Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WALNUT CREEK NURSING CENTER

KETTERING, OH · 139 certified beds · Last Life Safety survey March 20, 2025

CMS Certification Number 365821 · first certified January 1991

Ownership

Operated by LIONSTONE CARE · For profit - Corporation

  • Ownership changed June 28, 2024 (change of ownership)from APRIL ENTERPRISES INC
11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
5
Inspection & testing records
Of the citations on file

Position within OH

11 citations — more than 28% of the 922 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens November 2026 — about 1 month from now. This facility’s last Life Safety survey was March 2025. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

2 of the 11 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

This facility11OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
82021-0522023-1112025-03
Citations at each Life Safety survey
Survey dateCitations
May 25, 20218
November 16, 20232
March 20, 20251

Most-cited tags

Most-cited tags at this facility
K-03451K-09281E-00321K-03511E-00371K-05211K-03541K-05111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12023-11-16
K-0928Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.12021-05-25
E-0032Provide primary/alternate means for communication.12021-05-25
K-0351Install an approved automatic sprinkler system.12021-05-25
E-0037Establish staff and initial training requirements.12021-05-25
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12021-05-25
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.12021-05-25
K-0511Have properly installed electrical wiring and gas equipment.12021-05-25

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Services Deficiencies 2
  • Emergency Preparedness Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Services Deficiencies2
Emergency Preparedness Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 20, 2025 — 1 citation

Citations issued on March 20, 2025
TagWhat the surveyor checksStatus
K-0344Have an alternate power supply for its alarm system.Deficient, Provider has date of correction (April 11, 2025)

November 16, 2023 — 2 citations

Citations issued on November 16, 2023
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 12, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (December 12, 2023)

May 25, 2021 — 8 citations

Citations issued on May 25, 2021
TagWhat the surveyor checksStatus
E-0032Provide primary/alternate means for communication.Deficient, Provider has date of correction (August 2, 2021)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (August 2, 2021)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (August 2, 2021)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (August 2, 2021)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (August 2, 2021)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (August 2, 2021)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (August 2, 2021)
K-0928Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.Deficient, Provider has date of correction (August 2, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.