Astoria Place of Waterville
555 Anthony Wayne Trail · Waterville, OH · 43566 · 4198783901
90 certified beds For profit - Corporation Chain: Certus Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $82,651 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$82,651 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.52 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.47 | 0.55–0.75 |
| Weekend hours / resident-day | 3.16 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 3 · $82,651 |
Inspection citations (48 in the current record)
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Actual harm · G January 8, 2026 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected January 23, 2026 · Quality of Life and Care
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Potential for harm · D January 8, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G September 30, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J August 27, 2025 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected September 30, 2025 · Nutrition and Dietary
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Potential for harm · D August 27, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected September 30, 2025 · Resident Rights
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Potential for harm · D August 27, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected September 30, 2025 · Resident Rights
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Potential for harm · D August 27, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 30, 2025 · Resident Rights
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Potential for harm · D August 27, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 27, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 27, 2025
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · D August 27, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · D August 27, 2025
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected September 30, 2025 · Administration
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Potential for harm · D August 27, 2025
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected September 30, 2025 · Nutrition and Dietary
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Potential for harm · D August 27, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · F August 27, 2025
Provide and implement an infection prevention and control program.
Corrected September 30, 2025 · Infection Control
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Potential for harm · D August 27, 2025
Implement a program that monitors antibiotic use.
Corrected September 30, 2025 · Infection Control
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Potential for harm · D August 27, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 30, 2025 · Infection Control
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Potential for harm · F August 27, 2025
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected September 30, 2025 · Administration
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Potential for harm · D August 27, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · D August 27, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 30, 2025 · Quality of Life and Care
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Potential for harm · F August 27, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected September 30, 2025 · Administration
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Potential for harm · E August 27, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 30, 2025 · Environmental
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Potential for harm · F June 18, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected June 26, 2025 · Nursing and Physician Services
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Potential for harm · E June 18, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 26, 2025 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 27, 2025 | Fine | $26,685 |
| August 27, 2025 | Fine | $38,350 |
| August 27, 2025 | Payment Denial | 58 days |
| March 21, 2025 | Fine | $17,616 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365747 · certified since October 10, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.