Starfile / Ohio

EMBASSY OF WINCHESTER

36 LEHMAN DR, CANAL WINCHESTER, OH 43110 · CCN 365644

Inspection history vs Ohio & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$198,607

Number of fines

2

Number of penalties

3

Payment denials

1

Chain

Chain

EMBASSY HEALTHCARE

Facilities in chain

37

Chain avg overall

2.50 / 5

Inspection citations (79)3 immediate jeopardy3 actual harm

1. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-27 · Health

   Potential for more than minimal harm

2. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2026-01-27 · Health

   Potential for more than minimal harm

3. DF0880Provide and implement an infection prevention and control program.2026-01-27 · Health

   Potential for more than minimal harm

4. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2025-08-05 · Health · corrected 2025-08-29

   Potential for more than minimal harm

5. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-08-05 · Health · corrected 2025-08-29

   Potential for more than minimal harm

6. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-08-05 · Health · corrected 2025-08-29

   Potential for more than minimal harm

7. EF0679Provide activities to meet all resident's needs.2025-07-01 · Health · corrected 2025-07-24

   Potential for more than minimal harm

8. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-07-01 · Health · corrected 2025-07-24

   Potential for more than minimal harm

9. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2024-12-05 · Health · corrected 2025-01-21

   Potential for more than minimal harm

10. DF0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

11. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

12. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

13. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

14. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

15. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

16. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

17. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

18. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

19. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

20. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

21. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

22. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

23. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

24. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

25. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

26. DF0791Provide or obtain dental services for each resident.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

27. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

28. FF0880Provide and implement an infection prevention and control program.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

29. DF0881Implement a program that monitors antibiotic use.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

30. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-12-05 · Health · corrected 2025-01-21

    Potential for more than minimal harm

31. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-15 · Health · corrected 2024-03-04

    Potential for more than minimal harm

32. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

33. EF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

34. DF0641Ensure each resident receives an accurate assessment.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

35. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

36. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

37. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-11-16 · Health · corrected 2024-03-04

    Actual harm

38. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

39. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

40. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

41. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

42. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

43. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

44. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

45. DF0908Keep all essential equipment working safely.2023-11-16 · Health · corrected 2023-12-28

    Potential for more than minimal harm

46. DF0679Provide activities to meet all resident's needs.2023-09-20 · Health · corrected 2023-10-13

    Potential for more than minimal harm

47. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-08-03 · Health · corrected 2023-08-22

    Potential for more than minimal harm

48. GF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-08-03 · Health · corrected 2023-08-22

    Actual harm

49. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

50. DF0558Reasonably accommodate the needs and preferences of each resident.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

51. CF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2021-11-05 · Health · corrected 2021-12-10

    Potential for minimal harm

52. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

53. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

54. DF0583Keep residents' personal and medical records private and confidential.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

55. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

56. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2021-11-05 · Health · corrected 2021-12-10

    Immediate jeopardy

57. EF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

58. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

59. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

60. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

61. JF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2021-11-05 · Health · corrected 2021-12-10

    Immediate jeopardy

62. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

63. DF0685Assist a resident in gaining access to vision and hearing services.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

64. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-11-05 · Health · corrected 2021-12-10

    Actual harm

65. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

66. DF0692Provide enough food/fluids to maintain a resident's health.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

67. DF0695Provide safe and appropriate respiratory care for a resident when needed.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

68. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

69. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

70. EF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

71. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

72. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

73. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

74. EF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

75. DF0791Provide or obtain dental services for each resident.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

76. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

77. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

78. LF0880Provide and implement an infection prevention and control program.2021-11-05 · Health · corrected 2021-12-10

    Immediate jeopardy

79. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2021-11-05 · Health · corrected 2021-12-10

    Potential for more than minimal harm

Ownership

Other facilities in CANAL WINCHESTER

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.