Hickory Ridge Nursing & Rehab Center

Nursing Home in Ohio

CMS overall rating Info 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.
Hickory Ridge Nursing & Rehab Center

Nursing Home in Ohio

CMS overall rating Info 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.

Overview of Hickory Ridge Nursing & Rehab Center

Hickory Ridge, nestled in Akron, Ohio, stands as a prominent 165-bed skilled nursing facility. This assisted living community also hosts a secured Alzheimer’s unit, complemented by licensed Social Workers, engaging activities, and a nurturing environment. A beacon of quality care, this assisted living community is committed to residents’ well-being through personalized attention and various services.

Hickory Ridge offers specialized units for those facing behavioral and emotional challenges, meticulously designed programs promoting well-being, family engagement, and a secure, comfortable atmosphere. Hickory Ridge empowers individuals to achieve their fullest potential with around-the-clock professional nursing care, comprehensive therapies, spiritual support, and tailored activities. The community’s dedication to enhancing quality of life and fostering independence is palpable through their compassionate service.

(330) 762-6486

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
4/5 ▲ 0.6 Ohio average: 3.4/5
Health Inspection Info 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.
4/5 ▲ 1.1 Ohio average: 2.9/5
Staffing Info 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.
1/5 ▼ 1.9 Ohio average: 2.9/5
Quality Measures Info 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.
5/5 ▲ 0.6 Ohio average: 4.4/5

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to Ohio state averages

Total nursing care / resident Info 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.
2h 40m per day
This facility Ohio avg (3h 50m per day)
vs Ohio avg
-31%

5 of 5 metrics below state avg

Staff typeHours / dayvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 19m per day ▼ 50% State avg: 38m per day · National avg: 41m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 55m per day ▼ 10% State avg: 2h 8m per day · National avg: 2h 21m per day
Total Nursing (Weekend) Info 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. 3h 4m per day ▼ 7% State avg: 3h 17m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 1m per day ▼ 67% State avg: 3m per day · National avg: 4m per day
RN (Weekend) Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 10m per day ▼ 60% State avg: 25m per day · National avg: 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 155

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

Similar demand to the Ohio average: 78.7%
Occupancy rate 94.8%
Avg. Length of Stay 550 days
Occupancy rate
94.8%
Avg. Length of Stay
550 days

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

7% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

66% of new residents, often for short stays.

Typical stay 1 - 2 years

Medicaid

27% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$15.5M
Profit
$71.3K
Privately-owned community Operated by a business corporation.
Home revenue
$15.5M
Profit
$71.3K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.7M
49.5% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.8M
Total costs $15.5M
Years in operation
28 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 5 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

About this community

Additional Licensing Details

CMS Certification Number365134

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactMs. Karen Ginder, Administrator

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

2 services
Skilled Nursing
24-Hour Staffing

Amenities & Lifestyle

16 amenities
Skilled Nursing
Physical Therapy
Occupational Therapy
Speech Therapy
Respite Care
Hospice Care
Secured Alzheimer’s/Dementia Care
Spiritual Care
Concierge Service
Nutritional Support
Complex Iv Therapy
Bariatric Care
Complex Wound Care
Ostomy Care
Tracheotomy Care
Peritoneal Dialysis
Specific Programs24/7 Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Respite Care, Hospice Care
Operating Hours24/7

Types of Care at Hickory Ridge Nursing & Rehab Center

Nursing Home

Contact Hickory Ridge Nursing & Rehab Center

Inspection History

In Ohio, the Department of Health, Bureau of Survey and Certification conducts unannounced onsite inspections to evaluate the quality of care and environment in all licensed facilities.

6 visits/inspections Info Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.

Latest inspection

Date January 28, 2025
Complaint Investigation

20 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Ohio average: 29 deficiencies

Inspection Report Summary for Hickory Ridge Nursing & Rehab Center

The most recent inspection on January 28, 2025, identified deficiencies related to safe transfer interventions, assistance with activities of daily living, fall prevention, documentation, and infection control practices. Earlier inspections also noted issues with timely oral care, reporting of abuse allegations, food palatability and temperature, medication administration, nutrition, staffing, and sanitation. Complaint investigations included substantiated findings of failure to provide timely oral care and delayed reporting of suspected abuse, while most complaints were addressed through citations without enforcement actions listed in the available reports. The main themes across deficiencies involved resident care practices, documentation accuracy, and infection prevention. The inspection history shows ongoing challenges in these areas without a clear pattern of improvement or worsening.

