CCN 365317 · Wayne County, Ohio
Smithville Western Care Center
4110 East Smithville Western Road, Wooster, OH 44691
Smithville Western Care Center is a 127-bed for-profit nursing home in Wooster, Ohio, first certified for Medicare or Medicaid in 1975. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 91.5 residents a day, about 72% of its certified beds. It has an active FHA-insured Section 232 loan: $15.1 million originally, at 3.44%, with $12.2 million outstanding as of September 30, 2026 and maturity in January 2048.
Facility facts
- Certified beds
- 127
- Average residents per day
- 91.5 (72.0% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Smithville Western Inc.
- Certified since
- Apr 9, 1975
- Chain or affiliated group
- Sprenger Health Care Systems (12 facilities, chain average 3.5 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Ohio median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.63 | 3.57 | 3.68 |
| RN hours per resident per day | 0.59 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 3.26 | ||
| Nursing staff turnover | 34.6% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 72.0% | 87.2% | 85.7% |
| Fines reported by CMS | 1 totaling $42,777 | ||
| Health deficiencies, latest standard survey | 11 (Jul 2, 2024) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Smithville Western Care Center meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Wayne Manor, Inc.Organization | Direct Ownership Interest | 100% | 10/01/2001 |
| Bluesky Healthcare IncOrganization | Indirect Ownership Interest | n/a | 10/01/2001 |
| Sprenger Enterprises, IncOrganization | Indirect Ownership Interest | n/a | 10/01/2001 |
| Hutsenpiller, WendieIndividual | Indirect Ownership Interest | n/a | 07/01/2008 |
| Malanowski, KennethIndividual | Indirect Ownership Interest | n/a | 07/01/2008 |
| Sprenger, NicoleIndividual | Indirect Ownership Interest | n/a | 07/01/2008 |
| Sprenger, TraceyIndividual | Indirect Ownership Interest | n/a | 07/01/2008 |
| Cms & Co. Management Services, Inc.Organization | Operational / Managerial Control | n/a | 01/22/2001 |
| Childs, RobertIndividual | Operational / Managerial Control | n/a | 01/06/2025 |
| Fox, EmilyIndividual | Operational / Managerial Control | n/a | 12/31/2024 |
| Kuhn, ShannonIndividual | Operational / Managerial Control | n/a | 12/31/2024 |
| Malanowki, BrandonIndividual | Operational / Managerial Control | n/a | 12/31/2024 |
| Tyler, ChristyIndividual | Operational / Managerial Control | n/a | 02/14/2022 |
| Wilkins, ScottIndividual | Operational / Managerial Control | n/a | 01/15/2025 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Dec 13, 2017 | 223(f) refinance or purchaseHUD project name: Smithville Western Care Center and Wayne Manor, 190 beds. Lender at endorsement: Lancaster Pollard Mtge Co | $15,103,100 | Active: 3.44%, $12,197,602 balanceMatures Jan 1, 2048. Servicer: Lument Real Estate Capital | 04222273 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.