Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Carecore At The Meadows during CMS and state inspections, most recent first.
The facility's kitchen was found to be in an unsanitary condition, with issues such as peeling paint, broken equipment, and mold. Observations included soiled walls, appliances, and trash cans, as well as stained bath blankets used to address leaking pipes. Interviews confirmed these conditions, with the black substance identified as mold.
The facility failed to maintain a clean and sanitary environment for three residents. A resident with vascular dementia found her room's floors so dirty that she attempted to clean them herself. Another resident's room had a broken bed frame supported by concrete bricks, posing a safety hazard. A third resident's room had a sticky floor due to urine, with a urine-soaked towel against the television plug. These conditions were verified by staff, indicating non-compliance with the facility's policy for a clean and safe environment.
The facility failed to ensure proper medication storage, affecting all 77 residents. Expired medications were found in the stock room, and medications were improperly left at a resident's bedside and stored in a medication cart after refusal.
The facility failed to ensure food was stored and served in a safe and sanitary manner, and clean dishes and eating utensils were handled to prevent contamination. Observations revealed improperly stored food, unsanitary conditions in the kitchen, and staff not following proper hygiene protocols.
The facility failed to maintain essential kitchen equipment, including a leaking steamer, a malfunctioning food processor, and an unplugged plate warmer, potentially affecting 76 residents. The issues were confirmed through staff interviews and equipment manual reviews.
The facility failed to conduct timely care conferences and update care plans for seven residents, including those with severe cognitive impairments and multiple medical conditions. This led to lapses in care and unaddressed fall risks, as confirmed by staff and medical records.
A resident with diabetes, heart disease, and bipolar disorder had a bathroom with missing drywall below the sink, exposing pipes. Despite reporting the issue, no repairs were made for over three months, as confirmed by the Maintenance Director.
The facility failed to ensure accurate resident assessments, affecting three residents. One resident's fall and hearing loss were not correctly documented, another's vision and dental issues were overlooked, and a third resident's dental status was inaccurately recorded.
The facility failed to complete baseline care plans within 48 hours of admission for two residents. One resident had multiple diagnoses including diabetes and bipolar disorder, while another had conditions such as cerebral infarction and vascular dementia. Staff interviews confirmed the absence of the required care plans.
The facility failed to enforce its smoking policy for a resident using a vaping device indoors and did not thoroughly investigate multiple falls experienced by another resident with cognitive impairments. The lack of proper supervision and investigation compromised resident safety.
A resident with type II diabetes had their blood glucose level checked by an LPN who did not wash her hands after the procedure, contrary to the facility's policy. The LPN confirmed this lapse in hand hygiene during an interview.
Unsanitary Kitchen Conditions Identified
Penalty
Summary
The facility failed to maintain a safe and sanitary kitchen environment, which had the potential to affect all residents except for three who did not receive food from the facility kitchen. During an observation of the kitchen, several deficiencies were noted, including bubbled and peeling paint under the handwashing sink, a broken soap dispenser, and heavily soiled walls with an unknown black and brown substance. Additionally, the ceiling near the walk-in refrigerator was splattered with an unknown brown substance, including on the light fixture. Appliances and trash cans throughout the kitchen were heavily soiled with liquid splatter stains, and the counter near the sink contained an unknown brownish substance. Further observations revealed a large white bath blanket with brown and yellow stains underneath the garbage disposal, with the surrounding floor heavily soiled with dirt and a black substance. Another stained bath blanket was found stuffed under the three-compartment sink. The dishwasher was also heavily soiled with food debris, dirt, and crumbs. Interviews with the Dietary Manager and Maintenance Supervisor confirmed the presence of these unsanitary conditions, with the black substance identified as mold. The bath blankets were used to address leaking pipes, which the Maintenance Supervisor believed had been repaired weeks prior.
Failure to Maintain a Clean and Safe Environment
Penalty
Summary
The facility failed to maintain a clean and sanitary environment, affecting three residents. Resident #10, who was cognitively intact, reported that the floors in her room were so dirty that she attempted to clean them herself. Observations confirmed the presence of peeling black non-skid strips, sticky floors, stained bathroom walls, and a soiled toilet with an unknown brown substance. LPN #161 verified these conditions, noting that the black strips were remnants from a previous resident's fall interventions. Resident #59, with impaired cognition, was found to have a sticky and soiled floor with brown and black stains. The room contained a bed frame missing a wheel, causing it to tilt, and two concrete bricks were used as a makeshift repair, posing a safety hazard. HD #179 and MS #106 confirmed these observations. Resident #63, who had severely impaired cognition and was receiving hospice services, had a room with a hanging cove base, black spots on the walls, and a sticky floor due to urine. A towel soaked with urine was found against the television plug. These conditions were verified by HD #179. The facility's policy on providing a clean, safe, and homelike environment was not adhered to, as evidenced by these findings.
