Manor of Grande Village
2610 East Aurora Road, Twinsburg, OH 44087 · Summit County · 88 certified beds · avg 80 residents/day · certified since Jul 18, 2007
Part of chain: SPRENGER HEALTH CARE SYSTEMS (12 facilities, chain avg rating 3.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
⚠ 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 (27)
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 |
|---|---|---|
| Jul 2, 2024 | F · Potential for harm, facility-wide | 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. |
| Jul 2, 2024 | E · Potential for harm, repeated | 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. |
| Jul 2, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jul 2, 2024 | 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. |
| Jul 2, 2024 | D · Potential for harm, one-off | 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. |
| Jun 4, 2024 | 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. · from a complaint |
| Nov 13, 2023 | 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. · from a complaint |
| Apr 22, 2022 | 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. |
| Apr 22, 2022 | F · Potential for harm, facility-wide | 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. |
| Apr 22, 2022 | 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 22, 2022 | E · Potential for harm, repeated | 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. |
| Apr 22, 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. |
| Apr 22, 2022 | D · Potential for harm, one-off | 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. |
| Apr 22, 2022 | 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. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. |
| Apr 22, 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. |
| Apr 22, 2022 | 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 22, 2022 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. |
| Apr 22, 2022 | 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 22, 2022 | 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. |
| Apr 22, 2022 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Apr 22, 2022 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Mar 7, 2019 | F · Potential for harm, facility-wide | 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. |
| Mar 7, 2019 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Mar 7, 2019 | 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. |
| Mar 7, 2019 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (16 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | F |
| 2022 | 16 | 0 | F |
| 2023 | 1 | 0 | D |
| 2024 | 6 | 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) | 3.48 | 3.45 | 3.95 | top 38% in Ohio; bottom 36% in the U.S. |
| Registered Nurse hours | 0.59 | 0.60 | 0.69 | top 41% in Ohio; top 50% 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) | 0.40 | 0.42 | 0.48 | top 47% in Ohio; top 49% in the U.S. |
| Total nursing staff turnover (%) | 43.2 | 48.7 | 45.8 | top 36% in Ohio; top 45% in the U.S. |
| RN turnover (%) | 33.3 | 43.9 | 42.9 | top 31% in Ohio; top 33% 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 3.43, RN 0.58, weekend 3.13. 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: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bluesky Healthcare INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/21/2007 |
| Hutsenpiller, Wendie | Individual | 5% or Greater Indirect Ownership Interest | 18% | 01/01/2008 |
| Malanowski, Kenneth | Individual | 5% or Greater Indirect Ownership Interest | 20% | 02/16/2007 |
| Sprenger, Nicole | Individual | 5% or Greater Indirect Ownership Interest | 31% | 12/11/2007 |
| Sprenger, Tracey | Individual | 5% or Greater Indirect Ownership Interest | 31% | 02/16/2007 |
| Agarwal, Rajesh | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/15/2007 |
| Agarwal, Rajesh | Individual | ADP of the SNF | NOT APPLICABLE | 06/15/2007 |
| BSH Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/05/2006 |
| Citrin Cooperman and Company, LLP | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| CMS & Co. Management Services, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/02/2007 |
| CMS & Co. Management Services, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 09/10/2025 |
| Courtock, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/02/2002 |
| Courtock, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 12/02/2002 |
| Delta Health Care Consultants, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Epperly, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/20/2022 |
| Epperly, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 01/20/2022 |
| 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.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "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 |
|---|---|---|---|---|---|
| Twinsburg Post Acute | 1.0 mi | Twinsburg, OH | ★☆☆☆☆ | 1/5 | |
| Canterbury of Twinsburg | 2.1 mi | Twinsburg, OH | ★★★★☆ | 3/5 | |
| Avenue at Macedonia | 2.9 mi | Macedonia, OH | ★★☆☆☆ | 2/5 | |
| Northfield Village Retirement Community | 4.5 mi | Northfield, OH | ★★★★★ | 4/5 | |
| Heritage Health Care Center | 4.5 mi | Oakwood Village, OH | ★★☆☆☆ | 2/5 | |
| Grande Oaks | 4.5 mi | Oakwood Village, OH | ★★☆☆☆ | 1/5 | |
| Crown Center at Laurel Lake | 4.6 mi | Hudson, OH | ★★★★☆ | 4/5 | |
| Aurora Manor Special Care Cent | 4.7 mi | Aurora, OH | ★★☆☆☆ | 2/5 | abuse |
| Anna Maria of Aurora | 4.8 mi | Aurora, OH | ★★★★☆ | 3/5 | |
| Kensington at Anna Maria | 4.8 mi | Aurora, OH | ★★★★★ | 5/5 | |
| Aventura at Walton Hills | 5.1 mi | Walton Hills, OH | ★★☆☆☆ | 2/5 | |
| Avenue at Aurora | 5.5 mi | Aurora, OH | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366346.