Cincinnati, OH

Brookwood Retirement Community

3-star overall rating with 3-star inspections with $28,517 in total fines with 6 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

12100 Reed Hartman Highway, Cincinnati, OH

(513) 605-2000

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

125

Certified beds

Average residents

106

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Health Care Management Group

Operator or chain grouping

Approved since

1988-09-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars

Changed ownership

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

0.53

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.76

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.32

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

4.62

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

2.29

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

4.29

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.37

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.49

CMS adjusted RN staffing hours

Adjusted total hours

4.23

CMS adjusted total nurse staffing hours

Case-mix index

1.49

Higher values indicate more complex resident acuity

RN turnover

82%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

67%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,267

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

Performance score

17.45

Composite VBP score used to determine payment impact.

Payment multiplier

0.9818

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.69

Baseline 22.00% · Performance 19.92% · Measure score 3.69 · Achievement 3.26 · Improvement 3.69

Healthcare-associated infections

0.64

Baseline 6.02% · Performance 7.64% · Measure score 0.64 · Achievement 0.64 · Improvement 0

Total nurse turnover

1.54

Baseline 66.13% · Performance 57.69% · Measure score 1.54 · Achievement 1.46 · Improvement 1.54

Adjusted total nurse staffing

1.11

Baseline 3.77 hours · Performance 3.39 hours · Measure score 1.11 · Achievement 1.11 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.58%	10.72% 0.1 pts better	No Different than the National Rate · Eligible stays 103 · Observed rate 10.68% · Lower 95% interval 7.4%
Discharge to community	59.21%	50.57% 8.6 pts better	No Different than the National Rate · Eligible stays 91 · Observed rate 53.85% · Lower 95% interval 48.85%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 48 · Denominator 48
Falls with major injury	4.17%	0.77% 3.4 pts worse	Numerator 2 · Denominator 48
Discharge self-care score	36.84%	53.69% 16.8 pts worse	Numerator 14 · Denominator 38
Discharge mobility score	44.74%	50.94% 6.2 pts worse	Numerator 17 · Denominator 38
Pressure ulcers or injuries, new or worsened	2.08%	2.29% 0.2 pts better	Numerator 1 · Denominator 48 · Adjusted rate 1.93%
Healthcare-associated infections requiring hospitalization	7.64%	7.12% 0.5 pts worse	No Different than the National Rate · Eligible stays 35 · Observed rate 8.57% · Lower 95% interval 4.04%
Staff COVID-19 vaccination coverage	31.53%	8.2% 23.3 pts better	Numerator 64 · Denominator 203
Staff flu vaccination coverage	8.2%	42% 33.8 pts worse	Numerator 26 · Denominator 317
Discharge function score	47.37%	56.45% 9.1 pts worse	Numerator 18 · Denominator 38
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 21 · Denominator 21
Resident COVID-19 vaccinations up to date	12.5%	25.2% 12.7 pts worse	Numerator 3 · Denominator 24

