Roselawn Gardens Nursing & Rehabilitation

Name: Roselawn Gardens Nursing & Rehabilitation
Address: 11999 KLINGER AVENUE NE, Alliance, OH, 44601, US
Telephone: 3308230618

11999 Klinger Avenue NE, Alliance, OH 44601 · Stark County · 44 certified beds · avg 41 residents/day · certified since Jun 1, 2001

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

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.88

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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 (18)

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 18, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Feb 13, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Feb 13, 2025	D · Potential for harm, one-off	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.
Feb 13, 2025	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.
Feb 13, 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.
Jun 2, 2022	F · Potential for harm, facility-wide	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Jun 2, 2022	F · Potential for harm, facility-wide	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jun 2, 2022	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.
Jun 2, 2022	D · Potential for harm, one-off	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.
Jun 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.
Jun 2, 2022	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Jun 26, 2019	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.
Jun 26, 2019	F · Potential for harm, facility-wide	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Jun 26, 2019	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.
Jun 26, 2019	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.
Jun 26, 2019	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.
Jun 26, 2019	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 26, 2019	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 4).

Year	Citations	Worst severity that year
2019	7	F
2022	6	F
2025	5	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)	2.88	3.45	3.95	bottom 16% in Ohio; bottom 10% in the U.S.
Registered Nurse hours	0.45	0.60	0.69	bottom 29% in Ohio; bottom 30% in the U.S.
Weekend total nurse staffing	2.51	3.07	3.50	bottom 13% in Ohio; bottom 10% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.33	0.42	0.48	bottom 37% in Ohio; bottom 38% in the U.S.
Total nursing staff turnover (%)	36.7	48.7	45.8	top 20% in Ohio; top 28% in the U.S.
RN turnover (%)	0.0	43.9	42.9	—

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 3.06, RN 0.48, weekend 2.66. 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 - Corporation

Owner / manager	Type	Role	Stake	Since
Bergsten, Paul	Individual	Indirect Ownership Interest	NOT APPLICABLE	09/01/2013
Corwin, Russ	Individual	Direct Ownership Interest	NOT APPLICABLE	10/30/1989
Hillstone Healthcare INC.	Organization	Direct Ownership Interest	NOT APPLICABLE	09/01/2013
Bergsten, Paul	Individual	Managing Control - Governing Body	NOT APPLICABLE	03/23/2022
Bergsten, Paul	Individual	Corporate Officer	NOT APPLICABLE	08/01/2013
Bergsten, Paul	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2013
Bergsten, Paul	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2013
Dapore, Matthew	Individual	Corporate Officer	NOT APPLICABLE	08/01/2013
Hillstone Healthcare INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2013
LTC Provider Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2019
Mizer, Luan	Individual	Operational/Managerial Control	NOT APPLICABLE	11/13/2017
Mizer, Luan	Individual	ADP of the SNF	NOT APPLICABLE	11/13/2017
Stiltner, Sean	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How is your kitchen staffed, and have meals ever been delayed because of staffing?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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
Altercare of Alliance Ctr for Rehab & NC INC	0.2 mi	Alliance, OH	★★★☆☆	3/5
McCrea Manor NSNG and Rehab Ctr LLC	2.1 mi	Alliance, OH	★★☆☆☆	3/5
Canterbury Villa of Alliance	3.0 mi	Alliance, OH	★★☆☆☆	2/5
Bel Air Care Center	3.1 mi	Alliance, OH	★★★★☆	4/5
Green Meadows Skilled Nursing and Rehab	5.8 mi	Louisville, OH	★★☆☆☆	1/5
Crandall Nursing Home	6.0 mi	Sebring, OH	★★★★☆	4/5
Louisville Gardens Care Center	7.9 mi	Louisville, OH	★★☆☆☆	1/5
Altercare of Louisville Ctr for Rehab & Nsg Care	8.3 mi	Louisville, OH	★★★☆☆	3/5
Auburn Skilled Nursing and Rehab	9.7 mi	Salem, OH	★★★★☆	3/5
Saint Joseph Care Center	10.3 mi	Louisville, OH	★★☆☆☆	2/5
Altercare of Hartville Ctr for	11.8 mi	Hartville, OH	★★★★★	4/5
Windsor Medical Center INC	14.0 mi	North Canton, OH	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Alliance →

Facility data as of CMS processing date 2026-08-01. CCN 366231.

The Care File

Visit checklist — Roselawn Gardens Nursing & Rehabilitation

11999 Klinger Avenue NE, Alliance, OH 44601 · 3308230618

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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 366231 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)