Autumn Court
1925 E Fourth St, Ottawa, OH 45875 · Putnam County · 50 certified beds · avg 47 residents/day · certified since May 3, 2001
Part of chain: LIONSTONE CARE (24 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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)
▲ Immediate jeopardy, one-off · Jun 25, 2026 · F-0805 · triggered by a complaint
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.
Why it matters: Food served in the wrong texture can cause choking or lead residents to stop eating and lose weight.
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.
All citations in the current public record (14)
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 |
|---|---|---|
| Jun 25, 2026 | ▲ J · Immediate jeopardy, 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. · from a complaint |
| Oct 17, 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. |
| Oct 17, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 17, 2024 | 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. |
| Oct 17, 2024 | 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. |
| Oct 17, 2024 | 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. |
| Oct 17, 2024 | C · Minimal risk, facility-wide | 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. |
| Jul 7, 2022 | 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 7, 2022 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jul 7, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 7, 2022 | 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 13, 2019 | D · Potential for harm, one-off | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jun 13, 2019 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jun 13, 2019 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | D |
| 2022 | 4 | 0 | F |
| 2024 | 6 | 0 | F |
| 2026 | 1 | 1 | J ▲ |
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 $25,495.
| Date | Type | Amount / length |
|---|---|---|
| Jun 25, 2026 | Fine | $25,495 |
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) | 3.74 | 3.45 | 3.95 | top 23% in Ohio; bottom 49% in the U.S. |
| Registered Nurse hours | 0.38 | 0.60 | 0.69 | bottom 17% in Ohio; bottom 19% in the U.S. |
| Weekend total nurse staffing | 3.38 | 3.07 | 3.50 | top 22% in Ohio; top 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.42 | 0.48 | bottom 16% in Ohio; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 51.2 | 48.7 | 45.8 | bottom 43% in Ohio; bottom 34% in the U.S. |
| RN turnover (%) | 80.0 | 43.9 | 42.9 | bottom 6% in Ohio; bottom 6% 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 3.14, RN 0.32, weekend 2.84. 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: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Kazarnovsky, Solomon | Individual | 5% or Greater Indirect Ownership Interest | 50% | 01/01/2023 |
| Lionstone HZ Opco Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2023 |
| Stein, Abba | Individual | 5% or Greater Indirect Ownership Interest | 50% | 01/01/2023 |
| Cusner, Adam | Individual | Corporate Officer | NOT APPLICABLE | 01/27/2025 |
| Cusner, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/27/2025 |
| Cusner, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 01/27/2025 |
| Degyansky, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2020 |
| Degyansky, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Degyansky, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Goldish, Eliezer | Individual | Corporate Officer | NOT APPLICABLE | 10/09/2023 |
| Goldish, Eliezer | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/09/2023 |
| Goldish, Eliezer | Individual | ADP of the SNF | NOT APPLICABLE | 10/09/2023 |
| Kazarnovsky, Solomon | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2023 |
| Kazarnovsky, Solomon | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Kazarnovsky, Solomon | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Stein, Abba | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2023 |
| Stein, Abba | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Stein, Abba | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
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 handle residents who need modified food textures, and how do you make those meals appetizing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What training do your staff receive for caring for residents with dementia or mental health conditions?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Meadows of Ottawa the | 1.6 mi | Ottawa, OH | ★★★★☆ | 3/5 | |
| Meadows of Leipsic | 5.7 mi | Leipsic, OH | ★★★★★ | 4/5 | |
| Meadows of Kalida | 9.2 mi | Kalida, OH | ★★★★★ | 5/5 | |
| Mennonite Memorial Home | 10.8 mi | Bluffton, OH | ★★★☆☆ | 3/5 | |
| Willow Ridge of Mennonite Home Communities of Ohio | 11.3 mi | Bluffton, OH | ★★★★★ | 4/5 | |
| Vancrest Health Care Ctr of Ho | 16.9 mi | Holgate, OH | ★★★★☆ | 4/5 | |
| Liberty Retirement Community of Lima INC | 18.4 mi | Lima, OH | ★★☆☆☆ | 1/5 | |
| Heritage the | 19.5 mi | Findlay, OH | ★☆☆☆☆ | 2/5 | |
| Vancrest of Ada | 19.7 mi | Ada, OH | ★★☆☆☆ | 2/5 | |
| Vancrest of Delphos | 19.7 mi | Delphos, OH | ★★★★★ | 5/5 | |
| Lima Convalescent Home | 19.9 mi | Lima, OH | ★★★★☆ | 3/5 | |
| Fox Run Manor | 20.0 mi | Findlay, OH | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366217.