CCN 366143 · Adams County, Ohio
Adams County Manor
10856 State Route 41, West Union, OH 45693
Adams County Manor is a 74-bed for-profit nursing home in West Union, Ohio, first certified for Medicare or Medicaid in 1997. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 69.6 residents a day, about 94% of its certified beds. It has an active FHA-insured Section 232 loan: $2.5 million originally, at 4.80%, with $2.1 million outstanding as of September 30, 2026 and maturity in March 2046.
Facility facts
- Certified beds
- 74
- Average residents per day
- 69.6 (94.1% of beds)
- Ownership type
- For profit - Partnership
- Certification
- Medicare and Medicaid
- Legal business name
- H&g Nursing Homes, Inc.
- Certified since
- Aug 1, 1997
- Chain or affiliated group
- None listed by CMS
- 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 | 3 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.44 | 3.57 | 3.68 |
| RN hours per resident per day | 0.42 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 3.12 | ||
| Nursing staff turnover | 59.3% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 94.1% | 87.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 9 (Mar 26, 2026) | ||
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). Adams County Manor meets that part today: 2 stars overall, 3 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 |
|---|---|---|---|
| Jbh Land CoOrganization | Mortgage Interest | n/a | 12/28/2009 |
| Houser, AnnIndividual | Operational / Managerial Control | n/a | 07/01/2011 |
| Houser, JohnIndividual | Operational / Managerial Control | n/a | 08/01/1999 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Jbh Land Co.
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 |
|---|---|---|---|---|
| May 24, 2018 | 241(a) supplemental loanHUD project name: Adams County Manor, 74 beds. Lender at endorsement: Love Funding Corp | $2,482,600 | Active: 4.80%, $2,076,875 balanceMatures Mar 1, 2046. Servicer: Dwight Capital LLC | 04610014 |
| Feb 16, 2011 | 223(f) refinance or purchaseHUD project name: Adams County Manor, 74 beds. Lender at endorsement: Love Funding Corp | $4,736,000 | Active: 4.10%, $3,420,471 balanceMatures Mar 1, 2046. Servicer: Dwight Capital LLC | 04622036 |
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.