SFF Candidate Abuse citation flag

Overview

Address
209 MERRIMAN RD, AKRON, OH 44303
Phone
3307629341
Certified beds
55
Avg daily residents
49 (89% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1992-01-13
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.
1/5
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 Data not available.

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
3.24 4.07 3.07 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.47 0.71 0.44 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.00 0.90 0.95
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.77 2.46 1.67
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.47
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.04

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)
2.70
hrs / resident / day
RN (weekend)
0.48
hrs / resident / day
Total nurse (adjusted, weekend)
2.56
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
60.7%
annual
RN turnover
60.0%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.44
higher acuity than avg
Case-Mix Index Ratio
1.05
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) 2025-01-23 31 10 22 287 1 287
Cycle 2/3 (prior) 2023-02-15 39 9 31 344 1 344
Total weighted health score
301.3
lower is better

Deficiencies (75)

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).

71 D/E/F Actual harm — potential for minor
3 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. E 2026-01-27
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-11-26 2025-11-30
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. J 2025-11-26 2025-11-30
0602 Protect each resident from the wrongful use of the resident's belongings or money. D 2025-11-26 2025-11-30
0606 Not hire anyone with a finding of abuse, neglect, exploitation, or theft. F 2025-11-26 2025-11-30
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-11-26 2025-11-30
0610 Respond appropriately to all alleged violations. D 2025-11-26 2025-11-30
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D 2025-11-26 2025-11-30
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-11-26 2025-11-30
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-11-26 2025-11-30
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. D 2025-11-26 2025-11-30
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2025-11-26 2025-11-30
0710 Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. D 2025-11-26 2025-11-30
0740 Ensure each resident must receive and the facility must provide necessary behavioral health care and services. E 2025-11-26 2025-11-30
0759 Ensure medication error rates are not 5 percent or greater. D 2025-11-26 2025-11-30
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 2025-11-26 2025-11-30
0835 Administer the facility in a manner that enables it to use its resources effectively and efficiently. F 2025-11-26 2025-11-30
0880 Provide and implement an infection prevention and control program. D 2025-11-26 2025-11-30
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F 2025-11-26 2025-11-30
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2025-06-26 2025-07-31
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-06-26 2025-07-31
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-01-23 2025-02-13
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. E 2025-01-23 2025-02-13
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-01-23 2025-02-13
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 2025-01-23 2025-02-13
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-01-23 2025-02-13
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-01-23 2025-02-13
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 2025-01-23 2025-02-13
0802 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F 2025-01-23 2025-02-13
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. E 2025-01-23 2025-02-13
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. D 2025-01-23 2025-02-13
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2025-01-23 2025-02-13
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-01-09 2024-12-18
0692 Provide enough food/fluids to maintain a resident's health. D 2025-01-09 2025-01-23
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-01-09 2025-01-23
0759 Ensure medication error rates are not 5 percent or greater. D 2025-01-09 2025-01-23
0803 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. E 2025-01-09 2025-01-23
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F 2025-01-09 2025-01-23
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-06-27 2024-06-29
0555 Honor the resident's right to choose his or her attending physician. E 2024-03-14 2024-04-30
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-03-14 2024-04-30
0865 Have a plan that describes the process for conducting QAPI and QAA activities. E 2024-03-14 2024-04-30
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-01-30 2024-04-30
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-01-30 2024-04-18
0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F 2024-01-30 2024-04-18
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-01-30 2024-04-30
0865 Have a plan that describes the process for conducting QAPI and QAA activities. E 2024-01-30 2024-04-30
0660 Plan the resident's discharge to meet the resident's goals and needs. D 2023-10-07 2023-11-02
0880 Provide and implement an infection prevention and control program. F 2023-09-19 2023-11-13
0922 Have enough backup water supply for essential areas of the nursing home. F 2023-09-19 2023-11-02

Showing 50 most recent of 75. See the All Data CSV for the full list.

