Above average — CMS composite of the measures below.
The next survey window likely opens around April 2027
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 Chamberlin Healthcare Center during CMS and state inspections, most recent first.
Unsafe Food Storage and Unsanitary Kitchen Conditions: The dietary area had multiple open and undated dry goods, uncovered mashed potato mix, hard boiled eggs held at room temperature, dirty floors and cooler fans, rust and debris in the walk-in cooler, unlabeled and undated meat, dirty utensil containers, a dirty can opener blade, and expired nectar thickened milk. The DM verified the findings, and facility policy required food to be covered, labeled, dated, and equipment to be clean and sanitary.
Privacy was not maintained during insulin administration for a resident with severe cognitive impairment and dependence on staff for ADLs. An LPN gave Lantus in a busy hallway/common area, and later confirmed no privacy was provided. The DON stated injectable meds should be given based on resident preference and, when the resident cannot express a preference, in the privacy of the resident’s room. The facility’s Resident Rights policy also prohibited treatment, medication, or care in common areas such as hallways.
Food was not served at a palatable temperature for a resident who was cognitively intact and admitted with a diagnosis of degeneration of the nervous system due to alcohol. The resident reported the meal was cold and did not taste good, and observation of a test tray showed mashed potatoes at 109 degrees F and roast beef at 99 degrees F. The DM confirmed the potatoes were bland and the roast beef was cold.
Enhanced barrier precautions were not followed for a resident with an indwelling catheter and multiple diagnoses, including Parkinson's disease and CKD. Although the care plan and MD order identified EBP, staff observed no precaution sign on the door and no PPE near the room, and an LPN and CNA confirmed the resident was not on EBP.
The facility failed to ensure consistent code status documentation for two residents, leading to mismatches between electronic and paper charts. One resident's electronic order showed DNRCC, while the paper chart indicated DNRCCA. Another resident's electronic record had DNRCC-A, but the paper form showed DNRCC. These discrepancies were confirmed by CRNs during interviews.
The facility failed to maintain a clean and homelike environment, affecting three residents. A resident's room had a greasy, slippery floor, posing a fall risk, while another resident's room lacked a headboard and had a dirty dresser with items from a previous resident. These conditions were confirmed by staff and violated the facility's housekeeping policy.
A facility failed to accurately code the MDS assessment for a resident's discharge location. The resident, who was cognitively intact and required assistance for mobility, was discharged against medical advice. Despite plans for discharge to home or another facility, the MDS was incorrectly coded to indicate a discharge to a short-term general hospital. This error was confirmed by a registered nurse.
A facility failed to develop a care plan for a resident with vision impairment, despite the resident's history of cataracts and corrective lens use. The resident's care plan lacked provisions for vision care, which was confirmed by a CRN and a review of medical records.
A resident with multiple health issues, including dementia, experienced a fall, and the facility failed to update the care plan with new fall interventions as required by their policy. Despite the resident's high fall risk and impaired cognition, the intervention to remove the bedside table for safety was not added to the care plan, as confirmed by a corporate nurse.
The facility failed to ensure safe storage of cigarettes and alcohol, and did not implement care-planned fall interventions for residents at risk. A resident with a history of substance use was found with cigarettes and alcohol, against facility policy. Two residents at risk for falls were observed without proper footwear, indicating a lack of adherence to fall prevention measures.
A resident with severe cognitive impairment and multiple diagnoses was observed saturated with urine, indicating a failure in timely incontinence care. Despite a care plan outlining necessary interventions, staff interviews revealed lapses in checking and changing the resident, leading to the deficiency.
The facility failed to label medications with open dates for two residents, risking the use of expired drugs, and did not ensure a resident consumed medications immediately, leaving them unattended at the bedside. These actions violated the facility's medication storage and administration policies.
A facility failed to implement proper transmission-based precautions for a resident with Shingles, as per physician orders. The resident's door displayed an incorrect sign, and staff interviews confirmed the oversight. The resident had severe combined immunodeficiency and was on contact precautions, but the signage did not reflect this, leading to a deficiency in infection control practices.
The facility failed to ensure call lights were accessible to three residents, all of whom had cognitive impairments and were at risk for falls. Observations revealed that call lights were either wrapped up and hanging on the wall or placed under the mattress, making them unreachable. This deficiency was confirmed through interviews with staff and residents.
