Altercare Coshocton INC.
1991 Otsego Avenue, Coshocton, OH 43812 · Coshocton County · 74 certified beds · avg 67 residents/day · certified since Nov 30, 1992
Part of chain: ALTERCARE (22 facilities, chain avg rating 3.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Dec 8, 2025 · F-0687
The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults.
Why it matters: Neglected feet can develop painful sores and infections, especially dangerous for residents with diabetes.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 2, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (21)
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 |
|---|---|---|
| Dec 8, 2025 | ▲ G · Actual harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Dec 8, 2025 | 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. |
| Dec 8, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Dec 8, 2025 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Dec 8, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to manage their own money and financial affairs. |
| Dec 8, 2025 | D · Potential for harm, one-off | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. |
| Dec 8, 2025 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Dec 8, 2025 | 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. |
| Dec 8, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Dec 8, 2025 | 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. |
| Dec 8, 2025 | 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. |
| Dec 8, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Dec 8, 2025 | 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. |
| Dec 8, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Dec 8, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Dec 8, 2025 | D · Potential for harm, one-off | 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. |
| Jul 25, 2024 | 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. |
| Jul 25, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 6, 2023 | 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. |
| Apr 6, 2023 | E · Potential for harm, repeated | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Apr 6, 2023 | C · Minimal risk, facility-wide | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 16).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | F |
| 2024 | 2 | 0 | F |
| 2025 | 16 | 1 | G ▲ |
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) | 3.30 | 3.45 | 3.95 | bottom 48% in Ohio; bottom 26% in the U.S. |
| Registered Nurse hours | 0.61 | 0.60 | 0.69 | top 37% in Ohio; top 46% in the U.S. |
| Weekend total nurse staffing | 2.92 | 3.07 | 3.50 | bottom 48% in Ohio; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.42 | 0.48 | top 34% in Ohio; top 40% in the U.S. |
| Total nursing staff turnover (%) | 44.3 | 48.7 | 45.8 | top 38% in Ohio; top 48% in the U.S. |
| RN turnover (%) | 27.3 | 43.9 | 42.9 | top 23% in Ohio; top 24% 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 3.57, RN 0.66, weekend 3.17. Staffing rating: 3/5.
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: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Andrew M Schroer | Organization | 5% or Greater Indirect Ownership Interest | — | 06/01/2018 |
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Gerald F Schroer Jr | Organization | 5% or Greater Indirect Ownership Interest | — | 06/01/2018 |
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Matthew Schroer | Organization | 5% or Greater Indirect Ownership Interest | — | 06/01/2018 |
| Gerald F Schroer Dynasty Tr Ua 12312009 Margaret S Goodman | Organization | 5% or Greater Indirect Ownership Interest | — | 06/01/2018 |
| Susanne Schroer Dynasty Trust U/A | Organization | 5% or Greater Indirect Ownership Interest | — | 06/01/2018 |
| The Schroer Group, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 06/01/2018 |
| TSG Nursing Centers, INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/01/2018 |
| Altercare of Ohio, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2018 |
| Film, George | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2018 |
| Goodman, John | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2018 |
| Johnson, Kathy | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2018 |
| Mock, Douglas | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/20/2021 |
| Mock, Douglas | Individual | Corporate Director | NOT APPLICABLE | 09/20/2021 |
| Mock, Douglas | Individual | Corporate Officer | NOT APPLICABLE | 09/20/2021 |
| Nutter, Orian | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How do you explain health changes and treatment options to residents and their families?"
- "How are residents' personal funds handled here, and what records can families review?"
- "How do you manage residents' personal funds, and how often do families receive an accounting?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "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 |
|---|---|---|---|---|---|
| Roscoe Gardens Skilled Nursing and Rehab | 2.1 mi | Coshocton, OH | ★★☆☆☆ | 1/5 | |
| Lafayette Pointe Nursing & Rehab Ctr | 6.0 mi | West Lafayette, OH | ★★★★☆ | 4/5 | |
| Riverside Manor Nrsg & Rehab Ctr | 14.0 mi | Newcomerstown, OH | ★★★☆☆ | 2/5 | |
| Oak Pointe Nursing & Rehabilitation | 15.8 mi | Baltic, OH | ★★★★★ | 5/5 | |
| Continuing Healthcare at Beckett House | 17.9 mi | New Concord, OH | ★★☆☆☆ | 2/5 | |
| Altercare Zanesville INC. | 19.2 mi | Zanesville, OH | ★★☆☆☆ | 2/5 | |
| Altercare Cambridge INC. | 19.2 mi | Cambridge, OH | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365890.