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ST MARY OF THE WOODS

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ST MARY OF THE WOODS is a non profit - corporation facility in AVON, OH with 50 certified beds and a 5-star overall CMS rating. The facility has 10 deficiency records on file.

35755 DETROIT ROAD, AVON, OH 44011

Phone: 4409376869

Overall Rating

5/5

Health Inspection

5/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
366342
Ownership
Non profit - Corporation
Provider Type
Medicare
Beds
50
Residents
42
In Hospital
No
County
Lorain
Last Inspection
Aug 28, 2025

Staffing Data

RN Hours
1.28 (nat'l avg: 0.68)
LPN Hours
1.37
CNA Hours
2.28
Total Nursing Hours
4.94 (nat'l avg: 3.89)
PT Hours
0.13

What the CMS Record Reveals About ST MARY OF THE WOODS

ST MARY OF THE WOODS operates 50 certified beds in AVON, OH with approximately 42 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (3★), and quality measures (4★). 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.

The inspection file contains 10 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.94 total nursing hours per resident day (national average 3.89), with RN coverage at 1.28 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare" provider, ST MARY OF THE WOODS falls into a category where comparative context matters. 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. 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 details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (10 most recent)

D — Isolated - Minimal harm Aug 28, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Oct 14, 2025

E — Pattern - Minimal harm Aug 28, 2025 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: Oct 14, 2025

D — Isolated - Minimal harm Aug 28, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 14, 2025

D — Isolated - Minimal harm Jun 23, 2022 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 15, 2022

D — Isolated - Minimal harm Jun 23, 2022 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: Jul 15, 2022

D — Isolated - Minimal harm May 30, 2019 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 27, 2019

D — Isolated - Minimal harm May 30, 2019 Tag: 0697

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 27, 2019

D — Isolated - Minimal harm May 30, 2019 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: Jun 27, 2019

D — Isolated - Minimal harm May 30, 2019 Tag: 0655

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 27, 2019

D — Isolated - Minimal harm May 30, 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: Jun 27, 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 20.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 17.9% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 5.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.6% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay N/A Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 3.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 99.6% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.9% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 11.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 20.0% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for ST MARY OF THE WOODS?
ST MARY OF THE WOODS has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at ST MARY OF THE WOODS?
ST MARY OF THE WOODS reports 4.94 total nursing hours per resident day (national average: 3.89). RN hours are 1.28 per resident day (national average: 0.68).
How many beds does ST MARY OF THE WOODS have?
ST MARY OF THE WOODS has 50 certified beds with approximately 42 residents. The facility is located at 35755 DETROIT ROAD, AVON, OH 44011.
Does ST MARY OF THE WOODS have any deficiencies on record?
Yes, ST MARY OF THE WOODS has 10 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has ST MARY OF THE WOODS received any fines or penalties?
No, ST MARY OF THE WOODS has no fines or penalties on record.
Who owns ST MARY OF THE WOODS?
ST MARY OF THE WOODS is classified as "Non profit - Corporation" ownership. The facility type is "Medicare".
When was ST MARY OF THE WOODS last inspected?
The most recent health inspection for ST MARY OF THE WOODS was on Aug 28, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for ST MARY OF THE WOODS?
ST MARY OF THE WOODS 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. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial