Rose Lane Nursing and Rehabilitation
5425 High Mill Avenue NW, Massillon, OH 44646 · Stark County · 171 certified beds · avg 161 residents/day · certified since Apr 20, 1973
Part of chain: SPRENGER HEALTH CARE SYSTEMS (12 facilities, chain avg rating 3.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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, facility-wide · Sep 13, 2021 · F-0880
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.
Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Oct 21, 2021 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 20, 2024 · 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: Jan 15, 2024 (Past Non-Compliance)
All citations in the current public record (35)
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 27, 2026 | 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. · from a complaint |
| Jun 24, 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 |
| Jan 20, 2024 | ▲ 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 |
| Nov 19, 2023 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Nov 19, 2023 | 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. |
| Nov 19, 2023 | 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. |
| Nov 19, 2023 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Nov 19, 2023 | 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. |
| Nov 19, 2023 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Nov 19, 2023 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. |
| Nov 19, 2023 | 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. |
| Nov 19, 2023 | 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. |
| Nov 19, 2023 | 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. |
| Nov 19, 2023 | 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. |
| Nov 19, 2023 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Nov 19, 2023 | B · Minimal risk, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Aug 15, 2023 | E · Potential for harm, repeated | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| Aug 15, 2023 | E · Potential for harm, repeated | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Sep 13, 2021 | ▲ L · Immediate jeopardy, facility-wide | 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. |
| Sep 13, 2021 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Sep 13, 2021 | F · Potential for harm, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Sep 13, 2021 | 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. |
| Sep 13, 2021 | 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. |
| Sep 13, 2021 | 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. |
| Nov 7, 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. |
| Nov 7, 2019 | E · Potential for harm, repeated | 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. |
| Nov 7, 2019 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Nov 7, 2019 | D · Potential for harm, one-off | The facility did not honor residents' individual preferences, choices, values, and beliefs in their daily life and care. |
| Nov 7, 2019 | 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. |
| Nov 7, 2019 | 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. |
| Nov 7, 2019 | D · Potential for harm, one-off | The facility admitted a resident without a doctor's order, or did not make sure each resident stayed under a doctor's ongoing care. |
| Nov 7, 2019 | D · Potential for harm, one-off | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Nov 7, 2019 | 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. |
| Nov 7, 2019 | C · Minimal risk, 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 7, 2019 | C · Minimal risk, facility-wide | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (6 → 13).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 11 | 0 | E |
| 2021 | 6 | 1 | L ▲ |
| 2023 | 15 | 0 | E |
| 2024 | 1 | 1 | G ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 1 | 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.
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) | 3.44 | 3.45 | 3.95 | top 41% in Ohio; bottom 34% in the U.S. |
| Registered Nurse hours | 0.68 | 0.60 | 0.69 | top 27% in Ohio; top 39% in the U.S. |
| Weekend total nurse staffing | 3.13 | 3.07 | 3.50 | top 36% in Ohio; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.42 | 0.48 | top 29% in Ohio; top 34% in the U.S. |
| Total nursing staff turnover (%) | 45.2 | 48.7 | 45.8 | top 41% in Ohio; bottom 49% in the U.S. |
| RN turnover (%) | 31.8 | 43.9 | 42.9 | top 31% in Ohio; top 32% 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 3.21, RN 0.63, weekend 2.92. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bluesky Healthcare INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/21/2010 |
| Hutsenpiller, Wendie | Individual | 5% or Greater Indirect Ownership Interest | 18% | 03/21/2011 |
| Malanowski, Kenneth | Individual | 5% or Greater Indirect Ownership Interest | 20% | 03/21/2011 |
| Sprenger, Nicole | Individual | 5% or Greater Indirect Ownership Interest | 31% | 03/21/2011 |
| Sprenger, Tracey | Individual | 5% or Greater Indirect Ownership Interest | 31% | 03/21/2011 |
| BSH Investments LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/21/2010 |
| Citrin Cooperman and Company, LLP | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| CMS & Co. Management Services, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/22/2001 |
| CMS & Co. Management Services, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 07/31/2025 |
| Courtock, Melissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/02/2002 |
| Courtock, Melissa | Individual | ADP of the SNF | NOT APPLICABLE | 12/02/2002 |
| Delta Health Care Consultants, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2008 |
| Didomenico, Richard | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/26/2024 |
| Didomenico, Richard | Individual | ADP of the SNF | NOT APPLICABLE | 03/26/2024 |
| Epperly, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/20/2022 |
| Epperly, Robert | Individual | ADP of the SNF | NOT APPLICABLE | 01/20/2022 |
| Fox, Emily | Individual | Corporate Officer | NOT APPLICABLE | 12/31/2024 |
| Fox, Emily | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Fox, Emily | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Gollinger, Kristen | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/13/2000 |
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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "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 |
|---|---|---|---|---|---|
| The Pavilion at Canal Fulton for Nursing and Rehab | 1.5 mi | Canal Fulton, OH | ★★☆☆☆ | 3/5 | |
| Altercare of Nobles Pond, INC | 2.3 mi | Canton, OH | ★★★☆☆ | 2/5 | |
| Laurels of Massillon, the | 3.1 mi | Massillon, OH | ★★★★★ | 4/5 | |
| Amherst Meadows Skilled Nursing and Rehab | 3.3 mi | Massillon, OH | ★★★★★ | 5/5 | |
| Chapel Hill Community | 3.7 mi | Canal Fulton, OH | ★★★★☆ | 4/5 | |
| Meadow Wind Health Care Center | 4.8 mi | Massillon, OH | ★★★☆☆ | 3/5 | |
| Gardens of Belden Village | 5.1 mi | Canton, OH | ★☆☆☆☆ | 2/5 | |
| Hanover Healthcare Center | 5.3 mi | Massillon, OH | ★★☆☆☆ | 1/5 | |
| Legends Care Rehabilitation and Nursing Center | 6.6 mi | Massillon, OH | ★★☆☆☆ | 1/5 | |
| Saint Luke Lutheran Home | 6.6 mi | North Canton, OH | ★☆☆☆☆ | 1/5 | SFF |
| Astoria Skilled Nursing and Rehabilitation | 6.8 mi | Canton, OH | ★☆☆☆☆ | 1/5 | |
| The Pines Healthcare Center | 6.9 mi | Canton, OH | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365289.