O'brien Memorial Health Care C
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 36 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (11 vs median 8.0)
- High staff turnover (57%)
- High RN turnover (67%)
Bottom 25% in OH · Critically understaffed (RN) · Worst in WINDSOR HOUSE, INC. chain · $68,952 in fines · Abuse citation
What this means for your family
While O'Brien Memorial has a dedicated core of staff who provide compassionate care, the facility has a concerning pattern of delayed medical intervention and poor response to patient falls. If you choose this facility, ensure you have a clear, proactive plan for medical emergencies and maintain frequent, direct contact with the medical director to oversee your loved one's care.
Google Reviews
Google Reviews
36 reviews on Google“O'Brien Memorial Health Care Center receives highly polarized feedback, with many families praising the compassionate care provided by specific staff members like Maria, while others report critical failures in medical oversight and discharge planning. While some families highlight a clean environment and strong communication, multiple reviewers have raised serious concerns regarding delayed emergency medical intervention and neglect of basic care needs.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive individual aides
- Clean and well-maintained facility
- Effective physical therapy department
- Responsive communication for some families
Concerns
- Delayed or denied emergency medical intervention after falls or injuries (mentioned by 3 reviewers)
- Neglect of basic medical needs (trach suctioning, pressure ulcers, hygiene) (mentioned by 2 reviewers)
- Poor discharge planning and lack of support for post-rehab care (mentioned by 2 reviewers)
- Staff observed ignoring call lights and socializing at the desk (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 41 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1It is wonderful to see how much the management engages with family feedback; how do you use family suggestions to improve the daily care of residents?
- 2We want to ensure our loved one is safe; what is your specific protocol for responding to a fall or an unexpected medical emergency?
- 3How does the nursing team manage medication schedules and ensure that all specialized medical needs, like hygiene or wound care, are met consistently?
- 4We noticed the facility is very clean and well-maintained; what are the daily routines for keeping the resident rooms and common areas tidy?
- 5What does a typical day look like for residents in terms of social activities and dining experiences?
- 6How do you ensure that call lights are answered promptly, even during busy shifts when staff might be busy at the nursing station?
Personalized based on this facility's data
Key Review Excerpts
“The staff is exceptional. They risked their own safety to care for the residents without regard for themselves. They are the best. I was informed during the lockdown of every thing that was happening and appreciated it greatly.”
“Within those nine days he developed pneumonia because his trach was not being suctioned out, blood clots in both lungs and an ulcer on his back from not being kept dry or rotating him.”
“After falling for a second time, the facility initially denied that there was a fall, then admitted that there was, but refused to send her to the hospital for assessment.....claiming instead that they would perform the assessment.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
6
measures
1
measures
Residents with depression symptoms
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
Residents whose walking got worse
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of recurring deficiencies across core care areas, with families filing 12 complaints that triggered federal investigations. The most persistent problems involve protecting residents from abuse and neglect (cited multiple times including recent serious violations), medication management errors, and food safety issues. While the provider reports correcting these issues, the repeated nature of abuse protection failures and medication errors across multiple years suggests ongoing systemic problems that families should carefully consider.
May 22, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Mar 14, 2025Complaint1
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Aug 7, 2024Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jun 13, 2024Routine12
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Services Deficiencies
Meet other general requirements that are deficient.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Administration Deficiencies
Employ staff that are licensed, certified, or registered in accordance with state laws.
Jun 13, 2024Complaint4
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Apr 18, 2024Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Federal Penalties
Fine
Feb 29, 2024
$68,952
Payment Denial
Feb 29, 2024
42-day denial
Ownership & Operations
Who Operates This Facility
O'brien Memorial Health Care C
for profit
Chain Affiliation
Windsor House, INC.
11 facilities nationwide
Chain avg rating: 3.5/5 · Rank 11 of 11 (Worst)
Ownership & Management
Owners
Masternick, John
Owner
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
36 reviews from families & visitors
Official Website
Visit windsorhouseinc.com
Medicare data downloads
Original nursing home datasets
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