Hamilton, OH

Doverwood Village

5-star overall rating with 4-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

4195 Hamilton Mason Road, Hamilton, OH

(513) 777-1400

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

88

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Carespring

Operator or chain grouping

Approved since

1995-11-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

16 facilities

Chain averages 4 overall / 4 health / 3 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

0.62

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.04

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.57

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

4.23

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.66

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.81

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.35

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

0.48

CMS adjusted RN staffing hours

Adjusted total hours

3.31

CMS adjusted total nurse staffing hours

Case-mix index

1.75

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,397

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

Performance score

20.52

Composite VBP score used to determine payment impact.

Payment multiplier

0.9824

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.47% · Performance 22.98% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.82

Baseline 6.40% · Performance 6.99% · Measure score 2.82 · Achievement 2.82 · Improvement 0

Total nurse turnover

1.70

Baseline 63.04% · Performance 56.74% · Measure score 1.70 · Achievement 1.70 · Improvement 1.15

Adjusted total nurse staffing

3.69

Baseline 3.50 hours · Performance 4.13 hours · Measure score 3.69 · Achievement 3.69 · Improvement 2.27

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.03%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 198 · Observed rate 11.11% · Lower 95% interval 8.72%
Discharge to community	59.36%	50.57% 8.8 pts better	Better than the National Rate · Eligible stays 204 · Observed rate 54.41% · Lower 95% interval 51.15%
Medicare spending per beneficiary	1.1	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 141 · Denominator 141
Falls with major injury	0.71%	0.77% 0.1 pts better	Numerator 1 · Denominator 141
Discharge self-care score	63.38%	53.69% 9.7 pts better	Numerator 45 · Denominator 71
Discharge mobility score	74.65%	50.94% 23.7 pts better	Numerator 53 · Denominator 71
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 141 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.99%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 125 · Observed rate 6.4% · Lower 95% interval 3.94%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 132
Staff flu vaccination coverage	34.98%	42% 7 pts worse	Numerator 71 · Denominator 203
Discharge function score	71.83%	56.45% 15.4 pts better	Numerator 51 · Denominator 71
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 107 · Denominator 107
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	5.88%	25.2% 19.3 pts worse	Numerator 4 · Denominator 68

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	5.4%	3.3% 2.1 pts worse	3.3% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 6.6% · Q3 6.7% · Q4 1.6% · 4Q avg 5.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	39.5%	26.1% 13.4 pts worse	11.4% 28.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 41.9% · Q2 51.9% · Q3 32.7% · Q4 32.7% · 4Q avg 39.5%
Percentage of long-stay residents who lose too much weight	5.5%	6.2% 0.7 pts better	5.4% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 5.8% · Q3 3.6% · Q4 3.5% · 4Q avg 5.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.9%	25.4% 8.5 pts better	19.6% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 18.9% · Q3 16.4% · Q4 17.5% · 4Q avg 16.9%
Percentage of long-stay residents who received an antipsychotic medication	11.4%	11.5% 0.1 pts better	16.7% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 13.9% · Q3 4.9% · Q4 11.6% · 4Q avg 11.4% · 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	0.0%	7.7% 7.7 pts better	16.3% 16.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	1.0%	6.2% 5.2 pts better	14.9% 13.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · 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	22.1%	21.7% 0.4 pts worse	19.8% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.4% · Q2 21.9% · Q3 14.6% · Q4 19.3% · 4Q avg 22.1%
Percentage of long-stay residents with pressure ulcers	5.0%	3.7% 1.3 pts worse	5.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 8.4% · Q3 4.6% · Q4 3.3% · 4Q avg 5.0% · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	10.2%	12.5% 2.3 pts better	12.0% 1.8 pts better	Short Stay · 20240701-20250630 · Adjusted 10.2% · Observed 11.2% · Expected 12.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.2% 0.4 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	98.1%	75.6% 22.5 pts better	79.7% 18.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 98.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.4%	25.1% 3.7 pts better	23.9% 2.5 pts better	Short Stay · 20240701-20250630 · Adjusted 21.4% · Observed 21.6% · Expected 24.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-27 · Fire 2025-06-27

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2022-09-28 · Fire 2022-09-28

12 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2020-01-23 · Fire 2020-01-23

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

5 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-27

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-24

F · Potential for more than minimal harm 2022-09-28

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-10-18

F · Potential for more than minimal harm 2022-09-28

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2022-10-18

F · Potential for more than minimal harm 2022-09-28

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2022-10-18

F · Potential for more than minimal harm 2022-09-28

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-10-18

F · Potential for more than minimal harm 2022-09-28

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-10-18

E · Potential for more than minimal harm 2022-09-28

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 2022-10-18

E · Potential for more than minimal harm 2022-09-28

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-10-18

E · Potential for more than minimal harm 2022-09-28

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2022-10-18

F · Potential for more than minimal harm 2020-01-23

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 2020-02-28

F · Potential for more than minimal harm 2020-01-23

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2020-02-28

F · Potential for more than minimal harm 2020-01-23

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-02-28

E · Potential for more than minimal harm 2020-01-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-02-28

E · Potential for more than minimal harm 2020-01-23

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2020-02-28

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-06-27

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 2025-07-24

E · Potential for more than minimal harm 2025-06-27

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-07-24

D · Potential for more than minimal harm 2025-06-27

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-07-24

D · Potential for more than minimal harm 2025-06-27

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 2025-07-24

D · Potential for more than minimal harm 2024-12-11

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-12

D · Potential for more than minimal harm 2024-01-11

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 2024-01-18

D · Potential for more than minimal harm 2023-12-07

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 2023-12-13

D · Potential for more than minimal harm 2023-10-27

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 2023-11-07