Cincinnati, OH

Western Hills Retirement Village

4-star overall rating with 3-star inspections with 8 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

6210 Cleves Warsaw Pike, Cincinnati, OH

(513) 941-0099

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 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

110

Certified beds

Average residents

103

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Caring Place Healthcare Group

Operator or chain grouping

Approved since

1987-04-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 4 overall / 3 health / 2 staffing / 5 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

0.37

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.20

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.26

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

3.42

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.10

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

0.34

CMS adjusted RN staffing hours

Adjusted total hours

3.54

CMS adjusted total nurse staffing hours

Case-mix index

1.48

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,270

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

Performance score

27.31

Composite VBP score used to determine payment impact.

Payment multiplier

0.9845

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.30

Baseline 22.95% · Performance 20.70% · Measure score 3.30 · Achievement 1.58 · Improvement 3.30

Healthcare-associated infections

0.92

Baseline 7.31% · Performance 7.56% · Measure score 0.92 · Achievement 0.92 · Improvement 0

Total nurse turnover

5.98

Baseline 53.85% · Performance 39.25% · Measure score 5.98 · Achievement 5.98 · Improvement 4.53

Adjusted total nurse staffing

0.73

Baseline 3.24 hours · Performance 3.28 hours · Measure score 0.73 · Achievement 0.73 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.86%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 152 · Observed rate 11.18% · Lower 95% interval 7.29%
Discharge to community	48.57%	50.57% 2 pts worse	No Different than the National Rate · Eligible stays 146 · Observed rate 43.84% · Lower 95% interval 40.75%
Medicare spending per beneficiary	0.95	1.02 0.1 pts better
Drug regimen review with follow-up	98.75%	95.27% 3.5 pts better	Numerator 79 · Denominator 80
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 80
Discharge self-care score	56.9%	53.69% 3.2 pts better	Numerator 33 · Denominator 58
Discharge mobility score	44.83%	50.94% 6.1 pts worse	Numerator 26 · Denominator 58
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 80 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.56%	7.12% 0.4 pts worse	No Different than the National Rate · Eligible stays 85 · Observed rate 7.06% · Lower 95% interval 4.66%
Staff COVID-19 vaccination coverage	4.31%	8.2% 3.9 pts worse	Numerator 10 · Denominator 232
Staff flu vaccination coverage	25.95%	42% 16.1 pts worse	Numerator 82 · Denominator 316
Discharge function score	62.07%	56.45% 5.6 pts better	Numerator 36 · Denominator 58
Transfer of health information to provider	98%	95.95% 2 pts better	Numerator 49 · Denominator 50
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	12.5%	25.2% 12.7 pts worse	Numerator 4 · Denominator 32

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.8 0.6 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 0.8 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.4	1.8 0.4 pts better	1.8 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.0 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	70.6%	92.4% 21.8 pts worse	93.4% 22.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 78.0% · Q2 68.5% · Q3 63.1% · Q4 72.3% · 4Q avg 70.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.0%	94.5% 4.5 pts better	95.5% 3.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.9%	3.3% 1.6 pts worse	3.3% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 5.6% · Q3 6.0% · Q4 4.8% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	46.8%	26.1% 20.7 pts worse	11.4% 35.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.9% · Q2 57.3% · Q3 50.7% · Q4 47.1% · 4Q avg 46.8%
Percentage of long-stay residents who lose too much weight	4.0%	6.2% 2.2 pts better	5.4% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 7.0% · Q3 4.5% · Q4 3.0% · 4Q avg 4.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	28.1%	25.4% 2.7 pts worse	19.6% 8.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 31.0% · Q3 27.3% · Q4 27.9% · 4Q avg 28.1%
Percentage of long-stay residents who received an antipsychotic medication	7.8%	11.5% 3.7 pts better	16.7% 8.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.4% · Q3 10.3% · Q4 10.2% · 4Q avg 7.8% · 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	9.5%	7.7% 1.8 pts worse	16.3% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q3 11.0% · Q4 3.8% · 4Q avg 9.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	1.9%	6.2% 4.3 pts better	14.9% 13 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.0% · Q3 1.6% · Q4 0.0% · 4Q avg 1.9% · 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	0.3%	0.5% 0.2 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · 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	32.0%	21.7% 10.3 pts worse	19.8% 12.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 42.2% · Q2 34.6% · Q3 28.5% · Q4 21.7% · 4Q avg 32.0%
Percentage of long-stay residents with pressure ulcers	0.3%	3.7% 3.4 pts better	5.1% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 0.6% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	51.3%	78.1% 26.8 pts worse	81.7% 30.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 48.0% · Q2 38.1% · Q3 53.4% · Q4 62.5% · 4Q avg 51.3%
Percentage of short-stay residents who had an outpatient emergency department visit	9.0%	12.5% 3.5 pts better	12.0% 3 pts better	Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 8.5% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.7%	1.2% 0.5 pts better	1.6% 0.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.4% · Q3 1.1% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	60.0%	75.6% 15.6 pts worse	79.7% 19.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 60.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.8%	25.1% 0.7 pts worse	23.9% 1.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 22.0% · Expected 20.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-24 · Fire 2024-10-24

8 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Cycle 2 Health 2021-09-23 · Fire 2021-09-23

10 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2020-02-27 · Fire 2020-02-27

1 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

11 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-24

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-11-07

F · Potential for more than minimal harm 2024-10-24

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-11-07

E · Potential for more than minimal harm 2024-10-24

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-11-07

E · Potential for more than minimal harm 2024-10-24

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-11-07

F · Potential for more than minimal harm 2021-09-23

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2022-02-14

F · Potential for more than minimal harm 2021-09-23

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2021-12-03

F · Potential for more than minimal harm 2021-09-23

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2021-12-03

F · Potential for more than minimal harm 2021-09-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-12-03

F · Potential for more than minimal harm 2021-09-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2021-12-03

F · Potential for more than minimal harm 2020-02-27

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2020-07-31

F · Potential for more than minimal harm 2020-02-27

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 2020-07-31

F · Potential for more than minimal harm 2020-02-27

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2020-03-27

F · Potential for more than minimal harm 2020-02-27

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2020-03-27

F · Potential for more than minimal harm 2020-02-27

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2020-07-31

F · Potential for more than minimal harm 2020-02-27

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2020-03-27

F · Potential for more than minimal harm 2020-02-27

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2020-03-27

E · Potential for more than minimal harm 2020-02-27

K222 · Egress Deficiencies

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 2020-07-31

E · Potential for more than minimal harm 2020-02-27

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2020-03-27

E · Potential for more than minimal harm 2020-02-27

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2020-03-27

E · Potential for more than minimal harm 2020-02-27

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2020-03-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-10-24

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 2024-11-07

D · Potential for more than minimal harm 2024-10-24

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-11-07

D · Potential for more than minimal harm 2024-10-24

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-11-07

D · Potential for more than minimal harm 2024-10-24

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 2024-11-07

D · Potential for more than minimal harm 2024-10-24

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 2024-11-07

D · Potential for more than minimal harm 2024-10-24

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-11-07

D · Potential for more than minimal harm 2024-10-24

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-11-07

D · Potential for more than minimal harm 2024-10-24

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-07

D · Potential for more than minimal harm 2024-09-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-01

D · Potential for more than minimal harm 2023-07-11

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-07-19

E · Potential for more than minimal harm 2021-09-23

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 2021-12-03