Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Seven Acres Senior Living At Clifton during CMS and state inspections, most recent first.
A resident with multiple chronic conditions developed a large, unexplained bruising lesion on the lower leg, which was identified as an injury of unknown origin. The resident could not recall the cause, and no trauma was reported. Although facility policy requires immediate investigation and reporting of such injuries to the Ohio Department of Health, the incident was not reported, resulting in non-compliance.
The facility failed to ensure pneumococcal vaccinations were up to date for five residents, affecting all reviewed. One resident refused the vaccine in 2017 and was not offered it again, while others did not receive follow-up vaccines after receiving Prevnar 13. The DON confirmed the deficiency, despite the facility's policy to assess immunization upon admission.
A facility failed to complete a baseline care plan within 48 hours for a resident with severe cognitive impairment and multiple diagnoses, including acute respiratory failure and dementia. The resident required supervision and assistance with daily activities, but the necessary care plan was not completed, as confirmed by an MDS Nurse.
The facility failed to provide adequate personal hygiene care for three residents, affecting their ADLs. A resident with COPD and CKD was observed with unshaved facial hair, despite her care plan requiring staff assistance. Another resident with severe cognitive impairment had long, untrimmed fingernails with a dark substance underneath, and a third resident with diabetes and CKD also had long fingernails. Both residents expressed a desire for nail trimming, which was not provided, indicating a lapse in hygiene care protocols.
A facility failed to conduct weekly skin assessments for a resident with a stage four pressure ulcer, as required by physician orders and facility policy. Despite having a care plan that included interventions for pressure ulcer management, the facility did not complete assessments on three occasions, leading to a deficiency in care.
The facility failed to conduct fall risk assessments for two residents after they experienced multiple falls. One resident, with severe cognitive impairment, had a care plan to mitigate fall risks but was not reassessed after falls. Another resident, also with severe cognitive impairment and a history of falls, experienced several falls without follow-up assessments. The DON confirmed the lack of assessments, contrary to facility policy.
The facility failed to conduct timely nutritional assessments and implement interventions for two residents experiencing significant weight loss. One resident, with multiple health issues including malnutrition, had no further assessments or progress notes for several months, while another resident with dementia and malnutrition experienced a notable weight loss without timely intervention. The RD was unaware of the weight monitoring orders and did not implement necessary interventions promptly.
A facility failed to perform adequate hand hygiene and infection control during wound and urinary catheter care for a resident with severe cognitive impairment, an indwelling urinary catheter, and a stage four pressure ulcer. An LPN and an STNA did not perform hand hygiene between tasks, and the STNA improperly cleaned the catheter tubing. Additionally, the resident was not placed on enhanced barrier precautions, and the facility lacked a policy for such precautions, as confirmed by the DON.
A resident with multiple chronic conditions did not receive prescribed pain medications on several occasions, leading to high pain levels. The facility faced issues with medication refills from the physician and pharmacy, and the resident was given Tylenol, which did not alleviate her pain. The DON confirmed the lapses in medication administration.
A registered nurse failed to prime an insulin pen before administering NovoLOG insulin to a resident, resulting in a significant medication error. The resident, who had diabetes mellitus, dementia, and heart failure, had an active physician's order for insulin administration based on a sliding scale. The nurse confirmed the error during an observation, and the deficiency was identified under Complaint Number OH00152846.
The facility failed to ensure nurses handled resident medications in a sanitary manner, affecting two residents. A nurse carried multiple facility stock medication bottles into residents' rooms, placed them on surfaces without barriers or cleaning, and handled them with contaminated gloves. The bottles were then returned to the medication cart without disinfection. The DON confirmed that multidose bottles should not be carried into residents' rooms and that gloves should be disposed of properly.
