Average — CMS composite of the measures below.
The next survey window likely opens around March 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 Clifton Healthcare Center during CMS and state inspections, most recent first.
Food storage and kitchen sanitation were deficient when staff found no paper towels at the handwashing station, undated and expired items in refrigerators, and multiple foods stored open to air in the walk-in fridge and freezer. The kitchen also had a dirty exhaust fan, wet pans and trays stacked before drying, a staff member handling a hamburger bun with bare hands, and a resident-use refrigerator with spills, debris, unlabeled food, and expired items.
Failure to Obtain Guardian Consent for Pharmacogenomics Testing: The facility did not obtain guardian consent for pharmacogenomics testing for four residents. The residents had court-appointed guardians, and the consent forms were not signed by the guardian. The guardian and the Administrator both confirmed the missing consent, and the facility policy stated legal representatives should be informed of the care and services provided.
Delayed Care Conference Documentation: The facility failed to document timely care conferences for four residents. Records showed residents with conditions including dementia, aphasia, respiratory failure, COPD, MS, cirrhosis, diabetes, and hepatic encephalopathy, with MDS findings ranging from severely impaired cognition to cognitive intactness. Staff confirmed that care conferences were expected on a quarterly basis, but documentation showed gaps and only limited conference records for each affected resident.
Improper Storage of Chemicals on Secured Unit: An RN confirmed that shaving cream, body wash/shampoo, and a multi-surface disinfectant were left in unlocked storage areas in the secured unit dining room. The product labels and SDS included warnings to keep the items out of reach of children and noted hazardous effects for the disinfectant. Facility policy required chemical storage areas or carts to be locked when not in use.
Surveyors found that two residents sharing a double-occupancy room did not have privacy curtains, preventing visual privacy when needed. An MT confirmed the absence of curtains, and review of the facility’s Resident Rights policy showed that residents were entitled to visual privacy. This failure affected two of three residents reviewed for the physical environment in a facility with a census of 137 residents and was cited under a complaint investigation.
Failure to provide nail care for two dependent residents. One resident with schizophrenia and dementia, and another resident with CVA, COPD, chronic respiratory failure, DM2, and vascular dementia, both had care plans and MDSs showing need for staff help with personal hygiene. Surveyors observed long fingernails with an unknown brown substance under the nails, and both residents stated they wanted their nails trimmed and cleaned. An LPN later verified the nail care was needed; the second resident also had contracted fingers and said staff were not applying her left-hand splint.
The facility failed to ensure care and services were provided for management of contractures and decreased ROM for three residents. One resident with CVA and other chronic conditions had a left resting hand splint ordered, but staff repeatedly left it off while the TAR showed it as applied. A second resident with dementia and bilateral hand contractures had no restorative services and staff were unaware of the contractures, and a third resident with a contracted left hand and functional quadriplegia had no care plan interventions or devices in place while staff confirmed the contracture was not being managed.
Staff failed to use required PPE for two residents on contact precautions and failed to perform proper hand hygiene during incontinence care for another resident. A CNA entered one resident’s room and removed a lunch tray without a gown and gloves, and another CNA provided personal hygiene care without donning PPE despite contact precaution signage. During incontinence care, a CNA handled items and continued care while wearing soiled gloves, and the DON confirmed gloves should be removed and hand hygiene performed when gloves become soiled.
The facility did not complete required BCI and FBI background checks for several new hires, including housekeepers, CNAs, a med tech, a maintenance director, dietary aides, and the administrator, as confirmed by personnel record reviews and staff interviews. This failure to follow facility policy had the potential to affect all residents.
A resident with multiple health conditions did not receive prescribed Bactrim DS due to an allergy-related hold by the pharmacy and lack of timely clarification from the provider. Despite communication between the pharmacist and an RN, the facility failed to secure an alternative medication, resulting in missed doses and inadequate documentation.
