Holzer Senior Care Center
380 Colonial Drive · Bidwell, OH · 45614 · 7404465001
41 certified beds Non profit - Corporation
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- 3 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 3.12 | ≈ weekday level |
| Nursing turnover / year | 20% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
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Actual harm · G May 8, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · E May 8, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected June 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 8, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · D May 8, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · E May 8, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 2, 2025 · Pharmacy Service
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Potential for harm · D May 8, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 2, 2025 · Pharmacy Service
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Potential for harm · E May 8, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected June 2, 2025 · Pharmacy Service
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Potential for harm · E May 8, 2025
Implement a program that monitors antibiotic use.
Corrected June 2, 2025 · Infection Control
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Potential for harm · E May 8, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected June 2, 2025 · Infection Control
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Potential for harm · E September 14, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected October 10, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 14, 2023
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected October 10, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 14, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected October 10, 2023 · Pharmacy Service
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Potential for harm · D September 14, 2023
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected October 10, 2023 · Pharmacy Service
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Potential for harm · D September 14, 2023
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.
Corrected October 10, 2023 · Pharmacy Service
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Potential for harm · D September 14, 2023
Provide or obtain dental services for each resident.
Corrected October 10, 2023 · Quality of Life and Care
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Actual harm · G October 18, 2021
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 12, 2021 · Quality of Life and Care
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Actual harm · G October 18, 2021
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.
Corrected November 12, 2021 · Quality of Life and Care
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Potential for harm · D October 18, 2021
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 12, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 18, 2021
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected November 12, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 18, 2021
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 12, 2021 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365998 · certified since April 10, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.