Failure to Report Injury of Unknown Origin to State Authorities
Penalty
Summary
The facility failed to report an injury of unknown origin to the Ohio Department of Health (ODH) as required. A resident with multiple diagnoses, including discitis, osteomyelitis, hypertensive heart disease with heart failure, type II diabetes mellitus, and chronic diastolic heart failure, was found to have a large, raised bruising lesion on the left lower leg. The lesion measured 11 cm by 7 cm, was mottled with shades of purple, black, and pinkish, had irregular borders, was swollen, warm to the touch, and surrounded by erythematous and swollen skin. The resident, who had mild cognitive deficits and was dependent on staff for most activities of daily living, could not recall how or when the injury occurred, and no trauma was reported. The physician was notified, and the resident was sent to the emergency room for evaluation. Despite the facility's policy requiring immediate investigation and reporting of injuries of unknown origin or suspicious injuries, the incident was not reported to ODH. The Director of Nursing confirmed that the injury was not reported as required. The facility's policy also mandates staff education on identifying signs and symptoms of abuse and monitoring residents for suspicious or unexplained bruising, but this protocol was not followed in this case, resulting in non-compliance.
Failure to Ensure Up-to-Date Pneumococcal Vaccinations
Penalty
Summary
The facility failed to ensure that pneumococcal vaccinations were up to date for five residents, affecting all residents reviewed for this vaccination. Resident #15, diagnosed with acute kidney failure, major depressive disorder, acute respiratory failure with hypoxia, and metabolic encephalopathy, received the Prevnar 13 vaccine in 2015 but did not receive the subsequent Prevnar 20 or Pneumovax 23 as required. Similarly, Resident #18, with diagnoses including congestive heart failure, atrial fibrillation, chronic lymphocytic leukemia, and dementia, received Prevnar 13 in 2008 but lacked documentation of receiving the follow-up vaccine. Resident #19, diagnosed with CHF, type two diabetes mellitus, and bipolar disorder, also did not receive the necessary follow-up vaccine after receiving Prevnar 13 in 2021. Resident #17, with type two diabetes mellitus, chronic kidney disease stage three, and COPD, refused the pneumococcal vaccine in 2017 and was not offered it again. Resident #37, diagnosed with atrial fibrillation, chronic kidney disease stage three, and CHF, received Prevnar 13 in 2016 but did not have documentation of receiving the subsequent vaccine. The Director of Nursing confirmed that these residents were not up to date with their pneumococcal vaccinations. The facility's policy stated that residents would be assessed for pneumococcal immunization upon admission, but this was not effectively implemented.
Failure to Complete Baseline Care Plan
Penalty
Summary
The facility failed to complete a baseline care plan within 48 hours after the admission of a resident, which is a requirement for addressing the resident's immediate needs. This deficiency affected one of the 15 residents reviewed for baseline care plans. The resident in question was admitted with diagnoses including acute respiratory failure with hypoxia, pneumonia, dementia, and malignant neoplasm of the prostate. The admission Minimum Data Set (MDS) assessment indicated that the resident had severe cognitive impairment, requiring supervision with eating and transfers, and partial assistance with toileting, bathing, and dressing. Despite these needs, the baseline care plan was not completed, as verified by an interview with the MDS Nurse.
Deficiency in Personal Hygiene Care for Residents
Penalty
Summary
The facility failed to provide timely and adequate personal hygiene for three residents, affecting their activities of daily living (ADLs). Resident #6, with diagnoses including COPD, CKD stage four, and major depressive disorder, was observed with facial hair on her chin throughout the survey. Despite her moderate cognitive impairment and care plan interventions requiring staff assistance with personal hygiene, Resident #6 reported that staff had not offered to shave her facial hair, which she desired to be removed. An interview with a State tested Nurse Aide (STNA) confirmed that shaving should be completed on shower days, yet Resident #6's facial hair remained unaddressed. Resident #14, diagnosed with acute respiratory failure, pneumonia, dementia, and prostate cancer, exhibited long, yellow, and jagged fingernails with a dark brown substance underneath. Despite severe cognitive impairment and a care plan emphasizing staff encouragement for self-care, Resident #14 stated he had not been asked to cut his nails, which he wanted trimmed. Similarly, Resident #23, with type two diabetes, CKD, depression, and atrial fibrillation, had long fingernails and expressed a desire for them to be trimmed. Both residents' fingernails were verified by STNA #102 as needing attention, yet the necessary hygiene care was not provided, indicating a lapse in the facility's adherence to personal hygiene protocols.
