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Four Winds Nursing Facility
215 Seth Avenue, Jackson, OH 45640
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.
Four Winds Nursing Facility is a Non-profit, corporation nursing home in Jackson, Ohio, certified for 86 beds and caring for about 74 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Ohio median; the health inspection rating is 3, staffing 3 and quality measures 4.
Inspectors recorded 21 health deficiencies across the three most recent survey cycles (11, 6, 4 by cycle, most recent first), none at the actual-harm level. That is 24.4 per 100 beds, fewer than the state median of 33.3.
CMS lists 1 penalty in the period covered: no fines and 1 payment denial.
Reported nurse staffing is 3.2 hours per resident per day (0.5 RN), close to the Ohio median of 3.6; nursing staff turnover is 42.2%.
Compared with county, state and nation
| Measure | This facility | Jackson Co. median | Ohio median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 21 | 23 | 27 | 28.7 |
| Citations per 100 beds | 24.4 | 34.1 | 33.3 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | 42.2% | 43.8% | 48.5% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (4 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Mar 2025, 13 Apr 2023.
Severity mix: D ×18 E ×3
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 7 Jun 2026 |
| 18 May 2026 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 7 Jun 2026 |
| 23 Jul 2025 | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Complaint investigation | 8 Aug 2025 |
| 20 Mar 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 30 Jun 2025 |
| 20 Mar 2025 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 30 Jun 2025 |
| 20 Mar 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 30 Jun 2025 |
| 20 Mar 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 30 Jun 2025 |
| 20 Mar 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 30 Jun 2025 |
| 20 Mar 2025 | 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 | 30 Jun 2025 |
| 20 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 30 Jun 2025 |
| 20 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 30 Jun 2025 |
| 20 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 30 Jun 2025 |
| 13 Apr 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 15 May 2023 |
| 13 Apr 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 May 2023 |
| 13 Apr 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 15 May 2023 |
| 13 Apr 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 15 May 2023 |
| 13 Apr 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 15 May 2023 |
| 13 Feb 2020 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 20 Mar 2020 |
| 13 Feb 2020 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 20 Mar 2020 |
| 13 Feb 2020 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 20 Mar 2020 |
| 13 Feb 2020 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 20 Mar 2020 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Mar 2025 | Payment denial | — | 10 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 42.2%, RNs 40.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 4.8% | 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 | 0.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.6% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.7% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.4% | 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: non-profit, corporation. Legal business name: United Church Homes, Inc.. Chain: United Church Homes (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| United Church Homes, Inc. | 5% or greater direct ownership interest | 100% | 04/01/2000 |
| United Church Homes, Inc. | Operational/managerial control | NOT APPLICABLE | 04/01/2000 |
| United Church Homes, Inc. | Adp of the snf | NOT APPLICABLE | 04/01/2000 |
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 Jackson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Edgewood Manor of Wellston | Wellston | 50 | 5 | 4 | 2 | 17 | 34.0 | $19K | 4 Sep 2025 |
| Ayden Healthcare of Jackson | Jackson | 82 | 4 | 4 | 2 | 28 | 34.1 | — | 29 May 2025 |
| Jenkins Care Community | Wellston | 57 | 4 | 4 | 4 | 23 | 40.4 | — | 19 Sep 2025 |
All 4 facilities in Jackson County
Questions and answers
How many deficiencies has Four Winds Nursing Facility been cited for?
21 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.
Has Four Winds Nursing Facility been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Four Winds Nursing Facility compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.
Who operates Four Winds Nursing Facility?
It is part of the United Church Homes chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include United Church Homes, Inc. and United Church Homes, Inc.. Individual owners and managers are not listed on this site.
When was Four Winds Nursing Facility last inspected?
The most recent survey or investigation in the CMS record is dated 18 May 2026; the most recent standard health survey was 20 Mar 2025.
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.