Cycle 1
Health 2022-08-04 · Fire 2022-08-04
1 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Hamilton, OH
Berkeley Square Retirement Cen
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
100 Berkeley Drive, Hamilton, OH
(513) 856-8600
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
33
Certified beds
Average residents
26
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-05-09
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.91
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.27
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.62
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.80
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
2.18
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
4.44
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.69
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.10
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.93
CMS adjusted RN staffing hours
Adjusted total hours
4.92
CMS adjusted total nurse staffing hours
Case-mix index
1.34
Higher values indicate more complex resident acuity
RN turnover
63%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,492
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.67
Composite VBP score used to determine payment impact.
Payment multiplier
0.9872
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.59
Baseline 21.25% · Performance 21.16% · Measure score 0.59 · Achievement 0.59 · Improvement 0
Healthcare-associated infections
1.44
Baseline 6.64% · Performance 7.41% · Measure score 1.44 · Achievement 1.44 · Improvement 0
Total nurse turnover
4.28
Baseline 66.67% · Performance 46.67% · Measure score 4.28 · Achievement 4.16 · Improvement 4.28
Adjusted total nurse staffing
6.76
Baseline 4.94 hours · Performance 5 hours · Measure score 6.76 · Achievement 6.76 · Improvement 0.23
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.45% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 73 · Observed rate 10.96% · Lower 95% interval 7.76% |
| Discharge to community | 45.24% |
50.57%
5.3 pts worse
|
No Different than the National Rate · Eligible stays 68 · Observed rate 42.65% · Lower 95% interval 35.67% |
| Medicare spending per beneficiary | 0.79 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 45 · Denominator 45 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 45 |
| Discharge self-care score | 29.03% |
53.69%
24.7 pts worse
|
Numerator 9 · Denominator 31 |
| Discharge mobility score | 19.35% |
50.94%
31.6 pts worse
|
Numerator 6 · Denominator 31 |
| Pressure ulcers or injuries, new or worsened | 2.22% |
2.29%
0.1 pts better
|
Numerator 1 · Denominator 45 · Adjusted rate 2.29% |
| Healthcare-associated infections requiring hospitalization | 7.4% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 39 · Observed rate 7.69% · Lower 95% interval 3.55% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 167 |
| Staff flu vaccination coverage | 95.61% |
42%
53.6 pts better
|
Numerator 109 · Denominator 114 |
| Discharge function score | 35.48% |
56.45%
21 pts worse
|
Numerator 11 · Denominator 31 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 6.9% |
25.2%
18.3 pts worse
|
Numerator 2 · Denominator 29 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
92.4%
7.6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.7% |
3.3%
4.4 pts worse
|
3.3%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
26.1%
24.5 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 16.1% |
6.2%
9.9 pts worse
|
5.4%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.1% |
25.4%
2.7 pts worse
|
19.6%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 28.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 0.0% |
11.5%
11.5 pts better
|
16.7%
16.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.5% |
6.2%
12.3 pts worse
|
14.9%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 18.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.2%
0.2 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.5%
0.5 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 37.8% |
21.7%
16.1 pts worse
|
19.8%
18 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 37.8% |
| Percentage of long-stay residents with pressure ulcers | 0.9% |
3.7%
2.8 pts better
|
5.1%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
78.1%
21.9 pts better
|
81.7%
18.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.6% |
12.5%
3.9 pts better
|
12.0%
3.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 8.6% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
1.2%
0.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.2% |
75.6%
17.6 pts better
|
79.7%
13.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 38.1% |
25.1%
13 pts worse
|
23.9%
14.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 38.1% · Observed 37.1% · Expected 23.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-08-08 · Fire 2019-08-08
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2018-07-19 · Fire 2018-07-19
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2022-08-04
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-09-21
F · Potential for more than minimal harm
2022-08-04
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-09-21
E · Potential for more than minimal harm
2022-08-04
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2022-09-21
F · Potential for more than minimal harm
2019-08-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-09-25
F · Potential for more than minimal harm
2019-08-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-09-25
E · Potential for more than minimal harm
2018-07-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-09-06
Inspection history
Recent health citations
D · Potential for more than minimal harm
2024-09-16
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-04
F · Potential for more than minimal harm
2022-08-04
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-09-21
F · Potential for more than minimal harm
2019-08-08
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-09-25
E · Potential for more than minimal harm
2019-08-08
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2019-09-25
F · Potential for more than minimal harm
2018-07-19
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2018-09-06
Penalties and ownership
What sits behind the stars
Ownership
Community First Solutions
5% Or Greater Direct Ownership Interest · Organization
Abner, Pete
Corporate Director · Individual
Ark Wellness Center
Operational/Managerial Control · Organization
Cohen, Neil
Corporate Director · Individual
Community First Solutions
Operational/Managerial Control · Organization
Egloff, Timothy
Corporate Director · Individual
Fant, William
Corporate Director · Individual
Fifth Third Bank
Operational/Managerial Control · Organization
Kirkpatrick, Brett
Corporate Director · Individual
Kirkpatrick, Brett
Corporate Officer · Individual
Kirsch, John
Corporate Director · Individual
Krause, Brian
Corporate Officer · Individual
Lawrence, Kelley
Operational/Managerial Control · Individual
Loveberry, Raquel
Corporate Director · Individual
Medicine Inpatient Group LLC
Operational/Managerial Control · Organization
Miller, Robin
Corporate Director · Individual
Mulligan, Lawrence
Corporate Director · Individual
Oppenheimer, Randy
Corporate Director · Individual
Schuster, Andrew
Corporate Director · Individual
Select Rehabilitation, LLC
Operational/Managerial Control · Organization
Watson, Charmaine
Operational/Managerial Control · Individual
Weigel, Robert
Corporate Director · Individual
Ziepfel, Nicholas
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Bradford Place Care Center
Hamilton, OH
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Westover Retirement Community
Hamilton, OH
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Jamestowne Rehabilitation
Hamilton, OH
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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