Monarch Meadows Nursing and Rehabilitation

Name: Monarch Meadows Nursing and Rehabilitation
Address: 299 COMMERCE DR, Seaman, OH, 45679, US
Telephone: 9373866375

299 Commerce Dr, Seaman, OH 45679 · Adams County · 50 certified beds · avg 47 residents/day · certified since Feb 22, 1993

Part of chain: CONTINUING HEALTHCARE SOLUTIONS (12 facilities, chain avg rating 2.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.55

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jul 8, 2021 · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Aug 4, 2021 (Deficient, Provider has date of correction)

All citations in the current public record (18)

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
Sep 18, 2025	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.
Sep 18, 2025	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. · from a complaint
Sep 18, 2025	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.
Sep 18, 2025	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.
Sep 18, 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.
Sep 18, 2025	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.
Sep 18, 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.
Sep 18, 2025	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.
Sep 18, 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.
Sep 18, 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.
Sep 18, 2025	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.
Sep 18, 2025	D · Potential for harm, one-off	The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them.
Nov 7, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to manage their own money and financial affairs.
Nov 7, 2023	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.
Aug 30, 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. · from a complaint
Jul 8, 2021	▲ G · Actual 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.
Jul 8, 2021	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 8, 2021	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 12).

Year	Citations	Serious (G–L)	Worst severity that year
2021	3	1	G ▲
2023	3	0	D
2025	12	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)	3.55	3.45	3.95	top 33% in Ohio; bottom 39% in the U.S.
Registered Nurse hours	0.74	0.60	0.69	top 21% in Ohio; top 32% in the U.S.
Weekend total nurse staffing	3.21	3.07	3.50	top 29% in Ohio; bottom 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.52	0.42	0.48	top 23% in Ohio; top 30% in the U.S.
Total nursing staff turnover (%)	49.0	48.7	45.8	bottom 48% in Ohio; bottom 39% 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 3.79, RN 0.79, weekend 3.43. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bunner, Michael	Individual	Corporate Director	NOT APPLICABLE	04/30/2013
Hughey, Tracy	Individual	Corporate Officer	NOT APPLICABLE	01/01/2026
Hughey, Tracy	Individual	ADP of the SNF	NOT APPLICABLE	04/15/2013
Kauffman, Kevin	Individual	Corporate Officer	NOT APPLICABLE	08/01/2024
Kauffman, Kevin	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2024
Kauffman, Kevin	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2024
Mallett, Christopher	Individual	Corporate Director	NOT APPLICABLE	04/30/2013
Parsons, Benjamin	Individual	Corporate Director	NOT APPLICABLE	04/30/2013
Sprenger, Mark	Individual	Corporate Director	NOT APPLICABLE	04/30/2013
Sprenger, Timothy	Individual	Corporate Director	NOT APPLICABLE	04/30/2013

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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
Eagle Creek Nursing Center	12.8 mi	West Union, OH	★★★★★	4/5
Adams County Manor	12.9 mi	West Union, OH	★★☆☆☆	3/5
Hillsboro Health and Rehab LLC	16.6 mi	Hillsboro, OH	★☆☆☆☆	1/5
Crestwood Ridge Skilled Nursing and Rehab	17.2 mi	Hillsboro, OH	★★★★☆	3/5
Hillsboro Post Acute	17.9 mi	Hillsboro, OH	★★★★★	5/5
Ohio Veterans Home - Georgetown	18.5 mi	Georgetown, OH	★★★★★	5/5
Villa Georgetown Rehabilitation and Healthcare Cen	18.6 mi	Georgetown, OH	★★★★☆	4/5
Ohio Valley Manor Care Center	19.4 mi	Ripley, OH	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Seaman →

Facility data as of CMS processing date 2026-08-01. CCN 365906.

The Care File

Visit checklist — Monarch Meadows Nursing and Rehabilitation

299 Commerce Dr, Seaman, OH 45679 · 9373866375

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

Most serious findings on record:

▲ Jul 8, 2021 (F-0689, Actual 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you coordinate with state agencies for residents with mental health conditions or intellectual disabilities?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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 365906 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)