Cincinnati, OH

Burlington House Rehab & Alzheimer's Care Center

3-star overall rating with 2-star inspections with $85,205 in total fines with 6 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

2222 Springdale Road, Cincinnati, OH

(513) 851-7888

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

122

Certified beds

Average residents

94

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Health Care Facility Management, LLC

Operator or chain grouping

Approved since

1992-08-20

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

0.92

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.46

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.01

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.39

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.00

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.85

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.91

CMS adjusted RN staffing hours

Adjusted total hours

3.34

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

20%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

5,563

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

Performance score

35.75

Composite VBP score used to determine payment impact.

Payment multiplier

0.9893

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

5.03

Baseline 67.00% · Performance 43.68% · Measure score 5.03 · Achievement 4.89 · Improvement 5.03

Adjusted total nurse staffing

2.12

Baseline 3.22 hours · Performance 3.68 hours · Measure score 2.12 · Achievement 2.12 · Improvement 1.29

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays 16 · 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 15 · 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 15 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 15 · 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 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 0.9%
8.2%
7.3 pts worse
Numerator 1 · Denominator 111
Staff flu vaccination coverage 18.12%
42%
23.9 pts worse
Numerator 27 · Denominator 149
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 8 · 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 6 · 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 96.9%
92.4%
4.5 pts better
93.4%
3.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 91.9% · Q2 98.0% · Q3 100.0% · Q4 97.9% · 4Q avg 96.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 63.2%
94.5%
31.3 pts worse
95.5%
32.3 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 63.2%
Percentage of long-stay residents experiencing one or more falls with major injury 10.1%
3.3%
6.8 pts worse
3.3%
6.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 10.1% · Q2 10.2% · Q3 8.4% · Q4 11.7% · 4Q avg 10.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 88.2%
26.1%
62.1 pts worse
11.4%
76.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 76.0% · Q2 97.7% · Q3 83.1% · Q4 97.6% · 4Q avg 88.2%
Percentage of long-stay residents who lose too much weight 3.4%
6.2%
2.8 pts better
5.4%
2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 4.5% · Q3 1.1% · Q4 3.5% · 4Q avg 3.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.5%
25.4%
10.9 pts better
19.6%
5.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.4% · Q2 14.6% · Q3 17.0% · Q4 14.1% · 4Q avg 14.5%
Percentage of long-stay residents who received an antipsychotic medication 14.7%
11.5%
3.2 pts worse
16.7%
2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 18.3% · Q3 8.2% · Q4 10.3% · 4Q avg 14.7% · 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 4.4%
7.7%
3.3 pts better
16.3%
11.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.4% · Q3 4.8% · Q4 1.6% · 4Q avg 4.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 2.6%
6.2%
3.6 pts better
14.9%
12.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 2.3% · Q3 2.4% · Q4 1.2% · 4Q avg 2.6% · 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 28.5%
21.7%
6.8 pts worse
19.8%
8.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 33.5% · Q2 21.7% · Q3 31.4% · Q4 27.4% · 4Q avg 28.5%
Percentage of long-stay residents with pressure ulcers 1.9%
3.7%
1.8 pts better
5.1%
3.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.3% · Q3 4.0% · Q4 1.2% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 30.9%
78.1%
47.2 pts worse
81.7%
50.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 31.8% · 4Q avg 30.9%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-02 · Fire 2024-05-02

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2023-05-08 · Fire 2023-05-08

14 health deficiencies

Top issue: Administration (4 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2019-11-07 · Fire 2019-11-07

11 health deficiencies

Top issue: Resident Rights (4 deficiencies)

7 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 2024-05-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-20

E · Potential for more than minimal harm 2024-05-02

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 2024-06-20

E · Potential for more than minimal harm 2024-05-02

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-20

E · Potential for more than minimal harm 2024-05-02

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-06-20

E · Potential for more than minimal harm 2024-05-02

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-20

E · Potential for more than minimal harm 2024-05-02

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-06-20

E · Potential for more than minimal harm 2024-05-02

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-06-20

E · Potential for more than minimal harm 2024-05-02

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-20

F · Potential for more than minimal harm 2023-05-08

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-06-12

F · Potential for more than minimal harm 2023-05-08

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-07-07

F · Potential for more than minimal harm 2023-05-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-12

F · Potential for more than minimal harm 2023-05-08

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-07-07

F · Potential for more than minimal harm 2023-05-08

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-06-12

F · Potential for more than minimal harm 2023-05-08

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 2023-06-12

E · Potential for more than minimal harm 2023-05-08

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 2023-06-12

E · Potential for more than minimal harm 2023-05-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-06-12

F · Potential for more than minimal harm 2019-11-07

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 2019-11-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-12-16

F · Potential for more than minimal harm 2019-11-07

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 2019-11-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-12-16

E · Potential for more than minimal harm 2019-11-07

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 2019-12-16

E · Potential for more than minimal harm 2019-11-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-12-16

C · Minimal harm 2019-11-07

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2019-12-16

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-05-12

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-06-06

D · Potential for more than minimal harm 2024-09-19

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-10-04

D · Potential for more than minimal harm 2024-05-30

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-06-20

E · Potential for more than minimal harm 2024-05-02

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-02

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-02

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-02

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-02

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 2024-06-20

D · Potential for more than minimal harm 2023-06-28

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2023-07-07

J · Immediate jeopardy 2023-05-08

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 2023-06-12

F · Potential for more than minimal harm 2023-05-08

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 2023-06-12

F · Potential for more than minimal harm 2023-05-08

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-06-12

F · Potential for more than minimal harm 2023-05-08

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 2023-06-12

F · Potential for more than minimal harm 2023-05-08

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2023-06-12

F · Potential for more than minimal harm 2023-05-08

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2023-06-12

F · Potential for more than minimal harm 2023-05-08

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2023-06-12

F · Potential for more than minimal harm 2023-05-08

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2023-06-12

D · Potential for more than minimal harm 2023-05-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-06-12

D · Potential for more than minimal harm 2023-05-08

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-06-12

D · Potential for more than minimal harm 2023-05-08

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 2023-06-12

D · Potential for more than minimal harm 2023-05-08

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-06-12

G · Actual harm 2019-11-07

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2019-12-16

E · Potential for more than minimal harm 2019-11-07

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 2019-12-16

D · Potential for more than minimal harm 2019-11-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-12-16

D · Potential for more than minimal harm 2019-11-07

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 2019-12-16

D · Potential for more than minimal harm 2019-11-07

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 2019-12-16

D · Potential for more than minimal harm 2019-11-07

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2019-12-16

D · Potential for more than minimal harm 2019-11-07

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 2019-12-16

D · Potential for more than minimal harm 2019-11-07

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 2019-12-16

D · Potential for more than minimal harm 2019-11-07

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 2019-12-16

D · Potential for more than minimal harm 2019-11-07

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

Penalties and ownership

What sits behind the stars

$85,205 2023-05-08

Fine

Fine · fine $85,205

Fine

$0 2023-05-08

Payment Denial

Payment Denial · denial start 2023-06-01 · 36 days

36 day denial

Ownership

Parkway Mgt Co LLC

5% Or Greater Direct Ownership Interest · Organization

100% 4 facilities 2022-11-01
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
Marino, Peter

Corporate Officer · Individual

0% 4 facilities 2021-01-04
Minority Report LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2019-09-01
Moqeeth, Syed

Operational/Managerial Control · Individual

0% 4 facilities 2021-02-01
Springdale Management Co., LLC

Operational/Managerial Control · Organization

0% 1 facilities 2019-09-01
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
Vanover, Margaret

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-29

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