Ashtabula County Nursing Home
5740 Dibble Road, Kingsville, OH 44048 · Ashtabula County · 133 certified beds · avg 114 residents/day · certified since Jun 21, 1989
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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)
▲ Immediate jeopardy, one-off · Oct 23, 2018 · F-0757
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.
Why it matters: Unneeded drugs expose residents to side effects, drowsiness, falls, and dangerous interactions.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Nov 5, 2018 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 25, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
▲ Actual harm, one-off · Dec 5, 2019 · F-0686
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: Jan 23, 2020 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 23, 2018 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Nov 5, 2018 (Deficient, Provider has date of correction)
All citations in the current public record (20)
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 25, 2026 | ▲ G · Actual 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 4, 2024 | D · Potential for harm, one-off | The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · from a complaint |
| Aug 31, 2023 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Dec 5, 2019 | ▲ 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. |
| Dec 5, 2019 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 5, 2019 | 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. |
| Dec 5, 2019 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Dec 5, 2019 | 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 5, 2019 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Oct 23, 2018 | ▲ J · Immediate jeopardy, 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. |
| Oct 23, 2018 | ▲ G · Actual 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. |
| Oct 23, 2018 | E · Potential for harm, repeated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 23, 2018 | 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. |
| Oct 23, 2018 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Oct 23, 2018 | 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. |
| Oct 23, 2018 | 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. |
| Oct 23, 2018 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Oct 23, 2018 | 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. |
| Oct 23, 2018 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Oct 23, 2018 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (6 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 11 | 2 | J ▲ |
| 2019 | 6 | 1 | G ▲ |
| 2023 | 1 | 0 | F |
| 2024 | 1 | 0 | D |
| 2026 | 1 | 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)
1 fine totaling $13,870.
| Date | Type | Amount / length |
|---|---|---|
| Feb 25, 2026 | Fine | $13,870 |
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) | 3.81 | 3.45 | 3.95 | top 21% in Ohio; top 48% in the U.S. |
| Registered Nurse hours | 0.30 | 0.60 | 0.69 | bottom 5% in Ohio; bottom 10% in the U.S. |
| Weekend total nurse staffing | 3.53 | 3.07 | 3.50 | top 16% in Ohio; top 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.15 | 0.42 | 0.48 | bottom 3% in Ohio; bottom 6% in the U.S. |
| Total nursing staff turnover (%) | 34.5 | 48.7 | 45.8 | top 15% in Ohio; top 23% in the U.S. |
| RN turnover (%) | 0.0 | 43.9 | 42.9 | top 1% in Ohio; top 1% 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 3.88, RN 0.31, weekend 3.59. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Other
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| County of Ashtabula | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/21/1989 |
| Al-Shahed, Abdallah | Individual | ADP of the SNF | NOT APPLICABLE | 07/05/2025 |
| Cadovec, Regina | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/27/2023 |
| County of Ashtabula | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/21/1989 |
| County of Ashtabula | Organization | Trustee of the SNF | NOT APPLICABLE | 06/21/1989 |
| County of Ashtabula | Organization | ADP of the SNF | NOT APPLICABLE | 08/11/2025 |
| Crick, Robin | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/02/2023 |
| Dubic, George | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/12/2021 |
| Dubic, George | Individual | ADP of the SNF | NOT APPLICABLE | 10/12/2021 |
| Ducro, J | Individual | Corporate Officer | NOT APPLICABLE | 01/02/2017 |
| Ducro, J | Individual | Trustee of the SNF | NOT APPLICABLE | 01/02/2017 |
| Frey, Mary | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/03/2025 |
| Furman, Diana | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2016 |
| Furman, Diana | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2016 |
| Kozlowski, Casey | Individual | Corporate Officer | NOT APPLICABLE | 01/02/2018 |
| Kozlowski, Casey | Individual | Trustee of the SNF | NOT APPLICABLE | 01/02/2017 |
| Nearhoof, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/17/2023 |
| Sallee, Donna | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/19/2007 |
| Sallee, Donna | Individual | ADP of the SNF | NOT APPLICABLE | 04/19/2007 |
| Toikkanen, Tammy | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/1999 |
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 often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What does your discharge planning process look like, and how are families involved before a move?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "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 |
|---|---|---|---|---|---|
| Country Club Ret Center I I I | 4.7 mi | Ashtabula, OH | ★★★★☆ | 3/5 | |
| Carington Park | 5.3 mi | Ashtabula, OH | ★★★★★ | 5/5 | |
| Lake Pointe Rehabilitation and Nursing Center | 7.2 mi | Conneaut, OH | ★★★☆☆ | 3/5 | |
| Saybrook Landing | 8.2 mi | Ashtabula, OH | ★★★★★ | 4/5 | |
| Jefferson Healthcare Center | 9.9 mi | Jefferson, OH | ★★★★☆ | 5/5 | |
| Austinburg Nsg and Rehab Ctr | 10.8 mi | Austinburg, OH | ★★★☆☆ | 3/5 | |
| Pine Grove Healthcare Center | 13.9 mi | Geneva, OH | ★★★★★ | 5/5 | |
| Geneva Center for Rehabilitation and Nursing | 14.3 mi | Geneva, OH | ★★☆☆☆ | 3/5 | |
| Rae Ann Geneva | 14.8 mi | Geneva, OH | ★☆☆☆☆ | 1/5 | |
| Madison Health Care | 17.8 mi | Madison, OH | ★★★☆☆ | 2/5 | |
| Cardinal Woods Skilled Nursing & Rehab Ctr | 18.3 mi | Madison, OH | ★☆☆☆☆ | 1/5 | abuse |
| Rolling Fields, INC | 19.9 mi | Conneautville, PA | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365741.