Total staff
142
Employees
111
Contractors
31
Primarily long-term care, limited rehab
Most residents stay long-term, while a smaller portion are admitted for short-term rehab.
Sprenger Health Care Smithville Western
Nursing Home, Assisted Living & Respite Care · Wooster, OH
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Sprenger Health Care Smithville Western
Nursing Home, Assisted Living & Respite Care · Wooster, OH
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Sprenger Health Care Smithville Western accepts Medicare, Medicaid, and private pay.
Sprenger Health Care Smithville Western is a nursing home in Wooster, OH, offering long-term care, rehabilitation, respite care, and skilled nursing. Promoting a nurturing and welcoming environment, the community ensures older adults are treated well throughout their stay. Residents can also maintain their independence with ease, as 24-hour support, nutritious meals, and scheduled transport are provided. The community also provides personalized care tailored to residents’ unique needs and habits, ensuring their recovery and wellness.
Live performances, art classes, and outings encourage residents to explore interests and have fun. To lift residents’ moods and help them rest comfortably, a library, a beauty salon/ barber shop, and gathering areas are also available. The community is also easily accessible, as it is conveniently located near Wayne County Airport in the quiet residential area of Wooster. Providing exceptional standards of care for older adults’ welfare, this nursing home is a good option for senior living in Ohio.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 98th out of 203 homes in Ohio. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 98th out of 203 homes in Ohio. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 27m per day
Rank #98 / 203Nurse hours — State benchmarkedThis home is ranked 98th out of 203 homes in Ohio. Shows adjusted nurse hours per resident per day benchmarked to the Ohio average, with a ranking across 203 Ohio SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Ohio avg
-2%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 55m per day | ▼ 11% State avg: 3h 17m per day · National avg: 3h 25m per day |
Types of Care at Sprenger Health Care Smithville Western
Nursing Home
Assisted Living
Respite Care
Capacity and availability
This home usually has availability
Occupancy rate
81.1%
Rank #107 / 204Occupancy rate — State benchmarkedThis home is ranked 107th out of 204 homes in Ohio. Shows this facility's occupancy rate versus the Ohio average, with its Statewide rank out of 204. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
57 days
Walk Score: 82 / 100 Rank #16 / 705Walk Score — State benchmarkedThis home is ranked 16th out of 705 homes in Ohio. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Ohio SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
About this community
Awards2022 Silver Award Winner for Best Nursing Home
Rehabilitation Services
Respite Care
Short-Term Rehab
Library
Putting Green
Wellness Programindividualized care plans
Specific ProgramsEmployment, Residents & Family Portal, Make a Payment, 800-772-1116, or440-989-5200, CARE, Skilled Nursing & Rehabilitation, Home Health, Nurse Practitioner, Special Programs, On-Site Therapies, Physical Therapy, Occupational Therapy, Speech Therapy
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.56:1
23% worse than Ohio average
Avg staff/day
47
Average shift
8.5 hours
5% better than Ohio average
Total staff hours (quarter)
36,757
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
31
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
57
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7.8%
2,881 contractor hours this quarter
Licensed Practical Nurse: 12
Certified Nursing Assistant: 8
Registered Nurse: 6
Feeding Assistant: 3
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 8 | 57 | 14,625 | 92 | 100% | 8.7 |
| Licensed Practical Nurse | 19 | 12 | 31 | 9,847 | 92 | 100% | 9.7 |
| Registered Nurse | 15 | 6 | 21 | 4,838 | 92 | 100% | 8 |
| Respiratory Therapy Technician | 4 | 0 | 4 | 815 | 73 | 79% | 7.3 |
| Speech Language Pathologist | 4 | 0 | 4 | 783 | 68 | 74% | 6.6 |
| Physical Therapy Aide | 3 | 0 | 3 | 758 | 69 | 75% | 6.1 |
| RN Director of Nursing | 1 | 0 | 1 | 618 | 76 | 83% | 8.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 577 | 67 | 73% | 6.6 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Nurse Aide in Training | 2 | 0 | 2 | 497 | 37 | 40% | 9.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Qualified Social Worker | 2 | 0 | 2 | 332 | 59 | 64% | 5.6 |
| Physical Therapy Assistant | 3 | 0 | 3 | 331 | 50 | 54% | 6.5 |
| Medication Aide/Technician | 1 | 0 | 1 | 308 | 30 | 33% | 10.3 |
| Dietitian | 1 | 0 | 1 | 278 | 41 | 45% | 6.8 |
| Feeding Assistant | 0 | 3 | 3 | 98 | 33 | 36% | 2.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 35 | 3 | 3% | 11.5 |
| Medical Director | 0 | 1 | 1 | 27 | 12 | 13% | 2.2 |
57 Certified Nursing Assistant
% of Days
100%
31 Licensed Practical Nurse
% of Days
100%
21 Registered Nurse
% of Days
100%
4 Respiratory Therapy Technician
% of Days
79%
4 Speech Language Pathologist
% of Days
74%
3 Physical Therapy Aide
% of Days
75%
1 RN Director of Nursing
% of Days
83%
3 Other Dietary Services Staff
% of Days
73%
1 Nurse Practitioner
% of Days
68%
1 Dental Services Staff
% of Days
68%
2 Nurse Aide in Training
% of Days
40%
1 Mental Health Service Worker
% of Days
67%
1 Administrator
% of Days
66%
2 Qualified Social Worker
% of Days
64%
3 Physical Therapy Assistant
% of Days
54%
1 Medication Aide/Technician
% of Days
33%
1 Dietitian
% of Days
45%
3 Feeding Assistant
% of Days
36%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
13%
Penalties and fines
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$43K Rank #170 / 203Federal fines — State benchmarkedThis home is ranked 170th out of 203 homes in Ohio. Shows this facility's cumulative CMS federal fine dollars versus the Ohio average among facilities with fines, and where it ranks among 203 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
38% lower than Ohio averageOhio average: $69K
Number of fines
1
46% fewer fines than Ohio averageOhio average: 1.9
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Ohio averageOhio average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$43K
Ohio average