Medication Storage Deficiencies
Penalty
Summary
The facility failed to ensure medications were stored appropriately, affecting all 77 residents. During an observation, expired stock medications were found in the facility's stock medication room, including three bottles of mucus relief medication and two bottles of an oral laxative. A Registered Nurse confirmed the medications were expired. Additionally, Resident #40, who had multiple diagnoses including type II diabetes and mild major depressive disorder, was observed with crushed medications mixed in chocolate pudding left at her bedside. The resident confirmed that staff regularly left her medications at her bedside, and an LPN admitted to not watching the resident swallow the medications before leaving the room. Another incident involved Resident #11, who had diagnoses including type II diabetes and stage II chronic kidney disease. An LPN was observed placing the resident's refused medications in the top drawer of the medication cart, intending to re-administer them later. The LPN was unaware that storing medications in the cart after a resident refused them was against policy. The facility's policy on medication storage, revised in February 2023, mandates that drugs and biologicals be stored in locked compartments and that outdated or deteriorated drugs be returned to the pharmacy or destroyed.
Food Storage and Sanitation Deficiencies
Penalty
Summary
The facility failed to ensure food was stored and served in a safe and sanitary manner, and clean dishes and eating utensils were handled in a manner to prevent contamination. Observations revealed multiple issues in the kitchen, including improperly stored food in the walk-in cooler, such as a large bag of brown salad that was not wrapped, sealed, or labeled, and various pans of food that were either not labeled or dated. Additionally, the dry storage area had boxes of food stored directly on the floor, and a box of rice that was not sealed or dated. The general kitchen area had a ceiling ventilator covered in a gray, fuzzy material, which was also observed on a camera in the ceiling. The Dietary Cook confirmed these observations and acknowledged that the food items were not properly stored and that the gray, fuzzy material was dust. Further observations revealed that a Dietary Aid used the dishwasher to wash dishes from breakfast without changing gloves between handling dirty and clean dishes. The Dietary Aid admitted to sometimes not changing gloves between these tasks. Additionally, a black speckled substance was observed on the wall above the counter of the loading side of the dishwasher. The Dietary Manager confirmed the presence of this substance. The Dietary Manager was also observed preparing food without a beard restraint, stating that the facility had run out of beard restraints. The facility's policies on food receiving, storage, preparation, and service were reviewed and found to be inconsistent with the observed practices.
Failure to Maintain Kitchen Equipment
Penalty
Summary
The facility failed to ensure that essential kitchen equipment was maintained in working order, potentially affecting 76 residents. Observations revealed that the steamer in the kitchen was leaking water into a small reservoir, which then overflowed into a large bin. The Dietary Manager confirmed that the steamer had been malfunctioning since October 2023 and had only worked properly for a few days after a repair attempt. The operation manual for the steamer did not mention the need for a bin to collect water, indicating that the current setup was not standard procedure. Further observations showed that the food processor required a thermometer prong to be inserted into a hole for it to function, a workaround that had been in place for approximately two weeks. Additionally, the plate warmer was found to be unplugged and not functioning, with the Dietary Manager stating it had not worked since October 2023 despite multiple maintenance requests. These deficiencies were confirmed through staff interviews and a review of equipment manuals, highlighting a failure to maintain kitchen equipment in proper working order.
Failure to Conduct Timely Care Conferences and Update Care Plans
Penalty
Summary
The facility failed to conduct care conferences and update care plan interventions in a timely manner, affecting seven out of eight residents reviewed for care planning. Resident #51, who had severe cognitive impairments and was at risk for falls, experienced multiple falls. Despite the interdisciplinary team reviewing the falls, the interventions such as non-skid strips were not added to the care plan following the incidents on two separate occasions. This oversight was confirmed by the Regional Business Office Manager. Resident #4, who was cognitively intact and had multiple diagnoses including diabetes and morbid obesity, reported not having any care conferences since admission. The medical record confirmed only one care conference was held, which was verified by the Social Worker. Similarly, Resident #34, with moderately impaired cognition and multiple psychiatric diagnoses, reported not receiving routine care conferences, which was confirmed by the Social Worker who had no additional documentation of care conferences. Other residents, including Resident #40, Resident #22, Resident #68, and Resident #19, also experienced lapses in care conferences. These residents had various medical and psychiatric conditions, and their care conferences were either not held quarterly as required or were not documented properly. The facility's policy stated that care conferences should be held quarterly to discuss various aspects of the residents' care, but this was not adhered to, leading to the identified deficiencies.
