How to file a complaint about care →
No fines or payment denials in the published 3-year window.
709 Armstrong Lane, East Liverpool, OH 43920 (opens Google Maps) · Columbiana County · (330) 382-0101· 50 certified beds · avg 43 residents/day · certified since Feb 25, 2005 · 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: THE ORCHARDS (2 facilities, chain avg rating 3.5★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · 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.
▲ Actual harm, isolated · Nov 25, 2022 · 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): 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: Jan 10, 2023 (Deficient, Provider has date of correction)
Showing the latest 3 of 33 inspection findings. Open the full record below to read every finding.
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. F-0761
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 provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. F-0684
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 |
|---|---|---|
| Dec 17, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Dec 17, 2025 | E · Potential for more than minimal harm, pattern | 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 |
| Dec 17, 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 |
| Dec 17, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0756 |
| Dec 17, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Oct 4, 2024 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0609 |
| Nov 25, 2022 | ▲ G · Actual 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 |
| Nov 25, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Nov 25, 2022 | 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 |
| Nov 25, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Nov 25, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Nov 25, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Nov 25, 2022 | 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. · F-0758 |
| Nov 25, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Nov 14, 2019 | F · Potential for more than minimal harm, widespread | 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. · F-0761 |
| Nov 14, 2019 | F · Potential for more than minimal harm, widespread | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867 |
| Nov 14, 2019 | F · Potential for more than minimal harm, widespread | 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. · F-0880 |
| Nov 14, 2019 | E · Potential for more than minimal harm, pattern | 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 |
| Nov 14, 2019 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Nov 14, 2019 | 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 |
| Nov 14, 2019 | 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 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0609 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0610 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Nov 14, 2019 | 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 |
| Nov 14, 2019 | 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 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
| Nov 14, 2019 | 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. · F-0758 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Nov 14, 2019 | D · Potential for more than minimal harm, isolated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908 |
| Nov 14, 2019 | C · Potential for minimal harm, widespread | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868 |
Citations from standard inspections decreased between the last two inspection cycles (8 → 5).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 19 | 0 | F |
| 2022 | 8 | 1 | G ▲ |
| 2024 | 1 | 0 | D |
| 2025 | 5 | 0 | E |
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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
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) | 4.04 | 3.45 | 3.95 | top 15% in Ohio; top 38% in the U.S. |
| Registered Nurse hours | 0.47 | 0.60 | 0.69 | bottom 34% in Ohio; bottom 33% in the U.S. |
| Weekend total nurse staffing | 3.68 | 3.07 | 3.50 | top 12% in Ohio; top 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.42 | 0.48 | top 35% in Ohio; top 40% in the U.S. |
| Total nursing staff turnover (%) | 37.2 | 48.7 | 45.8 | top 21% in Ohio; top 29% in the U.S. |
| RN turnover (%) | 50.0 | 43.9 | 42.9 | bottom 43% in Ohio; bottom 39% 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 4.06, RN 0.47, weekend 3.69.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.06 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Orchards of East Liverpool, the. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Fox, James | Individual | 5% or Greater Direct Ownership Interest | 50% | 09/02/2014 |
| Fox, James | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/26/2022 |
| Fox, Scott | Individual | 5% or Greater Direct Ownership Interest | 50% | 09/02/2014 |
| Fox, Scott | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/02/2014 |
| Orchards Family Management, LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 08/26/2022 |
| Baker Tilly Advisory Group, LP | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Barnett, Gerald | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Barnett, Gerald | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Fox, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/02/2014 |
| Fox, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/02/2014 |
| Fox, James | Individual | ADP of the SNF | NOT APPLICABLE | 09/02/2014 |
| Fox, Scott | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/02/2014 |
| Fox, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/02/2014 |
| Fox, Scott | Individual | ADP of the SNF | NOT APPLICABLE | 09/02/2014 |
| Foxcrest, INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/02/2014 |
| Harshaw, Derek | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| The Orchard's Real Estate, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/20/2014 |
All 17 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain The Orchards — 2 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.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Valley Oaks Care Center | 1.3 mi | East Liverpool, OH | ★★★☆☆ | 3/5 | |
| Stone Pear Pavilion | 2.5 mi | Chester, WV | ★★☆☆☆ | 2/5 | |
| Calcutta Health Care Center | 2.5 mi | Calcutta, OH | ★☆☆☆☆ | 1/5 | |
| Beaver Valley Rehabilitation and Healthcare Center | 11.2 mi | Beaver Falls, PA | ★★☆☆☆ | 2/5 | |
| Friendship Rehab and Health | 13.5 mi | Beaver, PA | ★☆☆☆☆ | 1/5 | abuseSFF |
| Vista Center, the | 13.9 mi | Lisbon, OH | ★★☆☆☆ | 1/5 | |
| Covington Skilled Nursing & Rehab Center | 14.7 mi | East Palestine, OH | ★★★★☆ | 4/5 | |
| Acadia Nursing and Rehab Center | 14.8 mi | Aliquippa, PA | ★☆☆☆☆ | 1/5 | |
| Providence Health & Rehab Center | 15.3 mi | Beaver Falls, PA | ★☆☆☆☆ | 1/5 | abuse |
| Weirton Geriatric Center | 15.8 mi | Weirton, WV | ★★★★★ | 4/5 | |
| Rochester Residence and Care Center | 15.9 mi | Rochester, PA | —/5 | SFF | |
| Parkside Health Care Center | 17.5 mi | Columbiana, OH | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Columbiana, OH — 11 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 366309.
May we use Google Analytics cookies to measure visits and pages viewed? Optional — every feature works without them. Privacy details