Food Storage and Kitchen Sanitation Deficiencies
Penalty
Summary
The facility failed to store foods in a sanitary manner and failed to maintain a clean and sanitary kitchen. During observations, the handwashing station had no paper towels available for staff use. The stand-up refrigerator contained a container of sandwiches with no date, a half-gallon of milk with an expiration date of 04/09/26, an opened jar of grape jelly with no date, a container of whipped cheese spread with an open date of 03/19/26, and a cottage cheese container with a use-by date of 04/09/26. Staff confirmed the lack of paper towels and the presence of undated and expired items in the refrigerator. Additional observations found the walk-in refrigerator door would not close properly and contained an undated metal pan of cooked hamburgers, a sealed roll of undated ground beef, and four gallons of milk with an expiration date of 04/09/26. The walk-in freezer contained undated green peas, veggie burgers open to air, hotdogs open to air, mixed vegetables open to air, and cookie dough balls open to air. The exhaust fan above the oven was dirty, and wet metal pans and trays were stacked for storage without being dried. A staff member also removed a hamburger bun from a bag with bare hands to place on a resident tray. The third-floor refrigerator used for resident food had a spill of pink liquid and crumbs and debris, and contained an unlabeled undated container of food, undated shredded cheese, and expired milk and blue cheese dressing. The facility policy required foods to be wrapped or covered, labeled and dated, and arranged to prevent cross contamination.
Failure to Obtain Guardian Consent for Pharmacogenomics Testing
Penalty
Summary
The facility failed to obtain consent from resident guardians for pharmacogenomics testing for four residents. Resident #28 had diagnoses including schizophrenia and type 2 diabetes, had a court-appointed guardian, and had a consent form for pharmacogenomics testing dated 11/26/25 that was not signed by the guardian. Resident #64 had diagnoses including COPD, chronic respiratory failure with hypoxia, type 2 diabetes mellitus, and vascular dementia, had a court-appointed guardian, and had a pharmacogenomics testing consent form dated 09/25/25 that was not signed by the guardian. Resident #121 had diagnoses including osteoarthritis, hypertension, and Alzheimer's disease, had a court-appointed guardian, and had a pharmacogenomics testing consent form dated 11/03/25 that was not signed by the guardian. Resident #138 had diagnoses including schizoaffective disorder, COPD, and type 2 diabetes mellitus, had a court-appointed guardian, and had a pharmacogenomics testing consent form dated 09/25/25 that was not signed by the guardian. The guardian confirmed the facility had not obtained consent for pharmacogenomics testing for these residents, and the Administrator also confirmed the guardian's consent had not been obtained. The facility policy titled Consent to Treat stated the facility should ensure residents' legal representatives are informed of the type of care and services provided within the facility.
Delayed Care Conference Documentation
Penalty
Summary
The facility failed to document timely care conferences for four sampled residents, and the report states that the complete care plan should be developed within 7 days of the comprehensive assessment and prepared, reviewed, and revised by a team of health professionals. For Resident #135, the record showed an admission date of 03/17/25 with diagnoses including vascular dementia with behavioral disturbance, anxiety, depression, and glaucoma. The MDS dated 03/25/26 indicated severely impaired cognition. The facility documented care conferences on 03/18/25 and 04/17/26, while the resident’s representative stated on 04/19/26 that there had not been any recent care conferences. Social Services Designee #321 later verified care conferences on 03/18/25 and 04/18/26 and stated they should be held quarterly. For Resident #79, the record showed an admission date of 10/14/13 with diagnoses including Alzheimer’s disease, hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, and aphasia. The MDS dated 02/14/26 showed cognitive impairment. The facility record showed care conferences on 12/24/24, 03/21/25, and 01/23/26, and the Director of Social Services confirmed no other care conference documentation since 12/12/24 was available and that conferences should have been held quarterly. For Resident #1, admitted 04/22/25 with acute and chronic respiratory failure with hypoxia, COPD, and multiple sclerosis, the only documented care conference was on 04/25/25. For Resident #15, admitted 01/16/25 with alcoholic cirrhosis of the liver with ascites, type 2 diabetes mellitus, and hepatic encephalopathy, the only documented care conference was on 01/25/25. The MDS for Resident #1 showed cognitive intactness, and the MDS for Resident #15 also showed cognitive intactness.