Health Inspection History

Inspections
Total health inspections 6

Ohio average 6.7


Last Health inspection on Jan 2025

Total health citations 21

Ohio average 30.9

Citations per inspection
3.5

Ohio average 4.59


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

14 of 21 citations resulted from standard inspections; and 7 of 21 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Ohio average

Ohio average: 0.3


Serious Health citations More info 0
100% better than Ohio average

Ohio average: 0.9

0 critical citations More info Ohio average: 0.3

0 serious citations More info Ohio average: 0.9

19 moderate citations More info Ohio average: 29

2 minor citations More info Ohio average: 0.7
Citations history (last 3 years)
Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 28, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jan 28, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Jan 28, 2025
Corrected

Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Jan 28, 2025
Corrected

Compare Nursing Homes around Ohio The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.

5 facilities compared · CMS & OH Dept. of Health data · Updated Apr 2026

Filter by care type
Anna Maria of Aurora, Inc.
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.

Aurora204 89.7% +14%3.78 +9%+7%071.8191--Norton Bros. Holding Company$19.4M$7.2M37.2%365072
Hickory Ridge Nursing & Rehab Center
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.

Akron (Cascade Valley)155 85.8% +9%2.66 -35%-25%0213.50141A+ 5 Foundations Health Llc$15.5M$7.7M49.5%365134
Abbington of Pickerington Partners -
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.

Pickerington48--------000.00--------
Alpine House of Maple Heights -
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.

Maple Heights95--------000.00--------
Amherst Meadows Care Center -
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.

Ne Massillon44--------000.00--------

Financial Assistance for
Nursing Home in Ohio

Get Financial aid guidance

PASSPORT Waiver

Ohio Medicaid PASSPORT

Age 60+
General Ohio resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
OH

Administered through regional agencies; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Ohio Home Care Program (non-Medicaid)

OH HCP

Age 60+
General Ohio resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
OH

Limited funding; regional variation.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Assisted Living Waiver (ALW)

Ohio Assisted Living Waiver

Age 21+ (65+ prioritized)
General OH resident, Medicaid-eligible, NFLOC.
Income Limits (2025) ~$2,829/month (individual); QIT required.
Asset Limits $2,000 (individual), $3,000 (couple).
OH

Covers ~300 facilities; room/board not included (separate cost).

Benefits
Personal care Meals Medication management Transportation (~$3,000-$4,000/month value)

Program of All-Inclusive Care for the Elderly (PACE)

Ohio PACE (e.g., McGregor PACE)

Age 55+
General OH resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OH

Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Ohio Medicare Savings Program

Age 65+ or disabled
General OH resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
OH

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Home Energy Assistance Program (HEAP)

Ohio HEAP

Age 60+ prioritized
General OH resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
OH

Covers gas, electric, oil; emergency aid via Winter/Summer Crisis Programs.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

Ohio Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
OH

12 AAAs; rural/low-income priority; volunteer respite option.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

Senior Community Service Employment Program (SCSEP)

Ohio SCSEP

Age 55+
General unemployed, low-income, OH resident.
Income Limits (2025) ~$1,983/month 125% FPL
Asset Limits Not specified; income-focused.
OH

Priority for veterans, rural residents; AARP partnership.

Benefits
Paid training (~20 hours/week at ~$7.25/hour) Job placement

VA Aid and Attendance (A&A) and Housebound Benefits

Ohio VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General OH resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
OH

High veteran demand; supports care in multiple settings.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Homestead Exemption

Ohio Homestead Exemption

Age 65+ (or disabled)
General OH resident, homeowner, low-income.
Income Limits (2025) ~$38,500/year individual, adjusted annually
Asset Limits Not assessed; home ownership required.
OH

Reduces taxable value by $25,000; applies to primary residence.

Benefits
Tax reduction (~$400-$800/year avg., varies by county)

Save the Dream Ohio (Homeowner Assistance Fund)

Ohio Save the Dream

Age 60+ prioritized
General OH resident, homeowner, hardship post-Jan 21, 2020.
Income Limits (2025) ~$147,600/year family of 4, 150% AMI; varies by county
Asset Limits Not assessed; hardship-focused.
OH

Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.

