Deficiency Index

Johnstown Pointe Nursing & Rehabilitation Center

Johnstown, Ohio · CCN 366484

4 surveys since 2021, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
8
Surveys
4
Harm or worse
0
Immediate jeopardy
0
The record, 2021–2025
’21’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file2/4

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
117
Ownership
For profit - Corporation
Chain
FOUNDATIONS HEALTH SOLUTIONS
County
Licking
Medicare-certified since
2021

CMS ratings

Overall
5
Health inspection
5
Staffing
3
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=8, floor 20).

Last survey on record

Jan 2, 2025

676 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.723.51
Registered-nurse hours per resident day0.71—
Annual nurse turnover41.1%51.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD6100.0%E—F—
No harm, potential for minimalA—B—C—
CMS’s current file: 6 of the 8 citations on record.

In the surveyor’s words

From the most serious findings on record at Johnstown Pointe Nursing & Rehabilitation Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF550Jan 2, 2025

    Based on medical record review, observation, and staff interview, the facility failed to provide dignity in dining for one resident (Resident #60) of nine residents reviewed for dining observations. The facility census was 75. Review of the medical record for Resident #60 revealed an admitted [DATE]. Diagnoses included encounter for other orthopedic aftercare, anemia, difficulty in walking and need for assistance with personal care. Review of Resident #60's Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 11, indicating moderately impaired cognition. […]

  • No harm, potential for more than minimal, isolatedF692Jan 2, 2025

    Based on medical record review, staff interview, and facility policy review, the facility failed to ensure resident weights were timely obtained to confirm and address significant weight loss. This affected one (Resident #120) of three residents reviewed for nutrition. The facility census was 75. Findings include: Review of the medical record for Resident #120 revealed the resident was admitted to the facility on [DATE]. Medical diagnoses included anemia, myocardial infarction, difficulty walking, chronic obstructive pulmonary disease, moderate protein calorie malnutrition, insomnia, chronic kidney disease (stage III), major depressive disorder, hyperlipidemia, and alcohol abuse. […]

  • No harm, potential for more than minimal, isolatedF880Jan 2, 2025

    Based on observations, medical record reviews, staff interviews, and facility policy review the facility failed to implement Enhanced Barrier Precautions (EBP) for one resident with an indwelling urinary catheter, and one resident with an unhealed surgical wound related to a fractured hip. This deficient practice affected two residents (Resident #220 and #269) out of four residents reviewed for Enhanced Barrier Precautions. The facility census was 75. Findings include: 1. A review of Resident #220's medical record revealed an admitted [DATE] with diagnoses including but not limited to dementia, high blood pressure, neuromuscular dysfunction of bladder, and chronic pain syndrome. […]

  • No harm, potential for more than minimal, isolatedF645Feb 16, 2023

    Based on interview and record review the facility failed to ensure Preadmission Screening and Resident Review (PASARR) was done upon admission and updated with current diagnoses. This affected one resident (#41) of two residents reviewed for PASARRs. The facility census was 73. Findings include: Review of the medical record revealed Resident #41 was admitted on [DATE] with diagnoses including malignant neoplasm of pancreas and bone, anxiety disorder, major depressive disorder, unspecified, intellectual disabilities, down syndrome, schizophrenia, and agoraphobia with panic disorder. Review of the PASARR provided on 02/14/23 revealed it was completed on 12/10/20 by another facility. The only mental diagnosis listed was schizophrenia. Interview on 02/14/23 at 1:58 P.M. and 2:50 P.M. […]

  • No harm, potential for more than minimal, isolatedF677Feb 16, 2023

    Based on record review and interview, the facility failed to ensure showers/bed baths were provided to residents requiring assistance with activities of daily living. This affected two residents (#325 and #326) of two residents reviewed for showers. The facility census was 73. Findings include: 1. Resident #325 was admitted to the facility on [DATE] with diagnoses including metabolic encephalopathy, extended spectrum beta lactamase (ESBL) resistance, and diabetes mellitus. Review of Resident #325's Minimum Data Set (MDS) 3.0 assessment revealed it was still in progress. Review of the resident level of function section in Resident #325's baseline care plan dated 02/09/23 revealed the resident preferred a shower and required total care when bathed. […]

Read all 8 findings in full →

Every survey on record

FindingsAt actual harm or above

  • Jan 2, 2025Standard3 findings
  • Feb 16, 2023Standard3 findings
  • Jan 3, 2023Complaint1 finding
  • Oct 21, 2021Complaint1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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