Below average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Anderson, The during CMS and state inspections, most recent first.
Kitchen sanitation, food labeling, and hair restraint failures: Surveyors observed a dirty toaster and dirty bulk food bins, prepared foods in the walk-in cooler that were missing required labels and dates, and the KM working in kitchen areas without an effective beard restraint. The KM acknowledged the labeling and sanitation issues and stated he believed beard restraints were only needed when handling food, while the ADM, DON, and RD stated kitchen staff were expected to keep food areas clean, label prepared foods correctly, and wear beard restraints in food service areas.
Missing Signed Admission Agreements: The facility failed to obtain signed admission agreements for three sampled residents. The records contained no signed agreement, even though the facility’s form included terms about per diem rates and liability for charges not covered by Medicare, Medicaid, or other payors. The AD and ADM both confirmed the agreements were missing and stated they should have been signed.
A resident with a history of hypertension experienced hypotension and diaphoresis, which were not reported to the physician, leading to a delay in care. The resident was sent to the hospital at the family's request and was diagnosed with septic shock and encephalopathy, eventually resulting in death. Staff interviews revealed a lack of concern for the resident's symptoms and failure to administer pain medication as ordered.
A facility failed to investigate an abuse allegation involving a resident with schizophrenia, cerebral infarction, and vascular dementia. The resident claimed an aide hit her and made a comment about her self-care abilities. The allegation was deemed unsubstantiated without a thorough investigation, as confirmed by the DON. The investigation was conducted via phone by the Administrator without documentation or staff re-education, contrary to the facility's abuse policy.
The facility failed to provide adequate assistance and supervision, leading to falls for two residents. One resident, with multiple health issues and a moderate fall risk, was rolled out of bed during a bed bath due to lack of required staff assistance. Another resident, with a history of falls, was found without necessary safety interventions like bolsters and fall mats in place. The DON confirmed these deficiencies.
Kitchen sanitation, food labeling, and hair restraint failures
Penalty
Summary
Food was not stored and served in a sanitary manner in the kitchen. During observations, a toaster had built-up grime and crumbs on the tray and conveyor belt wheels, and a bulk food storage bin containing rice had a dirty lid with a sticky substance on it. The Kitchen Manager stated the bulk storage bins were cleaned once a week and were due to be cleaned, and later stated he knew the toaster was an issue but it had been that way for a long time and would need to be disassembled to clean it. The Administrator stated kitchen staff should clean the kitchen daily, and the Registered Dietitian stated she had encouraged the Kitchen Manager to use a cleaning schedule and to dispose of the bulk storage bins because they were rarely used. Prepared food in the walk-in cooler was not properly labeled and dated. Surveyors observed tuna salad with no date or label, a creamy pasta container labeled only "Tuesday" with no date or item identification, a prepared item that appeared to be chicken salad with a date but no description, another dated prepared item with no description, and a container of tomato soup with no date or label. The Kitchen Manager confirmed several of the items lacked required dates or descriptions and stated prepared food items should be dated to help ensure spoiled food was not served. The Administrator stated food in the kitchen was expected to be dated and labeled correctly per facility policy, and the Registered Dietitian stated all foods prepared in the kitchen should have a prepared-on date and discard date. The Kitchen Manager also did not wear an effective beard restraint while in the kitchen and around food service areas. He was observed in the walk-in cooler, dish room, and at the tray line with facial hair uncovered or with a beard net around his neck rather than covering his beard. He stated he thought a beard restraint was only needed when handling food and not in the dish room. The DON stated staff should be wearing beard restraints in the kitchen, the Administrator stated all kitchen staff were expected to wear beard restraints, and the Registered Dietitian stated food service staff should wear beard restraints any time they were preparing food or were near clean dishes or utensils.
Missing Signed Admission Agreements
Penalty
Summary
The facility failed to ensure completion of an admission Agreement for three of four sampled residents reviewed for admission agreements. Review of the facility’s admission Agreement showed language stating the resident had been verbally advised of the home’s basic per diem rate and a schedule of charges for items not covered in the basic per diem, and that the resident agreed to pay and be liable for health care services at the home, including charges not paid by Medicare, Medicaid, or other third-party payors if benefits were denied or the resident became ineligible. However, the admission records for Residents #6, #95, and #99 contained no signed admission Agreement. The facility was unable to provide documented evidence of signed admission Agreements for Residents #6, #95, or #99. During interview, the AD confirmed the agreements were not signed and stated they should have been signed. The ADM also confirmed the facility did not have signed admission agreements for these residents and stated it was the expectation for all residents to sign the facility’s admission agreement. This noncompliance was identified during the investigation of Complaint Number 1301534.
