Above 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 Bayley Place during CMS and state inspections, most recent first.
Dietary leadership and staff were observed in food prep areas with uncovered facial hair, including a staff member, the FSS, and the ADN. Interviews showed inconsistent understanding of when beard restraints were required, with some staff using them only when actively preparing food and leadership applying different thresholds. The facility policy stated hair restraints, including beard nets as applicable, must be worn when entering and working in kitchen and food prep areas.
A resident with moderate cognitive impairment and significant assistance needs was discharged from a Medicare Part A stay while benefit days remained, then stayed a few days as private pay. The facility issued a NOMNC but did not provide the required SNF ABN, and staff interviews showed the RSC and MRC were not familiar with the form while billing staff used a private pay acknowledgment instead.
PASARR Level 1 Not Updated After New Mental Illness Diagnoses: A resident with psychotic disorder, major depressive disorder, anxiety, and severe cognitive impairment had no evidence of an updated PASARR Level 1 after new serious mental illness diagnoses were identified. The RSC was unsure when a new PASARR was needed, the DON deferred to others, and the ED said the issue had slipped through the cracks.
Medication Error Rate Exceeded 5%: The facility had a 7.69% medication error rate after two errors in 26 opportunities. An LPN gave a resident simethicone 125 mg instead of the ordered 80 mg, and another LPN later gave the same incorrect dose. The resident had anxiety disorder, major depressive disorder, dementia, and GERD. Staff interviews confirmed the dose was not checked against the order, and the report stated there was no harm to the resident.
A resident with severe cognitive impairment and multiple psychiatric and medical diagnoses had a TSH lab ordered as part of follow-up monitoring, but the test was not completed when first ordered. Facility leaders stated the missed lab was not identified until surveyor review, and they attributed the lapse to possible EMR-to-lab miscommunication; the TSH was later obtained and was within range.
Survey Results Not Readily Accessible: The facility failed to ensure the survey results binder was posted in a public area accessible to residents, representatives, and visitors. Observations found no binder or signage indicating its location, and the ED stated it had been moved to a drawer at the visitor kiosk without any notice. The Receptionist, AA, and DON were not aware of the binder’s location or that it was available without asking.
Uncovered Facial Hair in Food Prep Areas
Penalty
Summary
The facility failed to ensure dietary staff wore appropriate hair and beard covers while in the food preparation area. During an initial tour, a staff member with long facial hair of about an inch was observed in the food preparation area with no beard cover, and the Food Service Supervisor was also observed walking around the food preparation areas and counters with facial hair of about an inch uncovered. The Director of Dining Services stated beard restraints were not used unless the beard was especially long, but gave no clear threshold for when they were required. Additional observations and interviews showed inconsistent practice and understanding of the beard restraint requirement. The Assistant Director of Nutrition was observed in the food preparation areas with facial hair of about an eighth of an inch and no beard restraint. Staff interviews indicated some believed beard restraints were only needed when actively preparing food, while others stated they were required if facial hair was present. The Director of Dining Services later stated beard restraints should be worn whenever staff were in food preparation areas, but the Executive Director stated her understanding was that beard restraints were not necessary if staff were not handling food. The facility policy stated that all employees must wear a hair restraint properly when entering the kitchen and that hair restraints must always be worn when working in kitchens, pantries, or food prep areas.
Failure to Provide SNF ABN Before Private Pay Stay
Penalty
Summary
The facility failed to ensure that Resident #125 was provided a Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN), Form CMS-10055, when the resident transitioned from Medicare Part A coverage to private pay. Resident #125 was admitted on 05/23/25 with diagnoses including non-traumatic intracranial hemorrhage, abnormalities of gait and mobility, and unspecified convulsions. The admission MDS assessment dated 05/30/25 showed a BIMS score of 12, indicating moderate cognitive impairment, and the resident required substantial to maximum assistance with bathing and dressing and set-up or clean-up assistance with personal hygiene. Record review showed Resident #125 was discharged from a Medicare-covered Part A stay on 06/20/25, with the facility identifying the last covered day as 06/16/25 even though benefit days remained. The facility issued a CMS-10123 NOMNC, but there was no documented evidence that the SNF ABN was provided. Staff interviews confirmed the resident stayed a few days after the last covered day as private pay, but the Resident Services Coordinator was not familiar with the SNF ABN, the Medical Records Coordinator stated she was not aware of the form, and the Accounts Receivable Supervisor stated a private pay acknowledgment was signed instead of a full residency agreement.
