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

Compare this facility

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

Staffing

Hours and turnover

RN hours / resident day

0.91

Registered nurse staffing

LPN hours / resident day

1.27

Licensed practical nurse staffing

Aide hours / resident day

2.62

Nurse aide staffing

Weekend hours

4.44

Weekend nurse staffing

RN turnover

63%

Annual RN turnover

Total nurse turnover

63%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

Survey summary

Recent inspection cycles

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)

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

100% 3 facilities 2010-09-01
Abner, Pete

Corporate Director · Individual

0% 3 facilities 2024-01-01
Ark Wellness Center

Operational/Managerial Control · Organization

0% 3 facilities 2024-11-21
Cohen, Neil

Corporate Director · Individual

0% 2 facilities 2017-01-01
Community First Solutions

Operational/Managerial Control · Organization

0% 3 facilities 2010-09-01
Egloff, Timothy

Corporate Director · Individual

0% 3 facilities 2024-01-01
Fant, William

Corporate Director · Individual

0% 3 facilities 2021-01-01
Fifth Third Bank

Operational/Managerial Control · Organization

0% 8 facilities 2024-12-01
Kirkpatrick, Brett

Corporate Director · Individual

0% 3 facilities 2018-08-04
Kirkpatrick, Brett

Corporate Officer · Individual

0% 3 facilities 2018-08-04
Kirsch, John

Corporate Director · Individual

0% 3 facilities 2017-01-01
Krause, Brian

Corporate Officer · Individual

0% 3 facilities 2020-02-01
Lawrence, Kelley

Operational/Managerial Control · Individual

0% 3 facilities 2023-02-18
Loveberry, Raquel

Corporate Director · Individual

0% 3 facilities 2021-01-01
Medicine Inpatient Group LLC

Operational/Managerial Control · Organization

0% 3 facilities 2021-07-01
Miller, Robin

Corporate Director · Individual

0% 4 facilities 2021-01-01
Mulligan, Lawrence

Corporate Director · Individual

0% 3 facilities 2021-01-01
Oppenheimer, Randy

Corporate Director · Individual

0% 3 facilities 2021-01-01
Schuster, Andrew

Corporate Director · Individual

0% 3 facilities 2024-01-01
Select Rehabilitation, LLC

Operational/Managerial Control · Organization

0% 6 facilities 2019-10-01
Watson, Charmaine

Operational/Managerial Control · Individual

0% 3 facilities 2015-11-30
Weigel, Robert

Corporate Director · Individual

0% 3 facilities 2021-01-01
Ziepfel, Nicholas

Corporate Director · Individual

0% 3 facilities 2018-01-01

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Health
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Staffing
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#3

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Health
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Staffing
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Fines
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