Unsafe Food Storage and Unsanitary Kitchen Conditions
Penalty
Summary
Food was not stored, prepared, distributed, and served in a safe and sanitary manner in the facility kitchen and storage areas. During observation, the dietary manager verified multiple open and undated dry goods in storage, including bags of gravy mix, spaghetti noodles, macaroni noodles, and two containers of peanut butter. An open container of mashed potato mix was stored without a lid on top of the steamer, and a bowl of hard boiled eggs was being kept at room temperature on top of the steamer instead of being held below 41 degrees F or above 135 degrees F. The floor behind the grill was dirty, and the walk-in cooler fans had a buildup of dust. Additional observations in the walk-in cooler showed two pans of corn and one pan of mashed potatoes dated 05/08, dirty floors with rust buildup, and an unlabeled, undated tub of meat. Clean utensils were stored in large containers on the clean dish rack, but the containers were dirty with food debris inside. The blade of the can opener was dirty with food debris, a bulk plastic container of brown sugar labeled as health shake mix still had an old discard date label of 04/13/26, and the beverage cooler contained nectar thickened chocolate milk containers dated 04/16/26, 04/17/26, and 04/21/26 that were verified as expired. Facility policies required food to be wrapped or covered, labeled and dated, and foodservice equipment to be clean, sanitary, and in proper working order.
Privacy Not Maintained During Insulin Administration
Penalty
Summary
The facility failed to ensure privacy and dignity during medication administration for one resident. Resident #138 was admitted with diagnoses including chronic kidney disease, aphasia following unspecified cerebrovascular disease, and hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side. The MDS dated 05/03/26 showed the resident had severely impaired cognition and was dependent on staff assistance with ADLs. The physician’s orders included Lantus insulin 15 units by subcutaneous injection every morning and at bedtime for diabetes. On 5/12/26 at 8:51 A.M., an LPN administered the resident’s Lantus insulin injection in a busy hallway in the common area. The LPN confirmed at 8:52 A.M. that privacy had not been provided during the insulin administration. The DON later confirmed that injectable medications should be administered based on resident preference and with privacy maintained, and stated that if a resident is moderately or severely impaired and cannot express a preference, insulin administration should be done in the privacy of the resident’s room. The facility policy on Resident Rights stated residents have the right to have privacy respected when treatment, medication, or care is administered, including not having such care performed in common areas such as hallways.
Food Served Cold and Bland
Penalty
Summary
Food and drink were not served at a palatable, attractive, and safe appetizing temperature for Resident #9. The resident was admitted on 10/05/24 with a diagnosis of degeneration of the nervous system due to alcohol, and the 02/28/26 MDS showed the resident was cognitively intact. During interview on 05/11/26, Resident #9 stated the food was served cold and did not taste good. On 05/13/26, observation of the test tray showed mashed potatoes at 109 degrees Fahrenheit and roast beef at 99 degrees Fahrenheit; the potatoes were bland and the roast beef was cold. The Dietary Manager confirmed the potatoes were bland and the roast beef was cold. The facility policy titled Food: Quality and Palatability, dated February 2023, stated food will be palatable.
Enhanced Barrier Precautions Not Followed
Penalty
Summary
The facility failed to ensure enhanced barrier precautions (EBP) were followed for one resident with an indwelling catheter. Resident #8 was admitted with diagnoses including Parkinson's disease, epilepsy, bipolar disease, chronic kidney disease, and obstructive and reflux uropathy. The care plan dated 10/09/24 identified the resident as requiring EBP for the indwelling catheter, and the physician's orders dated 04/22/26 also included EBP related to the catheter. The resident's MDS assessment dated 02/26/26 indicated moderately impaired cognition and that staff assistance was required with ADLs. During observation of the resident's room on 05/13/26, there was no EBP sign on the door and no PPE near the door or in the room. An LPN confirmed the facility did not have the resident in EBP, and a CNA also verified there was no precaution sign and no gowns on or near the room. The facility policy stated that staff should post signs on resident doors indicating when the resident was in EBP.
