Above 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 Lodge Nursing & Rehab Center during CMS and state inspections, most recent first.
Unsafe Food Storage and Preparation Practices: A Dietary Director observed sanitizer stored in the food prep sink, cracked eggs held on melting ice at 46 degrees F, an unclean can opener blade, wet containers stacked before air drying, and a tray-line cooler at 45 degrees F with yogurt at 44 degrees F. Opened pasta bags were undated, and a DA prepared a grilled cheese sandwich after donning gloves without washing hands first, contrary to facility policy.
Two residents were not treated with dignity and respect in staff communications. One resident with cancer, anxiety, delusional disorder, and moderate cognitive impairment was observed agitated and argumentative at her doorway while staff attempted to assist her, and an RN remarked to a surveyor that the resident’s behavior made it seem her cancer had spread to her brain. Another cognitively intact but deaf resident, who uses lip reading and other methods to communicate, requested an ASL interpreter for an interview; afterward, the same RN told the surveyor that the resident only wanted an interpreter because she loves attention. These comments were acknowledged by facility leadership as inappropriate and inconsistent with the facility’s dignity policy.
The facility failed to provide adequate ADL care, including grooming, nail care, and bathing, to three cognitively intact residents who were dependent on staff. One resident who required extensive assistance for mobility and was dependent for toileting and bathing was observed with long chin hairs, reported embarrassment, and stated staff had not offered shaving. Another resident needing substantial assistance for mobility and personal care had overgrown, painful toenails that curved into adjacent toes, reported having requested nail care over a month earlier, and an LPN and corporate QA nurse confirmed the toenail condition was unacceptable and should have been addressed. A third resident, totally dependent for showering per care plan, reported going about two weeks without a shower, and task records over multiple months showed numerous scheduled bathing days documented as not attempted or left blank, with the corporate QA nurse confirming no showers were provided on those days despite a policy requiring ADL assistance based on individual needs.
A resident with anxiety, depression, delusional disorder, and moderate cognitive impairment did not receive psychiatric services in a timely manner after the resident and family requested evaluation. Records documented agitation, refusals of care, delusions, and staff contact with psych services about medication management, but the resident was not seen until after the request had been pending.
An RN left a med cart unlocked while administering meds to a resident, and an LPN later found opened Cosopt PF eye drop pouches in a med cart that were either outdated or not labeled with an opening date. The resident receiving the eye drops had Alzheimer’s disease and macular degeneration, and the package instructions required the ampules to be stored in the pouch and discarded 15 days after opening.
A resident with dementia and other health issues fell during a transfer, resulting in skin tears. The LTC facility failed to document the incident, investigate it thoroughly, or implement new fall prevention interventions. The facility's policies on fall management and care plan updates were not followed.
The facility failed to accurately reconcile narcotics for two residents. One resident's morphine bottle contained less medication than recorded, and another resident's Lorazepam bottle also showed a discrepancy. The facility's policy requiring narcotic counts at shift changes was not followed.
Unsafe Food Storage and Preparation Practices
Penalty
Summary
The facility failed to store and prepare food in a sanitary manner to prevent spoilage and protect against foodborne illness. During observation, a red plastic bucket containing sanitizer was stored in the food preparation sink, and the Dietary Director verified it should not have been there. Two cracked eggs were observed stored in a small plastic bowl on ice in the kitchen, but the ice had almost completely melted and the eggs were at 46 degrees F; the Dietary Director verified the eggs should be stored below 41 degrees F. The can opener blade was observed to be unclean with a buildup of food debris, and the Dietary Director verified it was unclean. Two plastic containers were also observed stacked while wet, and the Dietary Director verified they should have been completely air dried before stacking. Additional observations showed a cooler on the tray line holding drinks and yogurts with a temperature of 45 degrees F. The Dietary Director verified the cooler temperature was 45 degrees F, and a yogurt taken from the cooler was 44 degrees F, above the required temperature of below 41 degrees F. Opened bags of dry spaghetti noodles, egg noodles, zetti noodles, and penne noodles were also observed without an open date, and the Dietary Director verified they were not dated when opened. On a later observation, a Dietary Aide obtained a grilled cheese sandwich from the walk-in cooler, put on gloves, and prepared the sandwich without washing her hands first; she verified she did not wash her hands prior to donning gloves and preparing the sandwich. The facility policy required food to be dated as required by state regulations, refrigerated food to be maintained at or below 41 degrees F, employees to wash hands before putting on and after removing gloves, and food equipment to be cleaned, sanitized, air dried, and reassembled after each use.
