Above average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Courtyard At Seasons during CMS and state inspections, most recent first.
Improper Glove Use During Tray Assembly: A Dietary Aide handled resident food directly with gloved hands during tray line, including a sandwich and chicken breast, after touching multiple kitchen surfaces and equipment. He also held food with his gloved hand while cutting it, and later confirmed the actions. The FSM stated gloves should be changed and hand hygiene performed before touching food items, and the facility policy said hand hygiene is required even when gloves are worn and after gloves are removed.
Failure to use required PPE during EBP colostomy care. An LPN and CNA provided direct care to a resident with an ostomy and an EBP order while wearing gloves but not gowns. Both staff members confirmed the gown was not donned, and the facility policy required gowns and gloves for high-contact care for residents on EBP.
Dining room meals were served on trays directly from the serving cart, and staff did not remove the plates, utensils, or beverages from the trays. A CNA and the FSM confirmed the practice, and the facility policy stated meals should be served in a homelike style with food placed on the table and table settings arranged without the tray.
Code status was not correctly documented for multiple residents. One resident with heart disease, HTN, depression, anxiety, and cardiomyopathy had a signed DNR Comfort Care form in the paper chart, but the EHR listed full code; another resident with dementia, DM2, and HTN had a chart sticker showing DNRCC-A even though the DON confirmed the correct status was DNRCC. Staff also confirmed they relied on the chart to determine code status, and the facility policy required advance directives to be verified and kept in the chart.
Inadequate Mealtime Supervision: A resident with cerebral atherosclerosis, dysphagia, and severe cognitive impairment required supervision and feeding assistance during meals, but was observed sitting alone in the dining room facing the wall and coughing while eating. A CNA only intervened after the surveyor requested a check, then assisted the resident with slower pacing and smaller bites. The DON confirmed the resident needed supervision at all meals and that aides were expected to monitor residents in the dining room during meals.
Drugs and biologicals were not properly labeled and stored when an Lantus insulin pen for a resident with dementia and type 2 DM was found undated after opening, and an expired oyster shell calcium medication was found on a med cart for another resident with type 2 DM. An RN confirmed both issues during observation.
Failure to Provide Dental Services: A cognitively intact resident who required staff assistance with ADLs reported she was never offered a dental visit after admission, despite an order for ancillary services including dental care. The resident said she did not have an emergent dental need but wanted her teeth cleaned and evaluated, and the Administrator confirmed she had not been seen by a dentist since admission.
Failure to Offer Appropriate Pneumococcal Immunization: A resident with chronic atrial fibrillation, GI hemorrhage, and hyperlipidemia received PPSV23, but the record later showed pneumococcal immunizations were marked complete. The DON confirmed the facility did not offer PCV15, PCV20, or PCV21 because of the incorrect completion status, despite the facility policy requiring assessment and offering of pneumococcal vaccines shortly after admission.
Improper Glove Use During Tray Assembly
Penalty
Summary
The facility failed to safely serve food in a manner to avoid possible contamination and food borne illnesses. During observation of tray assembly, a Dietary Aide donned gloves and handled resident food items directly with gloved hands after touching multiple surfaces and items in the kitchen environment. The aide picked up a tray, reviewed the tray ticket, and then picked up a sandwich off the steam table with gloved hands. He also placed food on plates using serving utensils and removed and replaced the lid to the heated serving compartment with gloved hands. The same Dietary Aide later picked up another tray, reviewed the ticket, and picked up a chicken breast with gloved hands to place it on a plate. He then held the sandwich with his gloved hand while cutting it in half and later held the chicken breast with his gloved hand while slicing it. The aide confirmed he touched the sandwich and chicken breast directly with his gloved hands while slicing the items and that he had touched other surfaces in the kitchen before and after touching the residents' food. The Food Service Manager confirmed gloves should be changed and proper hand hygiene performed prior to touching any food items during tray line, and the facility policy stated hand hygiene should be practiced at key points even if gloves are worn and after removing gloves.
Failure to Use Required PPE During EBP Colostomy Care
Penalty
Summary
The facility failed to ensure staff donned appropriate PPE during direct care for a resident with an order for enhanced barrier precautions (EBP). Resident #50 was admitted with diagnoses including perforation of intestine, colostomy status, and hypertension, and had a physician order dated 08/26/25 for EBP related to the presence of an ostomy. During observation of colostomy care on 09/03/25 at 8:21 A.M., an LPN and a CNA donned gloves before care but did not don gowns. During interview, the LPN confirmed the resident had an order for EBP due to the colostomy and stated staff should don a gown and gloves before providing direct care to a resident on EBP. The LPN and the CNA both confirmed that a gown had not been donned prior to the colostomy care. Review of the facility policy titled Enhanced Barrier Precautions-Skilled dated 04/09/24 stated staff should wear a gown and gloves when participating in high contact resident care, including touching indwelling medical devices, for residents with physician's orders for EBP.
Dining Room Meals Served on Trays
Penalty
Summary
The facility failed to provide a comfortable homelike atmosphere for residents dining in the skilled nursing dining room. During observation of dinner, staff served residents on trays directly from the serving cart and did not remove the plates from the meal trays. A CNA confirmed that resident meals were served on trays and that staff did not remove the plates of food, utensils, and beverages from the tray. During observation of lunch in the skilled dining room, staff again served residents on trays directly from the serving cart without removing the plates from the meal trays. The Food Service Manager confirmed that resident meals were served on trays and that staff did not remove the plates of food, utensils, and beverages from the tray. The facility policy stated that resident food should be taken off the tray and placed on the table in front of each resident to be served in a homelike style, and that table settings should include tablecloths or place mats, center pieces, presetting of glassware, china plates and tableware without the tray.
