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 Eastgate Health Care Center during CMS and state inspections, most recent first.
Food service items were not stored and labeled in accordance with professional standards. Surveyors found expired pancake batter in the walk-in refrigerator, along with opened sour cream and canola oil that lacked open dates. In dry storage, 21 boxes of salt were damaged by liquid and had hardened contents. The CC and EC confirmed the items should have been dated or discarded as appropriate, and the facility policy required proper food storage and handling.
Failure to Maintain a Sanitary Environment: The facility had repeated reports of mold, mold-like substance, water damage, and stained ceiling tiles or walls in multiple areas, including resident rooms, bathrooms, the kitchen dry storage area, the med room, and the Administrator's office. Staff described black areas that could be wiped off, and a resident room on HC2 had a black area by the ceiling behind the bed during observation. The DON and Administrator confirmed concerns were to be reported via work order, and the Administrator stated the facility had not attempted to determine the origin of the black substances.
The facility did not report two separate resident-to-resident abuse allegations to the SSA as required. In one case, a resident with dementia was exposed to by another resident, and in another, a resident was struck by their roommate. Both incidents were observed, discussed with staff and management, and documented internally, but neither was reported to the SSA, contrary to facility policy.
The facility did not thoroughly investigate allegations of abuse or ensure resident protection during investigations. In two separate incidents, one involving a resident exposing themselves and another involving a resident being struck by a roommate, staff and administration failed to report the events to the SSA, did not document the allegations as abuse, and did not implement protective measures as required by facility policy.
A significant medication error occurred when a resident with diabetes and other chronic conditions was mistakenly given 60 units of short-acting insulin (Humalog) instead of the prescribed long-acting insulin (Lantus) at bedtime. The error was identified and reported by an LPN, and the resident was subsequently sent to the hospital for evaluation and monitoring, with no immediate signs of hypoglycemia observed.
Failure to provide nail care for a dependent resident. A resident with dementia, DM2, and glaucoma had fingernails that were 3 to 4 inches long, jagged, discolored, and dirty with debris underneath. The resident wanted the nails cleaned and trimmed. CNAs said they could clean the nails but not cut them because of diabetes, while an LPN and the DON confirmed the nails were excessively long and that nurses were responsible for nail care; the facility policy stated staff should perform nail care as needed.
A resident with severe cognitive impairment and a DNR comfort care order had conflicting code status documentation in the chart. The SW documented the resident as full code without reviewing physician orders, and the MD also entered full code in progress notes because the code status field in the EHR was prepopulated. The facility policy required records to be complete and accurately documented.
Food Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. During observation of the walk-in refrigerator, surveyors found a large container of pancake batter with an open date of 08/12/25 and a discard date of 08/17/25, a large opened container of sour cream without an open date, and a large opened container of canola oil without an open date. The Corporate Chef confirmed that items in the refrigerator should have open and discard dates and that the sour cream and canola oil lacked open dates, and the pancake batter should have been discarded by the discard date on the label. Surveyors also observed 21 boxes of salt in dry storage that appeared damaged by liquid and had hardened contents; the Executive Chef confirmed the damaged foods should have been thrown away and stated the boxes of salt had liquid damage and should have been discarded. The facility policy titled Safe Food Handling and Storage stated that proper storage and handling of all foods was essential in preventing chemical, physical, or biological contamination.
Failure to Maintain a Sanitary Environment
Penalty
Summary
The facility failed to maintain its environment in a sanitary manner on Health Care 2, one of the four halls where residents resided. Record review showed multiple work orders over time for mold, mold-like substance, or water damage in different areas of the facility, including the Administrator's office, resident rooms, bathrooms, the kitchen dry storage area, the Health Care 1 medication room, and A/C units or registers. Several work orders documented that mold was seen, smelled, cleaned, treated, or that damaged materials such as ceiling tiles, drywall, or a vanity were replaced or repaired. During observation on 08/18/25, a black area was seen on the left wall by the ceiling behind a resident's bed in room [ROOM NUMBER] on HC2. On 08/21/25, the black area was no longer present in that room, but stained brown and black ceiling tiles were observed in the dining room adjacent to the room. The Maintenance Director stated he was not aware of mold in the facility and described the black substance as something that could be wiped off easily. The Housekeeper confirmed she had removed a black stain from the wall in the room, and the Environmental Services Supervisor stated that black areas could appear during high humidity days and would wipe off and not come back. Interviews with the DON and Administrator confirmed that staff were expected to report black substances or possible mold through work orders so they could be addressed immediately. The DON stated she thought a contractor would be hired to test or evaluate the situation, while the Administrator stated the facility had not made any attempts to determine the origin of the black substances described in the work orders. The facility policy titled Environmental Services-Homelike Environment stated the facility would maintain a high standard of cleanliness in all areas and work to maintain a comfortable homelike atmosphere that was clean and odor free.
Failure to Report Allegations of Abuse to State Survey Agency
Penalty
Summary
The facility failed to ensure that allegations of abuse, specifically resident-to-resident incidents, were reported to the State Survey Agency (SSA) as required by both regulation and facility policy. In one instance, a resident with dementia and behavioral disturbances was reportedly exposed to another resident who approached their room with their pants down. The incident was witnessed by the resident's representative, who intervened and reported the event to nursing staff and later to facility management. Despite multiple discussions with staff, including the Administrator, DON, and Social Services Designee, the incident was not documented as an allegation of abuse nor reported to the SSA. In a separate event, a resident with severe cognitive impairment was found by staff being struck by their roommate with a plastic cup. The incident was observed by an LPN, who notified the charge nurse and DON. The event was discussed in interdisciplinary team meetings, and behavioral interventions were implemented, but the incident was not reported to the SSA as required. Interviews with staff confirmed that such incidents should be reported within two hours, but the Administrator made the final decision not to report these events. Review of facility policy confirmed that all allegations of abuse, neglect, or misappropriation of property were to be reported to the SSA. The failure to report these incidents, despite clear evidence and staff awareness, constituted noncompliance with regulatory requirements and facility policy. The deficiency was identified through medical record review, staff and resident representative interviews, and facility document review.
Failure to Investigate and Protect Residents During Abuse Allegations
Penalty
Summary
The facility failed to thoroughly investigate allegations of resident abuse and did not ensure the protection of residents from further potential abuse during the course of the investigation. In one instance, a resident with dementia and severe cognitive impairment was reportedly exposed to another resident who approached their room with their pants down. The incident was witnessed by the resident's representative, who intervened and reported the event to nursing staff and later to facility administration. Despite these reports, the facility did not document the allegation as possible resident-to-resident abuse, did not report the incident to the State Survey Agency (SSA), and did not conduct a thorough investigation or implement protective measures during the investigation period. In another case, a resident with Alzheimer's disease and severe cognitive impairment was found by staff being struck by their roommate, who also had severe cognitive impairment and a history of behavioral problems. The staff member who witnessed the incident reported it to the charge nurse and DON, and the incident was discussed in an interdisciplinary team meeting. However, the facility did not report the altercation to the SSA, did not conduct a thorough investigation, and did not ensure protective measures were in place for the residents involved during the investigation. Interviews with facility staff, including the DON, Administrator, and other nursing staff, confirmed that decisions regarding reporting to the SSA were deferred to the Administrator, and that resident-to-resident altercations were not consistently reported or investigated as required by facility policy. The facility's policy stated that all allegations of abuse would be investigated and that residents would be protected from further potential abuse during investigations, but this was not followed in the cases reviewed.
Significant Medication Error: Wrong Insulin Administered
Penalty
Summary
A significant medication error occurred when a resident with a history of myocardial infarction, chronic kidney disease, and type 2 diabetes mellitus was administered the wrong type and dose of insulin. The resident was prescribed Lantus insulin, 95 units at bedtime, and Humalog insulin, 15 units with meals, to be held if blood sugar was below 150. On the evening in question, a licensed practical nurse mistakenly administered 60 units of Humalog instead of the ordered 95 units of Lantus. This error was identified and reported by the nurse, and the resident was monitored for signs and symptoms of hypoglycemia, though none were observed at the time. The incident was confirmed through interviews with facility staff, the resident's representative, and the medical director, as well as a review of the resident's medical record and facility policies. The facility's policy required that medication errors be prevented and reported. Following the error, the resident's physician was notified and ordered the resident to be transferred to the hospital for evaluation and monitoring, where multiple glucose tests were performed. The deficiency was identified during a complaint investigation and was substantiated by documentation and staff interviews.
Failure to Provide Nail Care
Penalty
Summary
The facility failed to provide nail care for a resident who was dependent on staff for activities of daily living. The resident was admitted with diagnoses including dementia without psychotic disturbance, type 2 diabetes mellitus, blindness to the right eye, and bilateral glaucoma. The care plan identified a self-care performance deficit and directed staff to assist with ADLs as needed. The MDS assessment showed severe cognitive impairment, dependence on staff for personal hygiene, and no rejection of care during the look-back period. During observation, the resident's fingernails on both hands were three to four inches long, extending beyond the fingertips, and were discolored, rough, jagged, and had a brown substance underneath. The resident stated they wanted their fingernails cleaned and trimmed. CNA staff confirmed the nails were very long and dirty, with dried food or another substance underneath, and stated they could clean the nails but could not cut them because of the resident's diabetes. An LPN confirmed the nails were about four inches long with food underneath and stated nurses were responsible for nail care. The DON also confirmed the nails were exceedingly long and needed cleaning, and the facility policy stated staff should perform nail care for residents as needed.
Inaccurate Code Status Documentation in Medical Record
Penalty
Summary
The facility failed to maintain medical records that were complete and accurate for one resident. Resident #154 was admitted with diagnoses including protein-calorie malnutrition and had severe cognitive impairment per the MDS assessment. The resident also had a physician-signed DNR comfort care order, and the order recap report reflected the resident’s code status as DNR comfort care. Despite those orders, the social service assessment completed by SW #12 documented the resident as full code, and physician progress notes entered by Physician #25 also documented the resident as full code on two occasions. SW #12 stated she did not review the physician’s orders before completing the social services assessment and acknowledged the documentation error. Physician #25 confirmed the code status was documented in error in the progress notes and stated the code status field in the electronic notes was prepopulated. The facility policy stated medical records would be complete, accurately documented, readily accessible, and systematically organized.
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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) |
|---|---|---|---|---|
| Glen The | 0.4 mi | ★★★★★ | 3 | 0 |
| Otterbein Union Township | 1.5 mi | ★★★★★ | 10 | 0 |
| Atlantes The | 1.8 mi | ★★★★★ | 0 | 0 |
| Siena Gardens Rehabilitation & Transitional Care | 2.2 mi | ★★★★★ | 2 | 0 |
| Forest Hills Healthcare Center. | 2.9 mi | ★★★★★ | 16 | 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.