The nursing home failed to protect residents from abuse and neglect by others. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
HIGHLAND SQUARE NURSING AND REHABILITATION
AKRON, OH · Medicare-certified · 91 beds
Needs attention
Abuse citationFor-profit
Data as of July 1, 2026
2 of 5 overall
Highland Square Nursing and Rehabilitation in Akron has a 2-star overall rating, with very low health inspection and staffing ratings (1 star each) despite a 5-star quality measures rating. It also has reported nurse staffing below the federal benchmark (3.14 vs. 4.1 hours per resident per day), $208,175 in fines in the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.1436 hrs/resident/day
Quality measures
Last inspection: September 18, 2025Penalties, last 24 months: $208,175recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1436.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.76
- Nurse aides
- 1.85
- Weekend nursing
- 2.86
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 38%
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
8.1%19.4%Worsening
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
1.7%1.5%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.2%5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%0%No change
Residents whose ability to walk got worse
—0%—
Long-stay residents on antianxiety or sleep medication
15.2%17.5%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
22.3%12.1%Improving
Residents with depressive symptoms
71.8%35.4%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
—91.8%—
Long-stay residents given the pneumonia vaccine
52.8%90.4%Improving
Short-stay residents given the seasonal flu vaccine
—44.4%—
Short-stay residents given the pneumonia vaccine
59%65.7%Improving
What the inspectors found
The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited May 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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
- PENALTY
A federal fine of $191,779 was recorded.
- PENALTY
A federal fine of $295,045 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $16,396 was recorded.
- PENALTY
A federal fine of $16,801 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $299,782 in total fines.
- $191,779
Federal fine
Aug 20, 2025
- $16,396
Federal fine
Apr 9, 2025
- $16,801
Federal fine
May 24, 2024
- $63,783
Federal fine
Jan 18, 2024
- $11,023
Federal fine
Jan 18, 2024
Operator & ownership
Recent ownership change · Dec 31, 2021
Now operated by Buckeye Forest at Akron LLC, previously Akron Healthcare LLC.
- Ownership
- For profit - Corporation
- Occupancy
- 67.5 residents on an average day (74% of 91 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 51 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.