Failure to Treat Residents With Dignity and Respect in Staff Communications
Penalty
Summary
The deficiency involves failure to honor residents' rights to dignity and respect in interactions by facility staff. One resident with malignant neoplasm of the base of the tongue, generalized anxiety disorder, delusional disorder, and moderate cognitive impairment was observed standing in her doorway, visibly agitated and argumentative with staff who were attempting to assist her. During this observation, a registered nurse (RN #418) commented to the surveyor that, based on the resident's behavior, it appeared the cancer had spread to her brain. This remark was made in reference to the resident's condition and behavior and was determined to be inconsistent with the facility's dignity policy, which requires care that promotes and enhances quality of life, dignity, respect, and individuality. A second resident, who is cognitively intact but highly hearing impaired due to nerve damage in the ears and relies on lip reading, writing, communication boards, gestures, sign language, and picture cards, requested an American Sign Language interpreter for an interview with the surveyor. Later that morning, the same RN (RN #418) asked the surveyor how the interview went and, upon being told that the resident had requested an interpreter, stated that the resident only requested an interpreter because she loves the attention. These comments about both residents were confirmed by the corporate quality assurance nurse as not appropriate when speaking about a resident, and they conflicted with the facility’s written dignity policy dated 02/28/20. The deficiency was cited under residents’ rights to dignity, respect, and self-determination and was investigated under a specific complaint number.
Failure to Provide Adequate ADL Care, Grooming, and Bathing
Penalty
Summary
The deficiency involves the facility’s failure to provide adequate ADL care, including grooming, nail care, and bathing, to cognitively intact residents who were dependent on staff. One resident with a history of right femur fracture, type 2 diabetes, depression, and breast cancer required substantial/maximal assistance with bed mobility and transfers and was dependent for toileting and bathing. On observation, this resident was found lying in bed with multiple chin hairs 1 to 1.5 inches long. In interview, she emphatically stated she did not prefer to have chin hairs, reported that in the community she had dermaplaning at a spa, and expressed embarrassment about her chin appearance, adding that staff had not offered to shave her. An LPN confirmed the presence of several long chin hairs and that staff had not yet cleaned her up. Another resident with type 2 diabetes, right knee effusion, and hyperlipidemia, who required substantial/maximal assistance with bed mobility, transfers, toileting, and bathing, was observed sitting in a chair with long, overgrown toenails. The great toenails on each foot curved into the adjacent toenails, causing irritation. This resident emphatically reported pain from the toenails rubbing and catching on things and stated she had requested nail care over a month earlier. An LPN confirmed the toenails were unacceptably long and stated a podiatry consult would be entered, and a corporate QA nurse confirmed staff should have addressed the toenail length. A third resident, admitted with a displaced intertrochanteric fracture of the left femur, muscle weakness, dementia, and intervertebral disc degeneration, was cognitively intact and care planned as totally dependent for showering and ADLs. He reported not receiving showers regularly and stated he had gone about two weeks without a shower. Bathing tasks were scheduled twice weekly, but documentation for one month showed all scheduled days marked as not attempted, the following month showed only four of nine scheduled days with bathing assistance provided, and the current month showed one blank day and one day marked not attempted. The corporate QA nurse verified that on days marked not attempted or left blank, the resident did not receive a shower, contrary to the facility’s ADL care policy requiring staff to assist with bathing based on individual needs.
Delayed Psychiatric Services for Resident with Anxiety, Depression, and Delusions
Penalty
Summary
The facility failed to ensure that Resident #11 received psychiatric services in a timely manner. Resident #11 was admitted with diagnoses including malignant neoplasm of the base of tongue, generalized anxiety disorder, depression, and delusional disorders, and the MDS reflected moderate cognitive impairment. The care plan identified impaired cognitive function/dementia or impaired thought process, with interventions to keep family and caregivers informed and to monitor, document, and report changes in cognitive function. During observation, Resident #11 was seen appearing agitated and untrusting of staff while standing in the doorway of her room and resisting encouragement to use her walker. The record showed repeated requests for psychiatric evaluation and medication review from the resident’s family and staff. A mental health services request form was signed by the resident, family concerns about her mental health were documented, and a physician order was entered for psychological/psychiatric services. Progress notes also documented anxiety, frequent refusals of care, delusions, and family reports that she did not recognize familiar people and did not trust them. Although psychiatric services were requested and staff contacted psychiatric services about medication management, the resident was not seen until after the request had been pending, and the corporate QA nurse confirmed that services usually start within a week of being requested and that Resident #11 had not been seen before 04/08/26.