PASARR Level 1 Not Updated After New Mental Illness Diagnoses
Penalty
Summary
The facility failed to ensure a PASARR Level 1 was updated and resubmitted after Resident #13 developed new mental illness diagnoses. Resident #13 was admitted with diagnoses that included psychotic disorder with delusions, major depressive disorder, and anxiety disorder. The quarterly MDS showed a BIMS score of 4, indicating severe cognitive impairment, and also identified active diagnoses of depression and psychotic disorder. The care plan documented use of psychotropic medications related to depression, dementia with psychosis, psychotic disorder, sleep disorder, and anxiety. Review of the record found no evidence that a PASARR Level 1 was completed after the resident received the new diagnoses of psychotic disorder, major depressive disorder, or anxiety. During interviews, the RSC stated he was not sure whether any residents had a change that required a new PASARR and said he usually learned of new serious mental illness diagnoses during IDT meetings or from nursing staff. The DON stated she did not have much of a handle on PASARRs and deferred questions to other staff. The ED stated the RSC handled new resident reviews when there was a change of condition and said she did not know why a new PASARR Level 1 was not completed for Resident #13, stating it must have slipped through the cracks. The facility policy stated PASARR is triggered by significant changes, expired convalescent/respite stays, psychiatric readmission, or extension requests.
Medication Error Rate Exceeded 5%
Penalty
Summary
The facility failed to ensure the medication error rate was less than 5%, with 2 medication errors out of 26 opportunities for a 7.69% error rate. This affected Resident #96, whose medical record showed diagnoses of anxiety disorder, major depressive disorder, dementia, and GERD. The resident had a physician order for simethicone 80 mg by mouth three times a day, but during medication pass observation, an LPN administered simethicone 125 mg by mouth instead of the ordered dose. A second medication pass observation showed another LPN also administered simethicone 125 mg by mouth to the same resident. During interview, the LPN reviewed the MAR and the medication box and stated the ordered dose was 80 mg and that the 125 mg dose in the box was not the ordered dose. Staff interviews indicated nurses were expected to verify the right patient, right time, right dose, and other rights of medication administration, and that the nurse should have checked the dosage on the medication. The report also stated the pharmacy sent the wrong dose of simethicone and that the family, doctor, and pharmacy were notified of the medication error, with no harm to the resident.
Missed Ordered TSH Laboratory Test
Penalty
Summary
The facility failed to obtain a laboratory test as ordered by the physician for one resident reviewed for unnecessary medications. The resident had vascular dementia, psychotic disorder with delusions due to a known physiological condition, major depressive disorder, and anxiety disorder, and had severe cognitive impairment with a BIMS score of 4. The care plan identified the resident as being at nutritional risk with potential for dehydration related to dementia, hypertension, acute ischemic cerebrovascular accident with left-sided weakness, altered labs, and decreased appetite, and directed staff to obtain and monitor lab and diagnostic work as ordered and report results to the medical doctor. A physician order for TSH was entered with the order recap showing it as waiting to be sent, and later as sent but uncollected. Progress notes documented that the TSH ordered earlier had not been completed, and the physician was notified with a new order for TSH on the next lab day. The lab result later showed the TSH was within the reference range. During interviews, the ADON stated the ordered TSH was not completed and was only discovered when brought to staff attention by the surveyor, the ED stated ordered laboratory work should have been identified if not carried out within 24 to 48 hours, and the DON and ED both described possible miscommunication between the EMR and the laboratory service. The policy stated laboratory services shall be performed in accordance with physician orders, facility protocols, and applicable regulations.
Survey Results Not Posted in Accessible Public Area
Penalty
Summary
The facility failed to ensure that survey results were posted in a location accessible to all residents, representatives, and visitors. On 08/12/25 at 3:30 P.M. and again on 08/13/25 at 8:30 A.M., observations of the facility revealed no evidence of a survey binder or signage indicating where the survey binder was located. The report stated this affected all 105 of 105 residents in the facility. During interview on 08/13/25, the Executive Director stated the survey binder had been moved from the Bistro to the new visitor sign-in kiosk at the front entrance and was kept in a drawer, but there were no signs showing its location. The Receptionist, Administrative Assistant, and Director of Nursing each stated they were not aware of the binder’s location or that it was readily available without asking. Review of the policy titled, Access to Past Survey Results, revised March 2025, stated the most recent federal or state survey results shall be made available in a public area accessible 24 x 7, and a notice shall be displayed in public areas to inform residents, families, and visitors of this availability.
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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) |
|---|---|---|---|---|
| Delhi Post-acute | 0.5 mi | ★★★★★ | 5 | 0 |
| Western Hills Retirement Village | 1.7 mi | ★★★★★ | 0 | 0 |
| Aventura At West Park | 3.2 mi | ★★★★★ | 5 | 0 |
| Brookside Healthcare Center | 3.2 mi | ★★★★★ | 0 | 0 |
| Edith Lane Of Cincinnati | 3.7 mi | ★★★★★ | 4 | 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.