Smithville Western Care Center
4110 East Smithville Western Road · Wooster, OH · 44691 · 3303459050
127 certified beds For profit - Corporation Chain: Sprenger Health Care Systems
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 3.10 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 1 · $42,777 |
Inspection citations (38 in the current record)
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Potential for harm · D April 28, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · E April 28, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected May 9, 2025 · Pharmacy Service
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Potential for harm · D January 15, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected January 29, 2025 · Resident Rights
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Potential for harm · D January 15, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected October 16, 2024 · Resident Rights
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Potential for harm · D January 15, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 29, 2025 · Quality of Life and Care
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Immediate jeopardy · J October 31, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 5, 2024 · Quality of Life and Care
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Potential for harm · D October 31, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 5, 2024 · Resident Rights
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Potential for harm · E October 31, 2024 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected November 5, 2024 · Nursing and Physician Services
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Potential for harm · D July 2, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected August 13, 2024 · Resident Rights
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Potential for harm · D July 2, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected August 13, 2024 · Resident Rights
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Potential for harm · D July 2, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 13, 2024 · Quality of Life and Care
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Potential for harm · D July 2, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 13, 2024 · Quality of Life and Care
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Potential for harm · D July 2, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected August 13, 2024 · Pharmacy Service
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Potential for harm · E July 2, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected August 13, 2024 · Pharmacy Service
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Potential for harm · F July 2, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 13, 2024 · Nutrition and Dietary
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Potential for harm · F July 2, 2024
Dispose of garbage and refuse properly.
Corrected August 13, 2024 · Nutrition and Dietary
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Potential for harm · D July 2, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · E July 2, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected August 13, 2024 · Environmental
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Potential for harm · F July 2, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 13, 2024 · Environmental
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Potential for harm · D April 11, 2024 · found via complaint
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 15, 2024 · Resident Rights
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Potential for harm · D February 8, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected February 9, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 24, 2022
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 29, 2022 · Resident Rights
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Potential for harm · D March 24, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 29, 2022 · Resident Assessment and Care Planning
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Potential for harm · D March 24, 2022
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 29, 2022 · Nutrition and Dietary
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Potential for harm · D March 24, 2022
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected April 29, 2022 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 31, 2024 | Fine | $42,777 |
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 365317 · certified since April 9, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.