Elder Care Record

Ohio › Sandusky County › Fremont

Bethesda Care Center

600 N Brush St, Fremont, OH 43420

CCN 365510 · For-profit, limited liability company · 89 certified beds · chain Garden Springs Healthcare

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Bethesda Care Center is a For-profit, limited liability company nursing home in Fremont, Ohio, certified for 89 beds and caring for about 82 residents a day.

CMS gives it 2 of 5 stars overall, below the Ohio median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.

Inspectors recorded 40 health deficiencies across the three most recent survey cycles (23, 11, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 44.9 per 100 beds, more than the state median of 33.3.

CMS lists 1 penalty in the period covered: fines totalling $65K.

Reported nurse staffing is 4.0 hours per resident per day (1.1 RN), close to the Ohio median of 3.6; nursing staff turnover is 60.0%.

40health deficiencies, 3 survey cycles1 at actual harm or worse
$65Kfines listed by CMS1 penalty in period
4.0nurse hours per resident per daystate median 3.6
92%occupancy (residents ÷ beds)82 residents a day

Compared with county, state and nation

MeasureThis facilitySandusky Co. medianOhio medianUS average
Overall star rating2233.0
Health citations, 3 cycles40402728.7
Citations per 100 beds44.944.933.326.8
Total nurse hours per resident day4.03.83.63.9
RN hours per resident day1.10.60.60.7
Nursing staff turnover60.0%47.5%48.5%45.8%
Fines listed$64,604$16,801$0—

County and state figures are medians across facilities (9 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)23
Cycle 211
Cycle 36

Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Apr 2026, 30 May 2024.

Severity mix: J ×1 D ×30 E ×7 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
2 Apr 2026F0572Give residents a notice of rights, rules, services and charges.FComplaint investigation (under dispute review)27 Apr 2026
2 Apr 2026F0641Ensure each resident receives an accurate assessment.EComplaint investigation (under dispute review)27 Apr 2026
2 Apr 2026F0679Provide activities to meet all resident's needs.EComplaint investigation (under dispute review)27 Apr 2026
2 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation27 Apr 2026
2 Apr 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey27 Apr 2026
2 Apr 2026F0880Provide and implement an infection prevention and control program.EComplaint investigation27 Apr 2026
2 Apr 2026F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation (under dispute review)27 Apr 2026
2 Apr 2026F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey27 Apr 2026
2 Apr 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation (under dispute review)27 Apr 2026
2 Apr 2026F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation27 Apr 2026
2 Apr 2026F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey27 Apr 2026
2 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey27 Apr 2026
2 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation27 Apr 2026
2 Apr 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation27 Apr 2026
2 Apr 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey27 Apr 2026
2 Apr 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey27 Apr 2026
2 Apr 2026F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey27 Apr 2026
2 Apr 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation27 Apr 2026
25 Sep 2025F0578Honor 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.DComplaint investigation21 Nov 2025
25 Sep 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation21 Nov 2025
25 Sep 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation21 Nov 2025
25 Sep 2025F0761Ensure 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.DComplaint investigation21 Nov 2025
25 Sep 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation21 Nov 2025
13 Dec 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation14 Dec 2024
30 May 2024F0730Observe each nurse aide's job performance and give regular training.FStandard survey5 Jul 2024
30 May 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard survey5 Jul 2024
30 May 2024F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey5 Jul 2024
30 May 2024F0685Assist a resident in gaining access to vision and hearing services.DStandard survey5 Jul 2024
30 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey5 Jul 2024
30 May 2024F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey5 Jul 2024
30 May 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey5 Jul 2024
30 May 2024F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey5 Jul 2024
30 May 2024F0761Ensure 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.DStandard survey5 Jul 2024
30 May 2024F0880Provide and implement an infection prevention and control program.DStandard survey5 Jul 2024
27 Apr 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey18 Jul 2023
27 Apr 2023F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey18 Jul 2023
27 Apr 2023F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey18 Jul 2023
27 Apr 2023F0584Honor 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.DStandard survey18 Jul 2023
27 Apr 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey18 Jul 2023
27 Apr 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey18 Jul 2023

Penalties

DateTypeAmountDetail
13 Dec 2024Fine$64,604

Staffing

Total nursing4.05 h
Nurse aides2.23 h
LPN0.68 h
RN1.14 h
Weekend total3.49 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 60.0%, RNs 36.8%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityOhio medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay3.7%4.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.8%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay1.9%4.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.0%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay6.2%7.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: 600 North Brush Opco Llc. Chain: Garden Springs Healthcare (5 facilities).

OrganisationRole in the CMS recordInterestSince
Oheads Opco Holdings LLC5% or greater direct ownership interest100%06/20/2024
Rap 118 LLC5% or greater indirect ownership interest15%06/20/2024
Yfr Equities LLC5% or greater indirect ownership interest5%06/20/2024
Hingj Inc.Indirect ownership interestNOT APPLICABLE06/20/2024
Rap 118 LLCAdp of the snfNOT APPLICABLE06/20/2024
Yfr Equities LLCAdp of the snfNOT APPLICABLE12/12/2024

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Sandusky County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Bellevue Care CenterBellevue6355257.9—26 Nov 2024
Willows At BellevueBellevue605441525.0—10 Apr 2025
Valley View Health CampusFremont604341931.7$17K22 Aug 2025
Windsor Lane Healthcare Centerabuse iconGibsonburg893234247.2—27 Feb 2026
Majestic Care of Clydeabuse iconClyde742215067.6—15 Apr 2026
Parkview Care CenterFremont3821350131.6$159K20 Apr 2026
Countryside Manor Nursing and Rehabilitation LLCFremont821134656.1$60K19 May 2026
Spring Creek Nursing and Rehabilitation Center LLCGreen Springs1201213125.8$78K9 Mar 2026

All 9 facilities in Sandusky County

Questions and answers

How many deficiencies has Bethesda Care Center been cited for?

40 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.

Has Bethesda Care Center been fined?

Yes. CMS lists fines totalling $65K in the period covered.

How does staffing at Bethesda Care Center compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.

Who operates Bethesda Care Center?

It is part of the Garden Springs Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Oheads Opco Holdings LLC, Rap 118 LLC and Yfr Equities LLC. Individual owners and managers are not listed on this site.

When was Bethesda Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 2 Apr 2026; the most recent standard health survey was 2 Apr 2026.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.