grande Lake Healthcare Center | 10.8 mi | ★★★★★ | 0 | 0 |
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