Inspection visit
Inspection
16 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 16 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0569
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review, facility policy review, and staff interview, the facility failed to notify Medicaid residents when
the amount of in their resident funds account reached 200 dollars of the eligibility limit. This affected two
(Resident #19 and Resident #27) of five residents reviewed for resident funds accounts. The facility
identified 31 (Resident #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16, #19, #20, #21,
#22, #24, #25, #26, #27, #28, #29, #30, #31, #33, #35 and Resident #286) residents who have personal
funds accounts at the facility. The facility census was 36.
Residents Affected - Few
Findings include:
1. Record of Resident #19's medical record revealed the resident was admitted to the facility on [DATE] with
diagnoses including; heart failure, other abnormalities of gait and mobility, schizoid personality disorder,
end stage renal disease, iron deficiency anemia, dependence on renal dialysis, major depressive disorder,
vascular dementia with behavioral disturbance, other fecal abnormalities, muscle weakness, difficulty in
walking, other lack of coordination, chronic gout due to renal impairment, diverticulosis of intestine,
hyperlipidemia, chronic pain syndrome, essential hypertension, malignant neoplasm of prostate, type two
diabetes mellitus without complications and gastro esophageal reflux disease without esophagitis.
Review of Resident #19's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed resident
to be cognitively intact and required extensive assistance with bed mobility, transfer, dressing, toileting and
personal hygiene. Resident #19 also required supervision with eating.
Review of Resident #19's chart revealed resident received Medicaid benefits.
Review of Resident #19's personal funds account revealed the resident had an ending quarterly balance of
$1922.22 on 02/28/19. Resident #19's personal funds account did not have any notifications the resident's
funds account reached 200 dollars of the eligibility limit.
Interview with [NAME] President of Operations (VPO) #350 on 03/20/19 at 11:07 A.M., verified Resident
#19 did not receive notification the resident's funds account reached 200 dollars of the eligibility limit. VPO
#350 confirmed Resident #19 was within $200 of the $2000 Medicaid eligibility limit.
2. Review of Resident #27's medical record revealed the resident was admitted to the facility on [DATE] with
diagnoses including; hemorrhage, anemia, cerebral infarction, dysphagia, hemiplegia and hemiparesis,
contracture, functional dyspepsia, muscle weakness, difficulty in walking, other symbolic dysfunctions,
gastro esophageal reflux disease, vascular dementia with behavioral disturbance, mood
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 14
Event ID:
365734
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0569
disorder, essential hypertension, epilepsy and aneurysm.
Level of Harm - Minimal harm
or potential for actual harm
Review of Resident #27's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the
resident to have moderate cognitive impairment and required total dependence with bed mobility, transfers,
toileting and personal hygiene. Resident #27 also required extensive assistance with dressing and limited
assistance with eating.
Residents Affected - Few
Review of Resident #27's chart revealed resident received Medicaid benefits.
Review of Resident #27's personal funds account revealed the resident had an ending quarterly balance of
$1899.99 on 02/28/19. Resident #27's personal funds account did not have any notifications that the
resident's funds account reached 200 dollars of the eligibility limit.
Interview with VPO #350 on 3/20/19 at 11:07 A.M. verified Resident #27 did not have any notifications the
resident's funds account reached 200 dollars of the eligibility limit. VPO #350 confirmed Resident #27 was
within $200 of the $2000 Medicaid eligibility limit.
The facility identified Resident #1, Resident #2, Resident #3, Resident #4, Resident #5, Resident #6,
Resident #7, Resident #8, Resident #9, Resident #10, Resident #11, Resident #12, Resident #13, Resident
#14, Resident #15, Resident #16, Resident #19, Resident #20, Resident #21, Resident #22, Resident #24,
Resident #25, Resident #26, Resident #27, Resident #28, Resident #29, Resident #30, Resident #31,
Resident #33, Resident #35 and Resident #286 who had personal funds accounts at the facility.
Review of the Ohio Administrative Code section 5160:1-3-05.1 (B)(8)(a) revealed the Medicaid resource
limit for an individual is $2000.
