CCN 365791 · Lawrence County, Ohio
Sanctuary at Ohio Valley
2932 South 5th Street, Ironton, OH 45638
Sanctuary at Ohio Valley is a 93-bed nonprofit nursing home in Ironton, Ohio, first certified for Medicare or Medicaid in 1990. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 76.7 residents a day, about 83% of its certified beds. It has an active FHA-insured Section 232 loan: $2.7 million originally, at 3.65%, with $1.8 million outstanding as of September 30, 2026 and maturity in May 2043.
Facility facts
- Certified beds
- 93
- Average residents per day
- 76.7 (82.5% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Ahf Ohio Inc
- Certified since
- Apr 23, 1990
- Chain or affiliated group
- American Health Foundation (5 facilities, chain average 3.0 stars)
- Location
- Urban
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 | 4 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.43 | 3.57 | 3.68 |
| RN hours per resident per day | 0.48 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 3.12 | ||
| Nursing staff turnover | 40.6% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 82.5% | 87.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 5 (Mar 6, 2025) | ||
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). Sanctuary at Ohio Valley meets that part today: 4 stars overall, 4 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 |
|---|---|---|---|
| Ahf Management CorpOrganization | Operational / Managerial Control | n/a | 05/01/2016 |
| American Health Foundation , Inc.Organization | Operational / Managerial Control | n/a | 05/01/2016 |
| Eichenlaub, BrianIndividual | Operational / Managerial Control | n/a | 05/01/2016 |
| Haemmerle, J MichaelIndividual | Operational / Managerial Control | n/a | 05/01/2016 |
| Haemmerle, JeffreyIndividual | Operational / Managerial Control | n/a | 12/20/2023 |
| Lehman, TimothyIndividual | Operational / Managerial Control | n/a | 05/01/2016 |
| Salser, AnnetteIndividual | Operational / Managerial Control | n/a | 05/01/2016 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| May 1, 2016 | Ahf Ohio Inc | Bryant Heatlh Center Inc |
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 |
|---|---|---|---|---|
| Apr 18, 2013 | 223(f) refinance or purchaseHUD project name: Sanctuary at Ohio Valley, 93 beds. Lender at endorsement: Walker and Dunlop LLC | $2,690,800 | Active: 3.65%, $1,842,311 balanceMatures May 1, 2043. Servicer: Walker and Dunlop LLC | 04322079 |
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.