Dublin Springs
A psychiatric hospital in Dublin, Ohio 43016
7625 Hospital Drive, Dublin, Ohio 43016. (614) 717-1800.
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The short answer
Record last released by CMS on Oct 20, 2026.
- Not rated CMS’s overall rating
- Not rated patient survey rating
- 1 deficiency cited in the last three years
- 48 beds
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Jan 27, 2025: a complaint inspection.
1 deficiency cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Jul 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Jul 10, 2024: complaint inspection1 deficiency
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Discharge Planning- Transmission Information
The inspectors’ words, 667 words
“DISCHARGE PLANNING- TRANSMISSION INFORMATION CFR(s): Discharge of the patient and the provision and transmission of the patient’s necessary medical information. (b) The hospital must discharge the patient , and also transfer or refer the patient where applicable, along with all necessary medical information pertaining to the patient’s current course of illness and treatment, post-discharge goals of care, and treatment preferences, at the time of discharge, to the appropriate post-acute care service providers and suppliers, facilities, agencies, and other outpatient service providers and practitioners responsible for the patient’s follow-up or ancillary care. This Standard is not met as evidenced by: 28999 Based on medical record review, facility policy review, and staff interview, the facility failed to provide report and documentation of medications administered to a patient upon transfer to the Emergency Department. This affected one patient (Patient #3) and had the potential to affect all patients who required transfer to the Emergency Department. Findings include: Review of the medical record of Patient #3 revealed the patient presented to the facility on 05/22/24 at 8:36 PM. She was brought directly from jail and accompanied by police. The intake form noted the patient endorsed suicidal ideations without a plan. The Application for Emergency Admission was signed on 05/22/24 at 1:45 PM. The pink slip revealed the patient represented a substantial risk of physical harm to self as manifested by evidence of threats of, or attempts at, suicide or serious self-inflicted bodily harm and would benefit from treatment in a hospital for her mental illness. The pink slip also revealed the patient had been in jail for six days and had expressed claims of suicidal thoughts, was unable to answer most questions, was having hallucinations, talking to people that weren’t there, and answering. The patient was described as paranoid and delusional while in jail. The Nursing Assessment revealed the patient was severely irritable, anxious, and confused. A staff nurse performed a Broset Violence Checklist as required by facility policy on 05/22/24 at 11:00 PM. The patient scored a total of three with yes answers for boisterous behavior, confused behavior, and irritable behavior. A nurse’s note stated the patient was anxious, agitated, confused, and scored a three on Broset checklist so decision was made to administer emergency medications. Review of the Medication Administration Record revealed on 05/22/24 at 11:00 PM the patient was medicated with the antihistamine Benadryl 50 mg intramuscular (IM), the antipsychotic Haldol 5 mg IM, and the antianxiety Ativan 2 mg IM, a cocktail known as a B52 (B for Benadryl, 5 for 5 mg of Haldol, and 2 for 2 mg of Ativan). Staff members performed every 15 minute checks on the patient as ordered by the physician. A code blue sheet revealed a code was called at 11:35 PM as the patient was found unresponsive. At 11:37 PM, the patient’s blood pressure was 82/44, pulse 72, respirations 10, and oxygen saturation 96%. The patient’s legs were elevated and cardiopulmonary resuscitation (CPR) was initiated by the code blue team. By 11:41 PM the CPR was complete and the patient was responsive. The code ended at 11:45 PM and Emergency Medical Services (EMS) arrived at this time. The patient was transferred to an Emergency Department approximately two minutes from the facility. Review of the Transfer Form was silent to medications given prior to transfer or any report given to the receiving hospital. A nursing transfer summary stated only patient was found unresponsive. Review of the facility policy titled “Transfer to Another Facility,” effective 01/2020, revealed emergency transfers to a local Emergency Department are completed when non-psychiatric emergency medical conditions are present. The process of transferring patients to an Emergency Department noted at letter H, the registered nurse will document in the nursing progress notes the name and discipline of the individual in which patient report was given. Staff A and Staff B were interviewed on 07/02/24 at 3:45 PM. It was confirmed the medical record lacked documentation report was given to the Emergency Department where Patient #3 was transported.”
