Overview

Address
1060 EASTWIND DRIVE, WESTERVILLE, OH 43081
Phone
6148951038
Certified beds
130
Avg daily residents
83 (64% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1983-12-30
Setting
Urban
2 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.61 4.18 3.34 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.64 0.73 0.59 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.88 0.93 0.81
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.09 2.52 1.93
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.52
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.10

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.14
hrs / resident / day
RN (weekend)
0.35
hrs / resident / day
Total nurse (adjusted, weekend)
2.89
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
41.5%
annual
RN turnover
81.0%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.48
higher acuity than avg
Case-Mix Index Ratio
1.08
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-06-30 17 16 4 68 1 68
Cycle 2/3 (prior) 2023-10-10 33 19 20 322 1 322
Total weighted health score
131.5
lower is better

Deficiencies (61)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

58 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
2 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-07-31 2025-08-15
0605 Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. D 2025-06-30 2025-08-15
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2025-06-30 2025-08-15
0646 Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. D 2025-06-30 2025-08-15
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-06-30 2025-08-15
0679 Provide activities to meet all resident's needs. D 2025-06-30 2025-08-15
0688 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. D 2025-06-30 2025-08-15
0692 Provide enough food/fluids to maintain a resident's health. D 2025-06-30 2025-08-15
0699 Provide care or services that was trauma informed and/or culturally competent. D 2025-06-30 2025-08-15
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-06-30 2025-08-15
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2025-06-30 2025-03-25
0761 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. D 2025-06-30 2025-08-15
0773 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. D 2025-06-30 2025-08-15
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-06-30 2025-08-15
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-06-30 2025-08-15
0760 Ensure that residents are free from significant medication errors. D 2025-06-30 2025-08-15
0880 Provide and implement an infection prevention and control program. D 2025-06-30 2025-08-15
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. J 2024-03-27 2024-03-28
0759 Ensure medication error rates are not 5 percent or greater. D 2024-03-27 2024-03-28
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2024-02-21 2024-03-28
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-02-21 2024-03-28
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-02-21 2024-03-28
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2024-02-21 2024-03-28
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-12-06 2023-12-14
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2023-12-06 2023-12-14
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-12-06 2023-12-14
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-12-06 2023-12-14
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2023-10-10 2023-12-14
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2023-10-10 2023-12-14
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2023-10-10 2023-12-14
0641 Ensure each resident receives an accurate assessment. D 2023-10-10 2023-12-14
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2023-10-10 2023-12-14
0679 Provide activities to meet all resident's needs. D 2023-10-10 2023-12-14
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-10-10 2023-12-14
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2023-10-10 2023-12-14
0692 Provide enough food/fluids to maintain a resident's health. D 2023-10-10 2023-12-14
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2023-10-10 2023-12-14
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-10-10 2023-12-14
0761 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. D 2023-10-10 2023-12-14
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. E 2023-10-10 2023-12-14
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-10-10 2023-12-14
0584 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 2023-10-10 2023-12-14
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2023-10-10 2023-12-14
0610 Respond appropriately to all alleged violations. D 2023-10-10 2023-12-14
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-10-10 2023-12-14
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. G 2023-10-10 2023-12-14
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. E 2023-05-10 2023-06-02
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. E 2023-05-10 2023-06-02
0759 Ensure medication error rates are not 5 percent or greater. D 2023-05-10 2023-06-02
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2023-05-10 2023-06-02

Showing 50 most recent of 61. See the All Data CSV for the full list.

Penalties (4)

Fines issued
2
last 3 years
Total fines
$315,699
Payment denials
2
Date Type Fine amount
2023-10-10 Fine $100,831
2024-02-21 Fine $214,868
2024-02-21 Payment Denial
2023-10-10 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 2.5% Medicaid 23.3% Other 74.1%

Operating performance

Operating Margin
-6.5%
Total Margin
-3.3%
Occupancy Rate
71.9%
Cost per Resident Day
$30

Revenue & costs

Net Patient Revenue
$6.8M
Total Costs
$679K
Net Income
-$234K

Balance sheet

Total Assets
$3.5M
Total Liabilities
$3.7M
Fund Balance
-$207K
Current Ratio
1.30

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: PACS GROUP

Chain ID
690
Facilities in chain
264
Legal business name
LEGACY WESTERVILLE OPERATING COMPANY, LLC
Chain-average star ratings (for peer context)
Overall
2.9
Health
2.6
Staffing
2.4
QM
4.2

Owner / manager organizations (4)

Organization Role Association
BUCKEYE CHAI HOLDING COMPANY LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 12/13/2022
BC OPERATING GROUP LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/16/2023
BUCKEYE CHAI INVESTORS LLC 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/16/2023
DMD MANAGEMENT INC OPERATIONAL/MANAGERIAL CONTROL since 12/22/2022

Owner / manager individuals (4)

Name Role Association
GOLDBERGER, FAIGY 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/16/2023
ZUCKERMAN, YAIR 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/16/2023
HIRSEL, VICTORIA OPERATIONAL/MANAGERIAL CONTROL since 04/10/2023
TAYLOR, JAMES CORPORATE OFFICER since 12/22/2022

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $30 metrics.cost_per_resident_day
Cost Report Current Ratio 1.30 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 23.3% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 2.5% metrics.medicare_day_share
Cost Report Net Income ($) $-234,443 metrics.net_income
Cost Report Net Patient Revenue ($) $6,841,082 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 71.9% metrics.occupancy_rate
Cost Report Operating Margin (%) -6.5% metrics.operating_margin
Cost Report Total Assets ($) $3,494,445 metrics.total_assets
Cost Report Total Costs ($) $679,213 metrics.total_costs
Cost Report Total Fund Balances ($) $-207,070 metrics.fund_balance
Cost Report Total Liabilities ($) $3,701,515 metrics.total_liabilities
Cost Report Total Margin (%) -3.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.81414 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.92934 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.59318 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.33666 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.89407 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 82.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.92823 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.52271 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.73165 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.18258 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.68651 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.6 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.9 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.2 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.4 Chain Average Staffing Rating
Provider Information Chain ID 690 Chain ID
Provider Information Chain Name PACS GROUP Chain Name
Provider Information City/Town WESTERVILLE City/Town
Provider Information CMS Certification Number (CCN) 365611 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Franklin County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1983-12-30 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 40.1032 Latitude
Provider Information Legal Business Name LEGACY WESTERVILLE OPERATING COMPANY, LLC Legal Business Name
Provider Information Location 1060 EASTWIND DRIVE,WESTERVILLE,OH,43081 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -82.919 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 130 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 264 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 2 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.48170 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.07553 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 1060 EASTWIND DRIVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name WESTERVILLE POST ACUTE. Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 250 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 68 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 4 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 16 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-30 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 68 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 17 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 19 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-10-10 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 322 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 20 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 322 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 33 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.34719 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 81.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.52456 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.88196 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.09008 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.09523 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.64260 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.61464 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State OH State
Provider Information Telephone Number 6148951038 Telephone Number
Provider Information Total Amount of Fines in Dollars 315699.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.13517 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 4 Total Number of Penalties
Provider Information Total nursing staff turnover 41.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 131.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 43081 ZIP Code