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Nursing home report

SMITHVILLE WESTERN CARE CENTER

WOOSTER, OH · Medicare-certified · 127 beds

Needs attention
For-profitChain member
3 of 5 overall

3 out of 5 stars overall. Health inspection is 2 stars and staffing is 3 stars, with nurse staffing at 3.44 hours per resident per day below the 4.1 federal benchmark; the facility also has a recent federal penalty and $42,777 in fines over the last 24 months.

Facility ratings

Health inspections

Staffing

3.4434 hrs/resident/day

Quality measures

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 3.4434.

Staffing detail

Registered nurses
0.59
Licensed practical nurses
1.15
Nurse aides
1.70
Weekend nursing
3.10

Hours per resident per day.

Total staff turnover: 40%
Registered nurse turnover: 33%

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

7.7%2%Improving

Residents with a fall causing major injury

4.5%2.6%Improving

Residents with pressure ulcers (bedsores)

1.4%1.3%No change

Residents with a urinary tract infection

0%1.3%Worsening

Residents who lost too much weight

7.5%4.5%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

0%4.5%Worsening

Residents whose ability to walk got worse

3.9%4.4%Worsening

Long-stay residents on antianxiety or sleep medication

24.5%16.7%Improving

Short-stay residents newly given an antipsychotic

0%2%Worsening

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

22.6%24.5%Worsening

Residents with depressive symptoms

9.5%16.2%Worsening

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

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%95.7%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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $42,777 was recorded.

  5. 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 · 3.9 stars avg
Occupancy
98.6 residents on an average day (78% 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.