Presidential Post-Acute

Name: Presidential Post-Acute
Address: 524 JAMES WAY, Marion, OH, 43302, US
Telephone: 7403896306

524 James Way, Marion, OH 43302 · Marion County · 99 certified beds · avg 92 residents/day · certified since Feb 24, 1984

Part of chain: PACS GROUP (274 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

$71,295

Fines, last 3 years

2.40

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: 2/5

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)

▲ Immediate jeopardy, one-off · Mar 23, 2026 · 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Apr 13, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Oct 20, 2025 · F-0689 · triggered by a complaint

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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Nov 3, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (17)

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
Mar 23, 2026	▲ J · Immediate jeopardy, 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 23, 2026	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Mar 23, 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.
Mar 23, 2026	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.
Mar 23, 2026	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 23, 2026	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Mar 23, 2026	D · Potential for harm, one-off	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy.
Mar 23, 2026	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
Mar 23, 2026	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. · from a complaint
Mar 23, 2026	D · Potential for harm, one-off	The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign.
Oct 20, 2025	▲ G · Actual 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. · from a complaint
Oct 20, 2025	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
Dec 24, 2024	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. · from a complaint
Dec 24, 2024	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. · from a complaint
May 8, 2024	E · Potential for harm, repeated	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.
May 8, 2024	D · Potential for harm, one-off	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.
May 8, 2024	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (3 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2024	5	0	E
2025	2	1	G ▲
2026	10	1	J ▲

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)

1 fine totaling $71,295, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Mar 23, 2026	Fine	$71,295
Mar 23, 2026	Payment Denial	36 days from Apr 16, 2026

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)	2.40	3.45	3.95	bottom 2% in Ohio; bottom 3% in the U.S.
Registered Nurse hours	0.49	0.60	0.69	bottom 38% in Ohio; bottom 36% in the U.S.
Weekend total nurse staffing	2.11	3.07	3.50	bottom 2% in Ohio; bottom 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.42	0.48	bottom 23% in Ohio; bottom 27% in the U.S.
Total nursing staff turnover (%)	48.8	48.7	45.8	bottom 49% in Ohio; bottom 40% in the U.S.
RN turnover (%)	27.3	43.9	42.9	top 23% in Ohio; top 24% 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 3.01, RN 0.61, weekend 2.65. 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: 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
Providence Group INC	Organization	5% or Greater Direct Ownership Interest	100%	03/07/2019
Apt, Frederick	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Jergensen, Joshua	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Kellogg, Shannon	Individual	W-2 Managing Employee	NOT APPLICABLE	07/01/2019
Kellogg, Shannon	Individual	Operational/Managerial Control	NOT APPLICABLE	07/01/2019
Mitchell, John	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Piacentini, Mark	Individual	Contracted Managing Employee	NOT APPLICABLE	05/01/2006

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?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
"Which staff are trained in ostomy care, and how often is that care provided and checked?"
"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	Flags
Marion Nursing & Rehab	2.3 mi	Marion, OH	★☆☆☆☆	2/5
Marion Pointe	2.7 mi	Marion, OH	★★★☆☆	3/5
Marion Valley Post Acute	2.7 mi	Marion, OH	★☆☆☆☆	2/5
Meadows of Marion Health and Rehabilitation the	3.1 mi	Marion, OH		—/5
Harding Pointe	3.1 mi	Marion, OH	★★★☆☆	3/5
Woodside Village Care Center	11.8 mi	Mount Gilead, OH	★★★☆☆	3/5
Altercare of Bucyrus Center Fo	15.9 mi	Bucyrus, OH	★★★★☆	3/5
Unger Park Post Acute	17.0 mi	Bucyrus, OH	★★☆☆☆	2/5
Galion Meadows Skilled Nursing and Rehabilitation	17.7 mi	Galion, OH	★☆☆☆☆	1/5
Arbors at Delaware	18.3 mi	Delaware, OH	★★☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Marion →

Facility data as of CMS processing date 2026-08-01. CCN 365618.

The Care File

Visit checklist — Presidential Post-Acute

524 James Way, Marion, OH 43302 · 7403896306

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $71,295

Most serious findings on record:

▲ Mar 23, 2026 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Oct 20, 2025 (F-0689, Actual 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.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
☐ "Which staff are trained in ostomy care, and how often is that care provided and checked?"
☐ "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 365618 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)