Gables Care Center
351 Lahm Drive, Hopedale, OH 43976 · Harrison County · 86 certified beds · avg 74 residents/day · certified since Apr 3, 1996
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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 (29)
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 |
|---|---|---|
| Apr 30, 2026 | 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. |
| Apr 30, 2026 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Apr 30, 2026 | E · Potential for harm, repeated | 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. |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Apr 30, 2026 | 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 30, 2026 | 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. |
| Apr 30, 2026 | 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 30, 2026 | 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 30, 2026 | 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. |
| Apr 30, 2026 | D · Potential for harm, one-off | 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. |
| Apr 30, 2026 | 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. |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Apr 30, 2026 | D · Potential for harm, one-off | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Apr 30, 2026 | D · Potential for harm, one-off | 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. |
| Apr 30, 2026 | C · Minimal risk, facility-wide | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Feb 11, 2026 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Feb 11, 2026 | E · Potential for harm, repeated | 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 |
| Apr 12, 2024 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Apr 12, 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. |
| Apr 12, 2024 | D · Potential for harm, one-off | 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. |
| May 5, 2022 | 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. |
| May 5, 2022 | 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. |
| May 5, 2022 | D · Potential for harm, one-off | 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. |
| May 5, 2022 | 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. |
| May 5, 2022 | 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. |
| May 5, 2022 | 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. |
| May 5, 2022 | D · Potential for harm, one-off | 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. |
| May 5, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 16).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 8 | 0 | D |
| 2024 | 3 | 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.
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) | 3.54 | 3.45 | 3.95 | top 34% in Ohio; bottom 39% in the U.S. |
| Registered Nurse hours | 0.67 | 0.60 | 0.69 | top 28% in Ohio; top 39% in the U.S. |
| Weekend total nurse staffing | 3.18 | 3.07 | 3.50 | top 32% in Ohio; bottom 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.62 | 0.42 | 0.48 | top 13% in Ohio; top 21% in the U.S. |
| Total nursing staff turnover (%) | 28.0 | 48.7 | 45.8 | top 6% in Ohio; top 11% in the U.S. |
| RN turnover (%) | 15.8 | 43.9 | 42.9 | top 10% in Ohio; top 9% 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 3.85, RN 0.73, weekend 3.46. Staffing rating: 4/5.
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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bernsen, Kara | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/2005 |
| Bernsen, Kenneth | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/2005 |
| Capital Health Services INC | Organization | 5% or Greater Direct Ownership Interest | — | 09/01/2005 |
| Huff, Joshua | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/2005 |
| Manning, Sarah | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/2005 |
| Bernsen, Kara | Individual | Corporate Director | NOT APPLICABLE | 01/01/2005 |
| Bernsen, Kara | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2005 |
| Bernsen, Kenneth | Individual | W-2 Managing Employee | NOT APPLICABLE | 01/01/2005 |
| Bernsen, Kenneth | Individual | Corporate Director | NOT APPLICABLE | 01/01/2005 |
| Bernsen, Kenneth | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2005 |
| Huff, Joshua | Individual | Corporate Director | NOT APPLICABLE | 01/01/2005 |
| Huff, Joshua | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2005 |
| Manning, Sarah | Individual | Corporate Director | NOT APPLICABLE | 01/01/2005 |
| Manning, Sarah | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2005 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "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 |
|---|---|---|---|---|---|
| Carriage Inn of Cadiz | 6.3 mi | Cadiz, OH | ★★★☆☆ | 3/5 | |
| Dixon Healthcare Center | 10.0 mi | Wintersville, OH | ★☆☆☆☆ | 1/5 | abuse |
| Sienna Skilled Nursing & Rehabilitation | 10.9 mi | Wintersville, OH | ★☆☆☆☆ | 1/5 | |
| Sienna Hills Nursing & Rehabilitation | 12.2 mi | Adena, OH | ★★★☆☆ | 3/5 | |
| Steubenville Country Club Manor | 12.3 mi | Steubenville, OH | ★★☆☆☆ | 2/5 | |
| Villa Vista Royale LLC | 12.5 mi | Steubenville, OH | ★★★★★ | 5/5 | |
| Carriage Inn of Steubenville | 13.2 mi | Steubenville, OH | ★★★★☆ | 3/5 | |
| Laurels of Steubenville the | 14.3 mi | Steubenville, OH | ★★☆☆☆ | 2/5 | |
| Brightwood Center | 16.5 mi | Follansbee, WV | ★☆☆☆☆ | 1/5 | abuseSFF |
| Belmont Manor | 16.8 mi | St Clairsville, OH | ★★★★☆ | 3/5 | |
| Sunnyslope Nursing Home | 16.9 mi | Bowerston, OH | ★★★★★ | 4/5 | |
| Wellsburg Healthcare Center | 17.0 mi | Wellsburg, WV | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366052.