Stillwater Skilled Nursing and Rehabilitation

75 Mote Drive · Covington, OH · 45318 · 9374732075

75 certified beds For profit - Corporation Chain: Michael Slyk

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

69% 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

Inspection record 30% of score 48
Serious harm & abuse 20% 100
Staffing 20% 57
Federal penalties 15% 100
Trend 10% 18
Context 5% 85

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: 1 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.573.48 min · 4.1 strong
RN hours / resident-day0.380.55–0.75
Weekend hours / resident-day3.28≈ weekday level
Nursing turnover / year69%median 45%
Fines (3-yr window)none

Inspection citations (27 in the current record)

  • Potential for harm · E February 23, 2026 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E November 26, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected December 23, 2025 · Infection Control

  • Potential for harm · D June 6, 2025 · found via complaint

    Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

    Corrected June 25, 2025 · Resident Rights

  • Potential for harm · D August 22, 2023 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected September 14, 2023 · Pharmacy Service

  • Potential for harm · D August 22, 2023 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected September 14, 2023 · Pharmacy Service

  • Potential for harm · D March 24, 2023

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

    Corrected April 26, 2023 · Resident Rights

  • Potential for harm · E March 24, 2023

    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.

    Corrected April 26, 2023 · Resident Rights

  • Potential for harm · D March 24, 2023

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

    Corrected April 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 24, 2023

    Assess the resident when there is a significant change in condition

    Corrected April 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 24, 2023

    Assure that each resident’s assessment is updated at least once every 3 months.

    Corrected April 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 24, 2023

    Ensure each resident receives an accurate assessment.

    Corrected April 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 24, 2023

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected April 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E March 24, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected April 26, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 24, 2023

    Assist a resident in gaining access to vision and hearing services.

    Corrected April 26, 2023 · Quality of Life and Care

  • Potential for harm · E March 24, 2023

    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 April 26, 2023 · Pharmacy Service

  • Potential for harm · F March 24, 2023

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Corrected April 26, 2023 · Nutrition and Dietary

  • Potential for harm · E March 24, 2023

    Provide and implement an infection prevention and control program.

    Corrected April 26, 2023 · Infection Control

  • Potential for harm · D October 3, 2019

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected November 29, 2019 · Pharmacy Service

  • Potential for harm · D October 3, 2019

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Corrected November 29, 2019 · Administration

  • Potential for harm · D August 30, 2018

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

    Corrected September 28, 2018 · Resident Rights

  • Potential for harm · D August 30, 2018

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

    Corrected September 28, 2018 · Resident Assessment and Care Planning

  • Potential for harm · D August 30, 2018

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected September 28, 2018 · Quality of Life and Care

  • Potential for harm · F August 30, 2018

    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.

    Corrected September 28, 2018 · Nursing and Physician Services

  • Potential for harm · D August 30, 2018

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 28, 2018 · Pharmacy Service

  • Potential for harm · D August 30, 2018

    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 September 28, 2018 · Pharmacy Service

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 365483 · certified since April 5, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.