Nursing Home Alerts

Hopewell Grove Rehabilitation and Healthcare

60 Marietta Road, Chillicothe, OH 45601

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Hopewell Grove Rehabilitation and Healthcare is a nursing home in Chillicothe, Ohio. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  2. CMS update of July 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

    • Name

      CMS lists a new legal business name for this home.

    • Ownership

      CMS lists this home under a new chain.

  3. CMS update of May 27, 2026

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

    • Ownership

      CMS no longer lists a chain for this home.

  4. CMS update of April 29, 2026

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  5. CMS update of March 25, 2026

    • Name

      CMS lists a new name for this home. It was SIGNATURE HEALTHCARE OF CHILLICOTHE.

  6. Health inspection on February 26, 2026

    10 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    47 of 924 Ohio homes (5%) got a citation at the immediate jeopardy level in 2026.

    CMS fine of $101,940 on February 26, 2026.

    Show the 10 citations
    • Citation F0686. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on March 27, 2026.

      CMS has cited this home for F0686 2 times since 2025.

    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on March 27, 2026.

    • Citation F0865. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have a plan that describes the process for conducting QAPI and QAA activities.

      CMS lists it as corrected on March 27, 2026.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      CMS lists it as corrected on March 27, 2026.

    • Citation F0578. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

      CMS lists it as corrected on March 27, 2026.

    • Citation F0627. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

      CMS lists it as corrected on March 27, 2026.

    • Citation F0644. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

      CMS lists it as corrected on March 27, 2026.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on March 27, 2026.

      CMS has cited this home for F0684 2 times since 2023.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on March 27, 2026.

      CMS has cited this home for F0689 2 times since 2023.

    • Citation F0881. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement a program that monitors antibiotic use.

      CMS lists it as corrected on March 27, 2026.

    See this home on CMS Care Compare

  7. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 3.7 to 3.2 hours per resident per day.

  8. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  9. CMS update of July 30, 2025

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Fine

      CMS changed the fine from February 20, 2025 from $49,815 to $32,380.

  10. CMS update of April 30, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 3 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 2.8 to 1.9 hours per resident per day.

  11. CMS update of March 26, 2025

    • Name

      CMS lists a new legal business name for this home.

  12. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

  13. Health inspection on February 20, 2025

    11 citations

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    177 of 924 Ohio homes (19%) got a citation at the actual harm level in 2025.

    CMS fine of $32,380 on February 20, 2025.

    Show the 11 citations
    • Citation F0686. Severity G: actual harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on March 10, 2025.

    • Citation F0725. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

      CMS lists it as corrected on March 10, 2025.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on March 10, 2025.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on March 10, 2025.

    • Citation F0636. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

      CMS lists it as corrected on March 10, 2025.

      CMS has cited this home for F0636 2 times since 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on March 10, 2025.

      CMS has cited this home for F0677 3 times since 2024.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on March 10, 2025.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      CMS lists it as corrected on March 10, 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on March 10, 2025.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on March 10, 2025.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 10, 2025.

      CMS has cited this home for F0880 4 times since 2023.

    See this home on CMS Care Compare

  14. Health inspection on January 16, 2025

    2 citations

    CMS lists this as a complaint inspection.

    Show the 2 citations
    • Citation F0755. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on January 27, 2025.

      CMS has cited this home for F0755 2 times since 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on January 27, 2025.

    See this home on CMS Care Compare

  15. Health inspection on September 16, 2024

    2 citations

    CMS lists this as a complaint inspection.

    Severity G is the second-highest of CMS's four levels. It means a resident was harmed.

    157 of 924 Ohio homes (17%) got a citation at the actual harm level in 2024.

    Show the 2 citations
    • Citation F0755. Severity G: actual harm, isolated.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on September 30, 2024.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on September 30, 2024.

    See this home on CMS Care Compare

  16. Health inspection on August 6, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on September 30, 2024.

    See this home on CMS Care Compare

  17. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  18. Health inspection on May 23, 2024

    12 citations

    CMS lists this as a standard inspection.

    Show the 12 citations
    • Citation F0640. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      CMS lists it as corrected on June 11, 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 11, 2024.

