Federal inspection record · CMS data as of October 1, 2026
Marjorie P Lee Retirement Community
3550 Shaw Avenue, Cincinnati, OH · (513) 871-2090
- CMS high-performer trophy
- Certified beds
- 88
- Residents per day
- 70
- Ownership
- Non-Profit
- Chain
- Episcopal Retirement Homes, Inc.
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 28, 1990
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Marjorie P Lee Retirement Community carries 23 inspection points. That is fewer than 84% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
4 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-01-29
3 health deficiencies · 6 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2023-07-20
1 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)
2019-12-28
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 6 h 2 min of nursing staff time a day, 55 min of it from a registered nurse.
This home
6 h 2 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 35% of nursing staff and 42% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident daysAbout the same | 1.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.2 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 99.1% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 96.7% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.9 pts worse | 7.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms11.9 pts better | 19.7% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts better | 5.0% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication23.9 pts better | 1.6% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.6 pts worse | 15.1% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.7 pts worse | 12.0% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.8 pts worse | 5.8% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.3% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 0.4% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.9 pts worse | 26.8% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.1 pts better | 2.1% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.1 pts better | 92.5% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts worse | 12.8% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16 pts better | 92.4% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission7.3 pts worse | 31.7% | 24.4% | 23.4% |
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Who owns and runs it
35 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Anim, Dora | Corporate Director · Individual | 0% | 3 facilities |
| Cooper, W. | Corporate Director · Individual | 0% | 3 facilities |
| Edwards, Beverly | Corporate Officer · Individual | 0% | 3 facilities |
| Edwards, Beverly | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Edwards, Beverly | Adp Of The SNF · Individual | 0% | 3 facilities |
| Elin, Reverend Darren | Corporate Director · Individual | 0% | 3 facilities |
| Episcopal Retirement Homes, Inc. | Direct Ownership Interest · Organization | 0% | 3 facilities |
| Episcopal Retirement Homes, Inc. | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Episcopal Retirement Homes, Inc. | Adp Of The SNF · Organization | 0% | 3 facilities |
| Fraser, Bonita | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Fraser, Bonita | Adp Of The SNF · Individual | 0% | 3 facilities |
| Fritschner, John | Corporate Director · Individual | 0% | 3 facilities |
| Hagopian, Joann | Corporate Director · Individual | 0% | 3 facilities |
| Hartman, Alan | Corporate Director · Individual | 0% | 3 facilities |
| Hopkins, Gregory | Corporate Director · Individual | 0% | 3 facilities |
| Kearney, Eric | Corporate Director · Individual | 0% | 3 facilities |
| Koepke, John | Corporate Director · Individual | 0% | 3 facilities |
| Lamb, Laura | Corporate Officer · Individual | 0% | 3 facilities |
| Lamb, Laura | Adp Of The SNF · Individual | 0% | 3 facilities |
| Mcknight, Gerron | Corporate Director · Individual | 0% | 3 facilities |
| Payne, Jennifer | Corporate Director · Individual | 0% | 3 facilities |
| Pope, Apryl | Corporate Director · Individual | 0% | 3 facilities |
| Regan, Thomas | Corporate Director · Individual | 0% | 3 facilities |
| Retford, David | Corporate Director · Individual | 0% | 3 facilities |
| Schlaudecker, Jeffrey | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Schlaudecker, Jeffrey | Adp Of The SNF · Individual | 0% | 2 facilities |
| Smitherman, Albert | Corporate Director · Individual | 0% | 3 facilities |
| Steward, Daniel | Corporate Officer · Individual | 0% | 3 facilities |
| Steward, Daniel | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Steward, Daniel | Adp Of The SNF · Individual | 0% | 3 facilities |
| Williams, Anthony | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Williams, Anthony | Adp Of The SNF · Individual | 0% | 4 facilities |
| Woods, William | Corporate Director · Individual | 0% | 2 facilities |
| Workman, David | Corporate Director · Individual | 0% | 9 facilities |
| Zwilling, Elizabeth | Corporate Director · Individual | 0% | 3 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Install a fire alarm system that can be heard throughout the facility.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress4F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E
Install proper backup exit lighting.
Services2F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
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Beechwood Home For Incurables
Cincinnati, OH
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 5 h 27 min
- Fines
- $0
-
Carecore At Margaret Hall
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 12 min
- Fines
- $0
-
Arc At Cincinnati
Cincinnati, OH · Arcadia Care · Special Focus
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 49 min
- Fines
- $190,966