Adams County Manor

Name: Adams County Manor
Address: 10856 STATE ROUTE 41, West Union, OH, 45693, US
Telephone: 9375442205

10856 State Route 41, West Union, OH 45693 · Adams County · 74 certified beds · avg 70 residents/day · certified since Aug 1, 1997

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.44

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (15)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 26, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 26, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Mar 26, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Mar 26, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Mar 21, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Mar 21, 2024	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jul 1, 2021	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jul 1, 2021	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 1, 2021	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jul 1, 2021	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 9).

Year	Citations	Worst severity that year
2021	4	D
2024	2	E
2026	9	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.44	3.45	3.95	top 41% in Ohio; bottom 34% in the U.S.
Registered Nurse hours	0.42	0.60	0.69	bottom 23% in Ohio; bottom 25% in the U.S.
Weekend total nurse staffing	3.12	3.07	3.50	top 36% in Ohio; bottom 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.34	0.42	0.48	bottom 40% in Ohio; bottom 40% in the U.S.
Total nursing staff turnover (%)	59.3	48.7	45.8	bottom 22% in Ohio; bottom 17% in the U.S.
RN turnover (%)	70.0	43.9	42.9	bottom 14% in Ohio; bottom 12% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.44, RN 0.42, weekend 3.12. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5

Who owns this facility

For profit - Partnership

Owner / manager	Type	Role	Stake	Since
Houser, Ann	Individual	Corporate Officer	NOT APPLICABLE	07/01/2011
Houser, Ann	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2011
Houser, Ann	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2011
Houser, John	Individual	Corporate Officer	NOT APPLICABLE	08/01/1999
Houser, John	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/1999
Houser, John	Individual	ADP of the SNF	NOT APPLICABLE	12/28/2009
JBH Land Co	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	12/28/2009
JBH Land Co	Organization	ADP of the SNF	NOT APPLICABLE	12/28/2009

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Eagle Creek Nursing Center	0.4 mi	West Union, OH	★★★★★	4/5
Monarch Meadows Nursing and Rehabilitation	12.9 mi	Seaman, OH	★★★☆☆	3/5
Ohio Valley Manor Care Center	13.1 mi	Ripley, OH	★★★★☆	4/5
Maysville Nursing and Rehabilitation Facility	15.6 mi	Maysville, KY	★★★★★	5/5
Villa Georgetown Rehabilitation and Healthcare Cen	17.6 mi	Georgetown, OH	★★★★☆	4/5
Ohio Veterans Home - Georgetown	18.5 mi	Georgetown, OH	★★★★★	5/5
Vanceburg Hills	18.7 mi	Vanceburg, KY	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in West Union →

Facility data as of CMS processing date 2026-08-01. CCN 366143.

The Care File

Visit checklist — Adams County Manor

10856 State Route 41, West Union, OH 45693 · 9375442205

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 366143 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)