nursing home in Paulding, OH

Gardens of Paulding the

199 County Road 103, Paulding, OH 45879 · (419) 399-4940

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★2
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Gardens of Paulding the at a glance

Gardens of Paulding the is a 50-bed for-profit nursing home in Paulding, Ohio (Paulding County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Ohio average of 3.2.

Residents receive about 3.3 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.7 hours.

Its most recent standard health inspection (September 11, 2025) found 9 health citations. The Ohio average is 10.3.

It has not received a federal fine in the past three years.

Nursing staff turnover is 56.9% per year (state average 48.7%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
50
Certified for
Medicare and Medicaid
Chain / affiliated entity
Lionstone Care
Medicare-certified since
February 20, 1996
Resident/family council
Resident
County
Paulding County
CMS Certification Number
366044

Ratings

MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 53.2 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 52.4 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 54.4 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 54.8 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)2 / 53.3 / 53.3 / 5Worse

Staffing

This facility3.28 hrsOhio average3.69 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.28 hrs3.69 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.64 hrs0.64 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.59 hrs2.09 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.88 hrs3.28 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)56.9%48.7%45.8%Worse
Registered nurse turnover (yearly) (lower is better)45.5%43.9%42.9%Worse
Administrators who left in the past year (lower is better)011Better

Inspections

This facility9Ohio average10U.S. average9
Health citations in the most recent inspection: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)9109Average
Citations from complaint investigations (latest cycle) (lower is better)243Better
Weighted health inspection score ⓘ (lower is better)7180.780.6Better

Penalties

This facility0Ohio average1U.S. average1
Fines in the past 3 years: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$26,381$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Certified beds5088107
Average residents per day387486
Occupancy76.8%84.3%80.9%

Long-stay residents

This facility1.4%Ohio average3.2%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.4%3.2%3.2%Better
Long-stay residents with pressure ulcers (lower is better)2.6%3.4%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)16.7%8.8%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0%0.4%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0.9%0.2%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)7.6%5.3%13.9%Better
Long-stay residents whose walking worsened (lower is better)3.3%6.1%14.1%Better
Long-stay residents who lose too much weight (lower is better)9.9%6.2%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)56.3%30.1%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)37.9%25.5%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)22.4%21.4%19%Worse
Long-stay residents given a flu vaccine (higher is better)100%94.5%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)96.5%92.7%93.6%Average

Short-stay residents

This facility1.4%Ohio average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Ohio and U.S. averages
MeasureThis facilityOhio avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)1.4%1.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)100%75.6%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)95.9%78.5%82%Better

Inspection citations

State inspectors cited this home for 31 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.

DateCitationSeverityStatus
May 20, 2026
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected June 5, 2026
December 15, 2025
Complaint
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected December 16, 2025
September 11, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected October 8, 2025
September 11, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected October 8, 2025
September 11, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected October 8, 2025
September 11, 2025
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected October 8, 2025
September 11, 2025
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected October 8, 2025
September 11, 2025
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected October 8, 2025
September 11, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected October 8, 2025
March 5, 2024
Complaint · Infection control
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected March 8, 2024
February 7, 2024
Complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
F
Potential harm, widespread
Corrected February 8, 2024
October 12, 2023
Complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected October 16, 2023
April 24, 2023
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected May 9, 2023
April 24, 2023
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected May 9, 2023
April 24, 2023
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected May 9, 2023
April 24, 2023
Standard
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected May 9, 2023
April 24, 2023
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected May 9, 2023
April 24, 2023
Standard
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected May 9, 2023
April 24, 2023
Standard
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.
Resident Rights Deficiencies · Tag F0584
D
Potential harm, isolated
Corrected May 9, 2023
April 24, 2023
Standard
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Tag F0655
D
Potential harm, isolated
Corrected May 9, 2023
April 24, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected May 9, 2023
April 24, 2023
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected May 9, 2023
April 24, 2023
Standard
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected May 9, 2023
April 24, 2023
Standard
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0694
D
Potential harm, isolated
Corrected May 9, 2023
April 24, 2023
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected May 9, 2023
April 24, 2023
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected May 9, 2023
December 18, 2019
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected January 15, 2020
December 18, 2019
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected January 15, 2020
December 18, 2019
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected January 15, 2020
December 18, 2019
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected January 15, 2020
December 18, 2019
Standard
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies · Tag F0770
D
Potential harm, isolated
Corrected January 15, 2020
December 18, 2019
Standard
Provide routine and 24-hour emergency dental care for each resident.
Quality of Life and Care Deficiencies · Tag F0790
D
Potential harm, isolated
Corrected January 15, 2020
December 18, 2019
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected January 15, 2020
November 20, 2018
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected December 5, 2018
November 20, 2018
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
F
Potential harm, widespread
Corrected December 5, 2018
November 20, 2018
Fire safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies · Tag K0222
F
Potential harm, widespread
Corrected December 5, 2018