Improper Storage of Chemicals on Secured Unit
Penalty
Summary
The facility failed to safely store chemicals on the secured unit. During observation of the first-floor dining room on the secured unit, two cans of shaving cream were found in an unlocked drawer, along with a bottle of body wash and shampoo, and a spray bottle of multi-surface disinfectant in an unlocked lower cabinet. The product labels included warnings to keep the items out of reach of children, avoid contact with eyes, and not drink the disinfectant; the disinfectant SDS also listed hazard statements including severe skin burns and eye damage, harmful if inhaled, and to call a poison center or doctor if swallowed. An RN confirmed the shaving cream, body wash/shampoo, and disinfectant spray should be stored in a secured location and should not be accessible to residents. The facility policy on chemical storage stated staff should lock chemical storage areas or carts when not in use to prevent unauthorized access.
Failure to Provide Visual Privacy in Shared Bedroom
Penalty
Summary
The deficiency involves the facility’s failure to provide visual privacy for residents in a shared bedroom, as required by its own Resident Rights policy. During an observation on 04/19/26 at 10:18 A.M., surveyors noted that no privacy curtains were in place in the double-occupancy room shared by Residents #15 and #147, meaning the residents could see each other when privacy was needed. At 10:20 A.M. the same day, a Medication Technician (MT #418) confirmed that there were no privacy curtains present in this double room. Review of the facility’s Resident Rights policy showed that residents were entitled to visual privacy, but this was not provided for the two residents in the observed room. This situation affected two of three residents reviewed for the physical environment, in a facility with a total census of 137 residents, and was cited as noncompliance under Complaint Number 2606421.
Failure to Provide Nail Care for Dependent Residents
Penalty
Summary
The facility failed to provide nail care for two dependent residents who required staff assistance with personal hygiene. Resident #35, admitted with diagnoses including paranoid schizophrenia, vascular dementia, PTSD, and OCD, had care plan and MDS documentation showing a self-care deficit and need for supervision or staff assistance with personal hygiene. During observation, the resident’s fingernails were long and had an unknown brown substance under them, and the resident stated she wanted staff to trim and clean her fingernails. An LPN later verified the fingernails were long, had an unknown brown substance under the nails, and needed nail care. Resident #64, admitted with diagnoses including CVA with left-sided hemiplegia/hemiparesis, COPD, chronic respiratory failure with hypoxia, diabetes mellitus type II, pseudobulbar affect, and vascular dementia, had MDS and care plan documentation showing dependence on staff for personal hygiene. Observation showed the resident’s left-hand fingernails were long and had an unknown brown substance under the nails; the left hand and fingers were contracted, and the resident had to use the right hand to pry the fingers back so the nails could be viewed. The resident stated she wanted staff to trim and clean the left-hand fingernails and apply her left-hand splint, which was observed in the bottom drawer of the bedside dresser. An LPN later verified the left-hand fingernails were long, had an unknown brown substance under the nails, and needed nail care.
Failure to Manage Contractures and ROM Needs
Penalty
Summary
The facility failed to ensure residents received care and services for management of contractures and decreased range of motion for three residents reviewed. One resident with a history of cerebrovascular accident, COPD, chronic respiratory failure with hypoxia, and diabetes had an order to wear a left resting hand splint for six to eight hours as tolerated, and OT goals included passive ROM to the left upper extremity and tolerance of the splint to decrease the risk for contractures. However, the resident was repeatedly observed without the splint in place, with the splint found in the bedside dresser drawer, and staff confirmed it was not being worn even though the TAR documented it as applied. The resident also stated the splint was in the drawer and wanted it applied. A second resident with diagnoses including bipolar disorder, dementia, peripheral vascular disease, and contractures of both hands was cognitively intact and required supervision with ADLs, but staff were unaware of the resident’s contractures. The clinical manager confirmed the resident had not received restorative services, and OT later assessed the resident and determined the resident had bilateral upper extremity contractures that should be treated. A unit manager also confirmed she was unaware of the resident’s contractures. A third resident with chronic respiratory failure, contracture of the left hand, and functional quadriplegia had moderate cognitive impairment, was dependent for ADLs, and had mobility impairments on both sides of the upper and lower body. The care plan contained no interventions to prevent worsening of the contracted left hand, and the resident was observed lying in bed with the left hand visibly contracted and no assistive devices in place to treat or manage the contracture. Staff confirmed they were not aware of any interventions, and an RN verified the facility had not implemented interventions to treat and manage the contracture and prevent it from worsening.
