Covington Skilled Nursing & Rehab Center
100 Covington Drive, East Palestine, OH 44413 · Columbiana County · 65 certified beds · avg 61 residents/day · certified since Oct 1, 2009 · 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: MICHAEL SLYK (7 facilities, chain avg rating 2.9★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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.
All citations in the current public record (22)
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 1, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. |
| May 1, 2025 | D · Potential for harm, one-off | 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. |
| May 1, 2025 | C · Minimal risk, facility-wide | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| May 1, 2025 | C · Minimal risk, facility-wide | The facility did not conduct and document a facility-wide assessment of what staff, supplies, and resources it needs to care for its residents properly — during everyday operations, nights, weekends, and emergencies. |
| Aug 8, 2022 | E · Potential for harm, repeated | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Aug 8, 2022 | E · Potential for harm, repeated | 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. |
| Aug 8, 2022 | 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. |
| Aug 8, 2022 | D · Potential for harm, one-off | 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. |
| Aug 8, 2022 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Aug 8, 2022 | 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. |
| Aug 8, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Aug 29, 2019 | F · Potential for harm, facility-wide | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Aug 29, 2019 | 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. |
| Aug 29, 2019 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Aug 29, 2019 | E · Potential for harm, repeated | 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. |
| Aug 29, 2019 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. |
| Aug 29, 2019 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. |
| Aug 29, 2019 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Aug 29, 2019 | 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. |
| Aug 29, 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. |
| Aug 29, 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. |
| Aug 29, 2019 | D · Potential for harm, 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 11 | 0 | F |
| 2022 | 7 | 0 | E |
| 2025 | 4 | 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) | 2.44 | 3.45 | 3.95 | bottom 3% in Ohio; bottom 3% in the U.S. |
| Registered Nurse hours | 0.44 | 0.60 | 0.69 | bottom 27% in Ohio; bottom 29% in the U.S. |
| Weekend total nurse staffing | 2.49 | 3.07 | 3.50 | bottom 12% in Ohio; bottom 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.58 | 0.42 | 0.48 | top 16% in Ohio; top 25% in the U.S. |
| Total nursing staff turnover (%) | 39.3 | 48.7 | 45.8 | top 25% in Ohio; top 35% in the U.S. |
| RN turnover (%) | 40.0 | 43.9 | 42.9 | top 43% in Ohio; top 46% 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 3.03, RN 0.55, weekend 3.09. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Michael P. Slyk Revocable Trust | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/31/2023 |
| Slyk, Michael | Individual | 5% or Greater Indirect Ownership Interest | 100% | 10/01/2009 |
| Chesney, Timothy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2009 |
| Chesney, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2009 |
| Crawford, Dina | Individual | ADP of the SNF | NOT APPLICABLE | 03/13/2024 |
| D'amico, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2022 |
| D'amico, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/18/2018 |
| Lockso, Timothy | Individual | ADP of the SNF | NOT APPLICABLE | 09/07/2024 |
| MSTC Development INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 10/01/2009 |
| Ryder, Gwynn | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2018 |
| Ryder, Gwynn | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2018 |
| Slyk, Michael | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2009 |
| Slyk, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2009 |
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 room assignments and roommate requests, and do residents get advance written notice before any move?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
- "How do you decide you have enough staff and resources for your resident population, including nights and weekends?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "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 |
|---|---|---|---|---|---|
| Parkside Health Care Center | 6.3 mi | Columbiana, OH | ★★★☆☆ | 3/5 | |
| Masternick Memorial Health Care Center | 7.2 mi | New Middletown, OH | ★★★★☆ | 4/5 | |
| St Mary's Alzheimer's Center | 7.7 mi | Columbiana, OH | ★★★★☆ | 3/5 | |
| Beaver Valley Rehabilitation and Healthcare Center | 9.3 mi | Beaver Falls, PA | ★★☆☆☆ | 2/5 | |
| Hampton Woods Nursing Center, INC | 9.5 mi | Poland, OH | ★★★★☆ | 3/5 | |
| Center for Rehabilitation at Hampton Woods the | 9.5 mi | Poland, OH | ★★★★☆ | 3/5 | |
| Aventura at Assumption Village | 9.7 mi | North Lima, OH | ★☆☆☆☆ | 1/5 | |
| Willow Woods Rehabilitation and Nursing | 9.9 mi | North Lima, OH | ★★★☆☆ | 2/5 | |
| Caprice Health Care Center | 10.3 mi | North Lima, OH | ★★★★★ | 5/5 | |
| Shepherd of the Valley Poland | 10.7 mi | Poland, OH | ★★★★★ | 5/5 | |
| Greenbriar Center | 10.8 mi | Boardman, OH | ★★★☆☆ | 2/5 | |
| Briarfield Place | 10.9 mi | Boardman, OH | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 366378.