Cincinnati, OH

Brookside Healthcare Center

4-star overall rating with 4-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

315 Lilienthal Street, Cincinnati, OH

(513) 471-8667

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

105

Certified beds

Average residents

99

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Health Care Facility Management, LLC

Operator or chain grouping

Approved since

1993-07-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 3 overall / 3 health / 2 staffing / 5 quality stars

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

0.30

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.92

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.15

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.24

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.96

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.25

CMS adjusted RN staffing hours

Adjusted total hours

2.68

CMS adjusted total nurse staffing hours

Case-mix index

1.61

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

34%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,389

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

40.18

Composite VBP score used to determine payment impact.

Payment multiplier

0.9931

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

7.69

Baseline 69.41% · Performance 32.90% · Measure score 7.69 · Achievement 7.53 · Improvement 7.69

Adjusted total nurse staffing

0.34

Baseline 2.05 hours · Performance 2.36 hours · Measure score 0.34 · Achievement 0 · Improvement 0.34

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community Not Available
50.57%
Not Available · Eligible stays 2 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary Not Available
1.02
Too few residents or stays to report publicly.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 7 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 246
Staff flu vaccination coverage 8.16%
42%
33.8 pts worse
Numerator 12 · Denominator 147
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.8%
92.4%
5.4 pts better
93.4%
4.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 95.5% · Q3 100.0% · Q4 98.9% · 4Q avg 97.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
94.5%
4.4 pts better
95.5%
3.4 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9%
Percentage of long-stay residents experiencing one or more falls with major injury 2.8%
3.3%
0.5 pts better
3.3%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.5% · Q3 1.2% · Q4 1.1% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 46.1%
26.1%
20 pts worse
11.4%
34.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 71.4% · Q2 52.4% · Q3 39.0% · Q4 20.7% · 4Q avg 46.1%
Percentage of long-stay residents who lose too much weight 1.3%
6.2%
4.9 pts better
5.4%
4.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.6% · Q4 2.6% · 4Q avg 1.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 37.8%
25.4%
12.4 pts worse
19.6%
18.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 40.3% · Q2 44.0% · Q3 36.8% · Q4 30.4% · 4Q avg 37.8%
Percentage of long-stay residents who received an antipsychotic medication 10.1%
11.5%
1.4 pts better
16.7%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 9.3% · Q3 7.0% · Q4 9.8% · 4Q avg 10.1% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 2.2%
7.7%
5.5 pts better
16.3%
14.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 0.0% · Q3 2.0% · Q4 0.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 0.0%
6.2%
6.2 pts better
14.9%
14.9 pts better
Long 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 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 24.6%
21.7%
2.9 pts worse
19.8%
4.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 32.9% · Q2 20.8% · Q3 24.3% · Q4 20.1% · 4Q avg 24.6%
Percentage of long-stay residents with pressure ulcers 0.6%
3.7%
3.1 pts better
5.1%
4.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 70.3%
78.1%
7.8 pts worse
81.7%
11.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q2 85.0% · Q3 73.0% · Q4 61.1% · 4Q avg 70.3%
Percentage of short-stay residents who newly received an antipsychotic medication 4.4%
1.2%
3.2 pts worse
1.6%
2.8 pts worse
Short Stay · 2024Q4-2025Q3 · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 63.6%
75.6%
12 pts worse
79.7%
16.1 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.6%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2022-07-27 · Fire 2022-07-27

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-11-26 · Fire 2019-11-26

10 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-17

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-08

F · Potential for more than minimal harm 2025-04-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-08

F · Potential for more than minimal harm 2025-04-17

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-08

F · Potential for more than minimal harm 2025-04-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-08

F · Potential for more than minimal harm 2025-04-17

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-05-08

F · Potential for more than minimal harm 2022-07-27

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-08-30

F · Potential for more than minimal harm 2022-07-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-08-30

F · Potential for more than minimal harm 2022-07-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-08-30

F · Potential for more than minimal harm 2022-07-27

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-08-30

F · Potential for more than minimal harm 2022-07-27

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-08-30

F · Potential for more than minimal harm 2022-07-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-08-30

E · Potential for more than minimal harm 2022-07-27

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-08-30

F · Potential for more than minimal harm 2019-11-26

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 2019-12-31

F · Potential for more than minimal harm 2019-11-26

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-12-31

E · Potential for more than minimal harm 2019-11-26

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-12-31

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-04-17

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-05-08

D · Potential for more than minimal harm 2025-04-17

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-08

G · Actual harm 2022-07-27

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-08-30

F · Potential for more than minimal harm 2022-07-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-08-30

E · Potential for more than minimal harm 2022-07-27

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 2022-08-30

E · Potential for more than minimal harm 2022-07-27

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2022-08-30

E · Potential for more than minimal harm 2022-07-27

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2022-08-30

E · Potential for more than minimal harm 2022-07-27

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 2022-08-30

D · Potential for more than minimal harm 2022-07-27

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2022-08-30

D · Potential for more than minimal harm 2022-07-27

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-08-30

D · Potential for more than minimal harm 2022-07-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-08-30

D · Potential for more than minimal harm 2022-07-27

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-08-30

D · Potential for more than minimal harm 2022-07-27

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-08-30

D · Potential for more than minimal harm 2022-07-27

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2022-08-30

F · Potential for more than minimal harm 2019-11-26

F729 · Nursing and Physician Services Deficiencies

Health

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Corrected 2019-12-31

D · Potential for more than minimal harm 2019-11-26

F578 · Resident Rights Deficiencies

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 2019-12-31

D · Potential for more than minimal harm 2019-11-26

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-12-31

D · Potential for more than minimal harm 2019-11-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-12-31

D · Potential for more than minimal harm 2019-11-26

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-12-31

D · Potential for more than minimal harm 2019-11-26

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2019-12-31

D · Potential for more than minimal harm 2019-11-26

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-12-31

D · Potential for more than minimal harm 2019-11-26

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 2019-12-31

D · Potential for more than minimal harm 2019-11-26

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2019-12-31

D · Potential for more than minimal harm 2019-11-26

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2019-12-31

Penalties and ownership

What sits behind the stars

Ownership

Ct Operations Holdco LLC

5% Or Greater Direct Ownership Interest · Organization

100% 3 facilities 2019-09-01
Cobalt I Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2019-09-01
Cobalt Ii Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2019-09-01
Cobalt Iii Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2019-09-01
Cobalt Iv Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2019-09-01
Ct Healthcare Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2019-09-01
Groves, Donna

Operational/Managerial Control · Individual

0% 102 facilities 2023-04-14
Marino, Peter

Corporate Officer · Individual

0% 4 facilities 2019-09-01
Mathis, Stacy

Operational/Managerial Control · Individual

0% 1 facilities 2021-04-05
Minority Report LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2019-09-01
Parkway Mgt Co LLC

Operational/Managerial Control · Organization

0% 4 facilities 2019-09-01
Romeo, Dominic

Operational/Managerial Control · Individual

0% 105 facilities 2023-04-01
Romeo, Dominic

Corporate Officer · Individual

0% 105 facilities 2023-04-01
Serota, Gretchen

Operational/Managerial Control · Individual

0% 3 facilities 2021-02-01
Toledo Hc Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2019-09-01
Tranquillo, Deborah

Corporate Officer · Individual

0% 4 facilities 2019-09-01

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