Penalties (2)

Fines issued
2
last 3 years
Total fines
$134,475
Date Type Fine amount
2025-01-09 Fine $17,345
2025-11-26 Fine $117,130

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.1% Medicaid 10.8% Other 86.0%

Operating performance

Operating Margin
8.5%
Total Margin
12.1%
Occupancy Rate
76.5%
Cost per Resident Day
$51

Revenue & costs

Net Patient Revenue
$5.8M
Total Costs
$820K
Net Income
$734K

Balance sheet

Total Assets
$4.0M
Total Liabilities
$4.6M
Fund Balance
-$625K
Current Ratio
1.42

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

Ownership & Corporate Structure

Chain: LIONSTONE CARE

Chain ID
611
Facilities in chain
22
Legal business name
MERRIMAN OPERATIONS LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.2
Staffing
1.6
QM
4.6

Owner / manager individuals (11)

Name Role Association
KAZARNOVSKY, SOLOMON 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/08/2021
STEIN, ABBA 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/08/2021
CUSNER, ADAM OPERATIONAL/MANAGERIAL CONTROL since 01/27/2025
DEGYANSKY, JEFFREY OPERATIONAL/MANAGERIAL CONTROL since 04/01/2021
GOLDISH, ELIEZER OPERATIONAL/MANAGERIAL CONTROL since 10/09/2023
KAZARNOVSKY, SOLOMON OPERATIONAL/MANAGERIAL CONTROL since 04/01/2021
STEIN, ABBA OPERATIONAL/MANAGERIAL CONTROL since 04/01/2021
CUSNER, ADAM CORPORATE OFFICER since 01/27/2025
DEGYANSKY, JEFFREY CORPORATE OFFICER since 01/01/2020
GOLDISH, ELIEZER CORPORATE OFFICER since 10/09/2023
STEIN, ABBA CORPORATE OFFICER since 04/08/2021

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
Special focus status
SFF Candidate
Abuse citation flag
Yes — last 2 cycles
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 ($) $51 metrics.cost_per_resident_day
Cost Report Current Ratio 1.42 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 10.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.1% metrics.medicare_day_share
Cost Report Net Income ($) $734,463 metrics.net_income
Cost Report Net Patient Revenue ($) $5,836,620 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 76.5% metrics.occupancy_rate
Cost Report Operating Margin (%) 8.5% metrics.operating_margin
Cost Report Total Assets ($) $3,977,316 metrics.total_assets
Cost Report Total Costs ($) $819,940 metrics.total_costs
Cost Report Total Fund Balances ($) $-624,803 metrics.fund_balance
Cost Report Total Liabilities ($) $4,602,119 metrics.total_liabilities
Cost Report Total Margin (%) 12.1% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.95161 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.67477 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.44183 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.06822 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.56482 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 48.7 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 0.90363 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.45587 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.71226 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.07177 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.58883 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.2 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.6 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.6 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.6 Chain Average Staffing Rating
Provider Information Chain ID 611 Chain ID
Provider Information Chain Name LIONSTONE CARE Chain Name
Provider Information City/Town AKRON City/Town
Provider Information CMS Certification Number (CCN) 365859 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Summit County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1992-01-13 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 41.0981 Latitude
Provider Information Legal Business Name MERRIMAN OPERATIONS LLC Legal Business Name
Provider Information Location 209 MERRIMAN RD,AKRON,OH,44303 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 -81.539 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 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 55 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 22 Number of Facilities in Chain
Provider Information Number of Fines 2 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.44244 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.04703 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 - Corporation 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 209 MERRIMAN RD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name THE MERRIMAN Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 780 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 287 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 22 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 10 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-01-23 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 287 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 31 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 9 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-02-15 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 344 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 31 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 344 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 39 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.48446 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 60.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.46954 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.00358 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.76623 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.04210 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.46596 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 3.23577 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Candidate Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State OH State
Provider Information Telephone Number 3307629341 Telephone Number
Provider Information Total Amount of Fines in Dollars 134475.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.70488 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 60.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 301.250 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 44303 ZIP Code