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
LIONSTONE HZ OPCO HOLDINGS LLC
Organization
5% or greater direct ownership interest100%01/01/2023
KAZARNOVSKY, SOLOMON
Individual
5% or greater indirect ownership interest50%01/01/2023
STEIN, ABBA
Individual
5% or greater indirect ownership interest50%01/01/2023
CUSNER, ADAM
Individual
adp of the snfNOT APPLICABLE01/27/2025
DEGYANSKY, JEFFREY
Individual
adp of the snfNOT APPLICABLE01/01/2023
GOLDISH, ELIEZER
Individual
adp of the snfNOT APPLICABLE10/09/2023
KAZARNOVSKY, SOLOMON
Individual
adp of the snfNOT APPLICABLE01/01/2023
STEIN, ABBA
Individual
adp of the snfNOT APPLICABLE01/01/2023
CUSNER, ADAM
Individual
corporate officerNOT APPLICABLE01/27/2025
DEGYANSKY, JEFFREY
Individual
corporate officerNOT APPLICABLE01/01/2020
GOLDISH, ELIEZER
Individual
corporate officerNOT APPLICABLE10/09/2023
CUSNER, ADAM
Individual
operational/managerial controlNOT APPLICABLE01/27/2025
DEGYANSKY, JEFFREY
Individual
operational/managerial controlNOT APPLICABLE01/01/2023
GOLDISH, ELIEZER
Individual
operational/managerial controlNOT APPLICABLE10/09/2023
KAZARNOVSKY, SOLOMON
Individual
operational/managerial controlNOT APPLICABLE01/01/2023
STEIN, ABBA
Individual
operational/managerial controlNOT APPLICABLE01/01/2023

Other nursing homes near Gardens of Paulding the

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    For-profit · 40 beds · Part of Vancrest Health Care Centers

    • CMS high performer
    ★★★★★5Much above average
  2. Vancrest of Hicksville

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    For-profit · 61 beds · Part of Vancrest Health Care Centers

    • CMS high performer
    ★★★★★5Much above average
  3. Laurels of Defiance the

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    ★★★★★4Above average
  4. Brookview Healthcare Center

    214 Harding Street, Defiance, OH 43512 · 15.8 mi

    For-profit · 89 beds · Part of Lionstone Care

    ★★★★★2Below average
  5. Adams Heritage

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    • CMS high performer
    ★★★★★5Much above average
  6. Vancrest Health Care Center

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    ★★★★★5Much above average

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Frequently asked questions

What is Gardens of Paulding the's rating?

Gardens of Paulding the has 2 out of 5 stars on the CMS overall star rating. The average for Ohio nursing homes is 3.2 stars.

How many inspection citations did Gardens of Paulding the receive?

Its most recent standard health inspection found 9 citations, compared with a Ohio average of 10.3. Every citation is listed on this page with its severity.

Does Gardens of Paulding the accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Gardens of Paulding the?

It is for profit - corporation and part of Lionstone Care. The ownership section on this page lists the owners and managers reported to CMS.

Where is Gardens of Paulding the and how do I contact it?

Gardens of Paulding the is at 199 County Road 103, Paulding, OH 45879. Phone: (419) 399-4940.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.