Unlocked Medication Cart and Improper Eye Drop Storage
Penalty
Summary
The facility failed to ensure medication carts were kept locked while nurses administered medications. One resident on the Central Unit had severely impaired cognition, vascular dementia with mood disturbance, a history of unspecified cerebral infarction, protein-calorie malnutrition, and colon cancer with colostomy status; the resident used a walker and required touch assistance at times. During observation, an RN prepared medications for another resident and left the medication cart unlocked before entering the room. The RN administered the medications, assessed the resident’s pulse and oxygen saturation, adjusted the head of bed, washed her hands, and then returned to the unlocked cart. When interviewed, the RN acknowledged the cart was unlocked and not in sight while medications were being administered. The facility also failed to store eye drops according to the manufacturer’s instructions. A resident with late-onset Alzheimer’s disease, protein-calorie malnutrition, COPD, and macular degeneration had an order for Cosopt PF ophthalmic solution to be instilled into both eyes twice daily. On observation, the Shelter-Even medication cart contained two opened pouches of Cosopt single-use ampules in light-resistant packaging. One opened pouch had a handwritten expiration date and contained twelve ampules, and the second opened pouch contained nine ampules but was not labeled or dated. The package instructions stated that after the pouch is opened, it should be stored in the single-use pouch to protect from light and any unused single-use containers should be discarded 15 days after opening. An LPN verified that the labeled pouch was outdated and stated she did not know when the unlabeled pouch had been opened.
Failure to Investigate Fall and Implement Interventions
Penalty
Summary
The facility failed to thoroughly investigate a fall incident involving Resident #42 and did not implement new fall interventions to prevent future falls. Resident #42, who was admitted with diagnoses including dementia, anxiety, diabetes mellitus, atrial fibrillation, and hypotension, was at risk for falls due to impaired safety awareness and resistance to care. On 08/29/24, the resident sustained large skin tears and bruising during a transfer with a State tested Nurse Aide (STNA), but the incident was not documented in the facility's incident log, and no new interventions were added to the resident's fall care plan. The incident was initially reported as an injury of unknown source, and the facility's Self-Reported Incident (SRI) indicated that the resident had skin tears on the left upper extremity. The investigation concluded that the resident fell during a transfer, but the facility did not suspect abuse or neglect. The Assistant Director of Nursing (ADON) confirmed that the facility failed to investigate the fall thoroughly and did not meet as a team to discuss the incident or update the resident's care plan with new interventions. The facility's policy on fall management requires a comprehensive plan of care with interventions monitored for effectiveness, but this was not followed. The policy also mandates notifying the physician and family, reviewing and updating the care plan, and documenting all assessments and actions, which were not completed in this case. The deficiency was investigated under Complaint Number OH00157672.
Failure to Accurately Reconcile Narcotics
Penalty
Summary
The facility failed to ensure accurate reconciliation of narcotics for two residents. Resident #64, who had severe vascular dementia and other chronic conditions, was prescribed Morphine sulfate for pain management. During an observation, it was found that the morphine bottle contained an immeasurable amount of medication between the 24 ml and 28 ml marks, despite the Controlled Drug Record indicating there should be 28 ml remaining. Interviews with the LPN and DON confirmed the discrepancy, and it was noted that the narcotic counts were not accurately performed at the beginning of each shift as required by the facility's policy. Similarly, Resident #404, who had moderately impaired cognition and was on Hospice, was prescribed Lorazepam Intensol for anxiety. An observation revealed that the Lorazepam bottle measured at the 20 ml mark, although the Controlled Drug Record indicated there should be 21 ml remaining. The discrepancy was verified by the DON and two LPNs. The facility's policy required two licensed nurses to count and verify narcotics at the change of shift, and any discrepancies were to be resolved before the nurse on duty could leave. This policy was not followed, leading to the identified deficiencies.
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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 Loveland
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Meadowbrook Care Center | 2.8 mi | ★★★★★ | 0 | 0 |
| Loveland Care Center | 2.8 mi | ★★★★★ | 1 | 0 |
| Majestic Care Of Cedar Village. | 3.2 mi | ★★★★★ | 4 | 0 |
| Otterbein At Maineville | 3.6 mi | ★★★★★ | 1 | 0 |
| Brookwood Care Center | 3.7 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.