The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Continuing Healthcare of Niles
Registered name: AUTUMN HILLS CARE CENTER
NILES, OH · Medicare-certified · 120 beds
In good standing
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
3 out of 5 stars overall. Continuing Healthcare of Niles has a very low staffing rating of 1 out of 5, with reported nurse staffing at 3.00 hours per resident per day versus the 4.1-hour federal benchmark; its health inspection rating is 3 out of 5, quality measures are 5 out of 5, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0035 hrs/resident/day
Quality measures
Last inspection: March 2, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0035.
Staffing detail
- Registered nurses
- 0.32
- Licensed practical nurses
- 1.12
- Nurse aides
- 1.56
- Weekend nursing
- 2.74
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.4%5.6%Worsening
Residents with a fall causing major injury
1.2%1.2%No change
Residents with pressure ulcers (bedsores)
3.4%2.8%Improving
Residents with a urinary tract infection
1.2%0%Improving
Residents who lost too much weight
10.9%6.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.4%1.5%Improving
Residents whose ability to walk got worse
—4.4%—
Long-stay residents on antianxiety or sleep medication
42.2%32.9%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2.2%1.2%Improving
Residents with new or worsening incontinence
22.1%16.2%Improving
Residents with depressive symptoms
9.2%8.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.8%—
Long-stay residents given the pneumonia vaccine
97.6%97.5%No change
Short-stay residents given the seasonal flu vaccine
—91.5%—
Short-stay residents given the pneumonia vaccine
94.2%72.8%Worsening
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited August 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 payment denial.
- 13 days
Medicare/Medicaid payment denial
Jan 28, 2025
Operator & ownership
Recent ownership change · Jan 1, 2016
Now operated by Continuing Healthcare of Niles, previously Autumn Hills Care Center.
- Ownership
- For profit - Partnership
- Chain
- Part of CONTINUING HEALTHCARE SOLUTIONS · 12 homes · 2.1 stars avg
- Occupancy
- 106.6 residents on an average day (89% of 120 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 40 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.