Piqua Manor
1840 West High Street, Piqua, OH 45356 · Miami County · 99 certified beds · avg 91 residents/day · certified since Aug 19, 1971
Part of chain: HCF MANAGEMENT (22 facilities, chain avg rating 3.1★)
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.47
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.
All citations in the current public record (20)
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 |
|---|---|---|
| Jul 1, 2026 | 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. · from a complaint |
| Mar 26, 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. |
| Mar 26, 2026 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 26, 2026 | 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. |
| Mar 26, 2026 | 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. · from a complaint |
| Mar 26, 2026 | 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 26, 2026 | D · Potential for harm, one-off | 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 26, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 26, 2026 | 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 26, 2026 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Aug 22, 2025 | D · Potential for harm, one-off | 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 |
| Aug 22, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Feb 26, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Feb 26, 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. · from a complaint |
| Jun 29, 2023 | 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. |
| Jun 29, 2023 | D · Potential for harm, one-off | 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. |
| Jun 29, 2023 | 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. |
| Jun 17, 2021 | 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. |
| Jun 17, 2021 | 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. |
| Jun 17, 2021 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | D |
| 2023 | 3 | 0 | D |
| 2024 | 2 | 0 | D |
| 2025 | 2 | 0 | D |
| 2026 | 10 | 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) | 3.47 | 3.45 | 3.95 | top 39% in Ohio; bottom 35% in the U.S. |
| Registered Nurse hours | 0.57 | 0.60 | 0.69 | top 44% in Ohio; bottom 48% in the U.S. |
| Weekend total nurse staffing | 3.08 | 3.07 | 3.50 | top 39% in Ohio; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.42 | 0.48 | bottom 13% in Ohio; bottom 18% in the U.S. |
| Total nursing staff turnover (%) | 34.4 | 48.7 | 45.8 | top 15% in Ohio; top 23% 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, 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 3.77, RN 0.62, weekend 3.35. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Chad M. Unverferth 12-14-11 Irrv Grantor Tr | Organization | 5% or Greater Indirect Ownership Interest | 6% | 12/13/2021 |
| David V. Unverferth 12-14-11 Irrv Grantor Tr | Organization | 5% or Greater Indirect Ownership Interest | 6% | 12/13/2021 |
| Jeffrey L. Unverferth 12-14-11 Irrv Grantor Tr | Organization | 5% or Greater Indirect Ownership Interest | 6% | 12/13/2021 |
| Joann C. Unverferth 12-29-04 Revocable Trust | Organization | 5% or Greater Indirect Ownership Interest | 5% | 12/13/2021 |
| Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kendra M. U | Organization | 5% or Greater Indirect Ownership Interest | 7% | 12/13/2021 |
| Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kerri A. Ro | Organization | 5% or Greater Indirect Ownership Interest | 7% | 12/13/2021 |
| Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kevan R. Un | Organization | 5% or Greater Indirect Ownership Interest | 7% | 12/13/2021 |
| Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kristen S. | Organization | 5% or Greater Indirect Ownership Interest | 7% | 12/13/2021 |
| Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kyle J. Unv | Organization | 5% or Greater Indirect Ownership Interest | 7% | 12/13/2021 |
| Joseph L. Unverferth 12-15-11 Irrv Grantor Tr | Organization | 5% or Greater Indirect Ownership Interest | 6% | 12/13/2021 |
| Lawrence G. Unverferth 12-13-11 Irrv Grantor Tr | Organization | 5% or Greater Indirect Ownership Interest | 6% | 12/13/2021 |
| R. Steven Unverferth 12-14-11 Irrv Grantor Tr | Organization | 5% or Greater Indirect Ownership Interest | 6% | 12/13/2021 |
| HCF Management, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2004 |
| Klay, Celeste | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/01/2011 |
| Klay, Celeste | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Klay, Celeste | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2016 |
| Romes, Kerri | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/01/2013 |
| Romes, Kerri | Individual | Corporate Director | NOT APPLICABLE | 03/29/2019 |
| Romes, Kerri | Individual | Corporate Officer | NOT APPLICABLE | 11/01/2019 |
| Saintignon, Megan | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/17/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "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?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "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 |
|---|---|---|---|---|---|
| Ayden Healthcare of Piqua | 3.6 mi | Piqua, OH | ★☆☆☆☆ | 2/5 | |
| Vancrest-Upper Valley | 4.8 mi | Troy, OH | ★★★★☆ | 3/5 | |
| Stillwater Skilled Nursing and Rehabilitation | 4.8 mi | Covington, OH | ★★☆☆☆ | 3/5 | |
| Troy Rehabilitation and Healthcare Center | 8.2 mi | Troy, OH | ★★☆☆☆ | 3/5 | |
| Fair Haven Shelby County | 9.4 mi | Sidney, OH | ★☆☆☆☆ | 1/5 | SFF |
| Momentous Health at Sidney | 11.4 mi | Sidney, OH | ★★☆☆☆ | 2/5 | |
| Shelby Skilled Nursing and Rehabilitation | 11.5 mi | Sidney, OH | ★★★☆☆ | 4/5 | |
| Versailles Rehabilitation and Health Care Center | 12.1 mi | Versailles, OH | ★★★★☆ | 4/5 | |
| Ohio Living Dorothy Love | 12.2 mi | Sidney, OH | ★★★★★ | 4/5 | |
| Springmeade Healthcenter | 12.5 mi | Tipp City, OH | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365265.