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

CHESTERWOOD ATC

WEST CHESTER, OH · 125 certified beds · Last Life Safety survey February 14, 2025

CMS Certification Number 366080 · first certified June 1996

Ownership

Operated by CARESPRING · For profit - Corporation

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

19
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within OH

19 citations — more than 60% 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 2 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026. This facility’s last Life Safety survey was February 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

2 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.

Physical environment (health survey)

3 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 19 Life Safety citations above. The Physical Environment Index

  • 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 facility19OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility19
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
52019-10122022-0722025-02
Citations at each Life Safety survey
Survey dateCitations
October 10, 20195
July 5, 202212
February 14, 20252

Most-cited tags

Most-cited tags at this facility
K-02912K-03722K-02222K-03462K-07532K-05211K-03551K-05111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0291Install emergency lighting that can last at least 1 1/2 hours.22025-02-14
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22022-07-05
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.22022-07-05
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.22022-07-05
K-0753Have restrictions on the use of highly flammable decorations.22025-02-14
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.12022-07-05
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12019-10-10
K-0511Have properly installed electrical wiring and gas equipment.12022-07-05

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Egress Deficiencies 4
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Other 2
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Egress Deficiencies4
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies2
Services Deficiencies2

Every citation on file

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

February 14, 2025 — 2 citations

Citations issued on February 14, 2025
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (March 17, 2025)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (March 17, 2025)

July 5, 2022 — 12 citations

Citations issued on July 5, 2022
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (July 22, 2022)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (July 22, 2022)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (July 22, 2022)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (July 22, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (July 22, 2022)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (July 22, 2022)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (July 22, 2022)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 22, 2022)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (July 22, 2022)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (July 22, 2022)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (July 22, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 22, 2022)

October 10, 2019 — 5 citations

Citations issued on October 10, 2019
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (November 19, 2019)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (November 19, 2019)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (November 19, 2019)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (November 19, 2019)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (November 19, 2019)

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