Ohio Living Mount Pleasant
225 Britton Lane, Monroe, OH 45050 · Butler County · 32 certified beds · avg 29 residents/day · certified since Nov 18, 1977
Part of chain: OHIO LIVING COMMUNITIES (11 facilities, chain avg rating 4.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
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 · Aug 1, 2022 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Sep 13, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 |
|---|---|---|
| Jan 22, 2026 | F · Potential for harm, facility-wide | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jan 22, 2026 | 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. |
| Jan 22, 2026 | 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. |
| Aug 1, 2022 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Aug 1, 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. |
| Aug 1, 2022 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Aug 1, 2022 | 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. |
| Aug 1, 2022 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Aug 1, 2022 | E · Potential for harm, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Aug 1, 2022 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Aug 1, 2022 | 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 (8 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 8 | 1 | G ▲ |
| 2026 | 3 | 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) | 3.85 | 3.45 | 3.95 | top 20% in Ohio; top 46% in the U.S. |
| Registered Nurse hours | 0.98 | 0.60 | 0.69 | top 6% in Ohio; top 17% in the U.S. |
| Weekend total nurse staffing | 3.64 | 3.07 | 3.50 | top 13% in Ohio; top 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.57 | 0.42 | 0.48 | top 18% in Ohio; top 25% in the U.S. |
| Total nursing staff turnover (%) | 30.0 | 48.7 | 45.8 | top 8% in Ohio; top 14% in the U.S. |
| RN turnover (%) | 28.6 | 43.9 | 42.9 | top 25% in Ohio; top 26% 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 4.08, RN 1.04, weekend 3.85. Staffing rating: 4/5.
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: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Adam, Sandra | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Berner, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 03/07/2017 |
| Gumina, Laurence | Individual | Corporate Officer | NOT APPLICABLE | 12/28/2011 |
| Gumina, Laurence | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/28/2011 |
| Joyce, James | Individual | Corporate Director | NOT APPLICABLE | 07/01/2020 |
| Kappers, Stanley | Individual | ADP of the SNF | NOT APPLICABLE | 11/01/2002 |
| Stillman, Robert | Individual | Corporate Officer | NOT APPLICABLE | 04/15/2013 |
| White, Terry | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
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 assess and manage residents' pain, especially for those who have trouble communicating?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "How do you track each resident's food allergies and preferences, and what happens if they don't like what's served?"
- "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 |
|---|---|---|---|---|---|
| Arlington Pointe Care Center | 2.6 mi | Middletown, OH | ★★★★☆ | 4/5 | |
| Majestic Care of Middletown LLC | 3.2 mi | Middletown, OH | ★★☆☆☆ | 1/5 | |
| The Laurels of Middletown | 3.8 mi | Middletown, OH | ★★★★☆ | 3/5 | |
| Hawthorn Glen Nursing Center | 3.8 mi | Middletown, OH | ★☆☆☆☆ | 2/5 | |
| Otterbein Lebanon Retirement Community | 4.6 mi | Lebanon, OH | ★★★★★ | 4/5 | |
| Otterbein Middletown | 4.8 mi | Franklin, OH | ★★★★☆ | 3/5 | |
| Heritagespring Healthcare Center of West Chester | 5.6 mi | West Chester, OH | ★★★☆☆ | 3/5 | |
| Willow Knoll Post-Acute and Senior Living | 6.4 mi | Middletown, OH | ★★★☆☆ | 4/5 | |
| Chesterwood Atc | 6.8 mi | West Chester, OH | ★★★★★ | 4/5 | |
| Mason Health Care Center | 7.4 mi | Mason, OH | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365358.