Cincinnati, OH

Terrace View Gardens

5-star overall rating with 5-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

3904 North Bend Road, Cincinnati, OH

(513) 481-2201

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 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

82

Certified beds

Average residents

75

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Foundations Health Solutions

Operator or chain grouping

Approved since

1997-11-25

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

63 facilities

Chain averages 4 overall / 4 health / 2 staffing / 4 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

0.66

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.71

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.06

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.43

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.37

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.93

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.54

CMS adjusted RN staffing hours

Adjusted total hours

2.83

CMS adjusted total nurse staffing hours

Case-mix index

1.66

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,330

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

Performance score

23.96

Composite VBP score used to determine payment impact.

Payment multiplier

0.9833

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

1.80

Baseline 5.63% · Performance 7.30% · Measure score 1.80 · Achievement 1.80 · Improvement 0

Total nurse turnover

5.39

Baseline 37.88% · Performance 41.67% · Measure score 5.39 · Achievement 5.39 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.94 hours · Performance 2.86 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.4%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 40 · Observed rate 7.5% · Lower 95% interval 6.53%
Discharge to community	58.97%	50.57% 8.4 pts better	No Different than the National Rate · Eligible stays 38 · Observed rate 60.53% · Lower 95% interval 47.18%
Medicare spending per beneficiary	0.83	1.02 0.2 pts better
Drug regimen review with follow-up	91.3%	95.27% 4 pts worse	Numerator 21 · Denominator 23
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 23
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	4.35%	2.29% 2.1 pts worse	Numerator 1 · Denominator 23 · Adjusted rate 4.16%
Healthcare-associated infections requiring hospitalization	7.3%	7.12% 0.2 pts worse	No Different than the National Rate · Eligible stays 28 · Observed rate 7.14% · Lower 95% interval 3.62%
Staff COVID-19 vaccination coverage	2.54%	8.2% 5.7 pts worse	Numerator 3 · Denominator 118
Staff flu vaccination coverage	11.56%	42% 30.4 pts worse	Numerator 20 · Denominator 173
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	84.1%	92.4% 8.3 pts worse	93.4% 9.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 60.9% · Q2 82.4% · Q3 98.5% · Q4 95.6% · 4Q avg 84.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.6%	94.5% 4.1 pts better	95.5% 3.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6%
Percentage of long-stay residents experiencing one or more falls with major injury	1.1%	3.3% 2.2 pts better	3.3% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 1.5% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	58.7%	26.1% 32.6 pts worse	11.4% 47.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 42.9% · Q2 50.8% · Q3 61.0% · Q4 82.5% · 4Q avg 58.7%
Percentage of long-stay residents who lose too much weight	6.0%	6.2% 0.2 pts better	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 6.2% · Q3 9.8% · Q4 6.2% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.8%	25.4% 0.6 pts better	19.6% 5.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 25.0% · Q3 29.0% · Q4 18.5% · 4Q avg 24.8%
Percentage of long-stay residents who received an antipsychotic medication	10.7%	11.5% 0.8 pts better	16.7% 6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 11.1% · Q3 11.3% · Q4 9.4% · 4Q avg 10.7% · 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	6.5%	7.7% 1.2 pts better	16.3% 9.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 7.8% · Q3 3.5% · Q4 6.1% · 4Q avg 6.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	2.5%	6.2% 3.7 pts better	14.9% 12.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.2% · Q3 1.7% · Q4 4.8% · 4Q avg 2.5% · 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	0.7%	0.5% 0.2 pts worse	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	19.3%	21.7% 2.4 pts better	19.8% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 24.6% · Q3 31.9% · Q4 12.7% · 4Q avg 19.3%
Percentage of long-stay residents with pressure ulcers	1.5%	3.7% 2.2 pts better	5.1% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 5.8% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	65.1%	78.1% 13 pts worse	81.7% 16.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 61.2% · Q2 63.5% · Q3 66.2% · Q4 70.2% · 4Q avg 65.1%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	74.1%	75.6% 1.5 pts worse	79.7% 5.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 74.1%

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-04-06 · Fire 2023-04-06

2 health deficiencies

Top issue: Infection Control (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2019-04-25 · Fire 2019-04-25

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2018-05-03 · Fire 2018-05-03

8 health deficiencies

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

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 2023-04-06

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 2023-04-21

E · Potential for more than minimal harm 2023-04-06

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-04-21

E · Potential for more than minimal harm 2023-04-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-21

F · Potential for more than minimal harm 2019-04-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-05-21

E · Potential for more than minimal harm 2019-04-25

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2019-05-21

E · Potential for more than minimal harm 2019-04-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-05-21

E · Potential for more than minimal harm 2019-04-25

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-05-21

E · Potential for more than minimal harm 2018-05-03

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-06-11

E · Potential for more than minimal harm 2018-05-03

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2018-06-11

E · Potential for more than minimal harm 2018-05-03

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2018-06-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-10

D · Potential for more than minimal harm 2025-02-01

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-02-04

D · Potential for more than minimal harm 2023-04-06

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2023-04-21

E · Potential for more than minimal harm 2019-04-25

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 2019-05-21

D · Potential for more than minimal harm 2019-04-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2019-05-21

D · Potential for more than minimal harm 2019-04-25

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-05-21

E · Potential for more than minimal harm 2018-05-03

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2018-06-11

E · Potential for more than minimal harm 2018-05-03

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 2018-06-11