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Nursing HomeMedicaid Investigative

Good Shepherd Village

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

422 North Burnett Road, Arlington · Springfield, OH 4550381 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.8/5

based on 36 Google reviews

5
4
3
2
1
Good Shepherd Village Nursing Home in Springfield, OH — Street View
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8/ 10
critical Risk

Quality Concerns Identified

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

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (2/5 stars)
  • Above-median deficiencies (32 vs median 8.0)
  • High staff turnover (51%)
  • High RN turnover (67%)

Bottom 25% in OH · Below recommended RN staffing · Below chain average · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

While the facility has a history of successful rehabilitation, recent trends indicate significant operational challenges. Families should prioritize visiting in person to assess current staffing levels and should explicitly ask about the facility's protocol for returning family phone calls, as this has been a recurring point of frustration.

Google Reviews

Google Reviews

36 reviews on Google
Good Shepherd Village receives polarized feedback, with many families praising the facility for successful rehabilitation outcomes and compassionate care during the 2020 period. However, recent reviews from 2025 and 2026 highlight significant concerns regarding poor communication, difficulty reaching staff by phone, and a perceived decline in care quality due to staffing shortages.

Quality Themes

Tap a score for details
Food5.0Staff5.0Clean4.0Activities8.0Meds2.0MemoryN/AComms1.0ValueN/A

Strengths

  • Effective physical and occupational therapy programs
  • Engaging activity programs and crafts
  • Compassionate, personalized nursing care (historically)
  • Clean and welcoming environment (historically)

Concerns

  • Difficulty reaching staff by phone and lack of communication with families (mentioned by 3 reviewers)
  • Understaffing leading to potential neglect or decline in care quality (mentioned by 2 reviewers)
  • Serious medical oversight issues (medication errors, dehydration, infections) (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.02017(2)2.32018(3)5.02020(7)1.02022(1)5.02023(2)3.72025(10)3.92026(12)

Distribution · 37 analyzed

5
25
4
2
3
0
2
0
1
10

How They Respond to Reviews

77%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that the facility has a very active calendar for crafts and therapy; could you walk me through what a typical day of activities looks like for a new resident?
  • 2Given the importance of keeping families in the loop, what is your standard protocol for updating us on changes in care or health status, and who is our primary point of contact?
  • 3I understand that medical oversight is critical; could you explain the specific steps your team takes to ensure accuracy in medication administration and prevent common issues like dehydration?
  • 4I see that you actively engage with feedback online; how does that resident and family input directly influence changes or improvements in your daily operations?
  • 5With the current staffing levels, how do you ensure that every resident receives consistent, personalized attention throughout the day and night?
  • 6What specific quality assurance measures have been implemented recently to address the health inspection findings and ensure a higher standard of care for all residents?

Personalized based on this facility's data


Key Review Excerpts

I went from having to be hoisted out of bed to a wheelchair to being able to walk!!! Needless to say, I couldn’t have done this without the meticulous care I received.

Rehab patient · 2020★★★★★

I get so tired of calling and calling no one answers not even office people . Normally I call multiple times bc I understand how busy it probably is in there. However today I called 6 times!

Family member · 2026☆☆☆☆

The current patient volume is exceeding the capacity of our caregiving staff, resulting in an unsustainable workload. Caregivers are continuously attending to patients with minimal respite.

Family member · 2025☆☆☆☆
Source: 36 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.46hrs
62%
Registered nurses for medical care
Total Nursing
3.28hrs
80%
All nurses + aides combined
Staff Turnover
44%
Lower is better (< 30% = good)
RN Turnover
58%
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

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

7

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility74.3%
Worse than Avg
Here
74.3%
US
93.4%
OH
92.6%
Clark
91.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility11.4%
Better than Avg
Here
11.4%
US
12.1%
OH
28.2%
Clark
17.7%

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

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility79.4%
Worse than Avg
Here
79.4%
US
95.5%
OH
94.5%
Clark
91.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility31.4%
Worse than Avg
Here
31.4%
US
19.5%
OH
25.4%
Clark
24.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.5%
Better than Avg
Here
3.5%
US
15.3%
OH
6.9%
Clark
11.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility4.0%
Better than Avg
Here
4.0%
US
15.4%
OH
9.4%
Clark
14.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility59.8%
Worse than Avg
Here
59.8%
US
81.8%
OH
78.4%
Clark
80.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility62.9%
Worse than Avg
Here
62.9%
US
79.7%
OH
75.6%
Clark
76.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OH
1.2%
Clark
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

28deficiencies
1penalties
Well above state avg (10.1)
50 complaint-triggered

With 111 deficiencies across 14 surveys and 48 complaint-triggered violations, this facility has significant quality concerns that persist over time. Families have repeatedly reported problems with fire safety systems, medication management, and dietary services. The same fire safety and medication issues recur across multiple years, suggesting systemic problems. Recent complaints in 2025 highlighted ongoing medication errors, food quality problems, and wound care deficiencies, indicating these fundamental care issues remain unresolved.

May 1, 2025Routine
34
0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0037Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Establish staff and initial training requirements.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0567Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0887Potential for harm · PatternCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0252Potential for harm · PatternCorrected

Egress Deficiencies

Provide at least two remote exits on each floor or fire section of the building.

0293Potential for harm · PatternCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0352Potential for harm · PatternCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0847Potential for harm · IsolatedCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0913Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure operating rooms are properly protected and written records are maintained and available for inspection.

0576Minimal · WidespreadCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

May 1, 2025Complaint
13
0803Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · 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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Mar 20, 2025Complaint
4
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 10, 2024Complaint
4
0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jan 10, 2024Complaint
3
0345Potential for harm · Widespread

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Nov 27, 2023Complaint
3
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Federal Penalties

Payment Denial

May 1, 2025

20-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Good Shepherd Village

Organization Type

for profit

Chain Affiliation

Chain Name

Aom Healthcare

Chain Size

20 facilities nationwide

Chain avg rating: 2.6/5 · Rank 14 of 20

Ownership & Management

Owners

Springfield Nursing LLC

Owner · Organization

100%

Lt Investor LLC

Owner (parent company) · Organization

Yamo Equities Limited Liability Company

Owner (parent company) · Organization

Goldstein, Jeffrey

Owner (parent company)

Oelbaum, Yitzchok

Owner (parent company)

Sherman, Lea

Owner (parent company)

Tratner, Leah

Owner (parent company)

Key personnel

Goldstein, JeffreyW-2 Managing EmployeeGoldstein, JeffreyOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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