Nursing HomeMedicaid Investigative

Altercare Zanesville INC.

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4200 Harrington Drive, Zanesville, OH 43701|99 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.3/5

based on 140 Google reviews

(740) 452-4351 Directions Website

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4/ 10

moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (1/5 stars)
Low staffing rating (2/5 stars)
High staff turnover (62%)

Bottom 25% in OH · Below recommended RN staffing · Worst in ALTERCARE chain · $198,156 in fines

Source: Medicare data

What this means for your family

This facility is physically beautiful and offers strong rehabilitation services, which many families appreciate. However, because multiple reviewers have reported significant delays in responding to call lights and inconsistent care, we strongly advise you to visit during off-hours and observe how quickly staff respond to residents' needs before making a decision.

Google Reviews

140 reviews on Google

“Altercare Zanesville receives polarized feedback, with many families praising the clean, modern facility and the dedication of the therapy and nursing teams. However, a significant number of reviewers report serious concerns regarding inconsistent staffing levels, slow response times to call lights, and poor communication during medical emergencies. While many residents have positive rehabilitation outcomes, others have reported neglect, medication errors, and inadequate nutritional care.”

Quality Themes

Tap a score for details

Strengths

Clean, modern, and well-maintained facility
Effective physical and occupational therapy programs
Friendly and compassionate front-line staff
Strong administrative communication for some families

Concerns

Slow or non-existent response to call lights (mentioned by 5 reviewers)
Poor nutritional quality and failure to meet dietary needs (mentioned by 5 reviewers)
Understaffing leading to neglect or lack of basic care (mentioned by 6 reviewers)
Inconsistent communication regarding medical status (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 100 analyzed

How They Respond to Reviews

37%response rate

This facility responds to some reviews.

Questions for Your Tour

1We've heard great things about how clean and modern the facility is; could you show us the dining area and tell us a bit about how the daily meal service is structured?
2Since we want to ensure all dietary needs are met, how does the kitchen staff coordinate with the nursing team to handle specific nutritional requirements or texture changes?
3How do you ensure that call lights are answered promptly, especially during the night shifts when fewer staff members are on duty?
4Can you walk us through your process for medication management and how you ensure there are no errors in administration?
5In the event of a medical emergency after hours, what is the specific protocol for contacting the physician and notifying the family?
6We are very interested in the physical and occupational therapy programs mentioned by other families; how often do residents typically participate in these sessions?

Personalized based on this facility's data

Key Review Excerpts

“This facility is clean, there are ZERO unpleasant odors that hit you when you enter. Staff members are pleasant and from what I've seen are very good with the residents.”

Long-term resident's family · 2026★★★★☆

“Took over 45 minutes for someone to check a call button and bring help - could have resulted in a terrible situation. Food allergies are NOT taken into consideration when bringing meals!”

Family member · 2023★☆☆☆☆

“PT and OT push you but not beyond your limits. Only spending 2 weeks here but very impressed with the way I see all staff treat residents.”

Rehab patient · 2025★★★★★

Source: 140 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.58hrs

78%

Registered nurses for medical care

Total Nursing

3.76hrs

92%

All nurses + aides combined

Staff Turnover

55%

Lower is better (< 30% = good)

RN Turnover

45%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility0.6%

Better than Avg

Here

0.6%

15.5%

9.4%

Muskingum

6.5%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility4.0%

Mixed vs Avgs

Here

4.0%

15.3%

6.9%

Muskingum

3.3%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility3.7%

Better than Avg

Here

3.7%

14.4%

5.8%

Muskingum

5.2%

😔

Residents with depression symptoms

↓ Lower is better

This Facility17.7%

Mixed vs Avgs

Here

17.7%

12.1%

28.2%

Muskingum

11.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility16.0%

Better than Avg

Here

16.0%

19.4%

21.6%

Muskingum

24.1%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility25.3%

Mixed vs Avgs

Here

25.3%

19.5%

25.4%

Muskingum

26.1%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility80.5%

Mixed vs Avgs

Here

80.5%

81.8%

78.4%

Muskingum

94.5%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility84.7%

Mixed vs Avgs

Here

84.7%

79.8%

75.6%

Muskingum

94.8%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.9%

Better than Avg

Here

0.9%

1.6%

1.2%

Muskingum

1.4%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies

3penalties

Well below state avg (10.1)

33 complaint-triggered

$198,156 in fines

This facility shows concerning patterns of recurring care issues, with many complaints filed by families triggering federal inspections. Problems with wound care, bladder/bowel care, and medication management appear repeatedly across multiple surveys, suggesting these issues persist despite corrections. Recent deficiencies include infection control problems and safety concerns. While the facility reports correcting violations, the recurring nature of similar care quality issues raises red flags about consistent, reliable care delivery.

May 1, 2025Routine4 findings

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Mar 20, 2025Complaint2 findings

0690Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

Feb 18, 2025Complaint1 finding

0690Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Jan 21, 2025Complaint2 findings

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Dec 10, 2024Complaint2 findings

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Nov 14, 2024Complaint1 finding

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Federal Penalties

Fine

Dec 10, 2024

$163,836

Payment Denial

Dec 10, 2024

45-day denial

Fine

Feb 5, 2024

$34,320

Ownership & Operations

Who Operates This Facility

Owner / Operator

Altercare Zanesville INC.

Organization Type

for profit

Chain Affiliation

Chain Name

Altercare

Chain Size

22 facilities nationwide

Chain avg rating: 3.3/5 · Rank 22 of 22 (Worst)

Ownership & Management

Owners

Tsg Nursing Centers, INC

Owner · Organization

100%

Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Andrew M Schroer