Above average — CMS composite of the measures below.
The next survey window likely opens 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 Ohio Living Llanfair during CMS and state inspections, most recent first.
Medications were left unsecured when an LPN was observed leaving a resident’s morning meds in a cup on the bedside table while the resident slept. Surveyors also found an open tuberculin vial without an open date and an insulin vial with an open date on a medication cart; the DON and LPN confirmed the labeling issues. Facility policy required medications to be kept in locked storage and multi-dose vials to have an open date.
Kitchen sanitation and dishwashing deficiencies: A CNA was observed hand washing dishes with household dish liquid in the Memory Care Unit kitchen, placing them in a dishwasher that flashed add sanitizer and did not reach the required temperatures, while not wearing a hair net. The facility also lacked a dishwasher temperature log for that unit, and the main kitchen had dirty ceiling vents with fuzzy debris above the milk freezer and food prep area. Facility policy required proper dish sanitizing, temperature verification, and hair restraints for food service staff.
Failure to supervise a high fall risk resident and document immediate fall interventions. A resident with intact cognition fell in the shower after a CNA stepped out of the bathroom, and the DON confirmed the CNA should not have left the resident alone. Another cognitively impaired resident with moderate fall risk had multiple falls with skin tears and bruising, but the fall records did not list immediate interventions.
Failure to offer and document pneumococcal vaccinations affected two residents. One resident with dementia, asthma, and respiratory disorders had no record of a pneumococcal vaccine offer or prior administration, and the DON stated the resident had declined in 2023 but was not offered again. Another resident with moderate cognitive impairment, psychotic disorder, asthma, weakness, and multiple ADL dependencies had received PCV-13 previously, but there was no documentation that additional pneumococcal vaccines were offered since admission.
Medication Storage and Labeling Deficiencies
Penalty
Summary
Medications were not properly stored when Resident #5 was observed lying in bed asleep with her morning medications left in a cup on the bedside table. The medications in the cup included citalopram 20 mg, cranberry tablet 450 mg, Eliquis 5 mg, famotidine 20 mg, lisinopril 40 mg, methenamine 1 gram, Senna-S 8.6-50 mg, and acetaminophen 325 mg. During interview, an LPN confirmed the medications had been left on the bedside table. Medication labeling was also not maintained as required. In the Rehab Medication Storage room, an open tuberculin vial was observed with no open date, and the DON confirmed it should have had one. In addition, Resident #3’s Humalog U-100 insulin solution on Rehab Medication Cart #2 had an open date, and the LPN confirmed it. Review of Resident #3’s MAR showed orders for Humalog U-100 insulin solution and that the last administration was documented on a prior date. The facility policy stated prescription medications must be kept in locked storage areas and that multi-dose vials must have an open date for 28 days or per manufacturer guidelines.
Kitchen sanitation and dishwashing deficiencies
Penalty
Summary
The facility failed to provide a clean and sanitary kitchen in the main kitchen, failed to ensure the dishwasher properly sanitized dishes on the Memory Care Unit, and failed to ensure dietary staff used hair nets. During observation in the Memory Care Unit kitchen, a CNA was hand washing dishes with regular household dish liquid and placing them in the dishwasher while not wearing a hair net. The dishwasher was observed flashing "add sanitizer," and neither the wash nor rinse cycle reached above 130 degrees F. The CNA confirmed she did not use sanitizer in the sink because she used the dishwasher, and she confirmed the dishwasher did not reach higher than 130 degrees F after running it three times. The CNA also confirmed the facility did not maintain a dishwasher temperature log for the Memory Care Unit. The Dietary Manager confirmed the Memory Care Unit dishwasher was flashing "add sanitizer" and that the facility did not maintain a temperature log for that dishwasher. In a separate observation, the ceiling vents above the milk freezer near the food preparation table had dirt and fuzzy debris hanging from them, and the Registered Dietician confirmed this condition. Facility policy required dishes to be cleaned, rinsed, and sanitized after each use, required dish machine temperatures or chemical concentrations to be verified before use, and required staff to wear hair restraints to prevent hair from contacting exposed food.
Failure to Supervise a High-Risk Resident and Document Immediate Fall Interventions
Penalty
Summary
The facility failed to ensure adequate supervision to prevent accidents for a resident who was identified as a high fall risk. Resident #5 had intact cognition with a BIMS score of 15, required assistance with bathing, dressing, toileting, and personal hygiene, and was frequently incontinent of bowel and bladder. During a shower, the resident stood up and slid down the wall while the CNA stepped out of the bathroom, and the resident was found sitting on her buttocks. The DON confirmed the CNA should never have left the resident alone in the bathroom. The facility also failed to document or identify immediate interventions after multiple falls for Resident #33. This resident was cognitively impaired, dependent on staff for several activities of daily living, and assessed as a moderate fall risk. Record review showed falls on 10/11/25, 12/14/25, and 12/24/25, with injuries including skin tears, bruising to the back and head, and skin tears to the hand, index finger, and lower leg. In each of these fall records, no immediate intervention was listed. Resident #33’s progress notes and fall investigation summaries described the resident being found on the floor, including lying sideways off the bed with legs on the floor mat and later on the floor with her head under the bed. The DON stated that when a resident falls, the nurse is to evaluate the resident, determine the next step, notify the family and physician, and document the immediate intervention in the medical chart. The DON confirmed the facility failed to identify and document an immediate intervention for the resident’s falls.
Failure to Offer and Document Pneumococcal Vaccinations
Penalty
Summary
The facility failed to maintain records of pneumococcal vaccine administration and failed to offer pneumococcal vaccines to residents. During record review and interview, two of five residents reviewed for pneumococcal vaccine administration were identified as affected. The facility census was 33. Resident #18 was admitted with diagnoses including need for assistance with personal care, unspecified dementia without behavioral disturbance, other asthma, and respiratory disorders in diseases classified elsewhere. The MDS showed a BIMS score of 13, indicating the resident was cognitively intact, with no behaviors and varying levels of assistance needed for activities of daily living. The record contained no documentation that the resident or the resident’s representative was offered a pneumococcal vaccine since admission, and no documentation of pneumococcal vaccine administration prior to admission. The DON stated the resident and/or representative declined a pneumococcal vaccine in 2023 and that it had not been offered again since that declination. Resident #33 was admitted with diagnoses including repeat falls, psychotic disorder with delusions due to known physiological condition, history of transient cerebral ischemic attack, other asthma, generalized muscle weakness, depression, anxiety disorder, delusional disorders, and respiratory disorders in diseases classified elsewhere. The MDS showed moderate cognitive impairment and rejection of care four to six days a week, with substantial assistance or dependence for multiple ADLs. The resident received PCV-13 on 05/20/2015, but the record contained no documentation that additional pneumococcal vaccines were offered to the resident or the resident’s representative since admission. The DON confirmed that the resident and/or representative had not been offered a pneumococcal vaccine since 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) |
|---|---|---|---|---|
| Twin Towers | 0.7 mi | ★★★★★ | 3 | 0 |
| Mt Airy Gardens Rehabilitation And Nursing Center | 1 mi | ★★★★★ | 2 | 0 |
| Lakeridge Villa Health Care Center | 1.7 mi | ★★★★★ | 0 | 0 |
| Clovernook Health Care And Rehabilitation Center | 1.8 mi | ★★★★★ | 27 | 0 |
| Covenant Village Care Center | 2.6 mi | ★★★★★ | 6 | 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.