Four Winds Nursing Facility
Jackson, Jackson County, Ohio · CCN 365669 · Non-profit (Corporation) · part of United Church Homes (9 facilities, chain average 3.9 stars)
CMS rates Four Winds Nursing Facility 3 of 5 overall as of August 2026. 86 certified beds, 74 residents a day on average. 21 citations on record from the current inspection cycles; no fines on record and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 5 / 3 of 5 |
Staffing
| Total nurse staffing | 3.17887 hours per resident per day |
|---|---|
| Registered nurses | 0.5088 hours per resident per day |
| Weekend total | 2.88979 hours per resident per day |
| Nursing staff turnover | 42.2% (registered nurses 40%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-18 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-07 |
| 2026-05-18 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-07 |
| 2025-07-23 complaint survey |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · tag F0773 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-08 |
| 2025-03-20 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-06-30 |
| 2025-03-20 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · tag F0569 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-30 |
| 2025-03-20 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-30 |
| 2025-03-20 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-30 |
| 2025-03-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-30 |
| 2025-03-20 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-30 |
| 2025-03-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-30 |
| 2025-03-20 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-30 |
| 2025-03-20 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-30 |
| 2023-04-13 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-15 |
| 2023-04-13 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-15 |
| 2023-04-13 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-15 |
| 2023-04-13 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-15 |
| 2023-04-13 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-05-15 |
| 2020-02-13 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · tag F0561 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-20 |
| 2020-02-13 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · tag F0569 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-20 |
| 2020-02-13 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-20 |
| 2020-02-13 | 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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2020-03-20 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-20 | Payment denial for 10 days from 2025-06-20 | — |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| United Church Homes, Inc. Organization | 5% or greater direct ownership interest | 100% | 2000-04-01 |
| United Church Homes, Inc. Organization | adp of the snf | — | 2000-04-01 |
| United Church Homes, Inc. Organization | operational/managerial control | — | 2000-04-01 |
| Long, Jeremy Individual | adp of the snf | — | 2026-02-03 |
| Toothman, James Individual | adp of the snf | — | 2025-01-01 |
| Bailey, Peter Individual | corporate director | — | 2024-06-01 |
| Bates, Trevor Individual | corporate director | — | 2017-02-01 |
| Benjamin, Pamela Individual | corporate director | — | 2021-06-01 |
| Black, Geoffrey Individual | corporate director | — | 2016-06-01 |
| D'Agostino, Joanna Individual | corporate director | — | 2024-06-01 |
| Graham, George Individual | corporate director | — | 2025-06-01 |
| Guess, James Individual | corporate director | — | 2021-06-01 |
| Hawes-Saunders, Ro Nita Individual | corporate director | — | 2024-02-01 |
| Henry, James Individual | corporate director | — | 2019-06-01 |
| James, Jill Individual | corporate director | — | 2025-06-01 |
| Long-Higgins, David Individual | corporate director | — | 2018-11-01 |
| Sandman, Robert Individual | corporate director | — | 2025-06-01 |
| Ulrich, Karl Individual | corporate director | — | 2016-06-01 |
| Williams, Stephanie Individual | corporate director | — | 2024-06-01 |
| Winfrey, Lapearl Individual | corporate director | — | 2020-06-01 |
| Naderhoff, Judith Individual | corporate officer | — | 2026-01-01 |
| Young, Kenneth Individual | corporate officer | — | 2025-02-07 |
| Bills, Ashley Individual | operational/managerial control | — | 2022-08-26 |
| Bollinger, Nathan Individual | operational/managerial control | — | 2023-03-31 |
| Brubaker, Tamra Individual | operational/managerial control | — | 2022-08-19 |
| Burnette, Diana Individual | operational/managerial control | — | 2021-06-16 |
| Dixon, Maria Individual | operational/managerial control | — | 2010-04-13 |
| Durbin, Debra Individual | operational/managerial control | — | 2022-08-08 |
| Eusanio, Vincent Individual | operational/managerial control | — | 2025-03-31 |
| Farrell, Laura Individual | operational/managerial control | — | 1996-01-26 |
| Hall, Richard Individual | operational/managerial control | — | 2006-06-07 |
| Hurwitz, Gloria Individual | operational/managerial control | — | 2013-10-07 |
| Kelley, Megan Individual | operational/managerial control | — | 2023-08-01 |
| Klenzman, William Individual | operational/managerial control | — | 2022-07-15 |
| Long, Jeremy Individual | operational/managerial control | — | 2023-10-09 |
| Long-Higgins, Elizabeth Individual | operational/managerial control | — | 2022-04-02 |
| Maghes, Michelle Individual | operational/managerial control | — | 2025-03-24 |
| Miller, Daniel Individual | operational/managerial control | — | 2017-12-04 |
| Morgan, Jason Individual | operational/managerial control | — | 2024-05-06 |
| Naderhoff, Judith Individual | operational/managerial control | — | 2026-01-01 |
| Rosenberger, Kathy Individual | operational/managerial control | — | 2025-05-12 |
| Shaw, Janis Individual | operational/managerial control | — | 1990-08-21 |
| Slutz, Scott Individual | operational/managerial control | — | 2016-02-01 |
| Spitznagel, Teresa Individual | operational/managerial control | — | 2022-07-15 |
| Tillman, Michelle Individual | operational/managerial control | — | 2020-08-21 |
| Toothman, James Individual | operational/managerial control | — | 2025-01-01 |
| Yeager, Jessica Individual | operational/managerial control | — | 2017-08-10 |
| Young, Kenneth Individual | operational/managerial control | — | 2025-02-07 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Four Winds Nursing Facility.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Jackson County.