Failure to Respond to Resident's Change in Condition
Penalty
Summary
The facility failed to identify and respond appropriately to a change in condition for a resident who experienced hypotension and diaphoresis. The resident, who had a history of hypertension, exhibited a significant drop in blood pressure and unusual sweating, which were not reported to the physician. This lack of communication resulted in a delay in care and treatment, as the resident's condition continued to decline without medical intervention. The resident was eventually sent to the hospital at the request of a family member, four hours after the initial signs of decline were observed. Upon admission to the hospital, the resident was diagnosed with septic shock and encephalopathy. The resident's condition deteriorated further, leading to their death at the hospital. The failure to notify the physician of the resident's low blood pressure and diaphoresis was a critical oversight that contributed to the delay in receiving necessary medical care. Interviews with facility staff revealed that the low blood pressure and diaphoresis were not considered concerning by the staff, despite the resident's medical history and the potential implications of these symptoms. The staff did not administer pain medication as ordered, and the resident's medical provider was not informed of the resident's condition until it was too late. This deficiency highlights a significant lapse in the facility's protocol for monitoring and responding to changes in resident conditions.
Removal Plan
- The facility will continue with its staff education and monitoring program specifically to ensure that any and all pertinent policies and procedures regarding resident changes in condition are implemented as directed.
- Education was completed for eight Registered Nurses (RN), 22 Licensed Practical Nurses (LPN), and 35 State tested Nursing Assistants (STNA). Education will be ongoing.
- ADON #226 sent out the education notification immediately to alert nursing staff to notify the physician immediately when a change of resident condition occurs.
- The DON completed counseling and education with LPN #185 regarding proper documentation and communication with physician regarding resident change in condition.
- The facility will ensure there are systems in place to complete ongoing assessments of residents' health status when they experience a change in condition.
- When a resident has a change in condition, if indicated, the nurse may complete a Change of Condition Assessment in Point Click Care.
- The attending physician will be notified immediately after the completion of the assessment, if indicated.
- All 90 residents in the facility will have a head-to-toe assessment and will be assessed for abnormal vital signs, abnormal change in mental status, any skin issues, and complaints of pain.
- Education will be provided to each nurse 1:1 and the employee will be shown the policy and procedure for the change in condition and the physician of notification.
- The charting guideline policy was reviewed by the DON and ADON #226 to include changes reflective of electronic charting.
- The facility began implementation of the change in condition assessment information to be reviewed during daily morning clinical meeting.
- The quarterly Quality Assurance and Performance Improvement (QAPI) meeting is scheduled to address the revised policy on change in condition and physician notification.
- The DON or designee will perform auditing of any change of condition in the facility.
- The audit will consist of three random residents, twice a week for four weeks and will be monitored monthly for three months.
Failure to Investigate Allegation of Abuse
Penalty
Summary
The facility failed to thoroughly investigate an allegation of abuse involving a resident diagnosed with schizophrenia, cerebral infarction, and vascular dementia. The resident alleged that an aide hit her on the hand while in the bathroom and made a comment about her ability to care for herself. The facility's report indicated the allegation was unsubstantiated based on the resident's statement that the aide was not trying to be mean and a staff member's account that the incident did not occur. However, the Director of Nursing confirmed that there was no evidence of a comprehensive investigation, as there were no witness statements or additional interviews conducted with staff or residents. The investigation was reportedly completed by the Administrator via phone, but it was not documented, and no staff re-education on the abuse policy was conducted. The facility's policy on abuse requires incidents to be investigated and reported to the proper authorities, which was not adhered to in this case.
Failure to Implement Fall Prevention Measures
Penalty
Summary
The facility failed to provide adequate assistance and supervision, resulting in falls for two residents. Resident #22, who had diagnoses including type II diabetes, COPD, weakness, dementia, and hypertension, was assessed as a moderate fall risk and required assistance from two staff members for bed mobility and transfers using a mechanical lift. Despite these requirements, Resident #22 was rolled out of bed during a bed bath, resulting in abrasions and increased knee pain, necessitating an x-ray and hospital evaluation. The Director of Nursing confirmed that the care plan interventions for assistance were not followed. Resident #29, with diagnoses including cerebral infarction, history of falls, dementia, and hypertension, was also dependent on staff for mobility and transfers. The care plan included interventions such as bolsters and fall mats to prevent falls. However, during an observation, it was noted that these safety measures were not in place, as the bolsters were missing and the fall mats were not positioned correctly. The Director of Nursing confirmed the absence of these interventions, indicating a failure to ensure the resident's environment was safe as per the care plan.
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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) |
|---|---|---|---|---|
| Mount Washington Care Center | 2.2 mi | ★★★★★ | 2 | 0 |
| Siena Gardens Rehabilitation & Transitional Care | 2.5 mi | ★★★★★ | 2 | 0 |
| Atlantes The | 2.7 mi | ★★★★★ | 0 | 0 |
| Forest Hills Healthcare Center. | 3 mi | ★★★★★ | 16 | 0 |
| Residence At Salem Woods | 3.3 mi | ★★★★★ | 0 | 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 July 2026) and official state health department websites.