Holzer Senior Care Center
380 Colonial Drive, Bidwell, OH 45614 · Gallia County · 41 certified beds · avg 40 residents/day · certified since Apr 10, 1995
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 8, 2025 · F-0686
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 2, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 18, 2021 · F-0686
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 12, 2021 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 18, 2021 · F-0688
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.
Why it matters: Without this care, residents can develop stiff, contracted joints and lose the ability to move on their own.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Nov 12, 2021 (Deficient, Provider has date of correction)
All citations in the current public record (31)
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 8, 2025 | ▲ G · Actual 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 8, 2025 | E · Potential for harm, repeated | 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. |
| May 8, 2025 | E · Potential for harm, repeated | 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. |
| May 8, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| May 8, 2025 | E · Potential for harm, repeated | 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. |
| May 8, 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. |
| May 8, 2025 | E · Potential for harm, repeated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| May 8, 2025 | D · Potential for harm, one-off | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. |
| May 8, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| May 8, 2025 | 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. |
| May 8, 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. |
| May 8, 2025 | 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. |
| May 8, 2025 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| May 8, 2025 | 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. |
| Sep 14, 2023 | E · Potential for harm, repeated | 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. |
| Sep 14, 2023 | 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. |
| Sep 14, 2023 | 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. |
| Sep 14, 2023 | 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. |
| Sep 14, 2023 | D · Potential for harm, one-off | 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. |
| Sep 14, 2023 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Oct 18, 2021 | ▲ G · Actual 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. |
| Oct 18, 2021 | ▲ G · Actual 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. |
| Oct 18, 2021 | 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. |
| Oct 18, 2021 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. |
| Oct 18, 2021 | 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. |
| Oct 18, 2021 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Oct 18, 2021 | 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. |
| Oct 18, 2021 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Oct 18, 2021 | 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. |
| Oct 18, 2021 | D · Potential for harm, one-off | 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. |
| Oct 18, 2021 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 11 | 2 | G ▲ |
| 2023 | 6 | 0 | E |
| 2025 | 14 | 1 | G ▲ |
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) | 3.40 | 3.45 | 3.95 | top 43% in Ohio; bottom 31% in the U.S. |
| Registered Nurse hours | 0.77 | 0.60 | 0.69 | top 17% in Ohio; top 30% in the U.S. |
| Weekend total nurse staffing | 3.15 | 3.07 | 3.50 | top 35% in Ohio; bottom 39% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.60 | 0.42 | 0.48 | top 15% in Ohio; top 23% in the U.S. |
| Total nursing staff turnover (%) | 70.0 | 48.7 | 45.8 | bottom 7% in Ohio; bottom 6% in the U.S. |
| RN turnover (%) | 75.0 | 43.9 | 42.9 | bottom 10% in Ohio; bottom 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 3.40, RN 0.77, weekend 3.14. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Holzer Health System | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/29/1995 |
| Booher, Shana | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Canady, Michael | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Cappelletti, Danielle | Individual | Corporate Director | NOT APPLICABLE | 03/27/2012 |
| Grillo, Robert | Individual | Corporate Director | NOT APPLICABLE | 10/17/2007 |
| Harrison, Lori | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/14/2014 |
| Haynes, Michael | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2017 |
| Holzer Health System | Organization | ADP of the SNF | NOT APPLICABLE | 01/23/2025 |
| Jones, Nicolette | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Kidd, Larry | Individual | Corporate Director | NOT APPLICABLE | 10/21/2009 |
| Long, Phillip | Individual | Corporate Director | NOT APPLICABLE | 03/27/2012 |
| Pugh, Robert | Individual | Corporate Director | NOT APPLICABLE | 12/01/2016 |
| Reed, Paul | Individual | Corporate Director | NOT APPLICABLE | 10/17/2007 |
| Roach, Gerald | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Saunders, Brent | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Sheets, Jared | Individual | Corporate Director | NOT APPLICABLE | 03/27/2012 |
| Stout, Rodney | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Wiseman, Tom | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
- "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 |
|---|---|---|---|---|---|
| Abbyshire Place Health and Rehabilitation Center L | 0.9 mi | Bidwell, OH | ★★★★★ | 4/5 | |
| Arbors at Gallipolis | 1.1 mi | Gallipolis, OH | ★★☆☆☆ | 2/5 | abuse |
| Pleasant Valley Healthcare Center | 6.8 mi | Point Pleasant, WV | ★★★★★ | 5/5 | |
| Majestic Care of Lakin | 11.1 mi | West Columbia, WV | ★☆☆☆☆ | 1/5 | abuse |
| Overbrook Center | 13.9 mi | Middleport, OH | ★★★☆☆ | 3/5 | |
| Ayden Healthcare of Jackson | 19.1 mi | Jackson, OH | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365998.