Pine Ridge Skilled Nursing and Rehab

Name: Pine Ridge Skilled Nursing and Rehab
Address: 463 EAST PIKE STREET, Morrow, OH, 45152, US
Telephone: 5138992801

463 East Pike Street, Morrow, OH 45152 · Warren County · 50 certified beds · avg 48 residents/day · certified since May 21, 1992

Part of chain: HILLSTONE HEALTHCARE (9 facilities, chain avg rating 3.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.50

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · 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.

All citations in the current public record (28)

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
Jun 30, 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. · from a complaint
Jun 30, 2026	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly. · from a complaint
Jun 30, 2026	F · Potential for harm, facility-wide	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint
Jun 30, 2026	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. · from a complaint
Sep 19, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint
Nov 14, 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.
Nov 14, 2024	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.
Nov 14, 2024	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.
Nov 14, 2024	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.
Nov 14, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Nov 14, 2024	D · Potential for harm, one-off	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.
Mar 2, 2022	E · Potential for harm, repeated	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
Mar 2, 2022	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Mar 2, 2022	E · Potential for harm, repeated	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.
Mar 2, 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.
Mar 2, 2022	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 2, 2022	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
Mar 2, 2022	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.
Mar 2, 2022	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Mar 2, 2022	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.
Mar 2, 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.
Mar 2, 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.
Mar 2, 2022	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Mar 2, 2022	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.
Mar 2, 2022	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Aug 1, 2019	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Aug 1, 2019	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.
Aug 1, 2019	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (14 → 6).

Year	Citations	Worst severity that year
2019	3	E
2022	14	E
2024	6	F
2025	1	D
2026	4	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)	2.50	3.45	3.95	bottom 4% in Ohio; bottom 4% in the U.S.
Registered Nurse hours	0.39	0.60	0.69	bottom 19% in Ohio; bottom 21% in the U.S.
Weekend total nurse staffing	2.22	3.07	3.50	bottom 4% in Ohio; bottom 4% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.33	0.42	0.48	bottom 38% in Ohio; bottom 39% in the U.S.
Total nursing staff turnover (%)	33.3	48.7	45.8	top 13% in Ohio; top 20% in the U.S.
RN turnover (%)	20.0	43.9	42.9	top 13% in Ohio; top 13% 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 3.02, RN 0.48, weekend 2.67. Staffing rating: 2/5.

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

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bergsten, Paul	Individual	Corporate Officer	NOT APPLICABLE	05/01/2022
Bergsten, Paul	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2022
Dapore, Matthew	Individual	Corporate Officer	NOT APPLICABLE	05/01/2022
Dapore, Matthew	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2022

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?"
"Can I see where garbage is stored and how often it's removed?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"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
Cedarview Care Center	6.3 mi	Lebanon, OH	★★★★☆	4/5
Cedars of Lebanon Care Center	7.1 mi	Lebanon, OH	★★☆☆☆	2/5
Embassy of Lebanon	7.3 mi	Lebanon, OH	★★☆☆☆	1/5
Otterbein at Maineville	7.4 mi	Maineville, OH	★★★☆☆	3/5
Continental Manor Nurs and Rehabilitation Center	8.6 mi	Blanchester, OH	★★★★★	4/5
Laurels of Blanchester, the	8.7 mi	Blanchester, OH	★★★★★	5/5
Mason Health Care Center	8.8 mi	Mason, OH	★★★☆☆	3/5
Loveland Care Center	9.0 mi	Loveland, OH	★★★☆☆	3/5
Venetian Gardens	9.7 mi	Loveland, OH	★★★★★	5/5
Otterbein Lebanon Retirement Community	10.4 mi	Lebanon, OH	★★★★★	4/5
Lodge Nursing & Rehab Center	10.7 mi	Loveland, OH	★★★★☆	4/5
Majestic Care of Cedar Village.	10.8 mi	Mason, OH	★★☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Morrow →

Facility data as of CMS processing date 2026-08-01. CCN 365878.

The Care File

Visit checklist — Pine Ridge Skilled Nursing and Rehab

463 East Pike Street, Morrow, OH 45152 · 5138992801

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "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 365878 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)