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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.5%	3.3% 1.2 pts worse	3.3% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 7.3% · Q3 2.5% · Q4 3.5% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.9%	26.1% 18.2 pts better	11.4% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 7.5% · Q3 10.9% · Q4 3.0% · 4Q avg 7.9%
Percentage of long-stay residents who lose too much weight	15.4%	6.2% 9.2 pts worse	5.4% 10 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 11.0% · Q3 13.7% · Q4 22.5% · 4Q avg 15.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.0%	25.4% 4.4 pts better	19.6% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 23.3% · Q3 21.9% · Q4 18.8% · 4Q avg 21.0%
Percentage of long-stay residents who received an antipsychotic medication	11.8%	11.5% 0.3 pts worse	16.7% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 11.9% · Q3 9.2% · Q4 13.2% · 4Q avg 11.8% · 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	7.5%	7.7% 0.2 pts better	16.3% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 6.9% · Q3 3.3% · Q4 10.2% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.5%	6.2% 0.7 pts better	14.9% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 4.2% · Q3 2.8% · Q4 6.8% · 4Q avg 5.5% · 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 · 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	32.2%	21.7% 10.5 pts worse	19.8% 12.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.4% · Q2 33.3% · Q3 34.8% · Q4 21.8% · 4Q avg 32.2%
Percentage of long-stay residents with pressure ulcers	3.8%	3.7% 0.1 pts worse	5.1% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 3.5% · Q3 2.5% · Q4 8.1% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.5%	78.1% 12.4 pts better	81.7% 8.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.9% · Q2 93.9% · Q3 90.0% · Q4 83.6% · 4Q avg 90.5%
Percentage of short-stay residents who had an outpatient emergency department visit	12.5%	12.5% About the same	12.0% 0.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.5% · Observed 12.2% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.3%	1.2% 0.9 pts better	1.6% 1.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	94.9%	75.6% 19.3 pts better	79.7% 15.2 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 94.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.7%	25.1% 1.6 pts worse	23.9% 2.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.7% · Observed 24.4% · Expected 21.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-10-26 · Fire 2023-10-26

6 health deficiencies

Top issue: Resident Rights (3 deficiencies)

13 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2019-10-31 · Fire 2019-10-31

21 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

5 fire-safety deficiencies

Top issue: Services (2 deficiencies)

Cycle 3 Health 2018-09-20 · Fire 2018-09-20

11 health deficiencies

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

2 fire-safety deficiencies

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

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-10-26

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-12-01

F · Potential for more than minimal harm 2023-10-26

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-12-01

F · Potential for more than minimal harm 2023-10-26

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-12-01

F · Potential for more than minimal harm 2023-10-26

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2023-12-01

F · Potential for more than minimal harm 2023-10-26

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-12-01

F · Potential for more than minimal harm 2023-10-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-12-01

F · Potential for more than minimal harm 2023-10-26

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-12-01

F · Potential for more than minimal harm 2023-10-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-10-26

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 2023-12-01

E · Potential for more than minimal harm 2023-10-26

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-10-26

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-10-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-12-01

E · Potential for more than minimal harm 2023-10-26

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-12-01

F · Potential for more than minimal harm 2019-10-31

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-12-16

F · Potential for more than minimal harm 2019-10-31

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-12-16

F · Potential for more than minimal harm 2019-10-31

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-12-16

F · Potential for more than minimal harm 2019-10-31

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-12-16

F · Potential for more than minimal harm 2019-10-31

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2019-12-16

F · Potential for more than minimal harm 2018-09-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2018-10-16

E · Potential for more than minimal harm 2018-09-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2018-10-16

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-23

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Not marked corrected

E · Potential for more than minimal harm 2024-11-27

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-12-19

D · Potential for more than minimal harm 2024-11-27

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 2024-12-19

D · Potential for more than minimal harm 2024-06-18

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-07-08

D · Potential for more than minimal harm 2024-06-18

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 2024-07-08

E · Potential for more than minimal harm 2023-10-26

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-11-24

E · Potential for more than minimal harm 2023-10-26

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 2023-11-24

D · Potential for more than minimal harm 2023-10-26

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-11-24

D · Potential for more than minimal harm 2023-10-26

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 2023-11-24

D · Potential for more than minimal harm 2023-10-26

F917 · Environmental Deficiencies

Health

Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

Corrected 2023-11-24

F · Potential for more than minimal harm 2019-10-31

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 2019-12-16

E · Potential for more than minimal harm 2019-10-31

F625 · Resident Rights Deficiencies

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 2019-12-16

E · Potential for more than minimal harm 2019-10-31

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2019-12-16

E · Potential for more than minimal harm 2019-10-31

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2019-12-16

E · Potential for more than minimal harm 2019-10-31

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2019-12-16

E · Potential for more than minimal harm 2019-10-31

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 2019-12-16

E · Potential for more than minimal harm 2019-10-31

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 2019-12-16