Winchester Terrace

70 Winchester Rd · Mansfield, OH · 44907 · 4197564747

83 certified beds For profit - Corporation

Why this verdict

  • 3 citations involved actual harm to residents.

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Red flags

Total nurse staffing below 3.0 hours per resident-day

2.96 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

61% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 46
Serious harm & abuse 20% 82
Staffing 20% 56
Federal penalties 15% 74
Trend 10% 72
Context 5% 100

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: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.963.48 min · 4.1 strong
RN hours / resident-day0.690.55–0.75
Weekend hours / resident-day2.66≈ weekday level
Nursing turnover / year61%median 45%
Fines (3-yr window)1 · $14,015

Inspection citations (40 in the current record)

  • Potential for harm · D December 31, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 15, 2026 · Quality of Life and Care

  • Actual harm · G September 18, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 1, 2025 · Quality of Life and Care

  • Potential for harm · F September 18, 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 December 17, 2025 · Environmental

  • Actual harm · G November 6, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 29, 2024 · Quality of Life and Care

  • Potential for harm · D November 6, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected November 29, 2024 · Infection Control

  • Potential for harm · D July 2, 2024

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected August 21, 2024 · Resident Rights

  • 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 21, 2024 · Quality of Life and Care

  • Potential for harm · D July 2, 2024

    Provide activities to meet all resident's needs.

    Corrected August 21, 2024 · Quality of Life and Care

  • Potential for harm · D July 2, 2024

    Provide and implement an infection prevention and control program.

    Corrected August 21, 2024 · Infection Control

  • Potential for harm · F 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 21, 2024 · Environmental

  • No harm found · C July 2, 2024

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected August 14, 2024 · Resident Rights

  • No harm found · C 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 14, 2024 · Resident Rights

  • Potential for harm · D February 7, 2024 · found via complaint

    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 March 6, 2024 · Quality of Life and Care

  • Potential for harm · F February 7, 2024 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected March 6, 2024 · Environmental

  • Potential for harm · F December 19, 2023 · 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 March 6, 2024 · Environmental

  • Potential for harm · D April 13, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected May 26, 2023 · Resident Rights

  • Potential for harm · D April 13, 2023

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected May 26, 2023 · Resident Rights

  • Potential for harm · E April 13, 2023

    Honor the resident's right to manage his or her financial affairs.

    Corrected May 26, 2023 · Resident Rights

  • Potential for harm · E April 13, 2023

    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

    Corrected May 26, 2023 · Resident Rights

  • Potential for harm · D April 13, 2023

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected May 26, 2023 · Resident Rights

  • 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 26, 2023 · Quality of Life and Care

  • Potential for harm · D April 13, 2023

    Provide activities to meet all resident's needs.

    Corrected May 26, 2023 · Quality of Life and Care

  • Potential for harm · D April 13, 2023

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected May 26, 2023 · Quality of Life and Care

  • Potential for harm · D April 13, 2023

    Provide enough food/fluids to maintain a resident's health.

    Corrected May 26, 2023 · Quality of Life and Care

  • Potential for harm · D April 13, 2023

    Ensure that residents are free from significant medication errors.

    Corrected May 26, 2023 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
September 18, 2025Fine$14,015

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365911 · certified since March 19, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.