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Monarch Meadows Nursing and Rehabilitation
299 Commerce Dr, Seaman, OH 45679 (opens Google Maps) · Adams County · (937) 386-6375· 50 certified beds · avg 47 residents/day · certified since Feb 22, 1993 · 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: CONTINUING HEALTHCARE SOLUTIONS (12 facilities, chain avg rating 2.1★)
3/5
Health inspection rating (on-site)
inspected Sep 18, 2025
1
Serious findings on record
most recent Jul 8, 2021
$0
Fines, last 3 years
3.55
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · 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.
▲ Actual harm, isolated · 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): 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: Aug 4, 2021 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
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
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 F-0578
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
View all 18 inspection findingsShow only the latest 3 findings
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 |
|---|---|---|
| Sep 18, 2025 | 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 |
| Sep 18, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0578 |
| Sep 18, 2025 | 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 |
| Sep 18, 2025 | D · Potential for more than minimal harm, isolated | 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 |
| Sep 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. · F-0646 |
| Sep 18, 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 |
| Sep 18, 2025 | 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 |
| Sep 18, 2025 | 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 |
| Sep 18, 2025 | D · Potential for more than minimal 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 |
| Sep 18, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0699 |
| Sep 18, 2025 | 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 |
| Sep 18, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them. · F-0776 |
| Nov 7, 2023 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to manage their own money and financial affairs. · F-0567 |
| Nov 7, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Aug 30, 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. · from a complaint · F-0758 |
| Jul 8, 2021 | ▲ 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 |
| Jul 8, 2021 | 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 |
| Jul 8, 2021 | D · Potential for more than minimal harm, isolated | 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. · F-0636 |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 12).
All citationsSerious citations (G–L)
2021
All citations: 3
Serious citations (G–L): 1
2023
All citations: 3
Serious citations (G–L): 0
2025
All citations: 12
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityOhio averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.55
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 0.74
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.21
Ohio average: 3.07
U.S. average: 3.50
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) | 3.55 | 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 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 3.79, RN 0.79, weekend 3.43.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.79 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
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: 3/5 · long-stay residents: 4/5 · short-stay residents: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Monarch Meadows Nursing and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
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.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
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 |
|---|---|---|---|---|
| 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 |
All 10 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Continuing Healthcare Solutions — 12 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.
- Muskingum Skilled Nursing & Rehabilitation — Beverly, OH · overall 1/5SFF
- Riverside Landing Nursing and Rehabilitation — McConnelsville, OH · overall 2/5abuse
- Sienna Skilled Nursing & Rehabilitation — Wintersville, OH · overall 1/5
- Vista Care Center of Milan — Milan, OH · overall 2/5abuse
- Vista Center at the Ridge — Mineral Ridge, OH · overall 2/5
- Vista Center of Boardman — Boardman, OH · overall 1/5
- Vista Center, the — Lisbon, OH · overall 2/5
- Arcadia Valley Skilled Nursing and Rehabilitation — Coolville, OH · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 11 others, continuing from this facility's own place in that list.
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?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 49% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 365906.
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