EMBASSY OF WINCHESTER

Franklin · OH · For profit - Corporation · EMBASSY HEALTHCARE chain · 176 certified beds · CCN 365644 · EMBASSY WINCHESTER, LLC


EMBASSY OF WINCHESTER operates 176 certified beds in CANAL WINCHESTER, Ohio. Its Medicare and Medicaid certification dates to 1985-01-04. It averages 87.7 residents a day.

What harm was found in the violations cited at EMBASSY OF WINCHESTER?

CMS lists 81 health-inspection deficiencies for EMBASSY OF WINCHESTER since 2021-11-05, 50 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is L; the most recent health inspection was 2026-03-05.

Survey dateTagDeficiencySeverity
2026-03-05F0684, F0880Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide and implement an infection prevention and control program.D
2026-01-27F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-01-27F0609, F0880Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide and implement an infection prevention and control program.D
2025-08-05F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F
2025-08-05F0640, F0686Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
2025-07-01F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.F
2025-07-01F0679Provide activities to meet all resident's needs.E
2024-12-05F0726, F0812, F0880Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program.F
2024-12-05F0565Honor the resident's right to organize and participate in resident/family groups in the facility.E
2024-12-05F0573, F0580, F0585, F0656, F0657, F0677, F0684, F0686, F0693, F0695, F0698, F0756, F0757, F0758, F0770, F0791, F0881, F0883Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure 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. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide or obtain dental services for each resident. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations.D
2024-02-15F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2023-11-16F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G
2023-11-16F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-11-16F0640, F0805Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.E
2023-11-16F0578, F0641, F0656, F0657, F0698, F0756, F0757, F0758, F0770, F0908Honor 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Implement 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Keep all essential equipment working safely.D
2023-09-20F0679Provide activities to meet all resident's needs.D
2023-08-03F0688Provide 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.G
2023-08-03F0677Provide care and assistance to perform activities of daily living for any resident who is unable.D
2021-11-05F0880Provide and implement an infection prevention and control program.L
2021-11-05F0600, F0678Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.J
2021-11-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2021-11-05F0725, F0835Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Administer the facility in a manner that enables it to use its resources effectively and efficiently.F
2021-11-05F0550, F0584, F0644, F0677, F0690, F0744, F0761, F0921Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Ensure 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E
2021-11-05F0558, F0568, F0578, F0583, F0645, F0656, F0684, F0685, F0692, F0695, F0698, F0755, F0756, F0758, F0791, F0842Reasonably accommodate the needs and preferences of each resident. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Honor 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. / Keep residents' personal and medical records private and confidential. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Implement 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. / Provide or obtain dental services for each resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2021-11-05F0565Honor the resident's right to organize and participate in resident/family groups in the facility.C

Why was EMBASSY OF WINCHESTER fined?

DateTypeAmount
2023-11-16Fine$167,295

Has EMBASSY OF WINCHESTER had payment denied by Medicare?

Payment denial startLength in days
2023-12-1580

How is EMBASSY OF WINCHESTER staffed relative to the OH average?

MeasureThis facilityOH average
Total nurse staffing hours per resident per day3.159823.68589
Total nursing staff turnover (%)36.348.7
Average number of residents per day87.773.7

Who owns EMBASSY OF WINCHESTER, and what chain is it in?

EMBASSY OF WINCHESTER is registered with CMS as For profit - Corporation, operates under the legal business name EMBASSY WINCHESTER, LLC and belongs to the EMBASSY HEALTHCARE chain.

RoleOwnerAssociation date
W-2 MANAGING EMPLOYEEHOOPER, DASHAEsince 03/01/2020
CORPORATE DIRECTORREPCHICK, GEORGEsince 03/01/2020
CORPORATE OFFICERREPCHICK, GEORGEsince 03/01/2020

Were you or a family member harmed at EMBASSY OF WINCHESTER?