$69K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Oct 31, 2024 · $43K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 31, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 31, 2024
$43K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.5
23% better than Ohio averageOhio average: 5.8
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.3
19% better than Ohio averageOhio average: 12.7
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
3.2%
Percent of long-stay residents whose need for help with daily activities has increased
3.2%
54% better than Ohio averageOhio average: 6.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
4.9%
Percent of long-stay residents whose ability to move independently worsened
4.9%
45% better than Ohio averageOhio average: 8.9%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.7%
In line with Ohio averageOhio average: 22.0%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
13% worse than Ohio averageOhio average: 3.4%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.9%
Percent of long-stay high risk residents with pressure ulcers
2.9%
24% better than Ohio averageOhio average: 3.9%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.4%
Percent of long-stay residents with a urinary tract infection
0.4%
36% better than Ohio averageOhio average: 0.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.5%
Percent of long-stay residents who lose too much weight
7.5%
21% worse than Ohio averageOhio average: 6.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
10.5%
Percent of long-stay residents who have depressive symptoms
10.5%
56% better than Ohio averageOhio average: 24.0%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
0.8%
Percent of long-stay residents who received an antipsychotic medication
0.8%
91% better than Ohio averageOhio average: 8.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
8% better than Ohio averageOhio average: 92.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.7%
5% better than Ohio averageOhio average: 94.5%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.1%
27% better than Ohio averageOhio average: 78.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.4%
65% better than Ohio averageOhio average: 1.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
27% better than Ohio averageOhio average: 75.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
11% of new residents, usually for short-term rehab.
Typical stay
24 days
Private pay
76% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
13% of new residents, often for long-term daily care.
Typical stay
2 - 3 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91
Medicare
8
8.8% of residents
Medicaid
54
59.3% of residents
Private pay or other
29
31.9% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Sprenger Health Care Smithville Western based on CMS SNF Cost Reports.
Occupancy Rate
81.1%
↑ 10.8pp vs 2022
Net Income
$1.1M
↑ ~$782.2K vs 2022
Total Payroll
$6.0M
↑ ~$295.8K vs 2022
Profit Margin
9.0%
↑ 6.0pp vs 2022
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$12.9M
Profit
$1.1M
Privately-owned community
Operated by a business corporation.
Home revenue
$12.9M Rank #73 / 203Revenue — State benchmarkedThis home is ranked 73rd out of 203 homes in Ohio. Shows this facility's annual revenue compared to the Ohio SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Profit
$1.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #80 / 203Payroll — State benchmarkedThis home is ranked 80th out of 203 homes in Ohio. Shows total annual staff payroll benchmarked to the Ohio average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #80 / 203Payroll — State benchmarkedThis home is ranked 80th out of 203 homes in Ohio. Shows total annual staff payroll benchmarked to the Ohio average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$11.8M
What does this home offer?
Building Type: Single-story
Dining Services
Transportation Services
Housekeeping Services
Social and Recreational Activities
Rehabilitative Support
On-site Medical Care and Health Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Sprenger Health Care Smithville Western
6.4 miles from city center
Estimated distance in miles from Wooster's city center to Sprenger Health Care Smithville Western's address, calculated via Google Maps.
Calculate Travel Distance to Sprenger Health Care Smithville Western
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Financial Assistance for
Nursing Home in Ohio
Sprenger Health Care Smithville Western is located in Wooster, Ohio.
Here are the financial assistance programs available to residents in Ohio.
Compare Nursing Home around Wooster
The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
Filter by care type
| Avenue at Wooster Assisted Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Wooster | 30 | 95.0% | +21% | 3.08 | -4% | -13% | $0 | 29 | 4.8 | 1 | 78 | A+ | 79 | - | $9.9M | $5.2M | 52.1% | 366463 | ||||
| Sprenger Health Care Smithville Western |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Wooster (North Central) | 127 | 81.1% | +3% | 3.46 | +61% | -2% | $42.8k | 38 | 4.8 | 1 | 91 | - | 82 | Sprenger Enterprises, Inc | $12.9M | $6.0M | 46.7% | 365317 | ||||
| Divine Rehabilitation and Nursing at Honeytown |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Wooster (Etiwanda) | 99 | 86.9% | +10% | 3.90 | -37% | +10% | $214.0k | 85 | 7.7 | 4 | 67 | - | 66 | - | $12.1M | $5.1M | 42.2% | 365898 |
Frequently Asked Questions about Sprenger Health Care Smithville Western
What neighborhood is Sprenger Health Care Smithville Western in?
Sprenger Health Care Smithville Western is in the North Central neighborhood.
Is Sprenger Health Care Smithville Western in a walkable area?
Sprenger Health Care Smithville Western has a walk score of 82. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Are there photos of Sprenger Health Care Smithville Western?
Yes — there are 4 photos of Sprenger Health Care Smithville Western in the photo gallery on this page.
What is the address of Sprenger Health Care Smithville Western?
Sprenger Health Care Smithville Western is located at 4110 E Smithville Western Rd, Wooster, OH 44691.
What is the phone number of Sprenger Health Care Smithville Western?
(330) 345-9050 will put you in contact with the team at Sprenger Health Care Smithville Western.
Is Sprenger Health Care Smithville Western Medicare or Medicaid certified?
Yes — Sprenger Health Care Smithville Western is a CMS-certified provider of Medicare and Medicaid.
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