The Good Shepherd Health and Rehabilitation Center
622 Center St, Ashland, OH 44805 · Ashland County · 125 certified beds · avg 113 residents/day · certified since Jan 1, 1967
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
⚠ 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)
▲ Actual harm, one-off · Nov 27, 2023 · 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 24, 2023 (Past Non-Compliance)
All citations in the current public record (27)
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 |
|---|---|---|
| Jul 18, 2024 | E · Potential for harm, repeated | 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. |
| Jul 18, 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. |
| Jul 18, 2024 | D · Potential for harm, one-off | 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. |
| Jul 18, 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 18, 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. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Jul 18, 2024 | 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. |
| Nov 27, 2023 | ▲ 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 |
| Mar 3, 2022 | F · Potential for harm, facility-wide | 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. |
| Mar 3, 2022 | 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. |
| Mar 3, 2022 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Mar 3, 2022 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Mar 3, 2022 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Mar 3, 2022 | 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. |
| Apr 5, 2019 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 5, 2019 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Apr 5, 2019 | 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. |
| Apr 5, 2019 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| Apr 5, 2019 | 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. |
| Apr 5, 2019 | 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. |
| Apr 5, 2019 | D · Potential for harm, one-off | 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. |
| Apr 5, 2019 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Apr 5, 2019 | 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. |
| Apr 5, 2019 | D · Potential for harm, one-off | 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. |
| Apr 5, 2019 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Apr 5, 2019 | 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. |
| Apr 5, 2019 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 13 | 0 | E |
| 2022 | 6 | 0 | F |
| 2023 | 1 | 1 | G ▲ |
| 2024 | 7 | 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) | 3.91 | 3.45 | 3.95 | top 18% in Ohio; top 43% in the U.S. |
| Registered Nurse hours | 0.81 | 0.60 | 0.69 | top 14% in Ohio; top 27% in the U.S. |
| Weekend total nurse staffing | 3.13 | 3.07 | 3.50 | top 35% in Ohio; bottom 38% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.59 | 0.42 | 0.48 | top 16% in Ohio; top 24% in the U.S. |
| Total nursing staff turnover (%) | 31.1 | 48.7 | 45.8 | top 10% in Ohio; top 16% in the U.S. |
| RN turnover (%) | 29.6 | 43.9 | 42.9 | top 27% in Ohio; top 29% 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 4.73, RN 0.98, weekend 3.79. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Lutheran Social Services of Central Ohio, INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/29/1999 |
| Abraham, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2006 |
| Abraham, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2006 |
| Applegate, Alicia | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/09/2020 |
| Applegate, Alicia | Individual | ADP of the SNF | NOT APPLICABLE | 10/09/2020 |
| Bogner, Kristy | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/27/2020 |
| Bogner, Kristy | Individual | ADP of the SNF | NOT APPLICABLE | 03/27/2020 |
| Dubbe, Heather | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/25/2007 |
| Dubbe, Heather | Individual | ADP of the SNF | NOT APPLICABLE | 06/25/2007 |
| Dunn, Robert | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Enhance Therapies Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Fratianne, Julia | Individual | Corporate Officer | NOT APPLICABLE | 07/07/2025 |
| Fratianne, Julia | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/07/2025 |
| Fratianne, Julia | Individual | ADP of the SNF | NOT APPLICABLE | 07/07/2025 |
| Huntington | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Kendall, Earl | Individual | Corporate Director | NOT APPLICABLE | 02/01/2019 |
| Kerr, Ronald | Individual | Corporate Director | NOT APPLICABLE | 08/01/2022 |
| Kerr, Sarah | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2001 |
| Kerr, Sarah | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2001 |
| Lustig, Rachel | Individual | Corporate Officer | NOT APPLICABLE | 05/15/2023 |
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?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Crystal Care Center of Ashland | 1.1 mi | Ashland, OH | ★☆☆☆☆ | 2/5 | |
| Brethren Care Village Health Care Center | 1.2 mi | Ashland, OH | ★★★★★ | 4/5 | |
| Kingston of Ashland | 1.9 mi | Ashland, OH | ★★★☆☆ | 2/5 | |
| Arbors at Mifflin | 9.1 mi | Mansfield, OH | ★★★☆☆ | 3/5 | |
| Oak Grove Manor | 9.1 mi | Mansfield, OH | ★☆☆☆☆ | 1/5 | |
| Country Pointe | 11.3 mi | Wooster, OH | ★★★★★ | 5/5 | |
| Jag Healthcare Mansfield | 13.3 mi | Mansfield, OH | ★☆☆☆☆ | 1/5 | |
| Winchester Terrace | 13.6 mi | Mansfield, OH | ★★☆☆☆ | 2/5 | |
| Crystal Care Center of Mansfie | 14.0 mi | Mansfield, OH | ★★★☆☆ | 4/5 | |
| Liberty Nursing Center of Mansfield | 14.1 mi | Mansfield, OH | ★★☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365093.