How to file a complaint about care →
No fines or payment denials in the published 3-year window.
1050 Clinton Street, Ironton, OH 45638 (opens Google Maps) · Lawrence County · (740) 532-6096· 125 certified beds · avg 115 residents/day · certified since Sep 29, 1981 · 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: ECC TRUST (3 facilities, chain avg rating 3.7★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · 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 · Apr 10, 2023 · F-0624
The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly.
Why it matters: An unprepared discharge can send a resident somewhere unsafe or without the care arrangements they need.
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: May 24, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Apr 10, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): Actual harm was cited, below immediate jeopardy. 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: May 24, 2023 (Deficient, Provider has date of correction)
Showing the latest 3 of 34 inspection findings. Open the full record below to read every finding.
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. F-0623
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
The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. F-0624
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 |
|---|---|---|
| Jan 30, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
| Jan 30, 2025 | 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 10, 2023 | ▲ J · Immediate jeopardy, isolated | The facility did not properly prepare residents for a safe transfer or discharge. Before a resident leaves, the facility must get them ready and make sure the move is safe and orderly. · F-0624 |
| Apr 10, 2023 | ▲ G · Actual 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 |
| Apr 10, 2023 | 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. · F-0641 |
| Apr 10, 2023 | E · Potential for more than minimal harm, pattern | 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 10, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0881 |
| Apr 10, 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 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Apr 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not properly plan a resident's discharge to meet the resident's goals and needs after leaving. · F-0660 |
| Apr 10, 2023 | D · Potential for more than minimal harm, isolated | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · F-0661 |
| Apr 10, 2023 | 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. · F-0677 |
| Apr 10, 2023 | 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. · F-0684 |
| Apr 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0688 |
| Apr 10, 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 |
| Apr 10, 2023 | 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. · F-0755 |
| Apr 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Apr 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Apr 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758 |
| Apr 10, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Apr 10, 2023 | 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 |
| Apr 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · F-0791 |
| Apr 10, 2023 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Feb 27, 2020 | F · Potential for more than minimal harm, widespread | 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 |
| Feb 27, 2020 | E · Potential for more than minimal harm, pattern | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · F-0805 |
| Feb 27, 2020 | 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. · F-0580 |
| Feb 27, 2020 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Feb 27, 2020 | 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. · F-0684 |
| Feb 27, 2020 | 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 |
| Feb 27, 2020 | 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 |
| Feb 27, 2020 | 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 |
| Feb 27, 2020 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Feb 27, 2020 | 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 |
| Feb 27, 2020 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
Citations from standard inspections decreased between the last two inspection cycles (21 → 2).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2020 | 11 | 0 | F |
| 2023 | 21 | 2 | J ▲ |
| 2025 | 2 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
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) | 3.25 | 3.45 | 3.95 | bottom 44% in Ohio; bottom 24% in the U.S. |
| Registered Nurse hours | 0.47 | 0.60 | 0.69 | bottom 34% in Ohio; bottom 33% in the U.S. |
| Weekend total nurse staffing | 2.91 | 3.07 | 3.50 | bottom 47% in Ohio; bottom 26% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.42 | 0.48 | bottom 31% in Ohio; bottom 33% in the U.S. |
| Total nursing staff turnover (%) | 43.8 | 48.7 | 45.8 | top 37% in Ohio; top 47% in the U.S. |
| RN turnover (%) | 44.4 | 43.9 | 42.9 | bottom 49% in Ohio; bottom 45% 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 3.82, RN 0.55, weekend 3.42.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.82 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Harbor Healthcare of Ironton. 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 - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Brown, Ervin | Individual | 5% or Greater Indirect Ownership Interest | — | 01/01/2023 |
| Cox, Gretchen | Individual | 5% or Greater Indirect Ownership Interest | — | 01/01/2023 |
| Ecc Trust | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2023 |
| Arnold, Jeffrey | Individual | ADP of the SNF | NOT APPLICABLE | 05/31/2017 |
| Brown, Jody | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/23/2023 |
| Brown, Jody | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/23/2023 |
| Brown, Jody | Individual | ADP of the SNF | NOT APPLICABLE | 02/23/2023 |
| Carias, Katherine | Individual | ADP of the SNF | NOT APPLICABLE | 05/24/2023 |
| Cox, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Cox, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Cox, Douglas | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 09/26/2025 |
| First Southern Bancorp, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2017 |
| Hargis & Associates, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2017 |
| Hargis, Forwood | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2017 |
| Ironton Realco, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/31/2017 |
| McIntosh, Sarah | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2017 |
| Mitchell, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2017 |
| Mitchell, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2017 |
| Mitchell, Gregory | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2017 |
| Providence Health, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/08/2021 |
Showing 20 of 33 parties CMS has on file for this facility; 13 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Ecc Trust — 3 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 |
|---|---|---|---|---|---|
| Sanctuary at Ohio Valley | 0.4 mi | Ironton, OH | ★★★★☆ | 4/5 | |
| Crystal Care of Coal Grove | 0.9 mi | Coal Grove, OH | ★★★☆☆ | 3/5 | |
| Woodland Oaks | 3.1 mi | Ashland, KY | ★★★★☆ | 4/5 | |
| Oakmont Manor | 3.3 mi | Flatwoods, KY | ★★★☆☆ | 3/5 | |
| Kingsbrook Lifecare Center | 5.2 mi | Ashland, KY | ★★★★☆ | 3/5 | |
| Wurtland Nursing and Rehabilitation | 7.6 mi | Wurtland, KY | ★☆☆☆☆ | 1/5 | |
| Riverview Post Acute | 10.0 mi | South Point, OH | ★★★☆☆ | 4/5 | |
| Boyd Nursing and Rehabilitation | 10.2 mi | Ashland, KY | ★★★☆☆ | 2/5 | |
| Madison Park Healthcare | 12.4 mi | Huntington, WV | ★★★★★ | 5/5 | |
| Crystal Care Center of Franklin Furnace | 13.1 mi | Franklin Furnace, OH | ★★★★★ | 5/5 | |
| Heritage Center | 14.2 mi | Huntington, WV | ★☆☆☆☆ | 1/5 | |
| Huntington Health and Rehabilitation Center | 14.5 mi | Huntington, WV | ★★☆☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 365564.
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