600 N Brush St, Fremont, OH 43420 (opens Google Maps) · Sandusky County · (419) 334-9521· 89 certified beds · avg 82 residents/day · certified since Jul 1, 1980 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: GARDEN SPRINGS HEALTHCARE (5 facilities, chain avg rating 2.0★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · Dec 13, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Dec 14, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 40 inspection findings. Open the full record below to read every finding.
The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · from a complaint F-0572
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint F-0641
The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint F-0679
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 2, 2026 | F · Potential for more than minimal harm, widespread | The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · from a complaint · F-0572 |
| Apr 2, 2026 | E · Potential for more than minimal harm, pattern | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint · F-0641 |
| Apr 2, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · from a complaint · F-0679 |
| Apr 2, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0689 |
| Apr 2, 2026 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Apr 2, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0880 |
| Apr 2, 2026 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0580 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0602 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0677 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Apr 2, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| Sep 25, 2025 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0578 |
| Sep 25, 2025 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0657 |
| Sep 25, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755 |
| Sep 25, 2025 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0761 |
| Sep 25, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Dec 13, 2024 | ▲ J · Immediate jeopardy, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684 |
| May 30, 2024 | F · Potential for more than minimal harm, widespread | The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730 |
| May 30, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · F-0685 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · F-0740 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| May 30, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Apr 27, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Apr 27, 2023 | D · Potential for more than minimal harm, isolated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Apr 27, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0582 |
| Apr 27, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Apr 27, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0686 |
| Apr 27, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
Citations from standard inspections increased between the last two inspection cycles (10 → 18).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 0 | D |
| 2024 | 11 | 1 | J ▲ |
| 2025 | 5 | 0 | D |
| 2026 | 18 | 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.
How to file a complaint about care →
1 fine totaling $64,604.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Dec 13, 2024 | Fine | $64,604 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.88 | 3.45 | 3.95 | bottom 16% in Ohio; bottom 10% in the U.S. |
| Registered Nurse hours | 0.81 | 0.60 | 0.69 | top 13% in Ohio; top 27% in the U.S. |
| Weekend total nurse staffing | 2.48 | 3.07 | 3.50 | bottom 12% in Ohio; bottom 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.87 | 0.42 | 0.48 | top 3% in Ohio; top 9% 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 (%) | 36.8 | 43.9 | 42.9 | top 38% in Ohio; top 41% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.05, RN 1.14, weekend 3.49.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.05 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Bethesda Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Donenbaum, Eli | Individual | 5% or Greater Indirect Ownership Interest | — | 06/20/2024 |
| Friedman, Devora | Individual | 5% or Greater Indirect Ownership Interest | — | 06/20/2024 |
| Friedman, Leba | Individual | 5% or Greater Indirect Ownership Interest | — | 06/20/2024 |
| Friedman, Matis | Individual | 5% or Greater Indirect Ownership Interest | 50% | 06/20/2024 |
| Hingj INC. | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/20/2024 |
| Mahilnitski, Ilya | Individual | 5% or Greater Indirect Ownership Interest | 15% | 06/20/2024 |
| Meb Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/20/2024 |
| Neal, Kerry | Individual | 5% or Greater Indirect Ownership Interest | — | 06/20/2024 |
| Oheads Opco Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/20/2024 |
| Rap 118 LLC | Organization | 5% or Greater Indirect Ownership Interest | 15% | 06/20/2024 |
| Strauss, Jennifer | Individual | 5% or Greater Indirect Ownership Interest | — | 06/20/2024 |
| Yfr Equities LLC | Organization | 5% or Greater Indirect Ownership Interest | 5% | 06/20/2024 |
| Both, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/20/2024 |
| Both, John | Individual | ADP of the SNF | NOT APPLICABLE | 06/20/2024 |
| Friedman, Matis | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/20/2024 |
| Friedman, Matis | Individual | ADP of the SNF | NOT APPLICABLE | 06/20/2024 |
| Mahilnitski, Ilya | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/20/2024 |
| Rap 118 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/20/2024 |
| Wilson, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/20/2024 |
| Wilson, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 06/20/2024 |
Showing 20 of 21 parties CMS has on file for this facility; 1 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Garden Springs Healthcare — 5 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Parkview Care Center | 0.8 mi | Fremont, OH | ★★☆☆☆ | 1/5 | |
| Valley View Health Campus | 2.8 mi | Fremont, OH | ★★★★☆ | 3/5 | |
| Countryside Manor Nursing and Rehabilitation LLC | 3.1 mi | Fremont, OH | ★☆☆☆☆ | 1/5 | |
| Spring Creek Nursing and Rehabilitation Center LLC | 8.0 mi | Green Springs, OH | ★☆☆☆☆ | 2/5 | |
| Windsor Lane Healthcare Center | 9.1 mi | Gibsonburg, OH | ★★★☆☆ | 2/5 | abuse |
| Majestic Care of Clyde | 9.9 mi | Clyde, OH | ★★☆☆☆ | 2/5 | abuse |
| Ottawa Co Riverview Nursing Ho | 12.5 mi | Oak Harbor, OH | ★★★★☆ | 3/5 | |
| Willows at Bellevue | 14.4 mi | Bellevue, OH | ★★★★★ | 4/5 | |
| Edgewood Manor Rehabilitation & Healthcare Center | 14.9 mi | Port Clinton, OH | ★☆☆☆☆ | 2/5 | abuse |
| Genoa Retirement Village | 15.8 mi | Genoa, OH | ★★★★★ | 4/5 | |
| Autumnwood Care Center | 16.1 mi | Tiffin, OH | ★★☆☆☆ | 2/5 | |
| The Willows at Tiffin | 17.1 mi | Tiffin, OH | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Sandusky, OH — 9 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 365510.
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