Cincinnati, OH

Carecore At Margaret Hall

3-star overall rating with 3-star inspections with 10 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

1960 Madison Road, Cincinnati, OH

(513) 751-5880

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 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

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Carecore Health

Operator or chain grouping

Approved since

1989-06-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 2 overall / 2 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

0.39

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.11

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

3.52

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.50

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.09

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.14

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.41

CMS adjusted RN staffing hours

Adjusted total hours

3.64

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

89%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

84%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,417

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

Performance score

26.83

Composite VBP score used to determine payment impact.

Payment multiplier

0.9843

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.94

Baseline 20.79% · Performance 20.07% · Measure score 2.94 · Achievement 2.94 · Improvement 1.42

Healthcare-associated infections

4.33

Baseline 6.06% · Performance 6.54% · Measure score 4.33 · Achievement 4.33 · Improvement 0

Total nurse turnover

Baseline 52.00% · Performance 72.39% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

3.46

Baseline 5.28 hours · Performance 4.06 hours · Measure score 3.46 · Achievement 3.46 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.52%	10.72% 0.8 pts worse	No Different than the National Rate · Eligible stays 84 · Observed rate 11.9% · Lower 95% interval 7.79%
Discharge to community	43.48%	50.57% 7.1 pts worse	No Different than the National Rate · Eligible stays 84 · Observed rate 36.9% · Lower 95% interval 35.33%
Medicare spending per beneficiary	1	1.02 About the same
Drug regimen review with follow-up	98.68%	95.27% 3.4 pts better	Numerator 75 · Denominator 76
Falls with major injury	1.32%	0.77% 0.6 pts worse	Numerator 1 · Denominator 76
Discharge self-care score	16.33%	53.69% 37.4 pts worse	Numerator 8 · Denominator 49
Discharge mobility score	38.78%	50.94% 12.2 pts worse	Numerator 19 · Denominator 49
Pressure ulcers or injuries, new or worsened	1.32%	2.29% 1 pts better	Numerator 1 · Denominator 76 · Adjusted rate 1.05%
Healthcare-associated infections requiring hospitalization	6.54%	7.12% 0.6 pts better	No Different than the National Rate · Eligible stays 61 · Observed rate 4.92% · Lower 95% interval 3.43%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 164
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 253
Discharge function score	40.82%	56.45% 15.6 pts worse	Numerator 20 · Denominator 49
Transfer of health information to provider	22.22%	95.95% 73.7 pts worse	Numerator 6 · Denominator 27
Transfer of health information to patient	79.31%	96.28% 17 pts worse	Numerator 23 · Denominator 29
Resident COVID-19 vaccinations up to date	3.45%	25.2% 21.8 pts worse	Numerator 1 · 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	76.3%	92.4% 16.1 pts worse	93.4% 17.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 76.6% · Q2 87.1% · Q3 67.7% · Q4 73.8% · 4Q avg 76.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.8%	94.5% 1.3 pts better	95.5% 0.3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.8%
Percentage of long-stay residents experiencing one or more falls with major injury	2.0%	3.3% 1.3 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.2% · Q3 1.6% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	7.1%	26.1% 19 pts better	11.4% 4.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 7.4% · Q3 3.4% · Q4 7.5% · 4Q avg 7.1%
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 18.5% · Q2 21.6% · Q3 10.9% · Q4 11.1% · 4Q avg 15.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.4%	25.4% 5 pts better	19.6% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 21.2% · Q3 17.9% · Q4 22.2% · 4Q avg 20.4%
Percentage of long-stay residents who received an antipsychotic medication	1.7%	11.5% 9.8 pts better	16.7% 15 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 1.7% · 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	7.0%	7.7% 0.7 pts better	16.3% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 22.0% · Q3 0.0% · Q4 0.0% · 4Q avg 7.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.9%	6.2% 0.3 pts better	14.9% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 18.4% · Q3 1.9% · Q4 0.0% · 4Q avg 5.9% · 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	24.3%	21.7% 2.6 pts worse	19.8% 4.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · Q2 24.0% · Q3 12.2% · Q4 30.4% · 4Q avg 24.3%
Percentage of long-stay residents with pressure ulcers	2.1%	3.7% 1.6 pts better	5.1% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 2.1% · Q3 0.0% · Q4 1.1% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	67.5%	78.1% 10.6 pts worse	81.7% 14.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 62.5% · Q2 70.9% · Q3 72.9% · Q4 63.9% · 4Q avg 67.5%
Percentage of short-stay residents who had an outpatient emergency department visit	6.1%	12.5% 6.4 pts better	12.0% 5.9 pts better	Short Stay · 20240701-20250630 · Adjusted 6.1% · Observed 6.2% · Expected 11.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	76.2%	75.6% 0.6 pts better	79.7% 3.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 76.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	41.3%	25.1% 16.2 pts worse	23.9% 17.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 41.3% · Observed 43.8% · Expected 25.2% · Used in QM five-star

Survey summary

Recent inspection cycles

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

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2020-01-16 · Fire 2020-01-16

11 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2018-12-06 · Fire 2018-12-06

1 health deficiencies

Top issue: Infection Control (1 deficiency)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-15

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-20

F · Potential for more than minimal harm 2024-08-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-20

F · Potential for more than minimal harm 2024-08-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-20

F · Potential for more than minimal harm 2024-02-02

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-03-20

F · Potential for more than minimal harm 2024-02-02

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 2024-03-20

F · Potential for more than minimal harm 2024-02-02

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-20

F · Potential for more than minimal harm 2024-02-02

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-20

F · Potential for more than minimal harm 2024-02-02

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-03-20

F · Potential for more than minimal harm 2024-02-02

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-03-20

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

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-03-20

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

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-03-20

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

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-20

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

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-03-20

F · Potential for more than minimal harm 2020-01-16

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-02-21

F · Potential for more than minimal harm 2020-01-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-02-21

F · Potential for more than minimal harm 2020-01-16

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2020-02-21

E · Potential for more than minimal harm 2020-01-16

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2020-02-21

E · Potential for more than minimal harm 2020-01-16

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-02-21

F · Potential for more than minimal harm 2018-12-06

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2019-01-24

F · Potential for more than minimal harm 2018-12-06

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 2019-01-24

E · Potential for more than minimal harm 2018-12-06

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2019-01-24

E · Potential for more than minimal harm 2018-12-06

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 2019-01-24

E · Potential for more than minimal harm 2018-12-06

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-01-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-01-27

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-02-13

D · Potential for more than minimal harm 2025-01-27

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 2025-02-13

D · Potential for more than minimal harm 2025-01-27

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 2025-02-13

D · Potential for more than minimal harm 2025-01-27

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 2025-02-13

D · Potential for more than minimal harm 2024-11-18

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 2024-12-10

D · Potential for more than minimal harm 2024-09-30

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 2024-10-15

D · Potential for more than minimal harm 2024-09-30

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-15

D · Potential for more than minimal harm 2024-09-30

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 2024-10-15

D · Potential for more than minimal harm 2024-05-16

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 2024-06-05

D · Potential for more than minimal harm 2024-05-16

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 2024-06-05

D · Potential for more than minimal harm 2024-05-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-05

F · Potential for more than minimal harm 2024-02-29