Failure to Conduct Weekly Skin Assessments for Pressure Ulcer Care
Penalty
Summary
The facility failed to appropriately assess and document pressure ulcers for a resident, leading to a deficiency in care. The resident, who was admitted with multiple diagnoses including dementia, atrial fibrillation, type two diabetes mellitus, protein-calorie malnutrition, and malignant neoplasm of the prostate, had a stage four pressure ulcer on the coccyx/sacrum. The care plan included interventions such as administering medications, applying protective skin barriers, and turning and repositioning the resident every two hours. However, the facility did not complete the required weekly skin assessments on specific dates, as verified by the Director of Nursing. The facility's policy on pressure ulcers required nursing staff to assess and document risk factors for pressure sores and modify the care plan as needed. Despite these requirements, the weekly skin assessments for the resident were not conducted on three occasions, which was confirmed during an interview with the Director of Nursing. This oversight in following the physician's orders and facility policy contributed to the deficiency in providing adequate pressure ulcer care for the resident.
Failure to Conduct Post-Fall Risk Assessments
Penalty
Summary
The facility failed to conduct fall risk assessments for residents after they experienced falls, which is a deficiency in ensuring resident safety. Resident #23, who had severe cognitive impairment and required assistance with daily activities, experienced multiple falls without subsequent fall risk assessments being completed. Despite having a care plan that included interventions to mitigate fall risks, such as using non-slip devices and ensuring the environment was free of clutter, the facility did not reassess the resident's fall risk after incidents on several dates. Similarly, Resident #27, who had severely impaired cognition and a history of falls, also experienced multiple falls without follow-up fall risk assessments. The resident's medical record indicated falls in various locations, including the lounge and bathroom, and some incidents required hospital evaluation. The Director of Nursing confirmed that fall risk assessments were not conducted after these falls, despite the facility's policy requiring assessments at admission, after each fall, quarterly, and with significant changes in clinical status.
Failure to Address Nutritional Needs and Weight Loss
Penalty
Summary
The facility failed to ensure timely nutritional assessments and interventions for residents experiencing significant weight loss and at risk for nutritional deficits. Resident #18, who was readmitted with multiple diagnoses including malnutrition and congestive heart failure, experienced a 15% weight loss over two months prior to admission. Despite being identified as a nutritional risk, no further nutritional assessments or progress notes were completed between November 2023 and June 2024. The Registered Dietitian (RD) confirmed that she had not conducted the required assessments every three months or after significant changes, and was unaware of the physician's orders for weekly weight monitoring. Similarly, Resident #51, admitted with diagnoses including dementia and protein-calorie malnutrition, experienced a 6.97% weight loss over one month. The care plan identified potential nutritional problems, but no interventions were implemented to address the weight loss until June 2024. The RD was not informed of the resident's weight loss and confirmed that appropriate interventions were not timely implemented. These deficiencies highlight a failure in the facility's processes to monitor and address nutritional needs effectively.
Inadequate Infection Control Practices
Penalty
Summary
The facility failed to perform adequate hand hygiene and provide care in a manner to prevent potential contamination during wound and urinary catheter care for a resident. The resident, who had severe cognitive impairment, was dependent on staff for various activities and had an indwelling urinary catheter and a stage four pressure ulcer. During an observation, a Licensed Practical Nurse (LPN) did not perform hand hygiene after removing gloves following the removal of a soiled dressing from the resident's coccyx. Additionally, a State Tested Nurse Aide (STNA) assisted with wound care and then proceeded to perform catheter care without removing gloves or performing hand hygiene. The STNA also cleaned the catheter tubing in a manner that could cause potential contamination. The facility also failed to ensure that the resident was placed on enhanced barrier precautions, as required for residents with wounds and/or indwelling medical devices. During the observation, there were no signs posted to indicate that the resident was on enhanced barrier precautions. The Director of Nursing (DON) confirmed that the resident should have been on enhanced barrier precautions and acknowledged that the facility did not have a policy for such precautions.
