Cycle 1
Health 2025-04-17 · Fire 2025-04-17
1 health deficiencies
Top issue: Infection Control (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Covington, KY
Rosedale Green
3-star overall rating with 3-star inspections with 1 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
4250 Glenn Avenue, Covington, KY
(859) 431-2244
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
176
Certified beds
Average residents
160
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1991-03-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.28
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
1.07
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.67
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
4.02
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.35
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.56
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.32
CMS adjusted RN staffing hours
Adjusted total hours
4.48
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
47%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,109
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9906
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.75
Baseline 21.62% · Performance 20.16% · Measure score 2.75 · Achievement 2.75 · Improvement 2.69
Healthcare-associated infections
6.84
Baseline 5.05% · Performance 5.79% · Measure score 6.84 · Achievement 6.84 · Improvement 0
Total nurse turnover
0
Baseline 66.49% · Performance 73.30% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
5.36
Baseline 3.98 hours · Performance 4.60 hours · Measure score 5.36 · Achievement 5.36 · Improvement 2.95
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.6% |
10.72%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 102 · Observed rate 17.65% · Lower 95% interval 8.92% |
| Discharge to community | 22.52% |
50.57%
28.1 pts worse
|
Worse than the National Rate · Eligible stays 53 · Observed rate 7.55% · Lower 95% interval 13.93% |
| Medicare spending per beneficiary | 0.75 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 98.21% |
95.27%
2.9 pts better
|
Numerator 55 · Denominator 56 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 56 |
| Discharge self-care score | 7.89% |
53.69%
45.8 pts worse
|
Numerator 3 · Denominator 38 |
| Discharge mobility score | 18.42% |
50.94%
32.5 pts worse
|
Numerator 7 · Denominator 38 |
| Pressure ulcers or injuries, new or worsened | 5.36% |
2.29%
3.1 pts worse
|
Numerator 3 · Denominator 56 · Adjusted rate 5.15% |
| Healthcare-associated infections requiring hospitalization | 5.79% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 63 · Observed rate 3.17% · Lower 95% interval 3.06% |
| Staff COVID-19 vaccination coverage | 5.06% |
8.2%
3.1 pts worse
|
Numerator 12 · Denominator 237 |
| Staff flu vaccination coverage | 65.55% |
42%
23.5 pts better
|
Numerator 156 · Denominator 238 |
| Discharge function score | 18.42% |
56.45%
38 pts worse
|
Numerator 7 · Denominator 38 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 52.17% |
25.2%
27 pts better
|
Numerator 12 · Denominator 23 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.4 |
1.9
0.5 pts worse
|
1.9
0.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
2.2
1.1 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% |
94.3%
5.2 pts better
|
93.4%
6.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 100.0% · Q3 99.4% · Q4 99.3% · 4Q avg 99.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.2%
3.8 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 | 4.5% |
3.8%
0.7 pts worse
|
3.3%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.2% · Q3 4.5% · Q4 5.3% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.6% |
15.2%
12.6 pts better
|
11.4%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.2% · Q3 3.0% · Q4 1.6% · 4Q avg 2.6% |
| Percentage of long-stay residents who lose too much weight | 7.8% |
6.7%
1.1 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 8.1% · Q3 8.3% · Q4 8.5% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.4% |
29.6%
11.2 pts better
|
19.6%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 19.9% · Q3 19.3% · Q4 17.5% · 4Q avg 18.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.2% |
17.6%
5.4 pts better
|
16.7%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.4% · Q2 15.3% · Q3 10.8% · Q4 9.5% · 4Q avg 12.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 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 | 11.3% |
17.3%
6 pts better
|
16.3%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 11.9% · Q3 9.2% · Q4 8.5% · 4Q avg 11.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.2% |
15.6%
4.4 pts better
|
14.9%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.1% · Q2 12.4% · Q3 8.8% · Q4 9.7% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.2% |
0.7%
0.5 pts better
|
1.0%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
1.7%
1.5 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.7% |
19.8%
0.9 pts worse
|
19.8%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 22.4% · Q3 16.3% · Q4 20.5% · 4Q avg 20.7% |