Failure to Maintain Homelike Environment
Penalty
Summary
The facility failed to maintain a homelike environment for Resident #329, who had diagnoses including diabetes mellitus, atherosclerotic heart disease of native coronary artery, and bipolar disorder. The resident, who had intact cognition and required supervision with toileting, had a bathroom with missing drywall below the sink, exposing the pipes. This issue was observed on 05/05/24 and had been present since the resident's admission. Despite the resident reporting the issue and being told it would be addressed, no repairs were made. The Maintenance Director confirmed the drywall had been missing for a few weeks, with an invoice showing the pipes were repaired on 01/23/24, indicating the drywall had not been replaced for over three months.
Inaccurate Resident Assessments
Penalty
Summary
The facility failed to ensure resident assessments were accurately completed, affecting three residents out of 23 reviewed. Resident #68's comprehensive Minimum Data Set (MDS) assessment did not accurately capture a fall that occurred on 12/19/23, and the resident's hearing ability was also incorrectly coded. Despite having severe hearing loss in both ears, the MDS assessment indicated adequate hearing. Additionally, the resident's plan of care noted potential communication and hearing deficits, which were not accurately reflected in the MDS assessment. Resident #4's most recent annual MDS assessment inaccurately reported no issues with vision or dental health, despite the resident stating the need for dental and ophthalmological care. Similarly, Resident #13's MDS assessment did not reflect the resident's dental status, as broken and missing teeth were observed during a survey. Corporate MDS staff confirmed the inaccuracies in the assessments for all three residents, indicating a failure in the facility's assessment process.
Failure to Complete Baseline Care Plans Within 48 Hours of Admission
Penalty
Summary
The facility failed to ensure a baseline care plan was completed within 48 hours of admission for two residents. Resident #329, who was admitted with diagnoses including diabetes mellitus with diabetic neuropathy, atherosclerosis of coronary artery, unstable angina, pure hypercholesterolemia, and bipolar disorder, did not have a baseline care plan completed within the required timeframe. This was confirmed by the Regional Director of Clinical Operations. Similarly, Resident #13, admitted with diagnoses including cerebral infarction, nontraumatic subarachnoid hemorrhage, other abnormalities of gait and mobility, muscle weakness, vascular dementia, and restlessness and agitation, also did not have a baseline care plan completed within 48 hours of admission. This was verified by the Regional Business Office Manager. Both residents' medical records lacked evidence of the required baseline care plans, as confirmed through staff interviews.
Failure to Enforce Smoking Policy and Investigate Falls
Penalty
Summary
The facility failed to ensure safe smoking practices for Resident #72, who was observed using a vaping device inside the building on multiple occasions. Despite being informed that vaping was not permitted indoors, the resident continued to use the device near staff members, who did not take appropriate action to enforce the policy. The facility's smoking policy required electronic cigarettes to be labeled and kept locked up, with usage only permitted outside in designated areas, but this was not adhered to in Resident #72's case. Additionally, the facility did not thoroughly investigate falls experienced by Resident #51, who had a history of Alzheimer's disease and other cognitive impairments. The resident was found on the floor multiple times, but the fall investigations lacked root cause analyses. Despite the interdisciplinary team reviewing the falls, no new interventions were documented, and the facility's policy to identify possible causes within 24 hours was not followed. These deficiencies highlight the facility's failure to enforce its smoking policy and adequately investigate and address fall risks, compromising the safety and well-being of the residents involved. The lack of proper supervision and investigation could lead to further incidents and potential harm to the residents.
Failure to Follow Hand Hygiene Protocol During Blood Glucose Monitoring
Penalty
Summary
The facility failed to ensure nursing staff used appropriate hand hygiene when performing blood glucose monitoring. Resident #329, who was admitted with a primary diagnosis of type II diabetes with diabetic neuropathy and was cognitively intact, was observed on 05/06/24 at 8:15 A.M. having their blood glucose level checked by LPN #603. The LPN did not wash her hands with soap and water after completing the procedure and left the room. During an interview shortly after, the LPN confirmed she did not wash her hands. The facility's policy, dated October 2011, required nurses to disinfect the equipment, doff gloves, and wash hands with soap and water after the procedure, which was not followed in this instance.
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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) |
|---|---|---|---|---|
| Ayden Healthcare Of Fairfield | 1.7 mi | ★★★★★ | 15 | 0 |
| Alois Alzheimer's Care Center | 1.8 mi | ★★★★★ | 7 | 0 |
| Sanctuary Pointe Nursing & Rehabilitation Center | 2.3 mi | ★★★★★ | 0 | 0 |
| Veranda Gardens Nursing & Rehabilitation Center | 2.3 mi | ★★★★★ | 6 | 0 |
| Maple Knoll Village | 2.5 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 July 2026) and official state health department websites.