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Nursing home

Four Winds Nursing Facility

Jackson, Ohio · Jackson County

  • 215 Seth Avenue, Jackson, OH 45640 · Directions
  • (740) 286‑7551
  • Medicare overall rating: 3 of 5 starsMedicare overall rating
  • Ownership: Non-profit – corporation
  • 22 health citations in its last 3 inspection cycles (most serious: level E). See the inspection record

Summary

Four Winds Nursing Facility is a Medicare-certified nursing home in Jackson, Ohio, with 86 certified beds. Medicare overall rating: 3 of 5 stars. Most recent standard health inspection: 2025-03-20, with 12 health deficiencies. Ownership: non-profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 3 of 5 starsMedicare overall rating
86Certified beds
Health inspections: 3 of 5 starsHealth inspections

Quick answers

Where is Four Winds Nursing Facility?
215 Seth Avenue, Jackson, OH 45640, in Jackson County, Ohio.
What is the phone number of Four Winds Nursing Facility?
(740) 286-7551, as listed by Medicare (CMS).
What is the Medicare star rating of Four Winds Nursing Facility?
Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
Has Four Winds Nursing Facility been fined?
Medicare lists no fines for Four Winds Nursing Facility, but 1 payment denial.
What did inspectors find at Four Winds Nursing Facility?
In its last three inspection cycles (February 13, 2020 to August 6, 2026), Medicare lists 22 health citations; the most serious was level E. See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 3 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 3 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 4 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 4 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 2 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 5 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (February 13, 2020 to August 6, 2026), Four Winds Nursing Facility had 22 health citations; the most serious was level E (no actual harm, potential for more than minimal harm). It had 1 Medicare payment denial (the latest began March 20, 2025) and no fines. Nurse staffing is 3.34 hours per resident per day; the Ohio average is 3.71 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: March 20, 2025 — 12 health citations

Inspections in this cycle: March 20, 2025 (standard health inspection); May 18, 2026 (complaint investigation); August 6, 2026 (complaint investigation).

Show 12 citations (levels A to F, no actual harm)
  • F0609 Level E May 18, 2026 · from a complaint · corrected June 7, 2026

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

  • F0610 Level E May 18, 2026 · from a complaint · corrected June 7, 2026

    “Respond appropriately to all alleged violations.”

  • F0881 Level E March 20, 2025 · corrected June 30, 2025

    “Implement a program that monitors antibiotic use.”

  • F0760 Level D August 6, 2026 · from a complaint · corrected August 21, 2026

    “Ensure that residents are free from significant medication errors.”

  • F0569 Level D March 20, 2025 · corrected June 30, 2025

    “Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.”

  • F0610 Level D March 20, 2025 · corrected June 30, 2025

    “Respond appropriately to all alleged violations.”

  • F0625 Level D March 20, 2025 · corrected June 30, 2025

    “Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.”

  • F0644 Level D March 20, 2025 · corrected June 30, 2025

    “Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”

  • F0657 Level D March 20, 2025 · corrected June 30, 2025

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

  • F0684 Level D March 20, 2025 · corrected June 30, 2025

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

  • F0757 Level D March 20, 2025 · corrected June 30, 2025

    “Ensure each resident’s drug regimen must be free from unnecessary drugs.”

  • F0880 Level D March 20, 2025 · corrected June 30, 2025

    “Provide and implement an infection prevention and control program.”

Previous cycle: April 13, 2023 — 6 health citations

Inspections in this cycle: April 13, 2023 (standard health inspection); July 23, 2025 (complaint investigation).

Show 6 citations (levels A to F, no actual harm)
  • F0773 Level D July 23, 2025 · from a complaint · corrected August 8, 2025

    “Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.”

  • F0582 Level D April 13, 2023 · corrected May 15, 2023

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

  • F0641 Level D April 13, 2023 · corrected May 15, 2023

    “Ensure each resident receives an accurate assessment.”

  • F0677 Level D April 13, 2023 · corrected May 15, 2023

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

  • F0679 Level D April 13, 2023 · corrected May 15, 2023

    “Provide activities to meet all resident's needs.”

  • F0759 Level D April 13, 2023 · corrected May 15, 2023

    “Ensure medication error rates are not 5 percent or greater.”

Earlier cycle: February 13, 2020 — 4 health citations

Inspections in this cycle: February 13, 2020 (standard health inspection).

Show 4 citations (levels A to F, no actual harm)
  • F0561 Level D February 13, 2020 · corrected March 20, 2020

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

  • F0569 Level D February 13, 2020 · corrected March 20, 2020

    “Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.”

  • F0582 Level D February 13, 2020 · corrected March 20, 2020

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

  • F0689 Level D February 13, 2020 · corrected March 20, 2020

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

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (7)
  • K0374 Level E March 20, 2025 · corrected June 30, 2025

    “Install smoke barrier doors that can resist smoke for at least 20 minutes.”

  • K0741 Level E March 20, 2025 · corrected June 30, 2025

    “Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”

  • E0037 Level F April 13, 2023 · corrected May 15, 2023

    “Establish staff and initial training requirements.”

  • K0521 Level F April 13, 2023 · corrected May 15, 2023

    “Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.”

  • K0363 Level E April 13, 2023 · corrected May 15, 2023

    “Install corridor and hallway doors that block smoke.”

  • K0353 Level F February 13, 2020 · corrected March 20, 2020

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0913 Level E February 13, 2020 · corrected March 20, 2020

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

Fines and payment denials

Total fines over about the last three years: $0 (0 fines). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
March 20, 2025Payment denialfrom June 20, 2025, 10 days

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeOhioNational
Registered nurse (RN) hours per resident per day0.560.640.69
Licensed practical nurse (LPN) hours per resident per day0.750.950.86
Nurse aide hours per resident per day2.032.122.35
Total nurse staff hours per resident per day3.343.713.90
Total nurse staff hours per resident per day on the weekend3.093.293.43
RN hours per resident per day on the weekend0.560.430.48
Nursing staff turnover (per year)41.4%49.0%45.3%
RN turnover (per year)14.3%44.4%42.5%
Administrators who left in the last year1.00.60.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 9 nursing homes: United Church Homes.

Legal business name: United Church Homes, Inc..

Owners and managers Medicare lists (2)
NameRoleShareSince
United Church Homes, Inc.Direct owner100%April 1, 2000
United Church Homes, Inc.Management company (operational or managerial control)NOT APPLICABLEApril 1, 2000

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds86
Average residents per day70.7
Takes part inMedicare and Medicaid
OwnershipNon-profit – corporation
Group or chain (affiliated entity)United Church Homes
Legal business nameUnited Church Homes, Inc.
First approved by Medicare/Medicaid1986-02-07
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address215 Seth Avenue, Jackson, OH 45640
CountyJackson County
StateOhio
Phone(740) 286‑7551
CMS Certification Number365669
Name in Medicare recordsFOUR WINDS NURSING FACILITY
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13