Overview

Address
4466 LYNNHAVEN AVENUE NE, LOUISVILLE, OH 44641
Phone
3308755060
Certified beds
99
Avg daily residents
50 (51% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1997-09-09
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 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
3.95 3.79 4.03 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.54 0.66 0.55 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.25 0.84 1.28
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.16 2.29 2.20
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.79
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)
3.61
hrs / resident / day
RN (weekend)
0.48
hrs / resident / day
Total nurse (adjusted, weekend)
3.67
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
79.2%
annual
RN turnover
76.9%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.34
higher acuity than avg
Case-Mix Index Ratio
0.97
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) 2025-09-04 14 10 8 76 1 76
Cycle 2/3 (prior) 2023-02-16 24 12 12 379 1 379
Total weighted health score
151.8
lower is better
Infection-control citations
0
last cycle

Deficiencies (53)

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).

3 A/B/C No actual harm — minor
48 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
1 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 2025-12-11 2025-12-29
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-12-11 2025-12-29
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-12-11 2025-12-29
0880 Provide and implement an infection prevention and control program. E 2025-12-11 2025-12-29
0578 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 2025-09-04 2025-10-04
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted D 2025-09-04 2025-10-04
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-09-04 2025-10-04
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-09-04 2025-06-18
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2025-09-04 2025-10-04
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 2025-09-04 2025-10-04
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2025-09-04 2025-10-04
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-09-04 2025-10-04
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-09-04 2025-10-04
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 2025-09-04 2025-10-04
0680 Ensure the activities program is directed by a qualified professional. C 2025-04-16 2025-04-17
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-01-28 2025-02-07
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. L 2024-03-11 2024-04-11
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-03-11 2024-04-11
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 2024-03-11 2024-04-11
0732 Post nurse staffing information every day. F 2024-03-11 2024-04-11
0837 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F 2024-03-11 2024-04-11
0851 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F 2024-03-11 2024-04-11
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2024-03-11 2024-04-11
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2024-01-09 2024-02-08
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F 2023-11-15 2024-02-08
0837 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. F 2023-11-15 2024-04-11
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2023-11-15 2024-04-11
0569 Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. D 2023-02-16 2023-04-01
0661 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. D 2023-02-16 2023-04-01
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-02-16 2023-04-01
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-02-16 2023-04-01
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-02-16 2023-04-01
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 2023-02-16 2023-04-01
0758 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. E 2023-02-16 2023-04-01
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. D 2023-02-16 2023-04-01
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F 2023-02-16 2023-04-01
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2023-02-16 2023-04-01
0851 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. C 2023-02-16 2023-04-01
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2023-02-16 2023-04-01
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2021-04-27 2021-09-08
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2021-04-27 2021-09-08
0570 Assure the security of all personal funds of residents deposited with the facility. E 2021-04-27 2021-09-08
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. C 2021-04-27 2021-09-08
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 2021-04-27 2021-09-08
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2021-04-27 2021-09-08
0679 Provide activities to meet all resident's needs. D 2021-04-27 2021-09-08
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2021-04-27 2021-09-08
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2021-04-27 2021-09-08
0697 Provide safe, appropriate pain management for a resident who requires such services. G 2021-04-27 2021-09-08
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 2021-04-27 2021-09-08

Showing 50 most recent of 53. See the All Data CSV for the full list.

Penalties (2)

Fines issued
1
last 3 years
Total fines
$115,891
Payment denials
1
Date Type Fine amount
2023-11-15 Fine $115,891
2023-11-15 Payment Denial

Source: CMS Nursing Home Penalties.

Ownership & Corporate Structure

Chain: CCH HEALTHCARE

Chain ID
124
Facilities in chain
32
Legal business name
OAK HILL HEALTHCARE LLC
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.4
Staffing
2.4
QM
3.7

Owner / manager organizations (2)

Organization Role Association
CAPITAL HOLDINGS TRUST 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/08/2024
CCH HEALTHCARE OH LLC OPERATIONAL/MANAGERIAL CONTROL since 04/08/2024

Owner / manager individuals (4)

Name Role Association
STERN, JACOB 5% OR GREATER DIRECT OWNERSHIP INTEREST since 04/08/2024
CAMERON, ROBERT OPERATIONAL/MANAGERIAL CONTROL since 04/08/2024
MCCLAIN, BRIAN OPERATIONAL/MANAGERIAL CONTROL since 04/08/2024
STERN, JACOB OPERATIONAL/MANAGERIAL CONTROL since 04/08/2024

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 99 rows
Source Metric Value Raw key
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.27584 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.20470 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.54608 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.02662 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.67384 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 50.0 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 0.84086 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.28527 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.66278 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.78891 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.33952 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.4 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.5 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.7 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.4 Chain Average Staffing Rating
Provider Information Chain ID 124 Chain ID
Provider Information Chain Name CCH HEALTHCARE Chain Name
Provider Information City/Town LOUISVILLE City/Town
Provider Information CMS Certification Number (CCN) 366141 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Stark County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1997-09-09 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 40.8383 Latitude
Provider Information Legal Business Name OAK HILL HEALTHCARE LLC Legal Business Name
Provider Information Location 4466 LYNNHAVEN AVENUE NE,LOUISVILLE,OH,44641 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 -81.182 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 99 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 32 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.34224 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.97430 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 4466 LYNNHAVEN AVENUE NE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name LOUISVILLE GARDENS CARE CENTER Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 770 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 76 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 8 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 2025-09-04 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 76 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 14 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-02-16 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 379 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 12 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 379 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 24 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.48107 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 76.9 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.78794 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.25204 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.16357 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.03617 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.53589 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 3.95151 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 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 3308755060 Telephone Number
Provider Information Total Amount of Fines in Dollars 115891.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.60531 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 79.2 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 151.750 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 44641 ZIP Code