Discrepancies in Code Status Documentation for Two Residents
Penalty
Summary
The facility failed to ensure that the code status of two residents matched between their electronic and paper charts, leading to discrepancies in their advanced directives. For one resident, the electronic physician order indicated a Do Not Resuscitate Comfort Care (DNRCC) status, while the paper chart showed a Do Not Resuscitate Comfort Care Arrest (DNRCCA) status. This inconsistency was confirmed by a Corporate Registered Nurse (CRN) during an interview. The resident had multiple diagnoses, including Alzheimer's disease and dementia, and required maximal assistance with daily activities. Similarly, another resident's electronic health record indicated a DNRCC-A status, but the paper form had DNRCC checked instead. This discrepancy was also verified by a CRN. The resident had severe cognitive impairment and required substantial assistance with daily activities. These mismatches in code status documentation were identified during a review of the residents' medical records and confirmed through staff interviews.
Failure to Maintain a Clean and Homelike Environment
Penalty
Summary
The facility failed to provide a clean and homelike environment for its residents, affecting three residents out of the 29 reviewed. Resident #22, who was severely cognitively impaired and required supervision and assistance for daily activities, was found to reside in a room with a greasy, slippery, and dirty floor. This condition was confirmed by both a surveyor and a State tested Nurse Aide (STNA) who experienced sliding on the floor, posing a risk of falls for the resident. Resident #70, also severely cognitively impaired and requiring substantial assistance, shared the same room with Resident #22, further highlighting the unsafe environment due to the slippery floor. Resident #446, admitted six days prior to the survey, was found to have a room lacking a headboard and a dresser that was dirty and filled with items from a previous resident. The dresser contained old food crumbs, a large brown hardened stain, dried pink nail polish, and leftover trash, making it unusable for the resident. The Unit Manager confirmed these observations, verifying the presence of the unclean conditions and the lack of a headboard. The facility's housekeeping policy, which mandates daily cleaning and disinfection of resident floors, was not adhered to, contributing to the unsanitary and unsafe living conditions.
Incorrect MDS Coding for Discharge Location
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessment for the discharge location of a resident. The resident, who was cognitively intact but required assistance for mobility and was experiencing hallucinations and delusions, was discharged against medical advice (AMA). Despite the care plan indicating a discharge to home or another facility, the MDS was incorrectly coded to reflect a discharge to a short-term general hospital. This error was confirmed during an interview with a registered nurse, who verified the incorrect coding of the discharge destination.
Failure to Develop Vision Care Plan for Resident
Penalty
Summary
The facility failed to develop a care plan for a resident with vision impairment, specifically for a resident who had undergone cataract surgery. The resident, who was cognitively intact, required various levels of assistance with daily activities and had a history of cataracts and corrective lens use. Despite these needs, the resident's care plan did not include any provisions for vision care, corrective lenses, or cataract management. The deficiency was confirmed through a review of the resident's medical records, which showed a lack of a vision care plan, and an interview with a Corporate Registered Nurse who verified the absence of such a plan. The facility's policy mandates the creation of a resident-centered care plan addressing psychosocial, physical, and emotional needs, which was not adhered to in this case.
Failure to Update Care Plan with Fall Interventions
Penalty
Summary
The facility failed to update the care plan of a resident in a timely manner with new fall interventions. The resident, who was admitted with multiple diagnoses including dementia, chronic obstructive pulmonary disease, and chronic kidney disease, was identified as being at risk for falls. Despite this, after a fall incident on 07/15/24, where the resident attempted to lay on her bedside table, the care plan was not updated to include the new intervention of removing the bedside table for safety. This oversight was confirmed during an interview with a corporate nurse. The resident's medical record and assessments indicated severely impaired cognition and a need for substantial assistance with daily activities. The facility's policy on Fall Prevention and Management, revised earlier in the year, required that care plans be updated with new fall interventions, which was not adhered to in this case. The failure to incorporate the new intervention into the care plan was a direct violation of the facility's policy, affecting the resident's safety and care management.
Deficiencies in Substance Storage and Fall Prevention
Penalty
Summary
The facility failed to ensure safe storage of cigarettes and alcohol, as well as to implement care-planned fall interventions for residents at risk for falls. Resident #128, who had a history of substance use disorder related to alcohol, was found with cigarettes and alcohol in his possession, contrary to the facility's policy. The resident admitted to using cigarettes for bargaining, which was also against the facility's rules. This indicates a lack of adherence to the facility's policy on resident substance abuse, as confirmed by a registered nurse. Additionally, the facility did not provide adequate fall prevention measures for Resident #22 and Resident #103, both of whom were at risk for falls. Resident #22, who had severe cognitive impairment and required supervision, was observed walking the halls with one sock and one bare foot, which was verified by a nurse aide. Similarly, Resident #103, also severely cognitively impaired, was seen ambulating without shoes or nonskid socks, as confirmed by another nurse aide. These observations highlight the facility's failure to implement the care-planned interventions designed to prevent falls for these residents.