| Percentage of long-stay residents with pressure ulcers | 6.4% |
5.5%
0.9 pts worse
|
5.1%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 3.8% · Q3 8.9% · Q4 5.8% · 4Q avg 6.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
83.8%
14.2 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.8% · Q3 97.9% · Q4 96.9% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.8% |
13.9%
5.9 pts worse
|
12.0%
7.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 19.8% · Observed 18.2% · Expected 10.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.8% |
1.8%
1 pts worse
|
1.6%
1.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 97.8% |
83.6%
14.2 pts better
|
79.7%
18.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 97.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.7% |
24.5%
5.2 pts worse
|
23.9%
5.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.7% · Observed 30.3% · Expected 24.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-10-11 · Fire 2019-10-11
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2018-08-16 · Fire 2018-08-16
3 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-04-17
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-05-18
E · Potential for more than minimal harm
2025-04-17
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-05-18
E · Potential for more than minimal harm
2025-04-17
K374 · Smoke Deficiencies
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-05-18
D · Potential for more than minimal harm
2025-04-17
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-05-18
D · Potential for more than minimal harm
2025-04-17
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-18
D · Potential for more than minimal harm
2025-04-17
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-05-18
D · Potential for more than minimal harm
2025-04-17
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-05-18
D · Potential for more than minimal harm
2019-10-11
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2019-11-14
F · Potential for more than minimal harm
2018-08-16
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-09-26
D · Potential for more than minimal harm
2018-08-16
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2018-09-21
D · Potential for more than minimal harm
2018-08-16
K225 · Egress Deficiencies
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2018-09-21
D · Potential for more than minimal harm
2018-08-16
K500 · Services Deficiencies
Fire Safety
Meet other general requirements that are deficient.
Corrected 2018-09-21
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-04-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-05-18
G · Actual harm
2019-10-11
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-11-14
G · Actual harm
2019-10-11
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 2019-11-14
D · Potential for more than minimal harm
2019-10-11
F558 · Resident Rights Deficiencies
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2019-11-14
D · Potential for more than minimal harm
2019-10-11
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2019-11-14
D · Potential for more than minimal harm
2019-10-11
F813 · Nutrition and Dietary Deficiencies
Health
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2019-11-14
D · Potential for more than minimal harm
2019-10-11
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 2019-11-14
E · Potential for more than minimal harm
2018-08-16
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 2018-09-10
D · Potential for more than minimal harm
2018-08-16
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2018-09-29
D · Potential for more than minimal harm
2018-08-16
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 2018-09-29
Penalties and ownership
What sits behind the stars
Ownership
Boyer, David
W-2 Managing Employee · Individual
Fritz, Edward
Corporate Director · Individual
Fritz, Edward
Corporate Officer · Individual
Halderman, Bonnie
Corporate Director · Individual
Halderman, Bonnie
Corporate Officer · Individual
Hemmer, Michael
Corporate Director · Individual
Hemmer, Michael
Corporate Officer · Individual
Knollman, Londa
Operational/Managerial Control · Individual
Knollman, Londa
Corporate Director · Individual
Middendorf, Mark
Corporate Director · Individual
Neuhaus, Jerome
Corporate Director · Individual
Sewell, Jeffrey
Corporate Director · Individual
Simmons, Kelly
Corporate Director · Individual
Weaver, Paul
Corporate Director · Individual
Weaver, Paul
Corporate Officer · Individual
Wolnitzek, Stephen
Corporate Director · Individual
Ziegler, Norman
Corporate Director · Individual
Ziegler, Norman
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
The Pavilion At Kenton
Covington, KY
1-star overall rating with 2-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Highlandspring Of Ft Thomas
Fort Thomas, KY
4-star overall rating with 3-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#3
St Elizabeth Ft Thomas SNF
Fort Thomas, KY
5-star overall rating with 5-star inspections
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