Highland Oaks Health Center

4114 North State Route 376 Nw · McConnelsville, OH · 43756 · 7409623761

99 certified beds For profit - Limited Liability company

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $54,151 in fines in the last 24 months.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

3 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$54,151 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 5
Serious harm & abuse 20% 10
Staffing 20% 65
Federal penalties 15% 46
Trend 10% 39
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.493.48 min · 4.1 strong
RN hours / resident-day0.590.55–0.75
Weekend hours / resident-day3.12≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)1 · $54,151

Inspection citations (105 in the current record)

  • Potential for harm · D April 21, 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 May 15, 2026 · Resident Rights

  • Potential for harm · D April 21, 2026 · found via complaint

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected May 15, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 21, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 15, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 21, 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 May 15, 2026 · Pharmacy Service

  • Potential for harm · D April 21, 2026 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected May 15, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 18, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 14, 2026 · Quality of Life and Care

  • Potential for harm · D December 18, 2025 · found via complaint

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected January 14, 2026 · Quality of Life and Care

  • Potential for harm · D December 18, 2025 · found via complaint

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Corrected January 14, 2026 · Administration

  • Immediate jeopardy · J January 27, 2025

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected March 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G January 27, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 20, 2025 · Quality of Life and Care

  • Actual harm · G January 27, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 20, 2025 · Quality of Life and Care

  • Actual harm · G January 27, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 21, 2025 · Quality of Life and Care

  • Potential for harm · D January 27, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 20, 2025 · Resident Rights

  • Potential for harm · D January 27, 2025

    Give the resident's representative the ability to exercise the resident's rights.

    Corrected March 20, 2025 · Resident Rights

  • Potential for harm · D January 27, 2025

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Corrected March 20, 2025 · Resident Rights

  • Potential for harm · D January 27, 2025

    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 March 20, 2025 · Resident Rights

  • Potential for harm · D January 27, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected March 20, 2025 · Resident Rights

  • Potential for harm · D January 27, 2025

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 27, 2025

    Respond appropriately to all alleged violations.

    Corrected March 20, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D January 27, 2025

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected March 20, 2025 · Resident Rights

  • Potential for harm · D January 27, 2025

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected March 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 27, 2025

    Assess the resident when there is a significant change in condition

    Corrected March 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 27, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected March 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 27, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected March 20, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 27, 2025

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Corrected March 20, 2025 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
January 27, 2025Fine$54,151
January 27, 2025Payment Denial27 days

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 365147 · certified since February 24, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.