PlainNursing
CMS Nursing Home Compare · August 2026

Smithville Western Care Center

4110 East Smithville Western Road, Wooster, OH 44691

Smithville Western Care Center, a 127-bed for profit - corporation nursing facility in Wooster, OH, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #578 of 912 rated homes in OH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 3303459050

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2 / 5
Below average · CMS overall · nat'l 3.0
#578 of 912
In-state rank among rated OH homes
3.63
Below average · nurse hrs/day · nat'l 3.86
38
Inspection findings · 1 serious

The verdict

Smithville Western Care Center, a 127-bed for profit - corporation nursing facility in Wooster, OH, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #578 of 912 rated homes in OH on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#578 of 912
In-state rank among rated OH homes
3.63
Nurse hrs/resident-day · national 3.86
38
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 922 OH nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
365317
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
127
Residents
92
In Hospital
No
County
Wayne
Last Inspection
Jul 2, 2024

Staffing Data

How the 3.63 total nursing hours per resident-day are staffed:

RN Hours
0.59 (nat'l avg: 0.69)
LPN Hours
1.24
CNA Hours
1.80
Total Nursing Hours
3.63 (nat'l avg: 3.86)
PT Hours
0.09
Nursing Turnover
34.6%
RN Turnover
38.5%

What the CMS Record Reveals About Smithville Western Care Center

According to CMS Nursing Home Compare, Smithville Western Care Center ranks #578 of 912 rated nursing homes in OH on overall stars (tie-broken by health+staffing+quality, then fewer fines). Smithville Western Care Center operates 127 certified beds in Wooster, OH with approximately 92 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 4★ · quality 4★).

The inspection file contains 38 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider has been fined 1 time by CMS, for a combined $43K. Per resident day, this facility reports 3.63 total nursing hours (national average 3.86) and 0.59 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Smithville Western Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 34.6% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (38 most recent)

D - Isolated - Minimal harm Apr 28, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: May 9, 2025

E - Pattern - Minimal harm Apr 28, 2025 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: May 9, 2025

D - Isolated - Minimal harm Jan 15, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 29, 2025

D - Isolated - Minimal harm Jan 15, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Oct 16, 2024

D - Isolated - Minimal harm Jan 15, 2025 Tag: 0552

Ensure that residents are fully informed and understand their health status, care and treatments.

Category: Resident Rights Deficiencies

Corrected: Jan 29, 2025

D - Isolated - Minimal harm Oct 31, 2024 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Nov 5, 2024

E - Pattern - Minimal harm Oct 31, 2024 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 5, 2024

J - Isolated - Jeopardy Oct 31, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 5, 2024

D - Isolated - Minimal harm Jul 2, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 13, 2024

D - Isolated - Minimal harm Jul 2, 2024 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Aug 13, 2024

D - Isolated - Minimal harm Jul 2, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 13, 2024

D - Isolated - Minimal harm Jul 2, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 13, 2024

D - Isolated - Minimal harm Jul 2, 2024 Tag: 0623

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

Category: Resident Rights Deficiencies

Corrected: Aug 13, 2024

D - Isolated - Minimal harm Jul 2, 2024 Tag: 0569

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

Category: Resident Rights Deficiencies

Corrected: Aug 13, 2024

E - Pattern - Minimal harm Jul 2, 2024 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Aug 13, 2024

E - Pattern - Minimal harm Jul 2, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 13, 2024

F - Widespread - Minimal harm Jul 2, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Aug 13, 2024

F - Widespread - Minimal harm Jul 2, 2024 Tag: 0814

Dispose of garbage and refuse properly.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 13, 2024

F - Widespread - Minimal harm Jul 2, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 13, 2024

D - Isolated - Minimal harm Apr 11, 2024 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Apr 15, 2024

D - Isolated - Minimal harm Feb 8, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 9, 2024

D - Isolated - Minimal harm Mar 24, 2022 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: Apr 29, 2022

D - Isolated - Minimal harm Mar 24, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 29, 2022

D - Isolated - Minimal harm Mar 24, 2022 Tag: 0810

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 29, 2022

D - Isolated - Minimal harm Mar 24, 2022 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 29, 2022

D - Isolated - Minimal harm Mar 24, 2022 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 29, 2022

D - Isolated - Minimal harm Mar 24, 2022 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 29, 2022

D - Isolated - Minimal harm Mar 24, 2022 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Apr 29, 2022

F - Widespread - Minimal harm Mar 24, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 29, 2022

D - Isolated - Minimal harm Apr 18, 2019 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: May 10, 2019

D - Isolated - Minimal harm Apr 18, 2019 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: May 10, 2019

D - Isolated - Minimal harm Apr 18, 2019 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: May 10, 2019

D - Isolated - Minimal harm Apr 18, 2019 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 10, 2019

D - Isolated - Minimal harm Apr 18, 2019 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 10, 2019

D - Isolated - Minimal harm Apr 18, 2019 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 10, 2019

D - Isolated - Minimal harm Apr 18, 2019 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: May 10, 2019

E - Pattern - Minimal harm Apr 18, 2019 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: May 10, 2019

F - Widespread - Minimal harm Apr 18, 2019 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 10, 2019

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 4.4% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 4.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 1.6% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 17.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.7% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 22.4% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.4% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.7% No

Penalty History 1 penalties totaling $43K

Date Type Amount
Oct 31, 2024 Fine $43K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Smithville Western Care Center, both outside OH so the neighborhoods are not the same-state geography list below.

What the CMS records show for Smithville Western Care Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The OH registry aggregates state averages and the highest-rated homes in this cohort. View OH registry
  • Peer homes near 127 beds show how CMS stars vary at a similar scale in OH. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Smithville Western Care Center?
Smithville Western Care Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (4★).
Where does Smithville Western Care Center rank among nursing homes in OH?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Smithville Western Care Center ranks 578th among 912 rated nursing homes in OH (#578 of 912). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Smithville Western Care Center?
Smithville Western Care Center reports 3.63 total nursing hours per resident day (national average: 3.86). RN hours are 0.59 per resident day (national average: 0.69). Nursing staff turnover is 34.6%.
How many beds does Smithville Western Care Center have?
Smithville Western Care Center has 127 certified beds with approximately 92 residents. The facility is located at 4110 East Smithville Western Road, Wooster, OH 44691.
Does Smithville Western Care Center have any deficiencies on record?
Yes, Smithville Western Care Center has 38 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Smithville Western Care Center received any fines or penalties?
Yes, Smithville Western Care Center has received 1 penalties totaling $43K.
Who owns Smithville Western Care Center?
Smithville Western Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Smithville Western Care Center last inspected?
The most recent health inspection for Smithville Western Care Center was on Jul 2, 2024. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Smithville Western Care Center?
Smithville Western Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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