Four Winds Nursing Facility

Name: Four Winds Nursing Facility
Address: 215 SETH AVENUE, Jackson, OH, 45640, US
Telephone: 7402867551

215 Seth Avenue, Jackson, OH 45640 · Jackson County · 86 certified beds · avg 74 residents/day · certified since Feb 7, 1986

Part of chain: UNITED CHURCH HOMES (9 facilities, chain avg rating 3.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.42

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 (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 18, 2026	E · Potential for harm, repeated	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. · from a complaint
May 18, 2026	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. · from a complaint
Jul 23, 2025	D · Potential for harm, one-off	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint
Mar 20, 2025	E · Potential for harm, repeated	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Mar 20, 2025	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.
Mar 20, 2025	D · Potential for harm, one-off	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.
Mar 20, 2025	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Mar 20, 2025	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.
Mar 20, 2025	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.
Mar 20, 2025	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.
Mar 20, 2025	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.
Mar 20, 2025	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.
Apr 13, 2023	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.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 13, 2023	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.
Apr 13, 2023	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Apr 13, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Feb 13, 2020	D · Potential for harm, one-off	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.
Feb 13, 2020	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.
Feb 13, 2020	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.
Feb 13, 2020	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 9).

Year	Citations	Worst severity that year
2020	4	D
2023	5	D
2025	10	E
2026	2	E

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)

0 fines totaling $0, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Mar 20, 2025	Payment Denial	10 days from Jun 20, 2025

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)	3.42	3.45	3.95	top 42% in Ohio; bottom 32% in the U.S.
Registered Nurse hours	0.55	0.60	0.69	top 49% in Ohio; bottom 45% in the U.S.
Weekend total nurse staffing	3.11	3.07	3.50	top 37% in Ohio; bottom 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.42	0.48	top 28% in Ohio; top 34% in the U.S.
Total nursing staff turnover (%)	42.2	48.7	45.8	top 33% in Ohio; top 42% 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 3.18, RN 0.51, weekend 2.89. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
United Church Homes, INC.	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2000
Bailey, Peter	Individual	Corporate Director	NOT APPLICABLE	06/01/2024
Bates, Trevor	Individual	Corporate Director	NOT APPLICABLE	02/01/2017
Benjamin, Pamela	Individual	Corporate Director	NOT APPLICABLE	06/01/2021
Bills, Ashley	Individual	Operational/Managerial Control	NOT APPLICABLE	08/26/2022
Black, Geoffrey	Individual	Corporate Director	NOT APPLICABLE	06/01/2016
Bollinger, Nathan	Individual	Operational/Managerial Control	NOT APPLICABLE	03/31/2023
Brubaker, Tamra	Individual	Operational/Managerial Control	NOT APPLICABLE	08/19/2022
Burnette, Diana	Individual	Operational/Managerial Control	NOT APPLICABLE	06/16/2021
D'agostino, Joanna	Individual	Corporate Director	NOT APPLICABLE	06/01/2024
Dixon, Maria	Individual	Operational/Managerial Control	NOT APPLICABLE	04/13/2010
Durbin, Debra	Individual	Operational/Managerial Control	NOT APPLICABLE	08/08/2022
Eusanio, Vincent	Individual	Operational/Managerial Control	NOT APPLICABLE	03/31/2025
Farrell, Laura	Individual	Operational/Managerial Control	NOT APPLICABLE	01/26/1996
Graham, George	Individual	Corporate Director	NOT APPLICABLE	06/01/2025
Guess, James	Individual	Corporate Director	NOT APPLICABLE	06/01/2021
Hall, Richard	Individual	Operational/Managerial Control	NOT APPLICABLE	06/07/2006
Hawes-Saunders, Ro Nita	Individual	Corporate Director	NOT APPLICABLE	02/01/2024
Henry, James	Individual	Corporate Director	NOT APPLICABLE	06/01/2019
Hurwitz, Gloria	Individual	Operational/Managerial Control	NOT APPLICABLE	10/07/2013

Questions to ask on your visit

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

"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"When a doctor orders lab work, how quickly is it done and how are results communicated back?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
"If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"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
Jenkins Care Community	2.5 mi	Wellston, OH	★★★★☆	4/5
Edgewood Manor of Wellston	4.3 mi	Wellston, OH	★★★★★	4/5
Ayden Healthcare of Jackson	8.2 mi	Jackson, OH	★★★★☆	4/5
Maple Hills Skilled Nursing & Rehabilitation	15.0 mi	McArthur, OH	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Jackson →

Facility data as of CMS processing date 2026-08-01. CCN 365669.

The Care File

Visit checklist — Four Winds Nursing Facility

215 Seth Avenue, Jackson, OH 45640 · 7402867551

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

Questions for the administrator:

☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "When a doctor orders lab work, how quickly is it done and how are results communicated back?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
☐ "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "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 365669 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)