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 Good Shepherd Home during CMS and state inspections, most recent first.
Memory care residents did not receive activities as scheduled, and the unit’s calendar was not implemented consistently. Observations showed missed morning activities, residents sitting with movies or TV on instead of planned programming, and limited participation in activities such as nail care, devotion, puzzles, and sticker work. The AD stated not all residents were asked about nail care, and an LPN confirmed the regular activity aide was in CNA training and residents were not offered the scheduled activities that week.
The facility failed to properly store and discard expired food items, affecting all 83 residents receiving food from the kitchen. Observations revealed outdated thickened pudding and juice, improperly stored mushrooms, and the use of expired beef base in food preparation. The Culinary Director confirmed these deficiencies.
The facility did not follow dietary guidelines, affecting meal quality. A chef failed to measure ingredients for pureed vegetables, using excessive butter substitute. Dietary assistants served incorrect meatball portions, unaware of guidelines. The Culinary Director confirmed these discrepancies.
The facility failed to ensure staff used appropriate PPE when entering COVID-19 positive residents' rooms, with observations showing RNs and STNAs lacking gowns and eye protection. Enhanced barrier precautions were not implemented for residents with wounds or indwelling devices, as confirmed by staff interviews. Additionally, a MA did not perform hand hygiene before handling medications, breaking pills without gloves and placing them on the cart without a barrier, contrary to facility guidelines.
The facility failed to develop comprehensive care plans for two residents. One resident, with dementia and anxiety, was prescribed antipsychotic medications without a care plan for psychoactive medication use. Another resident, also with dementia and anxiety, was incontinent of bowel and bladder but lacked a care plan for incontinence care. These deficiencies were confirmed through staff interviews, highlighting non-compliance with the facility's policy on timely care plan development.
A resident with moderate cognitive impairment and multiple health conditions did not receive four scheduled showers over ten days, despite requiring substantial assistance for personal hygiene. The facility's policy to assist with bathing was not followed, and there was no documentation explaining the missed showers, as confirmed by the resident and an LPN.
The facility failed to apply wound prevention boots as ordered for a resident with multiple wounds and did not obtain weekly weights for another resident on tube feeding. The resident with wounds was observed without the prescribed heel lift boot, and staff interviews confirmed the inconsistency. Additionally, the resident on tube feeding had several missed weight recordings over months, with no policy in place to ensure compliance with physician orders.
Memory Care Activities Not Provided as Scheduled
Penalty
Summary
The facility failed to implement the memory care unit activities calendar as scheduled and failed to provide activities to meet resident needs for 37 of 37 residents in the unit. Review of the calendar showed a daily 9:30 A.M. Morning Greetings activity, repetitive weekly activities, and no activities offered past 2:30 P.M. except one music time listed for 04/07/26 at 3:15 P.M. The facility policy stated activities were to be designed to enhance residents’ sense of well-being, belonging, usefulness, physical activity, cognition, emotional health, and to reflect residents’ interests, age, cultural and religious interests, and choices. Observations showed the scheduled activities were not completed as posted on multiple days. On 05/11/26 at 9:30 A.M., no activity was completed, and at 10:15 A.M. the Activities Director was painting some female residents’ nails, with no male residents observed receiving nail care. The Activities Director stated not all residents were asked if they wanted their nails done and that male residents could have their nails filed. On 05/12/26 at 9:30 A.M., no activity was completed and 16 residents were sitting in the common area with a movie on; later that morning a devotion activity was in progress. At 2:05 P.M., two residents and a Case Manager were at a table with a puzzle, but one resident was sleeping and the other was not actively participating while 22 residents sat in the common area with the television on. Staff stated the regular activity aide was in CNA training and the memory care residents were not offered the scheduled activities that week. On 05/13/26 at 10:11 A.M., residents were seated at two tables with stickers and an umbrella activity, with one resident sleeping. On 05/14/26 at 9:30 A.M., no activity was completed as scheduled and 17 residents were sitting in the common area with a movie on.
Improper Food Storage and Expired Items in Kitchen
Penalty
Summary
The facility failed to properly store and discard expired food items, which had the potential to affect all 83 residents receiving food from the kitchen. During an observation of the main kitchen refrigerator, a container of thickened pudding and a container of thickened juice were found to be outdated and not discarded. Additionally, in the walk-in refrigerator, a box of sliced mushrooms was found open to air with the cardboard lid unsecured. The Culinary Director confirmed these findings, verifying that the expired items were not discarded and the mushrooms were improperly stored. Further observation during the preparation of pureed food revealed that Chef #282 used a beef base with a past expiration date while preparing pureed beef stroganoff. This was confirmed by both the chef and the Culinary Director, leading to the discarding of the beef stroganoff mixture and preparation of a new one. The facility's policy on date markings requires discarding all food past their use-by date, and marking foods held under refrigeration for more than 24 hours with a use-by date for seven calendar days if maintained at 41 degrees Fahrenheit or less.
