Four Winds Nursing Facility
215 Seth Avenue · Jackson, OH · 45640 · 7402867551
86 certified beds Non profit - Corporation Chain: United Church Homes
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.13 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 2.91 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (19 in the current record)
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Potential for harm · D July 23, 2025 · found via complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected August 8, 2025 · Administration
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Potential for harm · D March 20, 2025
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · D March 20, 2025
Respond appropriately to all alleged violations.
Corrected June 30, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 20, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected June 30, 2025 · Resident Rights
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Potential for harm · D March 20, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 30, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 20, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 30, 2025 · Quality of Life and Care
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Potential for harm · D March 20, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 30, 2025 · Pharmacy Service
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Potential for harm · D March 20, 2025
Provide and implement an infection prevention and control program.
Corrected June 30, 2025 · Infection Control
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Potential for harm · E March 20, 2025
Implement a program that monitors antibiotic use.
Corrected June 30, 2025 · Infection Control
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Potential for harm · D April 13, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 15, 2023 · Resident Rights
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Potential for harm · D April 13, 2023
Ensure each resident receives an accurate assessment.
Corrected May 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D April 13, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 15, 2023 · Quality of Life and Care
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Potential for harm · D April 13, 2023
Provide activities to meet all resident's needs.
Corrected May 15, 2023 · Quality of Life and Care
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Potential for harm · D April 13, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected May 15, 2023 · Pharmacy Service
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Potential for harm · D February 13, 2020
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 20, 2020 · Resident Rights
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Potential for harm · D February 13, 2020
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected March 20, 2020 · Resident Rights
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Potential for harm · D February 13, 2020
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected March 20, 2020 · Resident Rights
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Potential for harm · D February 13, 2020
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 20, 2020 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 20, 2025 | Payment Denial | 10 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365669 · certified since February 7, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.