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

WOODLAND COUNTRY MANOR INC

SOMERVILLE, OH · 60 certified beds · Last Life Safety survey December 2, 2025

CMS Certification Number 366109 · first certified December 1996

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
16
Inspection & testing records
Of the citations on file

Position within OH

25 citations — more than 77% 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

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

The latest survey found 9 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 10 months from now. This facility’s last Life Safety survey was December 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

4 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 25 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)

4 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 25 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 facility25OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
82019-0582022-0792025-12
Citations at each Life Safety survey
Survey dateCitations
May 9, 20198
July 14, 20228
December 2, 20259

Most-cited tags

Most-cited tags at this facility
K-03533K-03722K-09202K-09182K-05112K-02711K-07531K-03211
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-12-02
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22025-12-02
K-0920Ensure proper usage of power strips and extension cords.22025-12-02
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-12-02
K-0511Have properly installed electrical wiring and gas equipment.22022-07-14
K-0271Have exits that are accessible at all times.12019-05-09
K-0753Have restrictions on the use of highly flammable decorations.12022-07-14
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12022-07-14

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Services Deficiencies 3
  • Emergency Preparedness Deficiencies 2
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies6
Services Deficiencies3
Emergency Preparedness Deficiencies2
Egress Deficiencies2
Miscellaneous Deficiencies2

Every citation on file

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

December 2, 2025 — 9 citations

Citations issued on December 2, 2025
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (January 21, 2026)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (January 21, 2026)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (January 21, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (January 21, 2026)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (January 21, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (January 21, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (January 21, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 21, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 21, 2026)

July 14, 2022 — 8 citations

Citations issued on July 14, 2022
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 2, 2022)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 2, 2022)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (September 2, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 2, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (September 2, 2022)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (September 2, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 2, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (September 2, 2022)

May 9, 2019 — 8 citations

Citations issued on May 9, 2019
TagWhat the surveyor checksStatus
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (June 28, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 28, 2019)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 28, 2019)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 28, 2019)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 28, 2019)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (June 28, 2019)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (June 28, 2019)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 28, 2019)

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