Morgan County, Ohio · Nursing home
Highland Oaks Health Center
2 of 5 overall from CMS
4114 North State Route 376 NW, McConnelsville, OH 43756
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.67 hours Below the state average of 3.69
- Nursing staff who left in a year 49.5% Above the state average of 48.7%
- Health citations, last 3 inspection cycles 106 7 at the harm level or above
- Fines in 3 years $54,151 1 fine
- Certified beds in use 87.4% of 99 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Highland Oaks Health Center is a 99-bed nursing home in McConnelsville, Ohio (Morgan County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.67 nurse staffing hours per resident per day, below the Ohio average of 3.69. CMS lists 1 fine totaling $54,151 in the past three years.
- Certified beds
- 99
- Residents per day (average)
- 86.5
- Certified since
- 1967 (59 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidCMS Special Focus: SFF CandidateCMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Highland Oaks Health Center
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 1 fine totaling $54,151 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 51 health deficiencies in the latest inspection cycle (the standard inspection on Jan 27, 2025 plus complaint and infection-control inspections); the Ohio average is 10.5. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 Ohio average 3.2
- Health inspections 1 of 5 Ohio average 2.8
- Staffing 3 of 5 Ohio average 2.4
- Quality measures 5 of 5 Ohio average 4.4
The vertical line marks the Ohio average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.67 h Ohio average 3.69
- Nurse aides 2.44 h Ohio average 2.09
- Licensed practical nurses 0.51 h Ohio average 0.95
- Registered nurses 0.72 h Ohio average 0.64
- All staff, weekends 3.31 h Ohio average 3.28
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Ohio average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover49.5%
- Ohio average48.7%
- Registered nurse turnover50.0%
- Ohio average43.9%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Ohio and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 5.6% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.4% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.2% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.3% | 0.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 69.7% | 30.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.5% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 92.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 6.1% | 6.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 32.4% | 25.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.6% | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.7% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.2% | 21.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 8.1% | 8.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.31 | 1.73 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.96 | 1.80 | 1.78 |
Short-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.5% | 78.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.1% | 75.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.7% | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 12.3% | 12.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 106 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 6 involved actual harm; the rest were graded as no actual harm. 21 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jan 27, 2025: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jan 27, 2025 | 51 | 3 |
| Dec 18, 2023 | 39 | 5 |
| Apr 19, 2022 | 16 | 8 |
Ohio homes averaged 10.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (106)
-
FPotential for more than minimal harm, widespread
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Jul 24, 2026)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (May 15, 2026)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (May 15, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 14, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jan 14, 2026)
-
DPotential for more than minimal harm, isolated
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jan 14, 2026)
-
JImmediate jeopardy, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 20, 2025)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 20, 2025)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 20, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 21, 2025)
-
FPotential for more than minimal harm, widespread
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 20, 2025)
-
FPotential for more than minimal harm, widespread
Keep all essential equipment working safely.
Environmental · Deficient, Provider has date of correction (Mar 20, 2025)
-
FPotential for more than minimal harm, widespread
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · Deficient, Provider has date of correction (Mar 20, 2025)
-
EPotential for more than minimal harm, pattern
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Mar 20, 2025)
-
EPotential for more than minimal harm, pattern
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.
Pharmacy Service · Deficient, Provider has date of correction (Mar 20, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Mar 21, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Mar 20, 2025)
-
DPotential for more than minimal harm, isolated
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights · Deficient, Provider has date of correction (Mar 20, 2025)
-
DPotential for more than minimal harm, isolated
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights · Deficient, Provider has date of correction (Mar 20, 2025)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Mar 20, 2025)
-
DPotential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Mar 20, 2025)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 20, 2025)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 20, 2025)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Mar 20, 2025)
-
DPotential for more than minimal harm, isolated
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 20, 2025)
-
DPotential for more than minimal harm, isolated
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 20, 2025)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 20, 2025)
Showing the 30 most recent of 106.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jan 27, 2025 | Fine | $54,151 |
| Jan 27, 2025 | Payment Denial | 27 days |
Ohio homes averaged 0.6 fines and $26,381 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Ohio
- Size231 of 922 by certified beds
- Ohio average residents per day73.7
- ChainNone listed
- Resident or family councilResident
- Homes in Morgan County2
Common questions
What is the CMS star rating for Highland Oaks Health Center?
Highland Oaks Health Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 3 and quality measures is 5.
How many beds does Highland Oaks Health Center have?
Highland Oaks Health Center has 99 certified beds. It averages 86.5 residents per day, about 87.4% of its certified beds.
How much nursing care do residents get at Highland Oaks Health Center?
The home reports 3.67 hours of nurse staffing per resident per day, including 0.72 hours from registered nurses. The Ohio average is 3.69 hours and 0.64 hours from registered nurses.
Has Highland Oaks Health Center been fined?
Yes. CMS lists 1 fine totaling $54,151 in the past three years. It also lists 1 payment denial.
Does Highland Oaks Health Center accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Riverside Landing Nursing and Rehabilitation 50beds 83.6%in use 3.38nurse hours a day
- 1 of 5 Muskingum Skilled Nursing & Rehabilitation 50beds 85.2%in use 3.18nurse hours a day
- 3 of 5 Majestic Care of New Lexington 82beds 82.8%in use 3.09nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Morgan County
Who to call in Ohio
These offices serve residents of every nursing home in Ohio.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-282-1206 An advocate for residents and their families.
- File a complaint about a nursing home Complaint Unit 1-800-342-0553 The state agency that inspects nursing homes.
Ohio staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 365147. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.