Staffing
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.45 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 2-star staffing rating for this facility.
RN staffing was 0.45 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Sep 4, 2025 cited 4 deficiencies.
View inspection evidenceCMS-published records list 26 ownership or control parties.
CMS records show an ownership change effective September 2017.
View ownership evidenceCMS groups this facility with a chain covering 20 facilities across 1 states or territories.
View chain evidenceCMS records show a $18,655 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
9 currently connected nursing homes share this CMS organization identity with SERENITY EQUITY HOLDINGS LLC.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 21%
Association date reported to CMS: Jan 15, 2024
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 16%
Association date reported to CMS: Sep 18, 2017
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 17%
Association date reported to CMS: Jan 15, 2024
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 16%
Association date reported to CMS: Sep 18, 2017
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 7%
Association date reported to CMS: Sep 18, 2017
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 16%
Association date reported to CMS: Sep 18, 2017
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Sep 18, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 18, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 18, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 18, 2017
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 18, 2018
Other facilities connected through this exact CMS organization identity: 0 across OH.
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Sep 18, 2017
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20.5%
Association date reported to CMS: Jan 15, 2024
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 16%
Association date reported to CMS: Sep 18, 2017
Other facilities connected through this exact CMS organization identity: 8 across OH.
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 17%
Association date reported to CMS: Jan 15, 2024
Individual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 20.5%
Association date reported to CMS: Jan 15, 2024
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 16%
Association date reported to CMS: Sep 18, 2017
Other facilities connected through this exact CMS organization identity: 8 across OH.
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 7.2%
Association date reported to CMS: Sep 18, 2017
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 16%
Association date reported to CMS: Sep 18, 2017
Individual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 5%
Association date reported to CMS: Sep 18, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 18, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 18, 2017
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 18, 2017
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 18, 2018
Other facilities connected through this exact CMS organization identity: 8 across OH.
Individual · W-2 MANAGING EMPLOYEE
Association date reported to CMS: Sep 18, 2017
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across OH.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 37 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 20 | 2.7 | 1.6 |
| Mon Jun | 20 | 2.7 | 1.5 |
| Fri May | 20 | 2.7 | 1.5 |
| Wed Apr | 20 | 2.7 | 1.5 |
| Sun Mar | 20 | 2.7 | 2 |
| Sun Feb | 20 | 2.5 | 1.9 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 26, 2025)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 26, 2025)
Assist a resident in gaining access to vision and hearing services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 26, 2025)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 26, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 19, 2024)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 19, 2024)
PASARR screening for Mental disorders or Intellectual Disabilities
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 19, 2024)
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 19, 2024)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 19, 2024)
Provide safe, appropriate pain management for a resident who requires such services.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 19, 2024)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 19, 2024)
Provide care or services that was trauma informed and/or culturally competent.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 19, 2024)
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 19, 2024)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 10, 2024)
Ensure that residents are free from significant medication errors.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 10, 2024)
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 18, 2022)
Penalties & enforcement
Published fine amount: $18,655.00
Questions to ask
Facility history
8 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
RN staffing decreased from 0.66 to 0.53 hours per resident day between 2025Q3 and 2025Q4. Staffing declined across those reported periods.
0.66 → 0.53
CMS · Reported in a source release · View related evidence
4 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
CMS recorded a $18,655 civil monetary penalty.
CMS · Recorded event date · View related evidence
9 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: EDGEWOOD MANOR OF WELLSTON LLC.
WELLSTON FACILITY OPERATIONS, LLC → EDGEWOOD MANOR OF WELLSTON LLC
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 2 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.408 | 2.739 |
| RN categories | 0.526 | 0.26 |
Contract staff accounted for 5.9% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.081 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.387 | 0.7 | 0.702 | 1.985 | 23.8% | 91 |
| 2025Q3 | 3.361 | 0.657 | 0.789 | 1.915 | 15.3% | 92 |
| 2025Q4 | 3.258 | 0.531 | 0.88 | 1.847 | 5.2% | 92 |
| 2026Q1 | 3.216 | 0.449 | 0.913 | 1.853 | 5.9% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.