Altercare Zanesville Inc.CMS ratings, inspections and fines
- Address
- 4200 Harrington Drive, Zanesville, OH 43701
- CCN
- 366429
- Ownership type
- For-profit, corporation
- Certified beds
- 99
- Chain
- Altercare
- Residents per day
- 93
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Altercare Zanesville Inc. an overall rating of 2 of 5 stars. The last standard survey was on 1 May 2025. The latest survey cycle has 2 health citations. The median for nursing homes in Ohio is 8. CMS lists 2 fines with a total of $198,156 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Muskingum County median | Ohio median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 7 homes in the county, 922 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Ohio median |
|---|---|---|---|
| Cycle 1 (latest) | 1 May 2025 | 2 | 8 |
| Cycle 2 | 5 Feb 2024 | 24 | 8 |
| Cycle 3 | No date | 21 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 May 2025 |
| 1 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 May 2025 |
Survey cycle 2: 24 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 Mar 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | J | Complaint investigation | 3 Apr 2025 |
| 20 Mar 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 3 Apr 2025 |
| 18 Feb 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | J | Complaint investigation | 3 Apr 2025 |
| 21 Jan 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 20 Mar 2025 |
| 21 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 18 Feb 2025 |
| 10 Dec 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 18 Feb 2025 |
| 10 Dec 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 18 Feb 2025 |
| 14 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 27 Nov 2024 |
| 22 Oct 2024 | F0693 | 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. | D | Complaint investigation | 27 Nov 2024 |
| 22 Oct 2024 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint investigation | 27 Nov 2024 |
| 20 Sep 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 3 Oct 2024 |
| 20 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 3 Oct 2024 |
| 13 Sep 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 3 Oct 2024 |
| 13 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 3 Oct 2024 |
| 7 Aug 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 3 Oct 2024 |
| 7 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 3 Oct 2024 |
| 7 Aug 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Complaint investigation | 3 Oct 2024 |
| 5 Feb 2024 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 29 Feb 2024 |
| 5 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 29 Feb 2024 |
| 5 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Feb 2024 |
| 5 Feb 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 29 Feb 2024 |
| 5 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 29 Feb 2024 |
| 5 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 29 Feb 2024 |
| 5 Feb 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 29 Feb 2024 |
Survey cycle 3: 21 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 27 Dec 2023 |
| 11 Dec 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 27 Dec 2023 |
| 11 Dec 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 27 Dec 2023 |
| 11 Dec 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 27 Dec 2023 |
| 11 Dec 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Dec 2023 |
| 11 Dec 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 27 Dec 2023 |
| 11 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 27 Dec 2023 |
| 11 Dec 2023 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint investigation | 27 Dec 2023 |
| 1 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 2 Aug 2023 |
| 20 Jan 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 21 Feb 2022 |
| 20 Jan 2022 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 21 Feb 2022 |
| 20 Jan 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 21 Feb 2022 |
| 20 Jan 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Standard survey | 21 Feb 2022 |
| 20 Jan 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 21 Feb 2022 |
| 20 Jan 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 21 Feb 2022 |
| 20 Jan 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 21 Feb 2022 |
| 20 Jan 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 Feb 2022 |
| 20 Jan 2022 | F0758 | 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. | D | Standard survey | 21 Feb 2022 |
| 20 Jan 2022 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 21 Feb 2022 |
| 20 Jan 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Feb 2022 |
| 20 Jan 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Feb 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 10 Dec 2024 | Fine | $163,836 | |
| 10 Dec 2024 | Payment denial | 45 | |
| 5 Feb 2024 | Fine | $34,320 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Ohio median | Ohio average (CMS) |
|---|---|---|---|
| All nurse staff | 3.65 | 3.60 | 3.69 |
| Registered nurses (RN) | 0.63 | 0.60 | 0.64 |
| Licensed practical nurses (LPN) | 0.68 | 0.95 | |
| Nurse aides | 2.34 | 2.09 | |
| All nurse staff, weekends | 3.24 | 3.20 | 3.28 |
- Nurse staff turnover in a year
- 51.3%
- Nurse staff turnover, Ohio median
- 48.5%
- RN turnover in a year
- 45.0%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 2.1% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.1% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 3.7% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.5% | 7.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Altercare Zanesville Inc
- Chain
- Altercare (22 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| TSG Nursing Centers, Inc | 5% or greater direct ownership interest | 100% | 1 Jan 2003 |
| The Schroer Group, Inc. | 5% or greater indirect ownership interest | 1 Jan 2003 | |
| Altercare of Ohio, Inc | Operational/managerial control | 1 Feb 2018 |
The site shows organisations only. It does not show the names of persons.
Other homes in Muskingum County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Oaks Rehabilitation and Healthcare Center | Zanesville | 1 of 5 | 9 | $54,030 | 29 Jul 2025 | |
| Oaks at Bethesda The | Zanesville | 5 of 5 | 4 | $0 | 28 May 2026 | |
| Continuing Healthcare at Willow Haven | Zanesville | 1 of 5 | 36 | $0 | 21 Aug 2025 | |
| Adams Lane Healthcare and Rehabilitation Center | Zanesville | 2 of 5 | 8 | $33,203 | 19 Feb 2025 | |
| Continuing Healthcare at Cedar Hill | Zanesville | 2 of 5 | 10 | $30,227 | 23 Jan 2025 | |
| Continuing Healthcare at Beckett House | New Concord | 2 of 5 | 16 | $44,060 | 12 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Altercare Zanesville Inc. (CCN 366429). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/altercare-zanesville-inc-zanesville-oh-366429/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Altercare Zanesville Inc. last inspected?
- The latest inspection with a citation in the CMS record was on 1 May 2025. It was a standard survey. It gave 2 citations. The standard survey before the last one was on 5 Feb 2024.
- Who operates Altercare Zanesville Inc.?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Altercare. The CMS ownership file names Altercare of Ohio, Inc for operational or managerial control. This site does not show the names of persons.
- Is Altercare Zanesville Inc. a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in Ohio as Special Focus Facilities and 25 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.