Elms Retirement Village INC

Name: Elms Retirement Village INC
Address: 136 S MAIN ST, Wellington, OH, 44090, US
Telephone: 4406472414

136 S Main St, Wellington, OH 44090 · Lorain County · 60 certified beds · avg 50 residents/day · certified since Apr 3, 1997

Part of chain: SPRENGER HEALTH CARE SYSTEMS (12 facilities, chain avg rating 3.3★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.61

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

⚠ 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 (16)

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, 2025	D · Potential for harm, one-off	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
May 2, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Nov 13, 2024	D · Potential for harm, one-off	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
Nov 13, 2024	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. · from a complaint
Nov 13, 2024	D · Potential for harm, one-off	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
Nov 13, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Mar 28, 2024	D · Potential for harm, one-off	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.
Mar 28, 2024	D · Potential for harm, one-off	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.
Aug 26, 2021	E · Potential for harm, repeated	The facility did not properly protect the personal money residents deposited with it for safekeeping.
Aug 26, 2021	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Aug 26, 2021	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.
Mar 7, 2019	F · Potential for harm, facility-wide	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Mar 7, 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.
Mar 7, 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.
Mar 7, 2019	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.
Mar 7, 2019	D · Potential for harm, one-off	The facility did not have policies on smoking.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (3 → 2).

Year	Citations	Worst severity that year
2019	5	F
2021	3	E
2024	6	D
2025	2	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)	3.61	3.45	3.95	top 29% in Ohio; bottom 42% in the U.S.
Registered Nurse hours	0.56	0.60	0.69	top 47% in Ohio; bottom 46% in the U.S.
Weekend total nurse staffing	3.34	3.07	3.50	top 24% in Ohio; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.67	0.42	0.48	top 10% in Ohio; top 18% in the U.S.
Total nursing staff turnover (%)	42.6	48.7	45.8	top 34% in Ohio; top 43% in the U.S.
RN turnover (%)	55.6	43.9	42.9	bottom 31% in Ohio; bottom 28% 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 3.67, RN 0.57, weekend 3.39. 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: 4/5

Who owns this facility

For profit - Corporation

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%	12/01/1996
Sprenger, Nicole	Individual	5% or Greater Indirect Ownership Interest	—	06/01/2002
Sprenger, Tracey	Individual	5% or Greater Indirect Ownership Interest	—	07/01/2008
BSH Investments LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/04/2003
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	07/03/2025
Courtock, Melissa	Individual	Operational/Managerial Control	NOT APPLICABLE	12/02/2002
Courtock, Melissa	Individual	ADP of the SNF	NOT APPLICABLE	12/02/2002
Elms Limited Co.	Organization	ADP of the SNF	NOT APPLICABLE	05/15/1996
Epperly, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	01/20/2022
Epperly, Robert	Individual	ADP of the SNF	NOT APPLICABLE	01/20/2022
Eren, Itri	Individual	Operational/Managerial Control	NOT APPLICABLE	12/31/1999
Eren, Itri	Individual	ADP of the SNF	NOT APPLICABLE	01/28/2006
Fox, Emily	Individual	Corporate Officer	NOT APPLICABLE	12/31/2024
Fox, Emily	Individual	Operational/Managerial Control	NOT APPLICABLE	12/31/2024
Fox, Emily	Individual	ADP of the SNF	NOT APPLICABLE	12/31/2024
Gollinger, Kristen	Individual	Operational/Managerial Control	NOT APPLICABLE	11/13/2000

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How is residents' personal money protected and tracked, and how can families review the account statements?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"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
Keystone Pointe Health and Rehabilitation	7.2 mi	Lagrange, OH	★★★★★	5/5
Welcome Nursing Home	7.8 mi	Oberlin, OH	★★☆☆☆	2/5	abuse
Kendal at Oberlin	9.3 mi	Oberlin, OH	★★★★★	5/5
Laurels of New London the	11.4 mi	New London, OH	★★★★★	5/5
Wesleyan Village	14.4 mi	Elyria, OH	★★☆☆☆	1/5
Life Care Center of Elyria	14.9 mi	Elyria, OH	★★★★★	4/5
Life Care Center of Medina	15.4 mi	Medina, OH	★★★★☆	3/5
Amherst Manor Nursing Home	16.1 mi	Amherst, OH	★★☆☆☆	3/5
O'Neill Healthcare North Ridgeville	17.1 mi	North Ridgeville, OH	★★★★★	5/5
Burbank Parke Care Center	17.2 mi	Burbank, OH	★★★★☆	3/5
Medina BSD Opco LLC	18.0 mi	Medina, OH	★★☆☆☆	2/5
Autumn Aegis Nursing Home	18.5 mi	Lorain, OH	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Wellington →

Facility data as of CMS processing date 2026-08-01. CCN 366118.

The Care File

Visit checklist — Elms Retirement Village INC

136 S Main St, Wellington, OH 44090 · 4406472414

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How is residents' personal money protected and tracked, and how can families review the account statements?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 366118 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)