4110 East Smithville Western Road, Wooster, OH 44691 (opens Google Maps) · Wayne County · (330) 345-9050· 127 certified beds · avg 92 residents/day · certified since Apr 9, 1975 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: SPRENGER HEALTH CARE SYSTEMS (12 facilities, chain avg rating 3.3★)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
⚠ 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 quality measures from resident assessments and claims.
▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 5, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 38 inspection findings. Open the full record below to read every finding.
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 F-0755
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint F-0584
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 F-0552
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 28, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0755 |
| Apr 28, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| Jan 15, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0552 |
| Jan 15, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583 |
| Jan 15, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0684 |
| Oct 31, 2024 | ▲ J · Immediate jeopardy, isolated | 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 · F-0684 |
| Oct 31, 2024 | E · Potential for more than minimal harm, pattern | 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 · F-0712 |
| Oct 31, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0580 |
| Jul 2, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jul 2, 2024 | F · Potential for more than minimal harm, widespread | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Jul 2, 2024 | F · Potential for more than minimal harm, widespread | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · F-0925 |
| Jul 2, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Jul 2, 2024 | E · Potential for more than minimal harm, pattern | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Jul 2, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0569 |
| Jul 2, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
| Jul 2, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Jul 2, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 2, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Jul 2, 2024 | D · Potential for more than minimal harm, isolated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842 |
| Apr 11, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0582 |
| Feb 8, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0641 |
| Mar 24, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Mar 24, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Mar 24, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Mar 24, 2022 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Mar 24, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0805 |
| Mar 24, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0810 |
| Mar 24, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Mar 24, 2022 | D · Potential for more than minimal harm, isolated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · F-0921 |
| Apr 18, 2019 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Apr 18, 2019 | E · Potential for more than minimal harm, pattern | 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. · F-0550 |
| Apr 18, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Apr 18, 2019 | D · Potential for more than minimal harm, isolated | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Apr 18, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0644 |
| Apr 18, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Apr 18, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Apr 18, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697 |
| Apr 18, 2019 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698 |
Citations from standard inspections increased between the last two inspection cycles (8 → 11).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
1 fine totaling $42,777.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Oct 31, 2024 | Fine | $42,777 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.63 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 2/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Smithville Western Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 37 parties CMS has on file for this facility; 17 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Sprenger Health Care Systems — 12 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 11 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| 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 |
Facility data as of CMS processing date 2026-08-01. CCN 365317.
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