Failure to Use PPE and Perform Hand Hygiene During Resident Care
Penalty
Summary
Staff failed to ensure appropriate PPE was worn for residents on contact precautions. Resident #77 had diagnoses including hypertensive heart disease, chronic kidney disease, and type 2 diabetes mellitus, and was ordered on contact isolation for an E. coli infection in the urine. The resident’s room had a sign directing staff to don a gown and gloves before entry, and gowns and gloves were available outside the room. However, a CNA entered the room and removed the resident’s lunch tray without donning a gown and gloves, and the CNA confirmed this during interview. A similar failure occurred for Resident #131, who had diagnoses including spinal stenosis, major depressive disorder, and chronic kidney disease stage two, and had an order for contact precautions due to an E. coli urine infection. A CNA entered the resident’s room to provide personal hygiene care without first donning a gown and gloves, despite a sign on the door indicating that all care providers should do so. The facility also failed to ensure proper hand hygiene during incontinence care for Resident #123, who had diagnoses including schizoaffective disorder, chronic viral hepatitis C, and a history of MRSA infection. During care, a CNA handled clean washcloths, washed hands over the sink, donned gloves, and later continued care while wearing soiled gloves after touching the sink, soap bottle, and faucet. The CNA confirmed the actions during interview, and the DON confirmed staff should remove gloves and perform hand hygiene when gloves become soiled.
Failure to Complete Required Background Checks for New Hires
Penalty
Summary
The facility failed to complete required Bureau of Criminal Investigation (BCI) and Federal Bureau of Investigation (FBI) background checks upon hire for multiple new employees, including housekeepers, certified nursing assistants (CNAs), a med tech, a maintenance director, dietary aides, and the administrator. Personnel record reviews and interviews confirmed that these background checks were not performed as mandated by facility policy, which requires such checks prior to employment. The facility's BCI log indicated that background checks had been completed for all new employees, but further review of individual personnel records revealed otherwise. During interviews, both the administrator and the Employee Lifecycle Manager acknowledged that the required background checks had not been completed for the identified staff members. The facility policy on abuse, neglect, and misappropriation of property specifically states that only properly screened individuals should be employed, and that extensive background checks are a part of this process. The failure to conduct these checks had the potential to affect all residents in the facility, which had a census of 137 residents at the time.
Delay in Medication Administration Due to Unclarified Physician Orders
Penalty
Summary
The facility failed to ensure timely clarification of physician orders, resulting in a delay in medication administration for a resident. The resident, who was cognitively intact, had multiple diagnoses including multiple sclerosis, diabetes mellitus, and major depressive disorder. A physician ordered Bactrim DS for the resident to be administered twice daily for an infection. However, the medication was not administered on two occasions due to a recorded allergy to sulfacetamide, which led the pharmacy to withhold the medication and request clarification from the facility. Despite the pharmacist's communication with a registered nurse at the facility, the necessary clarification from the provider was not obtained, and the medication was not delivered. The nurse attempted to contact the on-call provider but was unable to secure an alternative antibiotic. Consequently, the resident did not receive the prescribed doses on two separate days, and the facility's medication administration records indicated a hold on the medication without further documentation or follow-up. This deficiency was identified during a complaint investigation.
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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) |
|---|---|---|---|---|
| Seven Acres Senior Living At Clifton | 0.2 mi | ★★★★★ | 1 | 0 |
| Scarlet Oaks Nursing And Rehabilitation Center | 1.5 mi | ★★★★★ | 0 | 0 |
| Garden Park Health Care Center | 2 mi | ★★★★★ | 3 | 0 |
| Astoria Place Of Cincinnati | 2 mi | ★★★★★ | 42 | 0 |
| Harrison Pavilion Care Center | 2.4 mi | ★★★★★ | 24 | 0 |
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