Smithville Western Care Center
A nursing home in Wooster, Ohio 44691
4110 East Smithville Western Road, Wooster, Ohio 44691. (330) 345-9050.
- Not fully inspected in over two years (CMS flag)
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 13 health citations at the latest inspection cycle Ohio average: 10.5
- 3.36 nurse hours per resident per day Ohio average: 3.71
- 1 fine in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- 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.
- 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.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
13 health citations at the latest inspection cycle
The Ohio average is 10.5.
Last standard inspection Jul 2, 2024.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Oct 31, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
23 citations in 7 months of the last 36. Last cited Aug 2026. Most serious: immediate jeopardy to health or safety (J). 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.
All 23 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 12 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Aug 7, 2026: complaint inspection2 citations
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Provide and implement an infection prevention and control program.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Apr 28, 2025: complaint inspection2 citations
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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.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jan 15, 2025: complaint inspection3 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Keep residents’ personal and medical records private and confidential.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Oct 31, 2024: complaint inspection3 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Jul 2, 2024: standard inspection11 citations
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Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Dispose of garbage and refuse properly.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Apr 11, 2024: complaint inspection1 citation
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Feb 8, 2024: complaint inspection1 citation
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Ensure each resident receives an accurate assessment.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Apr 9, 1975.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 127 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 1 fine in the last three years, $42,777 in all.
- No Medicare payment denials in the last three years.
- 12 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Oct 31, 2024 | Fine | $42,777 |
Who does the caring?
3.36 nurse hours per resident per day
The Ohio average is 3.71.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Ohio average |
|---|---|---|
| Nurse hours per resident per day | 3.36 | 3.71 |
| Of which registered nurses | 0.50 | 0.64 |
| At weekends | 2.97 | 3.29 |
| Nursing staff turnover | 43.4% | 49% |
| Registered nurse turnover | 43.8% | 44.4% |
| Administrators who left | 0 | Not given |
Who owns it?
- Sprenger Enterprises, Inc. owns 100% directly since Oct 1, 2001.
- 14 owners or officers are people: Tracey M Sprenger (owns 5% or more through other companies, 31.74%); Tracey M Sprenger (corporate officer, 31.74%); Tracey M Sprenger (corporate director, 31.74%); Nicole Sprenger (owns 5% or more through other companies, 31.74%); Nicole Sprenger (corporate officer, 31.74%); Nicole Sprenger (corporate director, 31.74%); Kenneth Malanowski (owns 5% or more through other companies, 12.4%); Kenneth Malanowski (corporate officer, 12.4%); Kenneth Malanowski (corporate director, 12.4%); Wendie Hutsenpiller (owns 5% or more through other companies, 11.46%); Kenneth Malanowski (runs it (operational or managerial control)); Tracey M Sprenger (runs it (operational or managerial control)); Nicole Sprenger (runs it (operational or managerial control)); Sarah Wiedenmannot (managing employee (on the payroll)).
- Part of Sprenger Health Care Systems (12 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Sprenger Enterprises, Inc. | Owns 5% or more directly | 100% | Oct 1, 2001 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Ohio average 4.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 10.7 miles, this one had the 5th most health citations at the latest inspection cycle (13; the middle value was 10).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Smithville Western Care Center This nursing home | 13 | |
| Avenue at Wooster | 1.6 | 16 |
| Glendora Health Care Center | 2.9 | 18 |
| Wooster Community Hospital SNF | 3.2 | 0 |
| West View Healthy Living | 4.4 | 3 |
| Wayne County Care Center | 4.9 | 8 |
| Accord Care Community Orrville LLC | 5.5 | 12 |
| Orrville Pointe | 6.0 | 29 |
| Apostolic Christian Home Inc. | 7.7 | 4 |
| Burbank Parke Care Center | 10.0 | 5 |
| Autumnwood Nursing & Rehab Center | 10.7 | 22 |
| Country Pointe | 10.7 | 1 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
-
Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 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 home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home 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 home”, and paying will never change a finding, a rating or the order of results.