Jackson County, Ohio · Nursing home
Four Winds Nursing Facility
3 of 5 overall from CMS
215 Seth Avenue, Jackson, OH 45640
At a glance
- Overall rating 3 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.18 hours Below the state average of 3.69
- Nursing staff who left in a year 42.2% Below the state average of 48.7%
- Health citations, last 3 inspection cycles 21 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 85.8% of 86 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.
Four Winds Nursing Facility is a 86-bed nursing home in Jackson, Ohio (Jackson County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.18 nurse staffing hours per resident per day, below the Ohio average of 3.69. CMS lists no fines in the past three years.
- Certified beds
- 86
- Residents per day (average)
- 73.8
- Certified since
- 1986 (40 yrs)
Non profit - Corporation Participates in Medicare and MedicaidPart of United Church Homes (9 homes)
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.
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 Four Winds Nursing Facility
Chosen from this home's public data.
- CMS counts 11 health deficiencies in the latest inspection cycle (the standard inspection on Mar 20, 2025 plus complaint and infection-control inspections); the Ohio average is 10.5. Which have been corrected?Inspection results in CMS data
- Registered nurse time is 0.51 hours per resident per day; the Ohio average is 0.64. Is an RN on site overnight?RN staffing in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Ohio average 3.2
- Health inspections 3 of 5 Ohio average 2.8
- Staffing 3 of 5 Ohio average 2.4
- Quality measures 4 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 3.18 h Ohio average 3.69
- Nurse aides 1.88 h Ohio average 2.09
- Licensed practical nurses 0.79 h Ohio average 0.95
- Registered nurses 0.51 h Ohio average 0.64
- All staff, weekends 2.89 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 turnover42.2%
- Ohio average48.7%
- Registered nurse turnover40.0%
- 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 | 4.8% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.2% | 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 | 0.0% | 0.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 7.3% | 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 | 2.8% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.1% | 92.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 7.7% | 6.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 26.2% | 25.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.3% | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.0% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.1% | 21.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 8.4% | 8.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.16 | 1.73 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.61 | 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 | 92.2% | 78.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.6% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.0% | 75.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 26.1% | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 15.1% | 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 21 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 3 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 20, 2025 | 11 | 2 |
| Apr 13, 2023 | 6 | 3 |
| Feb 13, 2020 | 4 | 2 |
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 (21)
-
EPotential for more than minimal harm, pattern
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 7, 2026)
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 7, 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 (Aug 8, 2025)
-
EPotential for more than minimal harm, pattern
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Jun 30, 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 (Jun 30, 2025)
Show 16 more
-
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 (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Jun 30, 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 (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
Develop 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 · Deficient, Provider has date of correction (Jun 30, 2025)
-
DPotential for more than minimal 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 (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jun 30, 2025)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (May 15, 2023)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 15, 2023)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (May 15, 2023)
-
DPotential for more than minimal harm, isolated
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (May 15, 2023)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (May 15, 2023)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · Deficient, Provider has date of correction (Mar 20, 2020)
-
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, 2020)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Mar 20, 2020)
-
DPotential for more than minimal 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 20, 2020)
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 |
|---|---|---|
| Mar 20, 2025 | Payment Denial | 10 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
- Size459 of 922 by certified beds
- Ohio average residents per day73.7
- ChainUnited Church Homes
- Chain average overall rating3.9 of 5
- Resident or family councilResident
- Homes in Jackson County4
Common questions
What is the CMS star rating for Four Winds Nursing Facility?
Four Winds Nursing Facility has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 3 and quality measures is 4.
How many beds does Four Winds Nursing Facility have?
Four Winds Nursing Facility has 86 certified beds. It averages 73.8 residents per day, about 85.8% of its certified beds.
How much nursing care do residents get at Four Winds Nursing Facility?
The home reports 3.18 hours of nurse staffing per resident per day, including 0.51 hours from registered nurses. The Ohio average is 3.69 hours and 0.64 hours from registered nurses.
Has Four Winds Nursing Facility been fined?
CMS lists no fines for this home in the past three years. It also lists 1 payment denial.
Does Four Winds Nursing Facility 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
- 4 of 5 Jenkins Care Community 57beds 77.4%in use 3.95nurse hours a day
- 5 of 5 Edgewood Manor of Wellston 50beds 90.0%in use 3.22nurse hours a day
- 4 of 5 Ayden Healthcare of Jackson 82beds 72.6%in use 3.06nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Jackson 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 365669. 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.