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C
Below Standard

SMITHVILLE WESTERN CARE CENTER

4110 EAST SMITHVILLE WESTERN ROAD · WOOSTER, OH 44691

3303459050 · For profit - Corporation

127 beds92.4 residents128 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SMITHVILLE WESTERN CARE CENTER receives an overall staffing grade of C (Below Standard). With 3.4114 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6366 HPRD, below the recommended 0.75. It is 0.48 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.07% compared to weekdays. The facility uses a moderate level of agency staff (8.05% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4114 HPRD — needs 0.07 more hours per resident per day.
⚠️RN staffing (0.6366 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.4114hrs/resident/day▼ 0.48
CMS benchmark: 3.48
RN HPRD
0.6366hrs/resident/day▼ 0.05
Recommended: 0.75
Weekend Drop-off
16.07%
3.5737 weekday → 2.9994 weekend
Agency Staff
8.05%
14.14% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6958hrs/resident/day
Direct care aides
LPN HPRD
1.0483hrs/resident/day
Licensed practical nurses
Consistency
0.3186std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Wayne County Average-0.37 HPRD
3.79
03.41 HPRD
vs. Ohio State Average-0.32 HPRD
3.73
03.41 HPRD
vs. National Average-0.48 HPRD
3.90
03.41 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
SMITHVILLE WESTERN CARE CENTER ★
WOOSTER · This facility
—
C
3.41140.6366★★★☆☆
ALTERCARE OF WADSWORTH
WADSWORTH
14.2 mi
B
3.71840.5761★★★☆☆
SANCTUARY WADSWORTH
WADSWORTH
14.4 mi
B
3.49840.7012★★★★★
PLEASANT VIEW HEALTH CARE CENTER
BARBERTON
18.7 mi
D
3.20920.3984★★★★★
BARBERTON POST ACUTE
BARBERTON
18.9 mi
C
3.45290.536★★★★☆
ROSE LANE NURSING AND REHABILITATION
MASSILLON
19.5 mi
C
3.28450.6591★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
38
Total Deficiencies
$42,777
Fines Assessed
Apr 28, 2025Health
2 deficiencies cited
▼
Jan 15, 2025Health
3 deficiencies cited
▼
Oct 31, 2024Health
3 deficiencies cited· Includes actual harm
▼
Jul 2, 2024Health
11 deficiencies cited
▼
Apr 11, 2024Health
1 deficiency cited
▼
Feb 8, 2024Health
1 deficiency cited
▼
Mar 24, 2022Health
8 deficiencies cited
▼
Apr 18, 2019Health
9 deficiencies cited
▼

Penalty History

Oct 31, 2024Fine
$42,777
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.