5 health deficiencies
Top issue: Administration (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cincinnati, OH
5-star overall rating with 3-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1400 Mallard Cove Drive, Cincinnati, OH
(513) 830-5014
Overall
5 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
46
Certified beds
Average residents
25
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Advanced Health Care
Operator or chain grouping
Approved since
2018-06-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
26 facilities
Chain averages 5 overall / 4 health / 4 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.78
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.56
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
4.22
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
7.56
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
3.34
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
6.64
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
1.06
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.43
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.47
CMS adjusted RN staffing hours
Adjusted total hours
6.24
CMS adjusted total nurse staffing hours
Case-mix index
1.66
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
2,592
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.86
Composite VBP score used to determine payment impact.
Payment multiplier
1.0027
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.94
Baseline 22.88% · Performance 20.28% · Measure score 3.94 · Achievement 2.49 · Improvement 3.94
Healthcare-associated infections
6.45
Baseline 9.42% · Performance 6.35% · Measure score 6.45 · Achievement 4.98 · Improvement 6.45
Total nurse turnover
4.26
Baseline 72.88% · Performance 50.00% · Measure score 4.26 · Achievement 3.35 · Improvement 4.26
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.25% |
10.72%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 73 · Observed rate 16.44% · Lower 95% interval 8.54% |
| Discharge to community | 60.23% |
50.57%
9.7 pts better
|
No Different than the National Rate · Eligible stays 70 · Observed rate 57.14% · Lower 95% interval 48.87% |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 97.67% |
95.27%
2.4 pts better
|
Numerator 84 · Denominator 86 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 86 |
| Discharge self-care score | 70.15% |
53.69%
16.5 pts better
|
Numerator 47 · Denominator 67 |
| Discharge mobility score | 61.19% |
50.94%
10.2 pts better
|
Numerator 41 · Denominator 67 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 86 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 6.35% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 59 · Observed rate 3.39% · Lower 95% interval 3.68% |
| Staff COVID-19 vaccination coverage | 3.8% |
8.2%
4.4 pts worse
|
Numerator 3 · Denominator 79 |
| Staff flu vaccination coverage | 19.41% |
42%
22.6 pts worse
|
Numerator 33 · Denominator 170 |
| Discharge function score | 62.69% |
56.45%
6.2 pts better
|
Numerator 42 · Denominator 67 |
| Transfer of health information to provider | 86.21% |
95.95%
9.7 pts worse
|
Numerator 50 · Denominator 58 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 25 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 37.25% |
25.2%
12.1 pts better
|
Numerator 19 · Denominator 51 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.0% |
78.1%
7.9 pts better
|
81.7%
4.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 67.6% · Q2 81.2% · Q3 93.6% · Q4 93.4% · 4Q avg 86.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.2% |
12.5%
1.3 pts better
|
12.0%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 10.2% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.2%
1.2 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.1% |
75.6%
10.5 pts better
|
79.7%
6.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 86.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.0% |
25.1%
4.9 pts worse
|
23.9%
6.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.0% · Observed 27.6% · Expected 21.9% · Used in QM five-star |
Survey summary
Top issue: Administration (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Rights (4 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-08-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-08-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-08-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-08-01
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-08-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-06-30
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-06-30
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-06-30
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-06-30
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-30
Fire Safety
Provide properly protected cooking facilities.
Corrected 2019-08-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-08-01
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-08-01
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2019-08-01
Inspection history
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-12-02
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-01
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-01
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-08-01
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2025-08-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-05-20
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2022-06-30
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2022-06-30
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2022-06-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2022-06-30
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-06-10
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-06-10
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2019-08-01
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-08-01
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2019-08-01
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2019-08-01
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2019-08-01
Health
Provide appropriate foot care.
Corrected 2019-08-01
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2019-08-01
Health
Post nurse staffing information every day.
Corrected 2019-08-01
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Cincinnati, OH
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Cincinnati, OH
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Cincinnati, OH
3-star overall rating with 2-star inspections with 5 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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