CMS data shows Smithville Western Care Center earning a D grade with a score of 52/100, placing it below most facilities in Ohio. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels are a potential concern at Smithville Western Care Center, with 3.41 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 38 deficiencies at Smithville Western Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.41 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.64 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 1.05 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.73 | 2.4 | Below Average |
| Weekend Total Nursing | 3.00 | 3.8 | Below Average |
| Weekend RN Hours | 0.40 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Apr 27, 2025 · Pharmacy Service Deficiencies
- Tag 0584 Severity DHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dApr 27, 2025 · Resident Rights Deficiencies
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.Jan 14, 2025 · Resident Rights Deficiencies
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.Jan 14, 2025 · Resident Rights Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jan 14, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 2.3% | 4.5% | Better |
| Falls with major injury | 3.2% | 3.0% | Average |
| On antipsychotic medication | 2.9% | 14.5% | Better |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 3.1% | 14.0% | Better |
| Excessive weight loss | 6.6% | 7.5% | Better |
| New/worsened incontinence | 23.8% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $42,777
How This Grade Was Calculated
This facility's grade of D is based on a score of 52 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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