Failure to Provide Timely Incontinence Care
Penalty
Summary
The facility failed to provide timely incontinence care for a resident who was dependent on staff for assistance. The resident, diagnosed with Alzheimer's disease, anxiety disorder, dementia, and major depression, was severely cognitively impaired and required substantial assistance for personal hygiene and toileting. The care plan indicated that the resident was at risk for urinary incontinence and included interventions such as applying barrier creams and checking for incontinence. However, an observation revealed the resident walking in the hallway visibly saturated with urine, indicating a lapse in timely care. Interviews with staff confirmed the deficiency in care. A registered nurse verified the resident was saturated with urine, and a state-tested nurse aide admitted to not having checked the resident for incontinence before lunch, despite having done so earlier in the day. The facility's policy on perineal care required individualized care plans for residents unable to maintain cleanliness, but the observed incident demonstrated a failure to adhere to these guidelines, resulting in the resident being left in a state of incontinence for an extended period.
Medication Labeling and Administration Deficiencies
Penalty
Summary
The facility failed to ensure that medications were properly labeled with an open date, which is necessary to prevent the use of expired medications. This deficiency was observed in two residents, where medications such as Keppra, Felbamate, and Valproic Acid were found without open dates on the bottles. The Director of Nursing confirmed that the medications were being used without the required labeling, which is against the facility's policy that mandates nurses to place a date opened sticker on medications and record the expiration date. Additionally, the facility did not ensure that medications were consumed immediately upon administration, as evidenced by a resident who was left with a medication cup containing three tablets on their bedside table. The resident confirmed that the nurse left the medications for them to take with breakfast, and the nurse admitted to not witnessing the resident take the medications. This practice is contrary to the facility's policy, which requires that only authorized personnel administer medications and that medication supplies are locked when not attended by authorized individuals.
Failure to Implement Proper Transmission-Based Precautions
Penalty
Summary
The facility failed to ensure proper transmission-based precautions for a resident as per physician orders, affecting one resident reviewed for infection control. The resident, who was admitted with diagnoses including chronic pulmonary disease, severe combined immunodeficiency, and a psychotic disorder, had a physician order for contact precautions due to Shingles. The order specified that the resident could leave the room if the rash was covered. However, during an observation, it was noted that the resident's door displayed an enhanced barrier precautions sign instead of the required contact precaution sign. Interviews with the resident and staff revealed discrepancies in the implementation of the precautions. The resident stated she did not have Shingles at the time, while an LPN acknowledged the incorrect signage and confirmed the resident was on contact precautions. The Unit Manager verified the presence of a rash and stated that the resident chose to stay in her room. The facility's policies on infection surveillance and precautions were reviewed, indicating a two-tier approach based on CDC guidelines, but the implementation was not consistent with the physician's orders.
Inaccessible Call Lights for Residents
Penalty
Summary
The facility failed to ensure that call lights were accessible to residents while in bed, affecting three residents. Resident #51, who was severely cognitively impaired and at risk for falls, had a call light that was wrapped up and hanging on the wall, making it unreachable. This was verified by a registered nurse during an observation. Similarly, Resident #143, who was cognitively impaired and also at risk for falls, had a call light that was similarly inaccessible, as it was wrapped up and hanging on the wall. This was confirmed during an observation with the same registered nurse. Resident #446, who had been at the facility for six days and was diagnosed with psychosis and dementia, was found to have her call light under her mattress, making it unreachable. During an interview, the resident stated she did not have a call light. This was verified by the unit manager, who confirmed the call light's location under the mattress. These observations and interviews highlight the facility's failure to provide accessible call lights to residents, which is a critical component of ensuring resident safety and communication.
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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) |
|---|---|---|---|---|
| Parkview Northwest Healthcare Center | 0.1 mi | ★★★★★ | 0 | 0 |
| Astoria Place Of Silverton | 1 mi | ★★★★★ | 10 | 0 |
| Mount Notre Dame Health Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Courtyard At Seasons | 2.2 mi | ★★★★★ | 16 | 0 |
| Blue Ash Health & Rehab | 2.2 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.