Embassy of WinchesterCMS ratings, inspections and fines
- Address
- 36 Lehman Dr, Canal Winchester, OH 43110
- CCN
- 365644
- Ownership type
- For-profit, corporation
- Certified beds
- 176
- Chain
- Embassy Healthcare
- Residents per day
- 88
- 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 Embassy of Winchester an overall rating of 2 of 5 stars. The last standard survey was on 5 Dec 2024. The latest survey cycle has 30 health citations. The median for nursing homes in Ohio is 8. CMS lists 1 fine of $167,295 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 | Franklin County median | Ohio median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 57 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) | 5 Dec 2024 | 30 | 8 |
| Cycle 2 | 16 Nov 2023 | 16 | 8 |
| Cycle 3 | No date | 35 | 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 | ||
| 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 |
Survey cycle 1 (latest): 30 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 18 Mar 2026 |
| 5 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 18 Mar 2026 |
| 27 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Feb 2026 |
| 27 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 24 Feb 2026 |
| 27 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 24 Feb 2026 |
| 5 Aug 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Complaint investigation | 29 Aug 2025 |
| 5 Aug 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 29 Aug 2025 |
| 5 Aug 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint investigation | 29 Aug 2025 |
| 5 Dec 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | Complaint investigation | 21 Jan 2025 |
| 5 Dec 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0585 | 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. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 21 Jan 2025 |
| 5 Dec 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 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 | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | F | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | 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 Jan 2025 |
| 5 Dec 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | 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 Jan 2025 |
| 5 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0881 | Implement a program that monitors antibiotic use. | D | Standard survey | 21 Jan 2025 |
| 5 Dec 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 21 Jan 2025 |
Survey cycle 2: 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2025 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 24 Jul 2025 |
| 1 Jul 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 24 Jul 2025 |
| 16 Nov 2023 | F0578 | 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. | D | Standard survey | 28 Dec 2023 |
| 16 Nov 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 28 Dec 2023 |
| 16 Nov 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 28 Dec 2023 |
| 16 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 28 Dec 2023 |
| 16 Nov 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 28 Dec 2023 |
| 16 Nov 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 4 Mar 2024 |
| 16 Nov 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 28 Dec 2023 |
| 16 Nov 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 28 Dec 2023 |
| 16 Nov 2023 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 28 Dec 2023 |
| 16 Nov 2023 | 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 | 28 Dec 2023 |
| 16 Nov 2023 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 28 Dec 2023 |
| 16 Nov 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 28 Dec 2023 |
| 16 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 Dec 2023 |
| 16 Nov 2023 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 28 Dec 2023 |
Survey cycle 3: 35 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 |
|---|---|---|---|---|---|
| 15 Feb 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 4 Mar 2024 |
| 20 Sep 2023 | F0679 | Provide activities to meet all resident's needs. | D | Complaint investigation | 13 Oct 2023 |
| 3 Aug 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 22 Aug 2023 |
| 3 Aug 2023 | F0688 | Provide 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 | Complaint investigation | 22 Aug 2023 |
| 5 Nov 2021 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | C | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0578 | 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. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0584 | 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. | E | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0678 | 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 | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | 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. | E | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | 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 | 10 Dec 2021 |
| 5 Nov 2021 | F0761 | 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. | E | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0880 | Provide and implement an infection prevention and control program. | L | Standard survey | 10 Dec 2021 |
| 5 Nov 2021 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 10 Dec 2021 |
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 |
|---|---|---|---|
| 16 Nov 2023 | Fine | $167,295 | |
| 16 Nov 2023 | Payment denial | 80 |
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 | 3.16 | 3.60 | 3.69 |
| Registered nurses (RN) | 0.42 | 0.60 | 0.64 |
| Licensed practical nurses (LPN) | 0.76 | 0.95 | |
| Nurse aides | 1.98 | 2.09 | |
| All nurse staff, weekends | 2.95 | 3.20 | 3.28 |
- Nurse staff turnover in a year
- 36.3%
- Nurse staff turnover, Ohio median
- 48.5%
- RN turnover in a year
- 40.0%
- 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 | 6.4% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.6% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.9% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.5% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.2% | 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
- Embassy Winchester, LLC
- Chain
- Embassy Healthcare (33 homes in the CMS chain file)
The CMS ownership record of this home lists no organisation.
The site shows organisations only. It does not show the names of persons.
Other homes in Franklin County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Altercare of Canal Winchester Post-Acute RC | Canal Winchester | 2 of 5 | 33 | $142,425 | 21 Apr 2026 | |
| Robert A Barnes Center | Reynoldsburg | 5 of 5 | 5 | $0 | 18 Jun 2025 | |
| Eastland Rehabilitation and Nursing Center | Columbus | 2 of 5 | 10 | $207,789 | 28 May 2025 | |
| McNaughten Pointe Nursing and Rehab | Columbus | 3 of 5 | 6 | $0 | 11 Sep 2025 | |
| Majestic Care of Whitehall | Whitehall | 3 of 5 | 12 | $0 | 7 Apr 2026 | |
| Allbridge Rehabilitation and Nursing Center | Columbus | 2 of 5 | 12 | $0 | 21 May 2025 | |
| Mother Angeline McCrory Manor | Columbus | 1 of 5 | 27 | $0 | 29 Jul 2025 | |
| Wexner Heritage House | Columbus | 2 of 5 | 24 | $47,740 | 29 Dec 2025 | |
| Scioto Rehabilitation & Care Center | Columbus | 1 of 5 | 40 | $100,257 | 31 Dec 2024 | |
| Taylor Springs Health Campus | Gahanna | 3 of 5 | 14 | $17,225 | 28 Apr 2025 | |
| Bella Terrace Rehabilitation and Nursing Center | Columbus | 2 of 5 | 29 | $166,355 | 2 Jul 2025 | |
| Mohun Health Care Center | Columbus | 5 of 5 | 3 | $0 | 24 Mar 2026 |
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 Embassy of Winchester (CCN 365644). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/embassy-of-winchester-canal-winchester-oh-365644/
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 Embassy of Winchester last inspected?
- The latest inspection with a citation in the CMS record was on 5 Mar 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 16 Nov 2023.
- Who operates Embassy of Winchester?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Embassy Healthcare. The CMS ownership file names no organisation for this home. This site does not show the names of persons.
- Is Embassy of Winchester 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.