Bethesda Care Center
600 N Brush St · Fremont, OH · 43420 · 4193349521
89 certified beds Non profit - Corporation Chain: Garden Springs Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
$64,604 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.02 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.03 | 0.55–0.75 |
| Weekend hours / resident-day | 3.54 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 1 · $64,604 |
Inspection citations (37 in the current record)
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Potential for harm · F April 2, 2026 · found via complaint
Give residents a notice of rights, rules, services and charges.
Corrected April 27, 2026 · Resident Rights
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Potential for harm · D April 2, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 27, 2026 · Resident Rights
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Potential for harm · D April 2, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected April 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 2, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected April 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 2, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · E April 2, 2026 · found via complaint
Provide activities to meet all resident's needs.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · D April 2, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · E April 2, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 27, 2026 · Quality of Life and Care
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Potential for harm · D April 2, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 27, 2026 · Pharmacy Service
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Potential for harm · E April 2, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 27, 2026 · Infection Control
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Potential for harm · E April 2, 2026 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 27, 2026 · Environmental
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Potential for harm · D September 25, 2025 · found via complaint
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.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · D September 25, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 25, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 21, 2025 · Pharmacy Service
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Potential for harm · D September 25, 2025 · found via 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.
Corrected November 21, 2025 · Pharmacy Service
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Potential for harm · D September 25, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 21, 2025 · Infection Control
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Immediate jeopardy · J December 13, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 14, 2024 · Quality of Life and Care
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Potential for harm · D May 30, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected July 5, 2024 · Resident Rights
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Potential for harm · D May 30, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · D May 30, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · D May 30, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · D May 30, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · F May 30, 2024
Observe each nurse aide's job performance and give regular training.
Corrected July 5, 2024 · Nursing and Physician Services
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Potential for harm · D May 30, 2024
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected July 5, 2024 · Quality of Life and Care
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Potential for harm · D May 30, 2024
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.
Corrected July 5, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 13, 2024 | Fine | $64,604 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365510 · certified since July 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.