Cycle 1
Health 2024-11-04 · Fire 2024-11-04
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Hamilton, OH
Jamestowne Rehabilitation
3-star overall rating with 3-star inspections with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1371 Main Street, Hamilton, OH
(513) 785-4800
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
42
Certified beds
Average residents
36
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2017-03-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.95
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.85
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.02
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.82
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
2.80
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
4.30
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.22
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.92
CMS adjusted RN staffing hours
Adjusted total hours
4.67
CMS adjusted total nurse staffing hours
Case-mix index
1.41
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
65%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,516
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
43.96
Composite VBP score used to determine payment impact.
Payment multiplier
0.9970
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.51
Baseline 19.09% · Performance 20.73% · Measure score 1.51 · Achievement 1.51 · Improvement 0
Healthcare-associated infections
6.79
Baseline 6.39% · Performance 5.81% · Measure score 6.79 · Achievement 6.79 · Improvement 3.68
Total nurse turnover
4.29
Baseline 59.09% · Performance 46.15% · Measure score 4.29 · Achievement 4.29 · Improvement 3.28
Adjusted total nurse staffing
5
Baseline 4.16 hours · Performance 4.5 hours · Measure score 5 · Achievement 5 · Improvement 1.61
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.54% |
10.72%
2.8 pts worse
|
Worse than the National Rate · Eligible stays 408 · Observed rate 15.44% · Lower 95% interval 11.84% |
| Discharge to community | 67.46% |
50.57%
16.9 pts better
|
Better than the National Rate · Eligible stays 409 · Observed rate 63.08% · Lower 95% interval 62.68% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.63% |
95.27%
4.4 pts better
|
Numerator 269 · Denominator 270 |
| Falls with major injury | 0.74% |
0.77%
About the same
|
Numerator 2 · Denominator 270 |
| Discharge self-care score | 38.54% |
53.69%
15.1 pts worse
|
Numerator 79 · Denominator 205 |
| Discharge mobility score | 41.95% |
50.94%
9 pts worse
|
Numerator 86 · Denominator 205 |
| Pressure ulcers or injuries, new or worsened | 1.11% |
2.29%
1.2 pts better
|
Numerator 3 · Denominator 270 · Adjusted rate 1.38% |
| Healthcare-associated infections requiring hospitalization | 5.81% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 246 · Observed rate 4.47% · Lower 95% interval 3.86% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 93 |
| Staff flu vaccination coverage | 94.83% |
42%
52.8 pts better
|
Numerator 55 · Denominator 58 |
| Discharge function score | 42.93% |
56.45%
13.5 pts worse
|
Numerator 88 · Denominator 205 |
| Transfer of health information to provider | 98.59% |
95.95%
2.6 pts better
|
Numerator 210 · Denominator 213 |
| Transfer of health information to patient | 98.15% |
96.28%
1.9 pts better
|
Numerator 53 · Denominator 54 |
| Resident COVID-19 vaccinations up to date | 18.06% |
25.2%
7.1 pts worse
|
Numerator 26 · Denominator 144 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.9% |
78.1%
18.8 pts better
|
81.7%
15.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 97.7% · Q3 96.0% · Q4 96.7% · 4Q avg 96.9% |
| 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 12.5% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.4% |
1.2%
0.2 pts worse
|
1.6%
0.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.1% · Q3 1.0% · Q4 2.3% · 4Q avg 1.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.6% |
75.6%
18 pts better
|
79.7%
13.9 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.6% |
| 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 25.4% · Expected 22.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-08-24 · Fire 2021-08-24
6 health deficiencies
Top issue: Pharmacy Service (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Cycle 3
Health 2019-02-21 · Fire 2019-02-21
0 health deficiencies
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-11-04
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 2024-12-13
F · Potential for more than minimal harm
2021-08-24
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 2021-10-31
F · Potential for more than minimal harm
2021-08-24
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 2021-10-31
F · Potential for more than minimal harm
2021-08-24
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-10-31
F · Potential for more than minimal harm
2021-08-24
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-10-31
F · Potential for more than minimal harm
2019-02-21
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2019-04-05
F · Potential for more than minimal harm
2019-02-21
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-04-05
F · Potential for more than minimal harm
2019-02-21
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 2019-04-05
Inspection history
Recent health citations
G · Actual harm
2024-11-04
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-12-13
F · Potential for more than minimal harm
2024-11-04
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 2024-12-13
F · Potential for more than minimal harm
2024-11-04
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 2024-12-13
E · Potential for more than minimal harm
2024-11-04
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-13
D · Potential for more than minimal harm
2024-11-04
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 2024-12-13
D · Potential for more than minimal harm
2024-11-04
F694 · Quality of Life and Care Deficiencies
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-12-13
D · Potential for more than minimal harm
2024-11-04
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-13
D · Potential for more than minimal harm
2021-08-24
F756 · Pharmacy Service Deficiencies
Health
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2021-10-31
D · Potential for more than minimal harm
2021-08-24
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-10-31
D · Potential for more than minimal harm
2021-08-24
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-10-31
D · Potential for more than minimal harm
2021-08-24
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-10-31
C · Minimal harm
2021-08-24
F577 · Resident Rights Deficiencies
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2021-10-01
C · Minimal harm
2021-08-24
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2021-10-01
Penalties and ownership
What sits behind the stars
$0
2024-11-04
Payment Denial
Payment Denial · denial start 2024-11-28 · 15 days
15 day denial
Ownership
Community First Solutions
5% Or Greater Direct Ownership Interest · Organization
Abner, Pete
Corporate Director · Individual
Ark Wellness Center
Operational/Managerial Control · Organization
Berry, Shira
Operational/Managerial Control · Individual
Egloff, Timothy
Corporate Director · Individual
Fant, William
Corporate Director · Individual
Fifth Third Bank
Operational/Managerial Control · Organization
Kirkpatrick, Brett
Corporate Director · Individual
Kirkpatrick, Brett
Corporate Officer · Individual
Kirsch, John
Corporate Director · Individual
Krause, Brian
Corporate Officer · Individual
Lawrence, Kelley
Operational/Managerial Control · Individual
Loveberry, Raquel
Corporate Director · Individual
Medicine Inpatient Group LLC
Operational/Managerial Control · Organization
Miller, Robin
Corporate Director · Individual
Mulligan, Lawrence
Corporate Director · Individual
Oppenheimer, Randy
Corporate Director · Individual
Oppenheimer, Randy
Corporate Officer · Individual
Schuster, Andrew
Corporate Director · Individual
Select Rehabilitation, LLC
Operational/Managerial Control · Organization
Watson, Charmaine
Operational/Managerial Control · Individual
Weigel, Robert
Corporate Director · Individual
Whalen, Jon
Corporate Director · Individual
Ziepfel, Nicholas
Corporate Director · Individual
Ziepfel, Nicholas
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Westover Retirement Community
Hamilton, OH
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Bradford Place Care Center
Hamilton, OH
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Berkeley Square Retirement Cen
Hamilton, OH
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Jump out