Als Mount Vernon INC

Name: Als Mount Vernon INC
Address: 1135 GAMBIER ROAD, Mount Vernon, OH, 43050, US
Telephone: 7403921599

1135 Gambier Road, Mount Vernon, OH 43050 · Knox County · 20 certified beds · avg 19 residents/day · certified since Aug 8, 2013

Part of chain: LIONSTONE CARE (24 facilities, chain avg rating 2.5★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.80

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: 3/5

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 (23)

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 17, 2026	D · Potential for harm, one-off	The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint
Mar 17, 2026	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). · from a complaint
Jan 29, 2026	F · Potential for harm, facility-wide	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.
Jan 29, 2026	E · Potential for harm, repeated	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Jan 29, 2026	E · Potential for harm, repeated	The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs.
Jan 29, 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.
Jan 29, 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.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Mar 26, 2025	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Mar 26, 2025	C · Minimal risk, facility-wide	The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. · from a complaint
Jun 24, 2024	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jun 24, 2024	E · Potential for harm, repeated	The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences.
Jun 24, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 24, 2024	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.
Jun 24, 2024	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.
Jun 24, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 24, 2024	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.
Jun 24, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Jun 24, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Jun 24, 2024	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents.
Apr 21, 2022	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 7).

Year	Citations	Worst severity that year
2022	1	D
2024	10	F
2025	3	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)	2.80	3.45	3.95	bottom 13% in Ohio; bottom 8% in the U.S.
Registered Nurse hours	0.79	0.60	0.69	top 16% in Ohio; top 28% in the U.S.
Weekend total nurse staffing	2.66	3.07	3.50	bottom 23% in Ohio; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.65	0.42	0.48	top 11% in Ohio; top 19% in the U.S.
Total nursing staff turnover (%)	70.4	48.7	45.8	bottom 6% in Ohio; bottom 5% in the U.S.
RN turnover (%)	0.0	43.9	42.9	—

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 3.17, RN 0.89, weekend 3.01. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Kazarnovsky, Solomon	Individual	5% or Greater Indirect Ownership Interest	50%	07/01/2022
Lionstone Als Opco Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	07/01/2022
Stein, Abba	Individual	5% or Greater Indirect Ownership Interest	50%	07/01/2022
Cusner, Adam	Individual	Corporate Officer	NOT APPLICABLE	01/27/2025
Cusner, Adam	Individual	Operational/Managerial Control	NOT APPLICABLE	01/27/2025
Degyansky, Jeffrey	Individual	Corporate Officer	NOT APPLICABLE	01/01/2022
Degyansky, Jeffrey	Individual	Operational/Managerial Control	NOT APPLICABLE	06/30/2022
Degyansky, Jeffrey	Individual	ADP of the SNF	NOT APPLICABLE	06/30/2022
Goldish, Eliezer	Individual	Corporate Officer	NOT APPLICABLE	10/09/2023
Goldish, Eliezer	Individual	Operational/Managerial Control	NOT APPLICABLE	10/09/2023
Kazarnovsky, Solomon	Individual	Operational/Managerial Control	NOT APPLICABLE	06/30/2022
Kazarnovsky, Solomon	Individual	ADP of the SNF	NOT APPLICABLE	06/30/2022
Stein, Abba	Individual	Corporate Officer	NOT APPLICABLE	07/01/2022
Stein, Abba	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2022
Stein, Abba	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2022

Questions to ask on your visit

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

"Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
"What training do your staff receive for caring for residents with dementia or mental health conditions?"
"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?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"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	Flags
Ohio Eastern Star HLTH Care Ctr the	0.9 mi	Mount Vernon, OH	★★☆☆☆	3/5
Country Club Retirement Center	1.0 mi	Mount Vernon, OH	★★☆☆☆	2/5	abuse
Country Court	1.2 mi	Mount Vernon, OH	★★☆☆☆	1/5
Whispering Hills Rehabilitation and Nursing Center	1.4 mi	Mount Vernon, OH	★★★★☆	3/5
Laurels of Mt Vernon the	1.8 mi	Mount Vernon, OH	★★☆☆☆	2/5
Centerburg Pointe	12.9 mi	Centerburg, OH	★★★☆☆	2/5
Morrow Manor Nursing Center	13.1 mi	Chesterville, OH	★★★☆☆	3/5
Country Meadow Rehabilitation and Nursing Center	17.9 mi	Bellville, OH	★★☆☆☆	2/5
Bennington Glen Nursing & Rehabilitation Center	19.0 mi	Marengo, OH	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Mount Vernon →

Facility data as of CMS processing date 2026-08-01. CCN 366412.

The Care File

Visit checklist — Als Mount Vernon INC

1135 Gambier Road, Mount Vernon, OH 43050 · 7403921599

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

Questions for the administrator:

☐ "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What specific training do your nurse aides complete in dementia care and abuse prevention, and how often is it refreshed?"
☐ "What training do your staff receive for caring for residents with dementia or mental health conditions?"
☐ "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?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "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 366412 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)