Ohio › Wayne County › Wooster
Smithville Western Care Center
4110 East Smithville Western Road, Wooster, OH 44691
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.
Certified for 127 beds, Smithville Western Care Center serves Wooster in Wayne County, Ohio and has taken Medicare and Medicaid residents since 1975.
CMS gives it 2 of 5 stars overall, below the Ohio median of 3; the health inspection rating is 2, staffing 4 and quality measures 4.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (11, 16, 11 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 29.9 per 100 beds, about the same as the state median of 33.3.
CMS lists 1 penalty in the period covered: fines totalling $43K.
Reported nurse staffing is 3.6 hours per resident per day (0.6 RN), close to the Ohio median of 3.6; nursing staff turnover is 34.6%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Wayne Co. median | Ohio median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 31 | 27 | 28.7 |
| Citations per 100 beds | 29.9 | 32.1 | 33.3 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.5 | 0.6 | 0.7 |
| Nursing staff turnover | 34.6% | 42.1% | 48.5% | 45.8% |
| Fines listed | $42,777 | $0 | $0 | — |
County and state figures are medians across facilities (14 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: 2 Jul 2024, 24 Mar 2022.
Severity mix: J ×1 D ×27 E ×5 F ×5
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 |
|---|---|---|---|---|---|
| 28 Apr 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 9 May 2025 |
| 28 Apr 2025 | 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. | D | Complaint investigation | 9 May 2025 |
| 15 Jan 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Complaint investigation | 29 Jan 2025 |
| 15 Jan 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 16 Oct 2024 |
| 15 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Jan 2025 |
| 31 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 5 Nov 2024 |
| 31 Oct 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Complaint investigation | 5 Nov 2024 |
| 31 Oct 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 | Complaint investigation | 5 Nov 2024 |
| 2 Jul 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 | 13 Aug 2024 |
| 2 Jul 2024 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 13 Aug 2024 |
| 2 Jul 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | Standard survey | 13 Aug 2024 |
| 2 Jul 2024 | 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 | 13 Aug 2024 |
| 2 Jul 2024 | 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 | 13 Aug 2024 |
| 2 Jul 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 13 Aug 2024 |
| 2 Jul 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 13 Aug 2024 |
| 2 Jul 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 13 Aug 2024 |
| 2 Jul 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 13 Aug 2024 |
| 2 Jul 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 13 Aug 2024 |
| 2 Jul 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 | 13 Aug 2024 |
| 11 Apr 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 15 Apr 2024 |
| 8 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 9 Feb 2024 |
| 24 Mar 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 | 29 Apr 2022 |
| 24 Mar 2022 | 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. | D | Standard survey | 29 Apr 2022 |
| 24 Mar 2022 | 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 | 29 Apr 2022 |
| 24 Mar 2022 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 29 Apr 2022 |
| 24 Mar 2022 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 29 Apr 2022 |
| 24 Mar 2022 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 29 Apr 2022 |
| 24 Mar 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Apr 2022 |
| 24 Mar 2022 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 29 Apr 2022 |
| 18 Apr 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 10 May 2019 |
| 18 Apr 2019 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 10 May 2019 |
| 18 Apr 2019 | 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 May 2019 |
| 18 Apr 2019 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 10 May 2019 |
| 18 Apr 2019 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 10 May 2019 |
| 18 Apr 2019 | 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 | 10 May 2019 |
| 18 Apr 2019 | 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 | 10 May 2019 |
| 18 Apr 2019 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 10 May 2019 |
| 18 Apr 2019 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 10 May 2019 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 31 Oct 2024 | Fine | $42,777 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 34.6%, RNs 38.5%; 0 administrators 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 | 4.4% | 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 | 0.7% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.5% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.6% | 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, corporation. Legal business name: Smithville Western Inc.. Chain: Sprenger Health Care Systems (12 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Wayne Manor, Inc. | 5% or greater direct ownership interest | 100% | 10/01/2001 |
| Bluesky Healthcare Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 10/01/2001 |
| Sprenger Enterprises, Inc | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 10/01/2001 |
| Cms & Co. Management Services, Inc. | Operational/managerial control | NOT APPLICABLE | 01/22/2001 |
| Bsh Investments LLC | Adp of the snf | NOT APPLICABLE | 11/04/2003 |
| Citrin Cooperman and Company, LLP | Adp of the snf | NOT APPLICABLE | 02/01/2025 |
| Cms & Co. Management Services, Inc. | Adp of the snf | NOT APPLICABLE | 07/31/2025 |
| Delta Health Care Consultants, Inc. | Adp of the snf | NOT APPLICABLE | 01/01/2008 |
| Huntington | Adp of the snf | NOT APPLICABLE | 10/01/2001 |
| Sprenger Wayne Ltd. Co. | Adp of the snf | NOT APPLICABLE | 10/01/2001 |
| Wellspring Staffing, Inc. | Adp of the snf | NOT APPLICABLE | 10/15/2021 |
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 Wayne County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Apostolic Christian Home Inc | Rittman | 75 | 5 | 4 | 4 | 7 | 9.3 | — | 20 Feb 2025 |
| Country Pointe | Wooster | 42 | 5 | 5 | 4 | 4 | 9.5 | — | 6 Mar 2025 |
| Wayne County Care Center | Wooster | 50 | 5 | 4 | 3 | 12 | 24.0 | — | 14 May 2026 |
| Wooster Community Hospital SNF | Wooster | 22 | 5 | 5 | 5 | 2 | 9.1 | — | 4 Jan 2024 |
| Burbank Parke Care Center | Burbank | 81 | 4 | 3 | 2 | 22 | 27.2 | — | 5 Sep 2024 |
| West View Healthy Living | Wooster | 93 | 4 | 4 | 3 | 20 | 21.5 | — | 30 Jan 2025 |
| Avenue At Wooster | Wooster | 82 | 3 | 2 | 2 | 33 | 40.2 | — | 19 May 2026 |
| Doylestown Health Care Center | Doylestown | 78 | 3 | 2 | 3 | 25 | 32.1 | — | 30 Mar 2026 |
All 14 facilities in Wayne County
Questions and answers
How many deficiencies has Smithville Western Care Center been cited for?
38 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 Smithville Western Care Center been fined?
Yes. CMS lists fines totalling $43K in the period covered.
How does staffing at Smithville Western Care Center compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.
Who operates Smithville Western Care Center?
It is part of the Sprenger Health Care Systems chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Wayne Manor, Inc., Bluesky Healthcare Inc and Sprenger Enterprises, Inc. Individual owners and managers are not listed on this site.
When was Smithville Western Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 28 Apr 2025; the most recent standard health survey was 2 Jul 2024.
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.