Average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Alois Alzheimer's Care Center during CMS and state inspections, most recent first.
The facility failed to timely report abuse allegations and an injury of unknown origin to the state agency for three residents. One resident with severe cognitive impairment was observed being handled roughly by a CNA, another resident with advanced dementia had a hospital allegation of abuse and neglect that was not reported because a family member did not believe it occurred, and a third resident with dementia and other chronic conditions developed an unexplained ankle fracture that was not reported. The DON and administrator confirmed the reporting failures, despite the facility policy requiring immediate reporting of abuse allegations and injuries of unknown source.
Failure to Investigate Abuse, Neglect, and Injury Allegations: The facility did not properly respond to allegations involving three residents with severe cognitive impairment and ADL dependence. An LPN witnessed a CNA roughly handle a resident, but the CNA was allowed to keep working before suspension. The facility also did not investigate or report a hospital-related abuse/neglect allegation for another resident, and it failed to investigate an unexplained ankle fracture for a third resident. No SRI was filed for two of the residents, despite policy requiring immediate reporting and investigation.
Improperly labeled and stored insulin and TB testing solution were found in multiple medication carts and refrigerators. An RN confirmed several insulin vials for multiple residents were expired or missing open dates, including an undated vial that could not be verified for proper expiration, and two open TB testing solution vials were also found, one undated and one expired. Facility policy required insulin to be discarded after 28 days of first use and all medications to be labeled with an opened date.
Improper Food Storage and Expired Items Found in Kitchen and Unit Refrigerators: Food was found improperly stored in the kitchen dry storage, walk-in freezer, walk-in refrigerator, stand-up freezer, and multiple unit refrigerators/freezers. Observations included expired, open, unlabeled, and undated items such as baking soda, soy sauce, syrup, breadcrumbs, dough, beef patties, hotdogs, eggs, coleslaw, veggie burgers, tater tots, strawberries, ice cream cups, cupcakes, honey mustard, cheese, frozen beverages, and cookies. The DM and LPNs confirmed the items were not properly stored and should have been discarded.
Unsecured hazardous cleaning products were found in dining areas on two units. An unsecured container of germicidal wipes and an unsecured bottle of disinfectant were observed on one unit, and two unsecured bottles of disinfectant were observed on another unit. Both RNs verified the products should have been stored in a secure location, and the MSDS identified harmful effects via skin, eyes, inhalation, or ingestion.
Inaccurate PASARR screenings were identified for three residents. A resident with Parkinson's disease and major depressive disorder had a PASARR that omitted the depression diagnosis and Seroquel, another resident with Alzheimer's disease, GAD, and depression had a PASARR that omitted GAD and Buspar, and a third resident with Alzheimer's disease and major depressive disorder had a PASARR that omitted Ativan and Zoloft. Each resident's MDS showed cognitive impairment and need for staff assistance with ADLs.
Failure to Timely Report Abuse Allegations and Injury of Unknown Origin
Penalty
Summary
The facility failed to report allegations of abuse to the state agency in a timely manner for three residents investigated for abuse. The report states that the facility also failed to report an injury of unknown origin and did not initiate a state report when the hospital alleged abuse and neglect involving another resident. The facility policy required allegations of abuse to be immediately reported to the state agency, and injuries of unknown source to be investigated and reported. For one resident with Alzheimer’s disease, depression, congestive heart failure, and severe cognitive impairment, staff witnessed a CNA pull the resident up roughly by the arms while the resident resisted. An LPN reported the incident to a scheduler, who notified the DON by phone and reassigned the CNA, but the DON could not recall being told abuse concerns. The administrator later confirmed the allegation was not reported until the following afternoon, after the incident had already occurred the prior evening. For another resident with frontal temporal dementia, conversion disorder, Lewy body dementia, severe cognitive impairment, and dependence for ADLs, the DON learned the hospital had alleged the facility was abusive and neglectful. The resident’s family member told an LPN that the hospital suspected abuse and neglect, but the family member did not believe it occurred. The DON and administrator confirmed the facility did not investigate or report the allegation because the family member said no abuse or neglect had occurred. For a third resident with dementia, osteoporosis, a cerebral aneurysm, and heart disease, staff found a right ankle injury during the night shift that was later diagnosed as a fracture. The DON confirmed the facility did not report the injury of unknown origin to the state agency, and no SRI was filed for that resident.
Failure to Investigate Abuse, Neglect, and Injury Allegations
Penalty
Summary
The facility failed to protect residents during abuse investigations and failed to thoroughly investigate allegations of abuse, neglect, and injuries of unknown source involving three residents. The facility policy required staff accused or suspected of abuse to be immediately removed from the facility pending investigation, required immediate notification of the Administrator, and required allegations of abuse and injuries of unknown source to be reported to the state agency. The report identified deficiencies related to Resident #29, Resident #42, and Resident #19, all of whom had severe cognitive impairment and required substantial assistance with ADLs. For Resident #29, staff witnessed CNA #451 roughly pull the resident up by the arms in the common area during dinner while the resident showed resistance. An LPN reported the incident to a scheduler, who said she notified the DON by phone and moved the CNA to another unit. The DON later confirmed the CNA was allowed to finish the shift and return to work the next morning before being suspended by HR. The Administrator confirmed the alleged abuse was not immediately reported or acted on and that the CNA remained working with residents after the allegation was identified. For Resident #42, the DON confirmed the facility became aware that the hospital had alleged abuse and neglect, and that the resident’s family member told an LPN the hospital suspected abuse and neglect, although the family member did not believe it occurred. The facility did not initiate an SRI, did not report the allegation to the state agency, and did not conduct an investigation because the family member concluded no abuse or neglect had occurred. For Resident #19, staff documented an unexplained right ankle injury that was later found to be a fracture after x-ray and hospital transfer. The DON confirmed the facility did not investigate the injury of unknown source, and no SRI was filed for the resident.
