Smithville Western Care Center

Name: Smithville Western Care Center
Address: 4110 EAST SMITHVILLE WESTERN ROAD, Wooster, OH, 44691, US
Telephone: 3303459050

4110 East Smithville Western Road, Wooster, OH 44691 · Wayne County · 127 certified beds · avg 92 residents/day · certified since Apr 9, 1975

Part of chain: SPRENGER HEALTH CARE SYSTEMS (12 facilities, chain avg rating 3.3★)

2/5

Health inspection rating (on-site)

Serious findings on record

$42,777

Fines, last 3 years

3.74

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 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, one-off · Oct 31, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

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: Nov 5, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (38)

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
Apr 28, 2025	E · Potential for harm, repeated	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
Apr 28, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jan 15, 2025	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint
Jan 15, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Jan 15, 2025	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
Oct 31, 2024	▲ J · Immediate jeopardy, 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
Oct 31, 2024	E · Potential for harm, repeated	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. · from a complaint
Oct 31, 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. · from a complaint
Jul 2, 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.
Jul 2, 2024	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Jul 2, 2024	F · Potential for harm, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
Jul 2, 2024	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.
Jul 2, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jul 2, 2024	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.
Jul 2, 2024	D · Potential for harm, one-off	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.
Jul 2, 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.
Jul 2, 2024	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.
Jul 2, 2024	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.
Jul 2, 2024	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.
Apr 11, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · from a complaint
Feb 8, 2024	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. · from a complaint
Mar 24, 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.
Mar 24, 2022	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 24, 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 24, 2022	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Mar 24, 2022	D · Potential for harm, one-off	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Mar 24, 2022	D · Potential for harm, one-off	The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals.
Mar 24, 2022	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 24, 2022	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Apr 18, 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.
Apr 18, 2019	E · Potential for harm, repeated	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.
Apr 18, 2019	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.
Apr 18, 2019	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Apr 18, 2019	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Apr 18, 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.
Apr 18, 2019	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.
Apr 18, 2019	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Apr 18, 2019	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (8 → 11).

Year	Citations	Serious (G–L)	Worst severity that year
2019	9	0	F
2022	8	0	F
2024	16	1	J ▲
2025	5	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)

1 fine totaling $42,777.

Date	Type	Amount / length
Oct 31, 2024	Fine	$42,777

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)	3.74	3.45	3.95	top 23% in Ohio; bottom 49% in the U.S.
Registered Nurse hours	0.61	0.60	0.69	top 38% in Ohio; top 47% in the U.S.
Weekend total nurse staffing	3.36	3.07	3.50	top 22% in Ohio; top 50% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.42	0.48	top 39% in Ohio; top 43% in the U.S.
Total nursing staff turnover (%)	34.6	48.7	45.8	top 15% in Ohio; top 23% in the U.S.
RN turnover (%)	38.5	43.9	42.9	top 42% in Ohio; top 44% 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 3.63, RN 0.59, weekend 3.26. Staffing rating: 4/5.

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: 2/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Bluesky Healthcare INC	Organization	5% or Greater Indirect Ownership Interest	—	10/01/2001
Hutsenpiller, Wendie	Individual	5% or Greater Indirect Ownership Interest	—	07/01/2008
Malanowski, Kenneth	Individual	5% or Greater Indirect Ownership Interest	—	07/01/2008
Sprenger Enterprises, INC	Organization	5% or Greater Indirect Ownership Interest	—	10/01/2001
Sprenger, Nicole	Individual	5% or Greater Indirect Ownership Interest	—	07/01/2008
Sprenger, Tracey	Individual	5% or Greater Indirect Ownership Interest	—	07/01/2008
Wayne Manor, INC.	Organization	5% or Greater Direct Ownership Interest	100%	10/01/2001
BSH Investments LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/04/2003
Childs, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	01/06/2025
Childs, Robert	Individual	ADP of the SNF	NOT APPLICABLE	01/06/2025
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
Delta Health Care Consultants, INC.	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2008
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
Huntington	Organization	ADP of the SNF	NOT APPLICABLE	10/01/2001
Hutsenpiller, Wendie	Individual	ADP of the SNF	NOT APPLICABLE	07/01/2008
Kuhn, Shannon	Individual	Corporate Officer	NOT APPLICABLE	12/31/2024

Questions to ask on your visit

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

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How do you explain health changes and treatment options to residents and their families?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"How often does the attending doctor physically see each resident, and how is that documented?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"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	Flags
Avenue at Wooster	1.6 mi	Wooster, OH	★★★☆☆	2/5
Glendora Health Care Center	2.9 mi	Wooster, OH	★☆☆☆☆	1/5
Wooster Community Hospital SNF	3.2 mi	Wooster, OH	★★★★★	5/5
West View Healthy Living	4.4 mi	Wooster, OH	★★★★☆	4/5
Wayne County Care Center	5.0 mi	Wooster, OH	★★★★★	4/5
Accord Care Community Orrville LLC	5.5 mi	Orrville, OH	★★☆☆☆	2/5
Orrville Pointe	6.0 mi	Orrville, OH	★★☆☆☆	1/5
Apostolic Christian Home INC	7.7 mi	Rittman, OH	★★★★★	4/5
Burbank Parke Care Center	10.1 mi	Burbank, OH	★★★★☆	3/5
Autumnwood Nursing & Rehab Center	10.7 mi	Rittman, OH	★★☆☆☆	1/5
Country Pointe	10.8 mi	Wooster, OH	★★★★★	5/5
Shady Lawn Nursing Home	11.5 mi	Dalton, OH	★★☆☆☆	1/5	abuse

Compare this facility with the 3 closest →

All facilities in Wooster →

Facility data as of CMS processing date 2026-08-01. CCN 365317.

The Care File

Visit checklist — Smithville Western Care Center

4110 East Smithville Western Road, Wooster, OH 44691 · 3303459050

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $42,777

Most serious findings on record:

▲ Oct 31, 2024 (F-0684, Immediate jeopardy, 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.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "How often does the attending doctor physically see each resident, and how is that documented?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "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 365317 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)