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 July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Western Hills Retirement Village during CMS and state inspections, most recent first.
The facility failed to maintain kitchen vents in a clean and sanitary manner, affecting all residents. Observations revealed vents coated in a dark gray and fuzzy substance. The Dietary Director confirmed the vents were cleaned monthly but needed cleaning again. The Administrator noted the lack of a specific kitchen sanitation policy, despite following a routine cleaning schedule.
A resident with severe cognitive impairment reported being beaten and experiencing back pain, but the facility failed to report the allegation to the state agency in a timely manner. The facility's policy mandates immediate reporting of abuse allegations, but this was not adhered to, and the administrator was unaware of the incident until much later.
A resident with severely impaired cognition and a complex medical history reported being beaten up, but the facility failed to investigate the allegation in a timely manner. Despite the facility's policy requiring immediate investigation of abuse reports, the administrator was unaware of the incident until interviewed by surveyors, highlighting a deficiency in protocol adherence.
A resident with multiple health conditions, including moderate cognitive impairment, experienced a fall that was not reflected in their care plan. Despite being at risk for falls, the care plan was not updated to address this risk, and the incident was not mentioned in the care conference summary. The DON confirmed the oversight, which was against the facility's policy for comprehensive care plans.
A resident with moderate fall risk and multiple health issues, including Parkinson's and cognitive impairment, experienced several falls due to the facility's failure to implement required fall interventions. Despite the care plan's directive for fall mats on both sides of the bed, the resident was found on the floor multiple times, indicating a lack of adherence to the fall management policy.
The facility failed to ensure appropriate use of antipsychotic medications for three residents, prescribing Seroquel despite Black Box Warnings against its use in elderly patients with dementia-related psychosis. The Director of Nursing confirmed the medication was not indicated for the residents' conditions, including vascular dementia, delirium, and Alzheimer's dementia.
A resident with multiple health conditions, including a femur fracture, was transferred to the ER due to pain. The facility failed to document the transfer, the ER visit, and any follow-up care recommendations, leading to incomplete medical records. The DON confirmed the absence of necessary documentation.
A resident with a Foley catheter was found with the catheter bag improperly placed on the floor, contrary to physician orders. The facility lacked a specific policy for Foley catheter care, as confirmed by an LPN and the DON.
A facility failed to ensure proper hand hygiene during incontinent care for a resident with impaired cognition and incontinence. An STNA used washcloths improperly and did not change gloves or perform hand hygiene after handling soiled materials and before applying barrier cream. The DON confirmed the staff should have followed hand hygiene protocols as per facility policy and CDC guidelines.
Kitchen Vent Sanitation Deficiency
Penalty
Summary
The facility failed to maintain kitchen vents in a clean and sanitary manner, potentially affecting all 100 residents. During an observation, a duct in the center of the kitchen food preparation and service area was found to have two vents on each side, fully coated in a dark gray and fuzzy substance. The Dietary Director confirmed the condition of the vents and mentioned that they were cleaned monthly but required cleaning again. A subsequent observation revealed additional vents with varying levels of the same substance. The Administrator acknowledged the absence of a specific kitchen sanitation policy, although a routine cleaning schedule was followed.
Failure to Timely Report Allegation of Abuse
Penalty
Summary
The facility failed to timely report an allegation of abuse involving a resident to the state agency. The resident, who had a range of medical conditions including unspecified dementia and severely impaired cognition, reported being beaten up and experiencing back pain. Despite this serious allegation, the facility did not submit any Self-Reported Incidents (SRI) between mid-April and mid-July, and the administrator was unaware of the incident until much later. The facility's policy requires that alleged violations involving abuse be reported to the administrator and state agency immediately, or within two hours if serious bodily injury is involved. However, this protocol was not followed in the case of the resident's allegation. The failure to report the incident in a timely manner represents a significant deficiency in the facility's adherence to its own policies and state regulations.
Failure to Investigate Allegation of Abuse
Penalty
Summary
The facility failed to timely investigate an allegation of abuse involving a resident with severely impaired cognition. The resident, who had a complex medical history including dementia, diabetes, and rheumatoid arthritis, reported being beaten up and experiencing significant back pain. Despite the resident's report and subsequent medical assessment, the facility did not complete an investigation into the allegation. The facility's policy requires an immediate investigation when there is suspicion or reports of abuse, neglect, or exploitation. However, the administrator was unaware of the incident until the surveyor's interview, indicating a lapse in communication and protocol adherence. The lack of a timely investigation into the resident's allegation of abuse constitutes a deficiency in the facility's response to potential abuse cases.
Failure to Update Care Plan for Fall Risk
Penalty
Summary
The facility failed to ensure that the care plan for a resident reflected their current status, specifically regarding fall risk. The resident, who had diagnoses including cerebral infarction with hemiplegia and hemiparesis, dementia, diabetes mellitus type II, and a gastrostomy, was admitted with moderate cognitive impairment and required various levels of assistance for daily activities. Despite being identified as at risk for falls, the resident's care plan did not include this risk, and a fall occurred outside the resident's room, which was not subsequently addressed in the care plan. The care plan, initiated and completed over a period of time, did not identify the resident as a fall risk, even after a fall incident was documented. The care conference summary also failed to reference the fall, indicating a lack of updates to the care plan. The Director of Nursing confirmed that the care plan had not been revised to include the fall risk, which was a requirement according to the facility's policy for comprehensive care plans. This policy mandates that care plans be developed and revised by an interdisciplinary team to address the resident's needs as identified in assessments.
