The Four Winds Community in Jackson, OH has a 3-star overall rating, with 3-star health inspection and staffing ratings and a 4-star quality rating. It reports 3.18 nurse staffing hours per resident per day versus the 4.1 federal benchmark, $0 in fines over the last 24 months, and recent inspection citations related to abuse/neglect reporting and antibiotic-use monitoring.
Last inspection: May 18, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1789.
Staffing detail
Registered nurses
0.51
Licensed practical nurses
0.79
Nurse aides
1.88
Weekend nursing
2.89
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 40%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
7.5%11.1%Worsening
Residents with a fall causing major injury
3.2%1.6%Improving
Residents with pressure ulcers (bedsores)
1.5%2.5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
5.8%9.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%7.7%Worsening
Residents whose ability to walk got worse
5.9%6.2%No change
Long-stay residents on antianxiety or sleep medication
26.4%32.7%Worsening
Short-stay residents newly given an antipsychotic
0%2.4%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27.4%26.7%Improving
Residents with depressive symptoms
15.8%3.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—97.3%—
Long-stay residents given the pneumonia vaccine
98.4%93.4%Worsening
Short-stay residents given the seasonal flu vaccine
—88%—
Short-stay residents given the pneumonia vaccine
86.8%97.4%Improving
What the inspectors found
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: E
The home failed to monitor antibiotic use properly. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 881 — 42 CFR §483.80 — S/S: E
The home failed to get ordered lab tests and services, and failed to promptly tell the doctor the results. Cited July 2025 — isolated incident, potential for harm.
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F-Tag 773 — 42 CFR §483.50 — S/S: D
The home failed to notify residents about certain money balances and to return resident funds when someone was discharged, evicted, or died. Cited March 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 569 — 42 CFR §483.10 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
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
PENALTY
A federal payment denial was recorded.
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
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Penalties & enforcement
On record with Medicare: 1 payment denial.
Medicare/Medicaid payment denial
Mar 20, 2025
10 days
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of UNITED CHURCH HOMES · 9 homes · 3.9 stars avg
Occupancy
73.8 residents on an average day (86% of 86 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.