Benefits
Mortgage aid ($25,000 max) Utility/property tax aid ($5,000 avg.)

Places of interest near Hickory Ridge Nursing & Rehab Center

Address 1.5 miles from city center Info Estimated distance in miles from Akron's city center to Hickory Ridge Nursing & Rehab Center's address, calculated via Google Maps. — 1.54 miles to nearest hospital (Akron Children's Hospital)

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 166
Employees 142
Contractors 24
Staff to resident ratio 1.30:1
40% worse than Ohio average

Ohio average ratio: 2.14:1

Avg staff/day 56
Average shift 9.9 hours
22% better than Ohio average

Ohio average: 8.1 hours

Total staff hours (quarter) 50,267
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.2 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 38
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.3 hours

No contractors work on this role.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 69
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.6 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

3.1%

1,566 contractor hours this quarter

Physical Therapy Aide: 6 Respiratory Therapy Technician: 6 Qualified Social Worker: 4 Speech Language Pathologist: 4 Physical Therapy Assistant: 2 Therapeutic Recreation Specialist: 1 Occupational Therapy Assistant: 1
Staff by category
Certified Nursing Assistant6906924,34991100%10.6
Licensed Practical Nurse3803814,59891100%11.3
Other Dietary Services Staff5051,88991100%7
Registered Nurse100101,8148492%11.2
Clinical Nurse Specialist5051,7206470%8
RN Director of Nursing2027216470%7.7
Nurse Aide in Training4045574752%10.3
Occupational Therapy Aide2025456369%7.7
Nurse Practitioner1015126470%8
Administrator2025046167%7.7
Mental Health Service Worker1014886167%8
Dental Services Staff1014866571%7.5
Dietitian1014846470%7.6
Physical Therapy Aide0664666470%7.1
Speech Language Pathologist0443806066%6.3
Respiratory Therapy Technician0662144651%4.7
Therapeutic Recreation Specialist0111956369%3.1
Qualified Social Worker0441864752%3.9
Physical Therapy Assistant022782932%2.7
Occupational Therapy Assistant0114867%8
Qualified Activities Professional1013478%4.9
69 Certified Nursing Assistant
% of Days 100%
38 Licensed Practical Nurse
% of Days 100%
5 Other Dietary Services Staff
% of Days 100%
10 Registered Nurse
% of Days 92%
5 Clinical Nurse Specialist
% of Days 70%
2 RN Director of Nursing
% of Days 70%
4 Nurse Aide in Training
% of Days 52%
2 Occupational Therapy Aide
% of Days 69%
1 Nurse Practitioner
% of Days 70%
2 Administrator
% of Days 67%
1 Mental Health Service Worker
% of Days 67%
1 Dental Services Staff
% of Days 71%
1 Dietitian
% of Days 70%
6 Physical Therapy Aide
% of Days 70%
4 Speech Language Pathologist
% of Days 66%
6 Respiratory Therapy Technician
% of Days 51%
1 Therapeutic Recreation Specialist
% of Days 69%
4 Qualified Social Worker
% of Days 52%
2 Physical Therapy Assistant
% of Days 32%
1 Occupational Therapy Assistant
% of Days 7%
1 Qualified Activities Professional
% of Days 8%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 128
Medicaid
120
93.8% of residents
Private pay or other
8
6.3% of residents

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 2.8
52% better than Ohio average

Ohio average: 5.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 9.2
27% better than Ohio average

Ohio average: 12.7

Long-stay resident measures
Significantly above average Ohio avg: 4.8 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 1.0%
85% better than Ohio average

Ohio average: 6.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 1.9%
78% better than Ohio average

Ohio average: 8.9%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 24.6%
12% worse than Ohio average

Ohio average: 22.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.4%
31% better than Ohio average

Ohio average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.2%
18% better than Ohio average

Ohio average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
In line with Ohio average

Ohio average: 0.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.5%
11% better than Ohio average

Ohio average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 61.0%
154% worse than Ohio average

Ohio average: 24.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.1%
In line with Ohio average

Ohio average: 92.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 82.6%
13% worse than Ohio average

Ohio average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 32.8%
58% worse than Ohio average

Ohio average: 78.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 4.2%
232% worse than Ohio average

Ohio average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 45.2%
40% worse than Ohio average

Ohio average: 75.6%

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