Nursing HomeInspections

Four Winds Nursing Facility

Nursing home in Jackson, OH

Medicare & Medicaid certified3★ overall (CMS)

Call (740) 286-7551Send a messageMap ↗

Public-record details

Address
215 Seth Avenue, Jackson, OH 45640
Phone
(740) 286-7551
Listed under
Nonprofit
Medicare CCN
365669
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
86
Average residents per day
74
Ownership
Nonprofit, corporation
Legal business name
United Church Homes, INC.
Chain
United Church Homes (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 7, 1986
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 365669. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 20, 2025. CMS lists 21 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 13, 2020 to May 18, 2026): 3 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
May 18, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
E
Potential for more than minimal harm, pattern
May 18, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
E
Potential for more than minimal harm, pattern
Jul 23, 2025Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration · complaint inspection
D
Potential for more than minimal harm, isolated
Mar 20, 2025Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 20, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Mar 20, 2025Notify 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Mar 20, 2025Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 20, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 20, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Mar 20, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Mar 20, 2025Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Mar 20, 2025Implement a program that monitors antibiotic use.
Infection Control
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 21. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 0 fines totalling $0 and 1 denial of Medicare payment for new admissions in the last three years.

Mar 20, 2025Payment denial for 10 days from Jun 20, 2025

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.18 hours
Registered nurse (RN) time per resident per day
0.51 hours
Nurse aide time per resident per day
1.88 hours
Total nurse staffing on weekends
2.89 hours
Nursing staff turnover (yearly)
42%
RN turnover (yearly)
40%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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