ADAMS COUNTY MANOR – WEST UNION, OH

CMS Verified | 2026-03-01

Adams County Manor

10856 STATE ROUTE 41, West Union, OH 45693
(937) 544-2205
74 beds
All West Union facilities
4.0*
Overall
5.0*
Health Inspection
4.0*
Quality Care
1.0*
Staffing
71.47
Score /100
#7612
National Rank

#7612
of 14703 facilities
National
48.2% position
#624
of 922 in OH
State Rank
#2
of 3 in Adams
County Rank
#2
of 2 in West Union
City Rank
#2
of 2 in ZIP 45693
ZIP Rank






About Adams County ManorAdams County Manor is located at 10856 State Route 41, West Union, OH, reachable at (937) 544-2205. This For profit – Corporation facility operates 74.0 certified beds and serves an average of 63 residents per day. Medicare and Medicaid services have been provided since 1997-08-01. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
Facility

Adams County Manor

Address

10856 State Route 41, West Union, OH 45693

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 74 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
✅ Above Average (4★) overall rating
Health Inspection
✅ Excellent (5★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Above Average (4★) quality of care
Compliance
❌ 7 fine(s) over 5 years
5-Year Trend
Declining over 5 years
71.47
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#7612 of 14703 nationally – #624 of 922 in Ohio

Who Is This Facility Best For?

Adams County Manor is a strong choice for families in the West Union, OH area seeking a well-inspected, high-quality care environment. It scores well for both long-term residents and short-stay rehabilitation patients. Families prioritizing high RN coverage should discuss staffing schedules directly with the facility, as registered nurse hours have trended downward in recent years.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

4 / 5
Health Inspection

5 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

4 / 5
Long-Stay QM Rating

4 / 5
Short-Stay QM Rating

5 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightAdams County Manor currently provides 3 hours 25 minutes of total nurse staffing per resident per day, including 19 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. RN hours per resident have declined from 50 min/day (2022) to 19 min/day (2026) — a trend families should be aware of. Total nursing staff turnover is high at 57.3%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 25 minutes
Nurse Aide Hours2 hours 13 minutes
Licensed Practical Nurse (LPN) Hours53 minutes
Registered Nurse (RN) Hours19 minutes
Physical Therapist Hours3 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 48 minutes
Weekend Registered Nurse (RN) Hours14 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 7 fine(s) over the 5-year period, totaling $20,094. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 13.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#7,612
of 14,703
National
Bottom 48%
#624
of 922
OH State
Bottom 32% in OH
#2
of 3
️ Adams County
#2 of 3
#2
of 2
️ West Union
#2 of 2
#2
of 2
ZIP 45693
#2 of 2

Nationally, Adams County Manor ranks 7612th out of 14,703 facilities (composite score: 71.5/100), placing it in the below average nationwide. Within OH, it ranks 624th out of 922 nursing homes. In West Union, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #9,973 nationally and RN hours rank #12,550 nationally (#855 in OH).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank OH State Rank Note
2022 4.35 #2,684 / 14,703 #108 / 922 Top 25%
2023 4.49 #2,154 / 14,703 #72 / 922 Top 25%
2024 3.89 #4,940 / 14,703 #228 / 922 Above average
2025 3.99 #4,643 / 14,703 #195 / 922 Above average
2026 3.41 #9,973 / 14,703 #580 / 922 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank OH State Rank Note
2022 0.83 #3,474 / 14,703 #144 / 922 Top 25%
2023 0.76 #3,701 / 14,703 #171 / 922 Above average
2024 0.53 #7,639 / 14,703 #483 / 922 Below average
2025 0.63 #5,856 / 14,703 #342 / 922 Above average
2026 0.31 #12,550 / 14,703 #855 / 922 ⚠️ Bottom 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Adams County Manor is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1997-08-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (937) 544-2205 or your local Medicaid office to verify current eligibility.

Adams County Manor holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (5★), Staffing (1★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 71.5/100, placing it #7612 of 14703 facilities nationally and #624 of 922 in Ohio. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Adams County Manor receives a reported average of 3 hours 25 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 19 minutes; Licensed Practical Nurse (LPN) — 53 minutes; Nurse Aide — 2 hours 13 minutes. On weekends, total nurse staffing is 2 hours 48 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 57.3%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 7 fine(s) over the 5-year period, totaling $20,094. 2 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 13.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Adams County Manor ranks 7612th out of 14,703 facilities (composite score: 71.5/100), placing it in the below average nationwide. Within OH, it ranks 624th out of 922 nursing homes. In West Union, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #9,973 nationally and RN hours rank #12,550 nationally (#855 in OH). Our composite quality score of 71.5/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in West Union, visit: https://nursinghomesnearme.org/ohio/west-union/

Contact and Location

ADR
Address

10856 STATE ROUTE 41, West Union, OH 45693
Get directions on Google Maps

TEL
LLC
Legal Name

H&G NURSING HOMES, INC.

MAP
Browse by Location

All Ohio ·
Adams County ·
West Union ·
ZIP 45693

Facility Details

Number of Certified Beds 74
Average Residents / Day 63 (86% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Adams County, OH
City West Union, OH
ZIP Code 45693
Approved Since August 1, 1997
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 366143
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org