Failure to Implement Fall Interventions for At-Risk Resident
Penalty
Summary
The facility failed to ensure that fall interventions were in place for a resident identified as a moderate risk for falls, leading to multiple incidents where the resident fell out of bed. The resident, who had diagnoses including Parkinson's disease, a left hip fracture, anxiety, depression, and cognitive communication deficit, was admitted with moderately impaired cognition and required assistance with toileting, bed mobility, and transfers. Despite being identified as at risk for falls, the resident experienced several falls, including incidents where they rolled out of bed onto the floor, with no fall mats present on both sides of the bed as required by the care plan. The incidents were reported by staff and family members, with observations indicating that the resident was found on the floor multiple times, sometimes in pain. Interviews with staff revealed inconsistencies in the implementation of fall interventions, such as the absence of fall mats on the right side of the bed, despite the care plan's requirements. The facility's policy on fall management emphasized providing interventions based on the level of risk, but the lack of proper implementation of these interventions contributed to the resident's repeated falls.
Inappropriate Use of Antipsychotic Medications
Penalty
Summary
The facility failed to ensure that antipsychotic medications were used only when necessary and appropriate, affecting three residents. Resident #22 was admitted with vascular dementia and other conditions, and was prescribed Seroquel, an antipsychotic medication, despite a Black Box Warning indicating increased mortality risk in elderly patients with dementia-related psychosis. The Director of Nursing confirmed that Seroquel was not indicated for vascular dementia. Resident #29, admitted with multiple diagnoses including dementia and delirium, was also prescribed Seroquel for delirium. The nurse practitioner's notes indicated that the resident had intermittent agitation and was restarted on Seroquel upon admission to long-term care. The Director of Nursing verified that Seroquel was not appropriate for delirium, as it carries a Black Box Warning for increased mortality in elderly patients with dementia-related psychosis. Resident #75, diagnosed with Alzheimer's disease and dementia, was prescribed Quetiapine Fumarate, another antipsychotic, despite the same Black Box Warning. The Director of Nursing confirmed that Seroquel was not indicated for Alzheimer's dementia. The facility's policy on psychotropic medication use was reviewed, revealing a commitment to comply with CMS guidelines and gradual dose reductions, but the policy was undated.
Incomplete Medical Records for Resident's ER Visit
Penalty
Summary
The facility failed to ensure that medical records were complete and accurate concerning a change in condition for a resident. The resident, who was cognitively intact, had multiple diagnoses including cerebral infarction, hemiplegia, type two diabetes mellitus, and a nondisplaced fracture of the left femur. The resident required varying levels of assistance for daily activities. On a specific date, the resident experienced pain and was offered an x-ray, which they agreed to. However, there was no documentation in the progress notes regarding the resident's transfer to the emergency room for evaluation of a femur fracture. Further review of the medical records revealed that there was no documentation of the resident's return from the emergency room or any treatment recommendations for the fracture. An interview with the Director of Nursing confirmed the absence of documentation related to the emergency room transfer and follow-up care. This lack of documentation affected the accuracy and completeness of the resident's medical records, which is a requirement according to accepted professional standards.
Inadequate Foley Catheter Management
Penalty
Summary
The facility failed to manage Foley catheter bags in a manner that prevents the potential spread of infection, affecting one resident. Resident #32, who has a complex medical history including Alzheimer's disease, chronic atrial fibrillation, heart failure, and neuromuscular dysfunction of the bladder, was observed with a Foley catheter bag placed on the floor at the foot of the bed. This placement was contrary to the physician's orders, which specified that the catheter bag should be positioned below the level of the bladder and away from the entrance room door, and should not be placed on the floor. The observation was confirmed by an LPN, who acknowledged that the catheter bag was supposed to be on the right side of the bed in a privacy cover. Interviews with the facility's Administrator and the Director of Nursing revealed that the facility did not have a specific policy for Foley catheter care, although standard procedures were mentioned. The deficiency was identified during a survey, highlighting a lapse in infection prevention and control practices related to Foley catheter management.
Failure to Follow Hand Hygiene Protocols During Incontinent Care
Penalty
Summary
The facility failed to ensure proper hand hygiene procedures were followed during the provision of incontinent care for a resident. The incident involved a State tested Nursing Assistant (STNA) who did not adhere to hand hygiene protocols while caring for a resident with impaired cognition and incontinence. During the care process, the STNA used washcloths improperly by not using clean areas for each pass over the resident's perineal and rectal areas, and failed to change gloves or perform hand hygiene after handling soiled materials and before applying barrier cream. The STNA was observed using a washcloth to clean fecal material from the resident's perineal and rectal areas without repositioning the washcloth to a clean area for each pass. Additionally, the STNA handled a tube of barrier cream with contaminated gloves, transferring fecal material onto the tube and her gloves, and then applied the cream to the resident without changing gloves or performing hand hygiene. The Director of Nursing confirmed that the staff should have removed gloves and performed hand hygiene after handling soiled garments and before applying the cream, as per the facility's hand hygiene policy and CDC guidelines.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 881 citations issued within 25 miles in the last 12 months — including the 7 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Cincinnati
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Delhi Post-acute | 1.2 mi | ★★★★★ | 5 | 0 |
| Bayley Place | 1.7 mi | ★★★★★ | 11 | 0 |
| Aventura At West Park | 3.1 mi | ★★★★★ | 5 | 0 |
| Hillebrand Nursing And Rehabilitation Center | 3.2 mi | ★★★★★ | 16 | 0 |
| Bridgetown Nursing And Rehabilitation Centre | 3.2 mi | ★★★★★ | 33 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.