Nursing homes › Ohio › Four Winds Nursing Facility
215 Seth Avenue, Jackson, OH 45640 · 7402867551 · 86 certified beds
Per CMS filings, this facility is affiliated with United Church Homes, a group operating 9 facilities in 1 states. Group record: average rating 3.9/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $212,207 in federal fines. This facility rates below its group average (3.9/5).
Total nurse staffing: 3.18 (Ohio median: 3.57). RN hours: 0.51. Weekend total: 2.89. Nursing staff turnover: 42%.
All-time on record: 21 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2026-06-07 |
| 2026-05-18 | Respond appropriately to all alleged violations. | E | complaint | corrected 2026-06-07 |
| 2025-07-23 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | complaint | corrected 2025-08-08 |
| 2025-03-20 | Implement a program that monitors antibiotic use. | E | Health | corrected 2025-06-30 |
| 2025-03-20 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Health | corrected 2025-06-30 |
| 2025-03-20 | Respond appropriately to all alleged violations. | D | Health | corrected 2025-06-30 |
| 2025-03-20 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Health | corrected 2025-06-30 |
| 2025-03-20 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-06-30 |
| 2025-03-20 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-06-30 |
| 2025-03-20 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-06-30 |
| 2025-03-20 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-06-30 |
| 2025-03-20 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-06-30 |
| 2023-04-13 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2023-05-15 |
| 2023-04-13 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-05-15 |
| 2023-04-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2023-05-15 |
| 2023-04-13 | Provide activities to meet all resident's needs. | D | Health | corrected 2023-05-15 |
| 2023-04-13 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2023-05-15 |
| Date | Type | Amount |
|---|---|---|
| 2025-03-20 | Payment Denial | 10 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| UNITED CHURCH HOMES, INC. | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2000 |
| BAILEY, PETER | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2024 |
| BATES, TREVOR | Corporate Director | Individual | NOT APPLICABLE | since 02/01/2017 |
| BENJAMIN, PAMELA | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2021 |
| BLACK, GEOFFREY | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2016 |
| D'AGOSTINO, JOANNA | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2024 |
| GRAHAM, GEORGE | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2025 |
| GUESS, JAMES | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2021 |
| HAWES-SAUNDERS, RO NITA | Corporate Director | Individual | NOT APPLICABLE | since 02/01/2024 |
| HENRY, JAMES | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2019 |
| JAMES, JILL | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2025 |
| LONG-HIGGINS, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 11/01/2018 |
| SANDMAN, ROBERT | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2025 |
| ULRICH, KARL | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2016 |
| WILLIAMS, STEPHANIE | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2024 |
| WINFREY, LAPEARL | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2020 |
| NADERHOFF, JUDITH | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2026 |
| YOUNG, KENNETH | Corporate Officer | Individual | NOT APPLICABLE | since 02/07/2025 |
| UNITED CHURCH HOMES, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 04/01/2000 |
| BILLS, ASHLEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/26/2022 |
| BOLLINGER, NATHAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/31/2023 |
| BRUBAKER, TAMRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/19/2022 |
| BURNETTE, DIANA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/16/2021 |
| DIXON, MARIA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/13/2010 |
| DURBIN, DEBRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 08/08/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 365669. Corrections: data@carerecords.org.