Smithville Western Skilled Nursing in Wooster, OH has an overall 2-star rating, with 2 stars for health inspections, 4 stars for staffing, and 4 stars for quality measures. It reports 3.63 nurse hours per resident per day versus the 4.1 federal benchmark, and has had $42,777 in fines in the last 24 months with a recent federal penalty.
Last inspection: April 28, 2025Penalties, last 24 months: $42,777recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6343.
Staffing detail
Registered nurses
0.59
Licensed practical nurses
1.25
Nurse aides
1.80
Weekend nursing
3.26
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 39%
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
0%1.7%Worsening
Residents with a fall causing major injury
4.3%1.2%Improving
Residents with pressure ulcers (bedsores)
2.3%4.3%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
3.8%6.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
1.9%4.3%Worsening
Residents whose ability to walk got worse
6.4%4.7%Improving
Long-stay residents on antianxiety or sleep medication
22.6%19.2%Improving
Short-stay residents newly given an antipsychotic
0%2.2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
13.2%25.4%Worsening
Residents with depressive symptoms
18.5%15.6%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
—98.7%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—95.7%—
Short-stay residents given the pneumonia vaccine
100%94.2%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly dispose of garbage and other waste. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 814 — 42 CFR §483.60 — S/S: F
The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 925 — 42 CFR §483.90 — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — 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 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $42,777 was recorded.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $42,777 in total fines.
Federal fine
Oct 31, 2024
$42,777
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of SPRENGER HEALTH CARE SYSTEMS · 12 homes · 3.4 stars avg
Occupancy
91.5 residents on an average day (72% of 127 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.