Failure to Follow Dietary Guidelines and Recipes
Penalty
Summary
The facility failed to adhere to dietary guidelines and recipes, which affected the nutritional quality of meals served to residents. Specifically, the Dining Manager's recipe for pureed vegetables required one quart of vegetables with one-fourth cup of melted margarine. However, during an observation, Chef #282 was seen preparing pureed vegetables without measuring the ingredients, using a butter-tasting substance instead of margarine, and pouring at least one cup of it into the food processor. This deviation from the recipe was confirmed by the Culinary Director, indicating a failure to follow the prescribed dietary guidelines. Additionally, the facility's menu spreadsheet specified that residents should receive three four-ounce meatballs per serving. However, observations revealed that Dietary Assistants #273 and #384 were serving between three and six meatballs per plate, not adhering to the specified portion sizes. Dietary Assistant #384 admitted to being unaware of the serving sizes and not following the facility's menu spreadsheet. The Culinary Director confirmed this discrepancy, highlighting a lack of compliance with the facility's dietary policies, which require food to be prepared in a manner that conserves nutritive value, flavor, and appearance.
Inadequate PPE Use and Hand Hygiene in LTC Facility
Penalty
Summary
The facility failed to ensure that staff donned appropriate personal protective equipment (PPE) when entering the rooms of COVID-19 positive residents. Observations revealed that Registered Nurses (RNs) and State Tested Nursing Assistants (STNAs) entered the rooms of COVID-19 positive residents without wearing gowns or eye protection, despite CDC guidelines requiring these precautions. Interviews with staff confirmed the lack of proper PPE, with some staff citing the unavailability of gowns and eye protection in the PPE carts. Additionally, the facility did not implement enhanced barrier precautions for residents with wounds or indwelling medical devices. Observations showed that residents with conditions such as pressure ulcers, feeding tubes, and indwelling catheters did not have enhanced barrier precautions in place. Interviews with STNAs and the Director of Nursing (DON) confirmed that gloves were worn, but no additional PPE such as gowns were used, contrary to the facility's policy and CDC guidance. The facility also failed to ensure proper hand hygiene during medication administration. A Medication Aide (MA) was observed not performing hand hygiene before handling medications for a resident. The MA handled medications without gloves, broke pills without using gloves, and placed pills directly onto the medication cart without a barrier. This was verified through an interview with the MA, who acknowledged the lack of hand hygiene and improper handling of medications, which was against the facility's medication administration guidelines.
Deficiency in Comprehensive Care Plans for Residents
Penalty
Summary
The facility failed to ensure that resident-centered comprehensive care plans were in place for two residents. Resident #5, who was admitted with diagnoses including dementia and anxiety, was prescribed antipsychotic medications such as Geodon and later Seroquel. However, there was no comprehensive care plan addressing the use of psychoactive medications for this resident. This deficiency was confirmed during an interview with the Director of Nursing, who verified the absence of a care plan for psychoactive medications. Similarly, Resident #77, admitted with diagnoses of dementia and anxiety, was found to be incontinent of bowel and bladder. Despite this condition being present since admission, there was no comprehensive care plan for incontinence care. This was confirmed through interviews with a State Tested Nursing Assistant and a Registered Nurse, both of whom acknowledged the lack of a care plan for incontinence care. The facility's policy mandates the development of a comprehensive person-centered care plan within seven days after the completion of the comprehensive MDS assessment, which was not adhered to in these cases.
Failure to Provide Timely Showers to Resident
Penalty
Summary
The facility failed to provide timely showers to a resident who was dependent on staff for assistance with activities of daily living (ADL). The resident, who had a moderate cognitive impairment and required substantial assistance for personal hygiene, did not receive four scheduled showers over a period of ten days. The resident's medical record indicated a diagnosis of severe sepsis without shock, chronic obstructive pulmonary disease, and congestive heart failure, which contributed to her need for assistance. Despite the facility's policy to assist residents with bathing to promote hygiene and prevent skin issues, there was no documentation explaining the missed showers. Interviews with the resident and a Licensed Practical Nurse confirmed the failure to provide the scheduled showers and the lack of documentation in the medical record. The facility's policy emphasized the importance of assisting residents with bathing, but this was not adhered to in the case of the resident in question.
Failure to Follow Physician Orders for Wound Care and Weight Monitoring
Penalty
Summary
The facility failed to ensure that wound prevention boots were applied as ordered by the physician for a resident with multiple wounds and intact cognition. The resident, who had a history of cerebral vascular accident, diabetes mellitus, and pressure-induced deep tissue damage, was observed on multiple occasions without the prescribed heel lift boot. Interviews with the resident and staff confirmed that the boot was not consistently applied, and the boot's location was unknown at one point. This oversight was verified by the Unit Manager, although the boot was eventually observed in place during a later check. Additionally, the facility did not adhere to physician orders for obtaining weekly weights for another resident with a history of disease of the pericardium, vitamin deficiency, protein malnutrition, cystic fibrosis, and adult failure to thrive. The resident, who was on tube feeding due to dysphagia and malnutrition, had several missed weight recordings over a period of months. The Director of Nursing confirmed the missed weight checks, and the Clinical Operations Director acknowledged the absence of a policy to ensure compliance with physician orders.
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What surveyors actually found near you
We read the 152 citations issued within 25 miles in the last 12 months — including the 1 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.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Fostoria
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| St Catherine's C C Of Fostoria | 0.2 mi | ★★★★★ | 16 | 0 |
| Independence House | 1.6 mi | ★★★★★ | 4 | 0 |
| The Willows At Tiffin | 10.6 mi | ★★★★★ | 0 | 0 |
| Autumnwood Care Center | 11.7 mi | ★★★★★ | 22 | 0 |
| St Francis Senior Ministries | 12.4 mi | ★★★★★ | 0 | 0 |
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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.