Autumn Aegis Nursing Home
1130 Tower Blvd, Lorain, OH 44052 · Lorain County · 99 certified beds · avg 80 residents/day · certified since Jan 1, 1994
Part of chain: SPRENGER HEALTH CARE SYSTEMS (12 facilities, chain avg rating 3.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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.
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 |
|---|---|---|
| May 2, 2024 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| May 2, 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. |
| May 2, 2024 | 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. |
| May 2, 2024 | 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. |
| May 2, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| May 2, 2024 | 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. |
| May 2, 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. |
| May 2, 2024 | 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. |
| May 2, 2024 | C · Minimal risk, facility-wide | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| May 2, 2024 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Feb 10, 2022 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Feb 10, 2022 | E · Potential for harm, repeated | 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. |
| Feb 10, 2022 | D · Potential for harm, one-off | 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. |
| Feb 10, 2022 | 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. |
| Apr 18, 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. |
| Apr 18, 2019 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Apr 18, 2019 | 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. |
| Apr 18, 2019 | 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. |
| Apr 18, 2019 | 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 18, 2019 | 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. |
| Apr 18, 2019 | 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 increased between the last two inspection cycles (4 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 7 | 0 | E |
| 2022 | 4 | 0 | E |
| 2024 | 10 | 0 | 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) | 3.37 | 3.45 | 3.95 | top 45% in Ohio; bottom 30% in the U.S. |
| Registered Nurse hours | 0.48 | 0.60 | 0.69 | bottom 37% in Ohio; bottom 35% in the U.S. |
| Weekend total nurse staffing | 3.04 | 3.07 | 3.50 | top 42% in Ohio; bottom 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.42 | 0.48 | bottom 25% in Ohio; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 32.9 | 48.7 | 45.8 | top 13% in Ohio; top 20% in the U.S. |
| RN turnover (%) | 22.2 | 43.9 | 42.9 | top 16% in Ohio; top 17% 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 3.65, RN 0.52, weekend 3.29. 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: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bluesky Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 01/22/2001 |
| Hutsenpiller, Wendie | Individual | 5% or Greater Indirect Ownership Interest | — | 07/01/2008 |
| Malanowski, Kenneth | Individual | 5% or Greater Indirect Ownership Interest | — | 07/01/2008 |
| Sprenger Enterprises, INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/31/1989 |
| Sprenger, Nicole | Individual | 5% or Greater Indirect Ownership Interest | — | 06/01/2002 |
| Sprenger, Tracey | Individual | 5% or Greater Indirect Ownership Interest | — | 07/01/2008 |
| Amherst Manor Company, LTD. | Organization | ADP of the SNF | NOT APPLICABLE | 12/14/1995 |
| Autumn Aegis Rental Properties, LTD. | Organization | ADP of the SNF | NOT APPLICABLE | 12/14/1995 |
| Blair, Jade | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/15/2022 |
| Blair, Jade | Individual | ADP of the SNF | NOT APPLICABLE | 04/15/2022 |
| BSH Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/04/2003 |
| Citrin Cooperman and Company, LLP | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| CMS & Co. Management Services, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/22/2001 |
| CMS & Co. Management Services, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 07/31/2025 |
| Cortez, Frances | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/19/2022 |
| Cortez, Frances | Individual | ADP of the SNF | NOT APPLICABLE | 12/19/2022 |
| Courtock, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/02/2002 |
| Courtock, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 12/02/2002 |
| Delta Health Care Consultants, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Epperly, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/20/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "How are residents and families included in care plan meetings, and how often do those meetings happen?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
- "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 |
|---|---|---|---|---|---|
| Anchor Lodge Nursing Home INC | 2.1 mi | Lorain, OH | ★★★☆☆ | 3/5 | |
| Lake Pointe Health Care | 2.7 mi | Lorain, OH | ★★★★★ | 4/5 | |
| Oak Hills Nursing Center | 3.1 mi | Lorain, OH | ★★★☆☆ | 3/5 | |
| Amherst Manor Nursing Home | 3.7 mi | Amherst, OH | ★★☆☆☆ | 3/5 | |
| Wesleyan Village | 6.4 mi | Elyria, OH | ★★☆☆☆ | 1/5 | |
| Avon Oaks Nursing Home | 7.3 mi | Avon, OH | ★★★★★ | 4/5 | |
| Woods on French Creek Nursing & Rehab Center the | 7.3 mi | Avon, OH | ★★★★☆ | 3/5 | |
| O'Neill Healthcare North Ridgeville | 7.5 mi | North Ridgeville, OH | ★★★★★ | 5/5 | |
| Life Care Center of Elyria | 7.7 mi | Elyria, OH | ★★★★★ | 4/5 | |
| Kingston Health Center of Vermilion | 7.9 mi | Vermilion, OH | ★★★★★ | 4/5 | |
| St Mary of the Woods | 8.9 mi | Avon, OH | ★★★★☆ | 4/5 | |
| Northridge Rehabilitation and Care Center | 9.0 mi | North Ridgeville, OH | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365940.