12 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Cincinnati, OH
2-star overall rating with 1-star inspections with $30,715 in total fines with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
11784 Hamilton Avenue, Cincinnati, OH
(513) 825-2700
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
89
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Foundations Health Solutions
Operator or chain grouping
Approved since
2007-07-25
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
RN hours / resident day
0.32
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.25
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.25
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.83
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.57
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.43
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.23
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.28
CMS adjusted RN staffing hours
Adjusted total hours
3.38
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
53%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
8,625
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
26.17
Composite VBP score used to determine payment impact.
Payment multiplier
0.9841
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
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
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
3.49
Baseline 45.83% · Performance 49.41% · Measure score 3.49 · Achievement 3.49 · Improvement 0
Adjusted total nurse staffing
1.74
Baseline 2.56 hours · Performance 3.29 hours · Measure score 1.74 · Achievement 0.73 · Improvement 1.74
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 16 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | Not Available |
1.02
|
Too few residents or stays to report publicly. |
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 9 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0.75% |
8.2%
7.4 pts worse
|
Numerator 1 · Denominator 133 |
| Staff flu vaccination coverage | 16.22% |
42%
25.8 pts worse
|
Numerator 24 · Denominator 148 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 85.8% |
92.4%
6.6 pts worse
|
93.4%
7.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.0% · Q2 85.4% · Q3 85.1% · Q4 84.9% · 4Q avg 85.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 96.5% |
94.5%
2 pts better
|
95.5%
1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.7% |
3.3%
0.6 pts better
|
3.3%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.7% · Q3 2.3% · Q4 1.2% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 77.9% |
26.1%
51.8 pts worse
|
11.4%
66.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 57.3% · Q2 76.3% · Q3 81.3% · Q4 96.1% · 4Q avg 77.9% |
| Percentage of long-stay residents who lose too much weight | 10.7% |
6.2%
4.5 pts worse
|
5.4%
5.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 8.1% · Q3 11.2% · Q4 10.7% · 4Q avg 10.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.1% |
25.4%
10.7 pts worse
|
19.6%
16.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.4% · Q2 33.8% · Q3 36.2% · Q4 42.7% · 4Q avg 36.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.8% |
11.5%
0.7 pts better
|
16.7%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 9.3% · Q3 13.3% · Q4 14.0% · 4Q avg 10.8% · 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 | 3.7% |
7.7%
4 pts better
|
16.3%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 6.3% · Q3 2.7% · Q4 2.6% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 2.6% |
6.2%
3.6 pts better
|
14.9%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 4.5% · Q3 1.4% · Q4 3.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.3% |
0.2%
0.1 pts worse
|
1.0%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.3% |
0.5%
0.2 pts better
|
1.7%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.8% |
21.7%
8.9 pts better
|
19.8%
7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 15.8% · Q3 7.0% · Q4 15.7% · 4Q avg 12.8% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
3.7%
About the same
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 3.5% · Q3 3.4% · Q4 1.9% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 66.4% |
78.1%
11.7 pts worse
|
81.7%
15.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 57.5% · Q2 59.0% · Q3 72.4% · Q4 84.6% · 4Q avg 66.4% |
| 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% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 69.0% |
75.6%
6.6 pts worse
|
79.7%
10.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 69.0% |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
2 fire-safety deficiencies
Top issue: Services (1 deficiency)
Top issue: Nutrition and Dietary (3 deficiencies)
12 fire-safety deficiencies
Top issue: Egress (4 deficiencies)
Top issue: Resident Rights (6 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-31
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-10-31
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-02-17
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-02-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-02-17
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-17
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 2023-02-17
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 2023-02-17
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 2023-02-17
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-17
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2023-02-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-17
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-02-17
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-02-17
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2021-08-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-08-10
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-08-10
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-08-10
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2021-08-10
Inspection history
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 2026-01-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Not marked corrected
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-10-31
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2024-10-31
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-10-31
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-31
Health
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected 2024-10-31
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-10-31
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 2024-10-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-31
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-31
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 2024-05-09
Health
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2024-03-20
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-11-03
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-04-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-17
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 2023-02-17
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-02-17
Health
Provide or obtain dental services for each resident.
Corrected 2021-08-10
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 2021-08-10
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2021-08-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-08-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-08-10
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-08-10
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2021-08-10
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2021-08-10
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2021-08-10
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-08-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-08-10
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2021-08-10
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-08-10
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 2021-08-10
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2021-08-10
Health
Ensure that residents are free from significant medication errors.
Corrected 2021-08-10
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2021-08-10
Health
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected 2021-08-10
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2021-08-10
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2021-08-10
Penalties and ownership
Fine · fine $30,715
Fine
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
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2-star overall rating with 2-star inspections with 9 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
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