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 Nursing Center
Registered name: WINCHESTER TERRACE
MANSFIELD, OH · Medicare-certified · 83 beds
Needs attention
For-profit
Data as of July 1, 2026
2 of 5 overall
2 out of 5 stars overall. Winchester Terrace Nursing Center has a 2-star health inspection rating, a 1-star staffing rating, and reported nurse staffing of 2.75 hours per resident per day versus the federal benchmark of 4.1; it also had $14,015 in fines in the last 24 months and a recent federal penalty, while its quality measures rating is 5 stars.
Facility ratings
Health inspections
Staffing
2.7533 hrs/resident/day
Quality measures
Last inspection: December 31, 2025Penalties, last 24 months: $14,015recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7533.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.57
- Nurse aides
- 1.58
- Weekend nursing
- 2.45
Hours per resident per day.
Total staff turnover: 65%
Registered nurse turnover: 50%
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
0%0%No change
Residents with a fall causing major injury
5.4%2.2%Improving
Residents with pressure ulcers (bedsores)
0%1.5%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
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
4.2%8.6%Worsening
Long-stay residents on antianxiety or sleep medication
25%25%No change
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
12.3%18.4%Worsening
Residents with depressive symptoms
63.9%37.2%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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.7%—
Short-stay residents given the pneumonia vaccine
100%100%No change
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.
View the original federal record
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
- PENALTY
A federal fine of $14,015 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $14,015 in total fines.
- $14,015
Federal fine
Sep 18, 2025
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 51.7 residents on an average day (62% 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.