Signature Healthcare of Coshocton
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 70 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.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (17 vs median 8.0)
- High staff turnover (56%)
- High RN turnover (54%)
Bottom 25% in OH · Below recommended RN staffing · Below chain average · $60,645 in fines
What this means for your family
While many families praise specific nurses for their dedication, the recurring reports of communication failures and serious safety concerns are significant red flags. If you consider this facility, we strongly recommend conducting an unannounced visit and asking for a detailed plan on how they manage medication administration and family communication during off-hours.
Google Reviews
Google Reviews
70 reviews on Google“Signature Healthcare of Coshocton receives highly polarized feedback, with many reviewers praising specific staff members like Kali and Jamie for their compassionate care. However, significant concerns exist regarding communication, responsiveness to family inquiries, and serious allegations of neglect and poor medication administration protocols.”
Quality Themes
Tap a score for detailsStrengths
- Highly praised individual nursing and aide staff
- Engaging activities and outings for residents
- Strong therapy department
- Warm, family-like atmosphere reported by some
Concerns
- Difficulty reaching staff by phone or getting return calls (mentioned by 3 reviewers)
- Poor communication with family members regarding patient status (mentioned by 2 reviewers)
- Allegations of neglect or improper medication administration (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 72 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed that you are very active in responding to online feedback; how do you use that family input to improve your daily communication processes?
- 2Since family members sometimes find it challenging to reach the nursing station by phone, what is the best way for us to get timely updates on our loved one's status?
- 3Given the recent focus on medication management, could you walk us through the safety checks and oversight protocols you have in place for administering daily prescriptions?
- 4We’ve heard wonderful things about your activity program; what are some of the favorite outings or social events that residents are currently participating in?
- 5With your current staffing levels, how do you ensure that residents receive consistent, personalized attention throughout the evening and weekend hours?
- 6What is your protocol for keeping families informed if there is a change in a resident's health condition or an unexpected medical situation?
Personalized based on this facility's data
Key Review Excerpts
“One tried jamming meds down my loved one who has swallowing difficulties . Why? Because I asked her not to give my loved ones meds and leave the room because she had choked on the previous one.”
“They would not let me see my mother 7 months, unfortunately she passed this past sunday and they asked if I wanted to come in the facility to say my good byes, UNBELIEVABLE, my mother also received several bed sores , the cumuication was terrible”
“I HAVE BEEN CALLING YOU FOR 6 DAYS IN A ROW AND NO ONE WILL ANSWER- ALSO , DOES MARIO DO ANY THING BESIDES WALK AROUND AND TELL: PEOPLE HOW HARD HE WORKS WHERE IS MY WATCH ?????”
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
6
measures
9
measures
2
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents whose walking got worse
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families filing complaints that led to findings of abuse/neglect, medication errors, and food safety violations. The most recurring problems involve medication management, infection control, and dietary services, with many issues persisting across multiple surveys from 2023-2025. While all violations show correction dates, the pattern of repeated deficiencies in critical care areas and multiple complaint-triggered investigations suggests ongoing quality challenges that warrant careful consideration.
Dec 30, 2025Routine20
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Jun 12, 2025Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Apr 7, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Oct 10, 2024Routine16
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Provide properly protected cooking facilities.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Nutrition and Dietary Deficiencies
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 29, 2024Complaint3
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.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 14, 2024Complaint3
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.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Federal Penalties
Fine
May 14, 2024
$60,645
Ownership & Operations
Who Operates This Facility
Signature Healthcare of Coshocton
for profit
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
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
70 reviews from families & visitors
Official Website
Visit roscoegardenshc.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.