Failure to Ensure Adequate Pain Management for Resident
Penalty
Summary
The facility failed to ensure that a resident's pain was adequately managed, affecting one resident who was cognitively intact and had multiple chronic conditions, including hypertensive heart disease, diabetes with neuropathy, and major depressive disorder. The resident's pain care plan included the administration of opioid medication and Lyrica, but there were multiple instances where these medications were not administered as prescribed. Specifically, the resident did not receive Oxycodone on several occasions in April, and her pain levels were documented as high as ten out of ten during these times. Additionally, the resident did not receive Lyrica on multiple occasions, further exacerbating her pain management issues. The failure to administer the prescribed medications was due to a combination of factors, including the facility running out of the medications and the pharmacy being unable to refill them on weekends. The facility had sent refill requests to the resident's physician, but the physician did not refill the Oxycodone over the weekend, and the pharmacy had an error that delayed the delivery of Lyrica. The resident reported that she was given Tylenol instead, which did not alleviate her pain. Interviews with the Director of Nursing (DON) confirmed the lapses in medication administration and the high pain levels recorded in the resident's Medication Administration Record (MAR). The DON acknowledged that the facility had sent refill requests in advance but faced issues with the physician's availability and the pharmacy's errors. The facility's pain assessment and management policy indicated that pharmacological interventions might be prescribed to manage pain, but these were not effectively implemented in this case.
Failure to Prime Insulin Pen Leads to Medication Error
Penalty
Summary
The facility failed to ensure that a resident's insulin pen was primed according to manufacturer guidelines, resulting in a significant medication error. During an observation, a registered nurse administered 2 units of NovoLOG insulin to a resident without priming the pen, as required by the manufacturer's instructions. The nurse confirmed that she did not prime the needle before drawing up the prescribed dose. This error was identified during a medication administration observation for a resident with diabetes mellitus, dementia, and heart failure, who had intact cognition and required moderate assistance for daily activities. The resident's medical record indicated an active physician's order for NovoLOG insulin to be administered based on a sliding scale. The manufacturer's instructions for NovoLOG insulin clearly state that the pen should be primed by turning the dose selector to two units and ensuring a drop of insulin appears at the needle tip before administration. The failure to follow this procedure was observed and verified, leading to the identification of this deficiency under Complaint Number OH00152846.
Failure to Handle Medications in a Sanitary Manner
Penalty
Summary
The facility failed to ensure nurses handled resident medications in a sanitary manner, affecting two residents. For Resident #3, the nurse carried a large bottle of facility stock cranberry tablets into the resident's room, placed it on the dresser without a barrier or cleaning the surface, and then returned the bottle to the medication cart without disinfecting it. The nurse admitted to not cleaning the multidose bottle before placing it back into the medication cart with other medications. Resident #3 had diagnoses including dementia, hypertension, and alcoholic cirrhosis, and required assistance for various activities of daily living. For Resident #22, the nurse carried multiple facility stock medication bottles into the resident's room, placed them on the bedside table without a barrier or cleaning the surface, and handled the medications with contaminated gloves. The nurse placed the contaminated gloves on top of a Tylenol bottle and later returned the bottles to the medication cart without disinfecting them. Resident #22 had diagnoses including Alzheimer’s disease, dementia, and hypertension, and required supervision and assistance for daily activities. The Director of Nursing confirmed that multidose bottles should not be carried into residents' rooms and that gloves should be disposed of in the appropriate trash receptacle.
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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) |
|---|---|---|---|---|
| Clifton Healthcare Center | 0.2 mi | ★★★★★ | 2 | 0 |
| Scarlet Oaks Nursing And Rehabilitation Center | 1.4 mi | ★★★★★ | 0 | 0 |
| Garden Park Health Care Center | 1.7 mi | ★★★★★ | 28 | 0 |
| Astoria Place Of Cincinnati | 1.8 mi | ★★★★★ | 13 | 0 |
| Lincoln Crawford Care Center | 2.4 mi | ★★★★★ | 22 | 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 June 2026) and official state health department websites.