The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
WINCHESTER TERRACE
MANSFIELD, OH · Medicare-certified · 83 beds
In good standing
For-profit
3 of 5 overall
Winchester Terrace in Mansfield, OH has a 3 out of 5 star overall rating, with weaker health inspection and staffing ratings at 2 stars each but a 5-star quality measures rating. Reported nurse staffing is 2.96 hours per resident per day versus the 4.1 federal benchmark, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
2.9584 hrs/resident/day
Quality measures
Last inspection: December 31, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9584.
Staffing detail
- Registered nurses
- 0.69
- Licensed practical nurses
- 0.53
- Nurse aides
- 1.73
- Weekend nursing
- 2.66
Hours per resident per day.
Total staff turnover: 61%
Registered nurse turnover: 30%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.4%Steady
Residents with a fall causing major injury
2.6%Improving
Residents with pressure ulcers (bedsores)
1.2%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
1%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
1.1%Improving
Residents whose ability to walk got worse
2.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
22.3%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
16.3%Worsening
Residents with depressive symptoms
52.8%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
96.7%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited December 2019 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited September 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited February 2024 — widespread issue, potential for harm.
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F-Tag 919 — 42 CFR §483.90 — S/S: F
The nursing home failed to honor a resident’s right to manage their own money and financial affairs. Cited April 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 567 — 42 CFR §483.10 — 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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 49.1 residents on an average day (59% of 83 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.