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

Staffing

Hours and turnover

RN hours / resident day

0.62

Registered nurse staffing

LPN hours / resident day

1.04

Licensed practical nurse staffing

Aide hours / resident day

2.57

Nurse aide staffing

Weekend hours

3.81

Weekend nurse staffing

RN turnover

67%

Annual RN turnover

Total nurse turnover

52%

Annual nurse turnover

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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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

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

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

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 2022-10-18

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

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 2022-10-18

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

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.

Corrected 2022-10-18

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

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 2022-10-18

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

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-10-18

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

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 2022-10-18

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

F675 · Quality of Life and Care Deficiencies

Health

Honor each resident's preferences, choices, values and beliefs.

Corrected 2022-10-18

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

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-10-18

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

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 2022-10-18

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

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 2022-10-18

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-10-18

Penalties and ownership

What sits behind the stars

Ownership

Cs Hillandale Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 2 facilities 2022-05-10
Barry N Bortz 06042009 Tr

5% Or Greater Indirect Ownership Interest · Organization

0% 12 facilities 2022-05-10
Bortz Family Irrevocable T/A

5% Or Greater Indirect Ownership Interest · Organization

0% 7 facilities 2022-05-10
Carespring Health Care Holdings LP

5% Or Greater Indirect Ownership Interest · Organization

0% 15 facilities 2022-05-10
Carespring Health Care Management, LLC

Operational/Managerial Control · Organization

0% 15 facilities 2022-07-01
Chirumbolo, Christopher

Corporate Officer · Individual

0% 15 facilities 2022-05-10
Eppers, David

5% Or Greater Indirect Ownership Interest · Individual

0% 15 facilities 2022-05-10
Eppers, David

Corporate Officer · Individual

0% 15 facilities 2022-05-10
Gramann, Sara

W-2 Managing Employee · Individual

0% 1 facilities 2023-11-19

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#3

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Staffing
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Fines
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