All 3 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 27, 2025 | Complaint inspection | No deficiencies cited |
| Jul 10, 2024 | Complaint inspection | 1 deficiency cited |
| Dec 13, 2023 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS gives no overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “Data are shown only for hospitals that participate in the Inpatient Quality Reporting (IQR) and Outpatient Quality Reporting (OQR) programs.”
- CMS publishes no patient survey results for it.
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | Not rated |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | Not rated |
Is it certified, and in good standing?
- Medicare-certified psychiatric hospital since Oct 23, 2012.
- Ownership: proprietary.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Proprietary.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- CMS’s HAC Reduction Program file has no result for it: the program covers general acute care hospitals Medicare pays under its inpatient prospective payment system.
- 1 deficiency cited in the last three years came from an inspection that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Columbus Springs Behavioral Health LLC owns 100% directly since Nov 1, 2025; Springstone Health Opco, LLC owns 0% directly since Jul 6, 2012.
- Lifepoint Behavioral Health Services, LLC runs it.
- 8 owners or officers are people: Martin F. Mann (corporate officer, 0%); Nicoletta B Tessler (corporate officer); Amanda A Johnson (managing employee (on the payroll), 0%); Marcus B Poppell (other role (CMS gives no detail), 0%); Christopher J Jagoditz (corporate officer); Charlotte E Lawrence (corporate officer, 0%); Elliott Brown (corporate officer); Christopher J Monte (corporate officer, 0%).
- CMS’s Provider of Services file records no change of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Columbus Springs Behavioral Health LLC | Owns 5% or more directly | 100% | Nov 1, 2025 |
| Ohiohealth Corporation | Owns 5% or more through other companies | 51% | Nov 1, 2025 |
| Lifepoint Behavioral Health, LLC | Owns 5% or more through other companies | 49% | Nov 1, 2025 |
| Lifepoint Rehab Blocker LLC | Owns 5% or more through other companies | 49% | Nov 1, 2025 |
| Lifepoint Rehab LLC | Owns 5% or more through other companies | 49% | Nov 1, 2025 |
| Dsb Acquisition LLC | Owns 5% or more through other companies | 49% | Nov 1, 2025 |
| Springstone Health Opco, LLC | Owns 5% or more through other companies | 49% | Nov 1, 2025 |
| Lifepoint Health Inc. | Owns 5% or more through other companies | 49% | Nov 1, 2025 |
| Lpnt Autumn Holdco, LLC | Owns 5% or more through other companies | 49% | Nov 1, 2025 |
| Lifepoint Rehab Blocker Parent LLC | Owns 5% or more through other companies | 49% | Nov 1, 2025 |
| Springstone Health Opco, LLC | Owns 5% or more directly | 0% | Jul 6, 2012 |
| Lifepoint Behavioral Health Services, LLC | Owns 5% or more through other companies | 0% | Nov 1, 2025 |
| Lifepoint Behavioral Health Services, LLC | Runs it (operational or managerial control) | 0% | Feb 7, 2023 |
How does it compare nearby?
- Of the 17 hospitals CMS lists in Franklin County, 7 have an overall star rating from CMS: 3 rated 4 of 5, 2 rated 3 of 5, 2 rated 2 of 5.
- CMS gives this hospital no overall star rating to compare.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
| Place | Overall star rating |
|---|---|
| Dublin Methodist Hospital | 4 |
| Mount Carmel Dublin | Not given |
| Riverside Methodist Hospital | 4 |
| Mount Carmel St Ann’s | 3 |
| Grant Medical Center | 2 |
| Mount Carmel East & West | 2 |
| Ohio State University State Health System | 3 |
| Doctors Hospital | 4 |
| Mount Carmel New Albany Surgical Hospital | Not given |
| Diley Ridge Medical Center | Not given |
| Nationwide Children’s Hospital | Not given |
| Twin Valley Behavioral Healthcare | Not given |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.