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Nursing home

Adams County Manor

10856 State Route 41, West Union, OH 45693 · Map
For profit - Corporation · 74 certified beds

Medicare and Medicaid certified
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Adams County Manor is a Medicare-certified nursing home in West Union, Ohio. CMS rates it 4 out of 5 stars overall (1/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.41 hours per resident per day, below the Ohio average of 3.72. Its most recent inspection on Mar 21, 2024 cited 2 deficiencies.

4 out of 5Overall CMS rating
5 out of 5Health inspections
1 out of 5Staffing
74 bedsCertified beds

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating4/5
Health inspections5/5
Staffing1/5
Quality measures4/5
Long-stay quality4/5
Short-stay quality5/5

How Adams County Manor compares

This facility vs. the Ohio and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityOhio avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.413.723.89below avg
RN staffing (hrs/resident/day)0.310.630.68below avg
Aide staffing (hrs/resident/day)2.222.142.34above avg
Nursing staff turnover57.3%49.8%46.4%above avg
Deficiencies cited, last inspection2.010.29.5below avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.41Total nurse hrs/resident/day
0.31RN hrs/resident/day
0.89LPN hrs/resident/day
2.22Aide hrs/resident/day
2.80Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff57.3%
Registered nurses63.6%
Administrator changes2 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Mar 21, 2024Most recent inspection
2Deficiencies found
12Health inspection score
0Fines
  • Every deficiency from the March 26, 2026 inspection was corrected by May 29, 2026

What inspectors found at Adams County Manor

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Potential for harm

    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.

    Resident Rights Deficiencies · Mar 26, 2026 · Full report (PDF)
  • Potential for harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Quality of Life and Care Deficiencies · Mar 26, 2026 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Mar 21, 2024 · Full report (PDF)
  • Potential for harm

    PASARR screening for Mental disorders or Intellectual Disabilities

    Resident Assessment and Care Planning Deficiencies · Mar 21, 2024 · Full report (PDF)
  • Potential for harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Environmental Deficiencies · Jul 1, 2021
Show all 11 deficiencies
  • Potential for harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Quality of Life and Care Deficiencies · Jul 1, 2021
  • Potential for harm

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies · Jul 1, 2021
  • Potential for harm

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

    Resident Rights Deficiencies · Jul 1, 2021
  • Potential for harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 14, 2019
  • Potential for harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 14, 2019
  • Potential for harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Mar 14, 2019

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
10856 State Route 41
West Union, OH 45693
CMS certification #
366143
Ownership
For profit - Corporation
Certified beds
74
Avg residents/day
63.7
Provider type
Medicare and Medicaid
First certified
1997-08-01
Setting
Rural

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Location and nearby

Explore the area around Adams County Manor using Google Maps.

Other public records

  • Programs Medicare-certified home health agency at this address
  • Website says Nurse 24 hours a day
Full public records, with dates and sources

Care and services

From the community’s website

What Adams County Manor says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Nurse on site: 24 hours a day. 24/7 Nursing Care (page, checked Oct 12, 2026)
  • Apartment types named: private room, semi-private room. The unit consists of 34 private and semi-private rooms rach featuring a flat screen TV for each resident, free Wi-Fi access and an adjoining private bathroom. (page, checked Oct 12, 2026)

Medicare agencies at this address

  • Medicare-certified home health agency at this address. Medicare-certified home health agency ACM HOME HEALTH (Medicare CCN 369127) lists this same street address. Ownership type: PROPRIETARY. Medicare certified since 10/13/2015. (CMS Home Health Care Agencies, as of May 27, 2026)

A shared street address is a fact about location. CMS does not say whether the agency is run by the community.

Location and nearby care

Nearest hospital with an emergency room
Adams County Regional Medical Center, Seaman. 10.9 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
Nearest Medicare nursing home
Eagle Creek Nursing Center, West Union. 0.4 miles away, straight line.
Nearest home health agency office
Acm Home Health, West Union. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Blake Pharmacy. 14.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 45693 as rural (rural area).
Dialysis within 15 miles
Dci - Seaman, Seaman, 13.9 miles away, straight line (CMS rating 1 of 5 stars)
Hospice
9 Medicare hospices tell CMS they serve ZIP code 45693.
Nearest geriatric medicine practice
Pai Participant 1 LLC, Chillicothe. 49.5 miles away, straight line. 2 geriatric medicine doctors listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively high, wildfire relatively low, tornado relatively high, heat wave relatively high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here relatively low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026See above
The community’s own websiteSee above

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Frequently asked questions

Is Adams County Manor a good nursing home?

CMS gives Adams County Manor an overall rating of 4 out of 5 stars, including 1/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Adams County Manor staffed?

Adams County Manor reports 3.41 total nurse hours per resident per day, compared with the Ohio average of 3.72.

Has Adams County Manor had inspection problems?

Its most recent CMS inspection cited 2 deficiencies.

How many beds does Adams County Manor have?

Adams County Manor is certified for 74 beds.