Code Status Not Correctly Documented
Penalty
Summary
The facility failed to ensure resident code status was correctly documented in the medical record for three residents reviewed for advance directives. Resident #28 had an admission diagnosis history including atherosclerotic heart disease, hypertension, major depressive disorder, anxiety disorder, and cardiomyopathy. The paper chart contained a signed DNR form dated 12/18/24 showing DNR Comfort Care, and the resident was cognitively intact on the MDS, but the active physician orders in the electronic health record listed the resident as full code. An LPN confirmed the chart contained both the signed DNR form and a current full code order. Resident #31 had diagnoses including unspecified dementia, type 2 diabetes mellitus, and hypertension. The paper chart had a sticker on the outside indicating DNRCC-A, and the chart contained a physician-signed DNRCC form. However, the DON verified the resident’s correct code status was DNRCC, not DNRCC-A. A CNA stated she would check the resident’s chart if she needed to determine code status. The facility policy stated that upon admission staff would verify resident advance directives and ensure a signed copy was kept in the resident’s chart.
Inadequate Mealtime Supervision
Penalty
Summary
The facility failed to ensure appropriate supervision during mealtime for one resident who required assistance with eating. Resident #38 had diagnoses including cerebral atherosclerosis, dysphagia, and depression, and the MDS indicated severe cognitive impairment with a need for staff supervision while eating. The care plan identified the resident as being at severe nutritional and hydration risk, and physician orders included a pureed diet with nectar-thick liquids, later liberalized to mechanical soft foods for pleasure. An additional order directed staff to provide feeding assistance at breakfast daily. During observation, the resident was seated alone in the dining room facing the wall and was coughing while eating, with the coughing worsening as the meal continued. A CNA was asked by the surveyor to check on the resident and then sat with the resident, encouraged slower eating, and assisted with smaller bites. The CNA confirmed the resident had been sitting where staff could not easily see her and that she had been coughing while eating, and stated staff need to intervene immediately when a resident is coughing during meals. The DON confirmed the resident needed supervision at all meals and that aides were expected to be stationed in the dining room during meals to monitor residents eating there.
Medication Storage and Labeling Deficiencies
Penalty
Summary
Drugs and biologicals were not stored and labeled in accordance with accepted professional principles because insulin was not dated when opened and an expired medication remained in use. Resident #31, admitted 11/11/24 with diagnoses including dementia, type 2 diabetes, and hyperlipidemia, had a Lantus insulin pen in medication storage that was observed on 09/03/25 at 3:54 P.M. and had not been dated upon opening; RN #76 confirmed this at the time of observation. Resident #54, admitted 08/26/25 with diagnoses including myoneural disorder, rhabdomyolysis, and type 2 diabetes, had an active order for oyster shell calcium 500 mg twice daily, but the medication cart contained oyster shell calcium with an expiration date of July 2025; RN #76 confirmed the medication was expired and should have been discarded.
Failure to Provide Dental Services
Penalty
Summary
The facility failed to ensure dental services were provided for Resident #43, affecting 1 of 3 residents reviewed for dental services. The resident was admitted with diagnoses including hereditary idiopathic neuropathy, peripheral venous insufficiency, arthritis, and depression. The admission packet noted the facility would arrange for physician visits as authorized under the agreement for ancillary services prescribed by a physician, and a physician order dated 08/22/23 directed the resident to receive ancillary services as needed, including dental services. The resident’s MDS dated 05/20/25 showed she was cognitively intact and required staff assistance with ADLs. During interview, the resident stated she had never been offered the opportunity to see a dentist since admission and said she had no emergent dental need but felt she needed her teeth cleaned and evaluated. The Administrator confirmed the resident had not been seen by a dentist since admission.
Failure to Offer Appropriate Pneumococcal Immunization
Penalty
Summary
The facility failed to ensure residents were offered appropriate pneumococcal immunizations for one resident reviewed for immunizations. Resident #42 was admitted on 11/09/22 with diagnoses including chronic atrial fibrillation, gastrointestinal hemorrhage, and hyperlipidemia. The medical record showed the resident received Pneumovax 23 (PPSV23) on 11/10/22, and the MDS assessment dated 08/15/25 indicated the resident was cognitively intact and that pneumococcal immunizations were completed. During interview on 09/04/25, the DON confirmed the facility did not offer PCV15, PCV20, or PCV21 to Resident #42 because the resident was accidentally marked as having completed pneumococcal immunizations. The facility policy titled Offering Pneumococcal Vaccine dated 03/06/25 stated residents are to be assessed for eligibility for pneumococcal vaccines upon admission and offered within 5 days of admission.
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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) |
|---|---|---|---|---|
| Kenwood Terrace Healthcare Center | 0.3 mi | ★★★★★ | 0 | 0 |
| Montgomery Care Center | 1.1 mi | ★★★★★ | 1 | 0 |
| Blue Ash Health & Rehab | 1.4 mi | ★★★★★ | 4 | 0 |
| Madeira Healthcare Center | 1.7 mi | ★★★★★ | 1 | 0 |
| Twin Lakes | 1.8 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.