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Nursing HomeMedicaid Investigative

Hudson Springs Nursing and Rehab

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

5000 Sowul Boulevard, Stow, OH 4422480 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 263 Google reviews

5
4
3
2
1
Hudson Springs Nursing and Rehab Nursing Home in Stow, OH — Street View
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6/ 10
high 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 (1/5 stars)
  • Above-median deficiencies (22 vs median 8.0)
  • High staff turnover (75%)
  • High RN turnover (65%)

Bottom 25% in OH · Meets national RN staffing standard · Above average staffing · Very high staff turnover · Worst in GARDEN SPRINGS HEALTHCARE chain · No penalties on record

Source: Medicare data

What this means for your family

While the facility is visually appealing and offers an excellent activities program, the recurring reports of understaffing and communication breakdowns are significant red flags. We recommend that families conduct an unannounced visit during a weekend or evening shift to observe staffing levels firsthand and ask specifically about their protocol for handling family concerns and billing transparency.

Google Reviews

Google Reviews

263 reviews on Google
Hudson Springs Nursing and Rehab (formerly Altercare Western Reserve) receives highly polarized feedback. Many families praise the facility for its cleanliness, modern atmosphere, and the exceptional efforts of the activities and therapy departments. However, a significant number of reviewers report serious concerns regarding chronic understaffing, neglectful care, and poor communication from management.

Quality Themes

Tap a score for details
Food7.0Staff5.0Clean7.0Activities10.0Meds4.0MemoryN/AComms3.0Value3.0

Strengths

  • Engaging and creative activities program
  • Professional and effective physical therapy team
  • Clean, modern, and well-maintained facility
  • Compassionate and attentive individual staff members

Concerns

  • Chronic understaffing leading to neglect (mentioned by 9 reviewers)
  • Poor communication and lack of responsiveness from management (mentioned by 6 reviewers)
  • Unsanitary conditions or odors in certain areas (mentioned by 4 reviewers)
  • Billing errors and lack of transparency regarding costs (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2344.3'19(6)2.22.8'21(5)4.04.5'23(11)4.74.2'25(40)4.8'26(106)

Distribution · 236 analyzed

5
198
4
7
3
3
2
3
1
25
57 reviews posted between Mar 30, 2026Apr 2, 2026 · 56 were 5-star
26 reviews posted between Oct 28, 2024Nov 1, 2024 · 26 were 5-star
19 reviews posted between Apr 12, 2026Apr 18, 2026 · 18 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has a very active calendar; could you walk me through how you ensure residents with different mobility levels are able to participate in these creative activities?
  • 2Given the recent feedback regarding communication, what is your standard protocol for keeping families updated on their loved one's daily health status and care plan changes?
  • 3With your current staffing levels, what specific systems do you have in place to ensure that call lights are answered promptly and that residents receive timely assistance?
  • 4I understand there have been some challenges with billing transparency; could you explain how you handle monthly invoicing to ensure families have a clear understanding of all charges?
  • 5How does your nursing team manage medication administration and oversight to ensure accuracy for residents with complex health needs?
  • 6What is your facility's current strategy for maintaining high standards of cleanliness and odor control in common areas and resident rooms?

Personalized based on this facility's data


Key Review Excerpts

The respiratory team stood out—they were knowledgeable, responsive, and truly cared about patient comfort and progress. Megan, the director, does an excellent job leading the team and creating a positive environment.

Family member of resident · 2026★★★★★

The activities director, Alecia, does a great job in creating a warm, lively, and engaging environment for the residents. She has a genuine passion for enriching the lives of others.

Visitor · 2026★★★★★

Since being at Hudson Springs, we have literally had to ask them to do everything they should already be doing. They are supposed to clean the rooms daily

Family member of resident · 2025☆☆☆☆
Source: 263 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.19hrs
OK
Registered nurses for medical care
Total Nursing
4.09hrs
100%
All nurses + aides combined
Staff Turnover
72%
Lower is better (< 30% = good)
RN Turnover
56%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

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

Medicare Rating
5/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility31.6%
Worse than Avg
Here
31.6%
US
12.1%
OH
28.2%
Summit
28.1%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.7%
Better than Avg
Here
3.7%
US
15.3%
OH
6.9%
Summit
6.7%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
14.4%
OH
5.8%
Summit
5.2%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility85.9%
Worse than Avg
Here
85.9%
US
93.4%
OH
92.6%
Summit
90.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
15.5%
OH
9.4%
Summit
12.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.5%
Worse than Avg
Here
25.5%
US
19.4%
OH
21.6%
Summit
21.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility34.9%
Worse than Avg
Here
34.9%
US
79.8%
OH
75.6%
Summit
67.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility41.1%
Worse than Avg
Here
41.1%
US
81.8%
OH
78.4%
Summit
70.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
OH
1.2%
Summit
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

26deficiencies
Well above state avg (10.1)
18 complaint-triggered

Hudson Springs has a concerning pattern of recurring deficiencies across multiple surveys, with families filing 17 complaints that triggered inspections. The facility repeatedly struggles with care planning, medication management, and daily care assistance, with these issues persisting across years rather than being fully resolved. Most recent problems include uncorrected deficiencies from January 2026 involving resident rights and care planning, suggesting ongoing operational challenges that warrant careful consideration before placement.

Apr 29, 2026Complaint
4
0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

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.

0814Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 22, 2026Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0656Potential for harm · IsolatedCorrected

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.

Oct 23, 2025Complaint
3
0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

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.

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.

Feb 20, 2025Complaint
1
0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 10, 2024Complaint
1
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.

Aug 21, 2024Routine
21
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0568Potential for harm · PatternCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0640Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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.

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.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0606Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0657Potential for harm · IsolatedCorrected

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.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0699Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hudson Springs Nursing and Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

Garden Springs Healthcare

Chain Size

7 facilities nationwide

Chain avg rating: 1.7/5 · Rank 5 of 6 (Worst)

Ownership & Management

Owners

Yfr Equities LLC

Owner · Organization

Barenbaum, Bryan

Owner

Friedman, Gitty

Owner

Friedman, Matis

Owner

46%

Friedman, Pessi

Owner

Mahilnitski, Ilya

Owner

35%

Friedman, Matis

Owner (parent company)

5%

Key personnel

Mahilnitski, IlyaManaging Control - Governing BodyWade, TiffanyManaging Control - Governing BodyFriedman, MatisOfficer / DirectorFriedman, MatisOfficer / DirectorMahilnitski, IlyaOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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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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