Altercare of Hartville Ctr for
1420 Smith Kramer Road, Hartville, OH 44632 · Stark County · 95 certified beds · avg 78 residents/day · certified since Feb 1, 1996
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: ★★★★☆4/5 · CMS overall rating: 5/5
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 · Aug 29, 2023 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Sep 20, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| Feb 27, 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. |
| Feb 27, 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. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Dec 20, 2023 | E · Potential for harm, repeated | 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 |
| Nov 13, 2023 | 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. · from a complaint |
| Nov 13, 2023 | 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. · from a complaint |
| Nov 13, 2023 | 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. · from a complaint |
| Nov 13, 2023 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Aug 29, 2023 | ▲ G · Actual 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 |
| Aug 29, 2023 | F · Potential for harm, facility-wide | 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 |
| Aug 29, 2023 | 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 |
| Sep 1, 2022 | 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. |
| Sep 1, 2022 | 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. |
| Sep 1, 2022 | C · Minimal risk, 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. |
| Sep 1, 2022 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Sep 12, 2019 | 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. |
| Sep 12, 2019 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | E |
| 2022 | 4 | 0 | D |
| 2023 | 8 | 1 | G ▲ |
| 2025 | 5 | 0 | D |
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) | 3.40 | 3.45 | 3.95 | top 43% in Ohio; bottom 31% in the U.S. |
| Registered Nurse hours | 0.65 | 0.60 | 0.69 | top 31% in Ohio; top 42% in the U.S. |
| Weekend total nurse staffing | 2.89 | 3.07 | 3.50 | bottom 45% in Ohio; bottom 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.42 | 0.42 | 0.48 | top 42% in Ohio; top 46% in the U.S. |
| Total nursing staff turnover (%) | 60.0 | 48.7 | 45.8 | bottom 21% in Ohio; bottom 17% in the U.S. |
| RN turnover (%) | 60.0 | 43.9 | 42.9 | bottom 24% in Ohio; bottom 22% 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 3.78, RN 0.72, weekend 3.22. Staffing rating: 2/5.
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 | — | 12/15/2015 |
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Gerald F Schroer Jr | Organization | 5% or Greater Indirect Ownership Interest | — | 12/15/2015 |
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Matthew Schroer | Organization | 5% or Greater Indirect Ownership Interest | — | 12/15/2015 |
| Gerald F Schroer Dynasty Tr Ua 12312009 Margaret S Goodman | Organization | 5% or Greater Indirect Ownership Interest | — | 12/15/2015 |
| Susanne Schroer Dynasty Trust U/A | Organization | 5% or Greater Indirect Ownership Interest | — | 07/01/2019 |
| The Schroer Group, INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 10/01/2001 |
| TSG Nursing Centers, INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2003 |
| Altercare of Ohio, INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2001 |
| Film, George | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2019 |
| Goodman, John | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2003 |
| Johnson, Kathy | Individual | Corporate Officer | NOT APPLICABLE | 01/10/2010 |
| Mock, Douglas | Individual | W-2 Managing Employee | 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 |
| Powell, Leslie | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/15/2015 |
| Powell, Leslie | Individual | Corporate Officer | NOT APPLICABLE | 12/15/2015 |
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 do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
- "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Saint Luke Lutheran Home | 4.4 mi | North Canton, OH | ★☆☆☆☆ | 1/5 | SFF |
| Windsor Medical Center INC | 4.8 mi | North Canton, OH | ★★★★☆ | 4/5 | |
| Altercare of Louisville Ctr for Rehab & Nsg Care | 6.2 mi | Louisville, OH | ★★★☆☆ | 3/5 | |
| Saint Joseph Care Center | 6.7 mi | Louisville, OH | ★★☆☆☆ | 2/5 | |
| Gardens of Belden Village | 7.2 mi | Canton, OH | ★☆☆☆☆ | 2/5 | |
| Bethany Nursing Home, INC | 7.4 mi | Canton, OH | ★★☆☆☆ | 1/5 | |
| Green Meadows Skilled Nursing and Rehab | 7.5 mi | Louisville, OH | ★★☆☆☆ | 1/5 | |
| The Pavilion at Edgefield for Nursing and Rehabili | 7.5 mi | Canton, OH | ★☆☆☆☆ | 1/5 | |
| Green Village Skilled Nursing & Rehabilitation LTD | 8.1 mi | Akron, OH | ★★★★☆ | 3/5 | |
| Canton Christian Home | 8.2 mi | Canton, OH | ★★★★☆ | 3/5 | |
| Pebble Creek Healthcare Center | 8.3 mi | Akron, OH | ★★★★★ | 5/5 | |
| Altercare of Nobles Pond, INC | 8.7 mi | Canton, OH | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 366027.