    • Citation F0551. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Give the resident's representative the ability to exercise the resident's rights.

      CMS lists it as corrected on June 11, 2024.

    • Citation F0582. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      CMS lists it as corrected on June 11, 2024.

    • Citation F0622. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

      CMS lists it as corrected on June 11, 2024.

    • Citation F0636. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

      CMS lists it as corrected on June 11, 2024.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on June 11, 2024.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      CMS lists it as corrected on June 11, 2024.

    • Citation F0692. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide enough food/fluids to maintain a resident's health.

      CMS lists it as corrected on June 11, 2024.

    • Citation F0757. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on June 11, 2024.

    • Citation F0883. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.

      CMS lists it as corrected on June 11, 2024.

    • Citation F0730. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Observe each nurse aide's job performance and give regular training.

      CMS lists it as corrected on June 11, 2024.

    See this home on CMS Care Compare

  19. Fire safety inspection on May 23, 2024

    4 citations

    CMS lists this as a standard inspection.

    Show the 4 citations
    • Citation K0521. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on October 31, 2024.

      CMS has cited this home for K0521 2 times since 2023.

    • Citation K0161. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on June 12, 2024.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Add 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.

      CMS lists it as corrected on June 12, 2024.

    • Citation K0372. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on June 12, 2024.

    See this home on CMS Care Compare

  20. Health inspection on April 27, 2023

    7 citations

    CMS lists this as a standard inspection.

    Show the 7 citations
    • Citation F0553. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Allow resident to participate in the development and implementation of his or her person-centered plan of care.

      CMS lists it as corrected on June 8, 2023.

    • Citation F0580. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on June 8, 2023.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      CMS lists it as corrected on June 8, 2023.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on June 8, 2023.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on June 8, 2023.

    • Citation F0756. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

      CMS lists it as corrected on June 8, 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 8, 2023.

    See this home on CMS Care Compare

  21. Fire safety inspection on April 27, 2023

    9 citations

    CMS lists this as a standard inspection.

    Show the 9 citations
    • Citation K0321. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on June 8, 2023.

    • Citation K0341. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install a fire alarm system that can be heard throughout the facility.

      CMS lists it as corrected on June 8, 2023.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on June 8, 2023.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on June 8, 2023.

      CMS has cited this home for K0353 2 times since 2021.

    • Citation K0521. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on June 8, 2023.

    • Citation K0711. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide a written emergency evacuation plan.

      CMS lists it as corrected on June 8, 2023.

    • Citation K0923. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on June 8, 2023.

    • Citation K0926. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

      CMS lists it as corrected on June 8, 2023.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on June 8, 2023.

    See this home on CMS Care Compare

  22. Fire safety inspection on May 24, 2021

    3 citations

    CMS lists this as a standard inspection.

    Show the 3 citations
    • Citation K0100. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Meet other general requirements.

      CMS lists it as corrected on June 25, 2021.

    • Citation K0211. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.

      CMS lists it as corrected on June 25, 2021.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on June 25, 2021.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(740) 772-5900
Last standard health inspection
February 26, 2026 (8 months ago)
Certified beds
100
Residents per day, on average
74.7
Ownership type
For profit - Corporation
Legal business name
Hopewell Grove Rehabilitation and Healthcare Center LLC
Chain
Citadel Healthcare
Takes part in
Medicare and Medicaid

More health citations than the Ohio average (45 vs 31).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Show 1 more
  • OBRYANT, RAMONAOperational/managerial control · not applicable · since 12/01/2024

Questions

When was Hopewell Grove Rehabilitation and Healthcare last inspected?

CMS lists February 26, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Hopewell Grove Rehabilitation and Healthcare have?

CMS lists 45 health citations since April 27, 2023. CMS also calls these deficiencies.

Has Hopewell Grove Rehabilitation and Healthcare been fined?

CMS lists 2 fines in the past three years, $134,320 in total.

What is the CMS star rating of Hopewell Grove Rehabilitation and Healthcare?

Its CMS overall star rating is 1 of 5.

Is Hopewell Grove Rehabilitation and Healthcare a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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