Muskingum County, Ohio · Nursing home
Altercare Zanesville Inc.
2 of 5 overall from CMS
4200 Harrington Drive, Zanesville, OH 43701
At a glance
- Overall rating 2 of 5 Below the state average of 3.2
- Nurse time per resident, per day 3.65 hours Below the state average of 3.69
- Nursing staff who left in a year 51.3% Above the state average of 48.7%
- Health citations, last 3 inspection cycles 46 4 at the harm level or above
- Fines in 3 years $198,156 2 fines
- Certified beds in use 93.7% 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.
Altercare Zanesville Inc. is a 99-bed nursing home in Zanesville, Ohio (Muskingum County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.65 nurse staffing hours per resident per day, below the Ohio average of 3.69. CMS lists 2 fines totaling $198,156 in the past three years.
- Certified beds
- 99
- Residents per day (average)
- 92.8
- Certified since
- 2015 (11 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Altercare (22 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 Altercare Zanesville Inc.
Chosen from this home's public data.
- CMS lists 2 fines totaling $198,156 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 51.3%, above the Ohio average of 48.7%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.24 hours per resident on weekends against 3.65 overall. Who covers Saturdays and Sundays?Weekend staffing 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 2 of 5 Ohio average 2.8
- Staffing 2 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 3.65 h Ohio average 3.69
- Nurse aides 2.34 h Ohio average 2.09
- Licensed practical nurses 0.68 h Ohio average 0.95
- Registered nurses 0.63 h Ohio average 0.64
- All staff, weekends 3.24 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 turnover51.3%
- Ohio average48.7%
- Registered nurse turnover45.0%
- Ohio average43.9%
- Administrators who left0
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 | 2.1% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 7.5% | 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 | 2.1% | 0.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 18.8% | 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 | 4.1% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 93.5% | 92.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 3.7% | 6.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.5% | 25.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.3% | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.7% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.6% | 21.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 0.5% | 8.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | Too few residents or stays to report | 1.73 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | Too few residents or stays to report | 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 | 80.7% | 78.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 84.7% | 75.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.2% | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 14.8% | 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 46 health deficiencies in the three most recent inspection cycles. Of these, 2 were at the immediate jeopardy level and 2 involved actual harm; the rest were graded as no actual harm. 27 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 20, 2025: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 1, 2025 | 2 | 2 |
| Feb 5, 2024 | 21 | 1 |
| Jan 20, 2022 | 23 | 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 (46)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 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 (May 30, 2025)
-
JImmediate jeopardy, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 3, 2025)
-
DPotential for more than minimal harm, isolated
Provide timely, quality laboratory services/tests to meet the needs of residents.
Complaint investigation · Administration · Deficient, Provider has date of correction (Apr 3, 2025)
-
JImmediate jeopardy, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 3, 2025)
Show 25 more
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 20, 2025)
-
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 (Feb 18, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 18, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Feb 18, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 27, 2024)
-
DPotential for more than minimal harm, isolated
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.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Nov 27, 2024)
-
DPotential for more than minimal harm, isolated
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Nov 27, 2024)
-
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 (Oct 3, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Oct 3, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 3, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Oct 3, 2024)
-
EPotential for more than minimal harm, pattern
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Oct 3, 2024)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 3, 2024)
-
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 (Oct 3, 2024)
-
GActual 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 (Feb 29, 2024)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 29, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights · Deficient, Provider has date of correction (Feb 29, 2024)
-
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 (Feb 29, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 29, 2024)
-
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.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 29, 2024)
-
DPotential for more than minimal harm, isolated
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control · Deficient, Provider has date of correction (Feb 29, 2024)
-
FPotential for more than minimal harm, widespread
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Complaint investigation · Administration · Deficient, Provider has date of correction (Dec 27, 2023)
-
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.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 27, 2023)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 27, 2023)
-
DPotential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Dec 27, 2023)
Showing the 30 most recent of 46.
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 |
|---|---|---|
| Dec 10, 2024 | Fine | $163,836 |
| Dec 10, 2024 | Payment Denial | 45 days |
| Feb 5, 2024 | Fine | $34,320 |
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
Common questions
What is the CMS star rating for Altercare Zanesville Inc.?
Altercare Zanesville Inc. has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 2 and quality measures is 4.
How many beds does Altercare Zanesville Inc. have?
Altercare Zanesville Inc. has 99 certified beds. It averages 92.8 residents per day, about 93.7% of its certified beds.
How much nursing care do residents get at Altercare Zanesville Inc.?
The home reports 3.65 hours of nurse staffing per resident per day, including 0.63 hours from registered nurses. The Ohio average is 3.69 hours and 0.64 hours from registered nurses.
Has Altercare Zanesville Inc. been fined?
Yes. CMS lists 2 fines totaling $198,156 in the past three years. It also lists 1 payment denial.
Does Altercare Zanesville Inc. 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
- 1 of 5 The Oaks Rehabilitation and Healthcare Center 75beds 95.6%in use 3.73nurse hours a day
- 5 of 5 Oaks at Bethesda the 55beds 92.2%in use 3.72nurse hours a day
- 1 of 5 Continuing Healthcare at Willow Haven 81beds 89.1%in use 3.14nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Muskingum 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 366429. 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.