Improper Storage and Labeling of Insulin and TB Testing Solution
Penalty
Summary
Drugs and biologicals were not properly labeled and stored in the facility medication carts and refrigerators. During observation with RN #230, the Woods unit medication cart contained insulin glargine for Resident #12 with an open date, insulin aspart for Resident #12 with an open date, an open vial of NovoLog insulin for Resident #61 with no open date, and insulin lispro for Resident #15 with an open date. RN #230 confirmed the expired insulin for Residents #12 and #15 should have been discarded, and RN #320 confirmed the insulin for Resident #61 had no open date and should also be discarded because there was no way to know the proper expiration date. On the Garden unit medication cart, an open vial of insulin lispro for Resident #5 was observed with no open date, and RN #230 confirmed it was opened and had no open date. The facility also had expired tuberculosis (TB) testing solution stored in medication refrigerators. In the Meadows unit medication refrigerator, an open and undated vial of TB testing solution was observed, and RN #230 confirmed it was opened and undated. In the Commons unit medication refrigerator, an open vial of TB testing solution dated on [DATE] was observed, and RN #230 confirmed it was expired and should have been discarded. Facility policy titled Medications with Shortened Expiration Dates stated insulin should be disposed after 28 days of first use, and facility policy titled Storage of Medications stated all medications should be labeled with an opened date to ensure that no outdated or deteriorated medications are stored.
Improper Food Storage and Expired Items Found in Kitchen and Unit Refrigerators
Penalty
Summary
Food was not stored in a clean, safe, and sanitary manner in multiple areas of the facility. During observation with the Dietary Manager, the dry storage area contained an open box of baking soda with an expiration date of January 2025, an open and undated two-quart container of soy sauce, an open and undated 64-ounce bottle of syrup, and an open and undated bag of breadcrumbs. The Dietary Manager confirmed these expired, open, and undated items should have been discarded. Additional observations showed improper storage and expired food in the walk-in freezer, walk-in refrigerator, stand-up freezer, and resident unit refrigerators/freezers. Items included open pie dough with ice crystals, open pretzel dough, open and undated beef patties and hotdogs, eggs with a use-by date of 08/12/25, coleslaw dated 09/05/25, an open and undated box of veggie burgers, tater tots open to air, undated strawberries, uncovered ice cream cups with spoons in them, an unlabeled and undated bag of cupcakes, an open and undated bottle of honey mustard, an open to air package of cheese, undated frozen beverages with straws, an unlabeled and undated carton of strawberry ice cream, and an open to air sleeve of cookies. Staff including the Dietary Manager and LPNs confirmed these items were not properly stored and should have been discarded. Facility policy required dry food to be labeled and dated, foods to be rotated using first in-first out, and all refrigerated or frozen foods to be covered, labeled, and dated.
Unsecured Hazardous Cleaning Products in Dining Areas
Penalty
Summary
The facility failed to ensure hazardous materials were stored safely. During observation of the Terrace unit dining room, an unsecured container of Micro-Kill Two Germicidal Wipes was found sitting on the countertop near a sink, and a bottle of Virex TB Disinfectant was found in an unsecured cabinet above the countertop. Both containers had warning labels indicating the contents could be hazardous to humans. Registered Nurse Unit Manager #230 verified that the wipes and disinfectant should have been stored in a secure location. During observation of the Gardens unit dining room, a bottle of TB-CIDE QUAT and a bottle of Virex TB Disinfectant were found in an unsecured cabinet under the sink. Both disinfectant bottles had hazard-to-humans warning labels. RN #242 verified that the bottles of disinfectant should be stored in a secure location. Review of the MSDS for the three products stated they could cause harmful effects via skin, eyes, inhalation, or ingestion, and the facility policy titled Facility Environment - Hazards stated the facility would ensure the environment was free of accident hazards.
Inaccurate PASARR Screenings
Penalty
Summary
PASARR screening for mental disorders or intellectual disabilities was not completed accurately for three residents reviewed. For Resident #6, the medical record showed an admission with diagnoses including Parkinson's disease, nontraumatic acute subdural hemorrhage, and major depressive disorder, but the PASARR dated 12/04/22 did not include the diagnosis of major depressive disorder or the order for Seroquel. The MDS dated 07/14/25 showed severe cognitive impairment and dependence on staff for ADLs. The Social Service Director confirmed that the diagnosis and medication were omitted from the PASARR. For Resident #25, the medical record showed diagnoses including Alzheimer's disease, generalized anxiety disorder, and depression, but the PASARR dated 05/03/25 did not include generalized anxiety disorder or the use of Buspar. The MDS dated 07/14/25 showed severe cognitive impairment and need for staff assistance with ADLs. For Resident #60, the medical record showed diagnoses including Alzheimer's disease and major depressive disorder, and the PASARR dated 02/21/25 included Ativan and Zoloft, but the Social Service Director confirmed these medications were not included on the PASARR. The MDS dated 02/21/25 showed cognitive impairment and extensive assistance needed with ADLs.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cincinnati
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Carecore At The Meadows | 1.8 mi | ★★★★★ | 0 | 0 |
| Burlington House Rehab & Alzheimer's Care Center | 2.1 mi | ★★★★★ | 1 | 0 |
| Home At Hearthstone, The | 2.2 mi | ★★★★★ | 1 | 0 |
| Mt Healthy Christian Home | 2.2 mi | ★★★★★ | 0 | 0 |
| Sanctuary Pointe Nursing & Rehabilitation Center | 2.6 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.