Review of the Accounting and Records of Resident Funds policy dated April 2017 revealed the facility will
inform the resident if the amount in the personal funds account reaches the eligibility limit for Medicaid.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 2 of 14
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0623
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman,
before transfer or discharge, including appeal rights.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** 4. Review of
Resident #19's medical record revealed an admission date of 01/31/15 with diagnoses which included end
stage renal disease and heart disease.
Review of progress notes for Resident #19 revealed the resident was transferred to the hospital from
dialysis on 09/25/18, was admitted to the hospital, and was readmitted to the facility on [DATE].
Interview with LSW #300 on 03/19/19 at 453 P.M., confirmed the facility did not notify the ombudsman of
Resident #19's transfer and admission to the hospital on [DATE].
Review of the facility's Transfer or Discharge Notice policy dated December 2016 revealed a copy of the
transfer and discharge notice will be sent to the Office of the State Long-Term Care Ombudsman.
Based on record review and interview, the facility failed to provide a copy of the transfer or discharge
notification to the Ombudsman for discharges from the facility. This affected four (Resident #9, Resident
#15, Resident #19 and Resident #36) of four residents reviewed for discharge notification. The facility
census was 36.
Findings include:
1. Review of Resident #9's medical record revealed the resident was admitted to the facility on [DATE] with
diagnoses including sepsis, acute kidney failure, pneumonia, schizoaffective disorder bipolar type, zoster
without complications, constipation, unspecified urinary incontinence, gastro-esophageal reflux disease
without esophagitis, essential primary hypertension, vascular dementia without behavioral disturbance,
anogenital herpes viral infection, hyperlipidemia, abnormalities of gait and mobility, vitamin D deficiency,
hypercholesterolemia, age related osteoporosis without current pathological fracture and anxiety disorder.
Review of Resident #9's medical record revealed the resident was discharged to the hospital on [DATE]
with sepsis and returned to the facility on [DATE]. Further review revealed the Ombudsman was not notified
of Resident #9's discharge to the hospital on [DATE].
Review of Resident #9's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the
resident to be cognitively intact and required extensive assistance with bed mobility, transfers, dressing,
toileting and personal hygiene. Resident #9 also required supervision with eating.
Interview with Licensed Social Worker (LSW) #300 on 03/19/19 at 11:56 A.M. verified the Ombudsman was
not notified of Resident #9's discharge to the hospital on [DATE].
2. Review of Resident #15's medical record revealed the resident was admitted to the facility on [DATE] with
the following diagnoses; epistaxis, unspecified cirrhosis of liver, other hypotension, chronic diastolic
congestive heart failure, urticaria, peripheral vascular disease, obstructive sleep apnea, presence of
cardiac pacemaker. major depressive disorder, acute kidney failure, anemia, hypothyroidism, diabetes
mellitus due to underlying condition with diabetic neuropathy, type two diabetes mellitus without
complications, hyperlipidemia, acidosis, hyperkalemia, muscle weakness, legal blindness, other ulcerative
colitis without complications, and atrial flutter.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 3 of 14
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0623
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Review of Resident #15's medical record revealed the resident was discharged to the hospital on [DATE] for
a cardiac pacemaker and returned to the facility on [DATE]. Resident #15 was also discharged to the
hospital on [DATE] with acute renal failure and returned to the facility on [DATE]. Further review revealed
the Ombudsman was not notified of Resident #15's discharges to the hospital on [DATE] and 11/30/18.
Review of Resident #15's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the
resident to be cognitively intact and required limited assistance with dressing. Resident #15 also required
supervision with eating and extensive assistance with bed mobility, transfers, toileting and personal
hygiene.
Interview with LSW #300 on 03/19/19 at 11:56 A.M., verified the Ombudsman was not notified of Resident
#15's discharges to the hospital on [DATE] and 11/30/18.
3. Review of Resident #36's medical record revealed the resident was admitted to the facility on [DATE] with
the following diagnoses; arthropathy, constipation, gastro-esophageal reflux disease without esophagitis,
hyperlipidemia, major depressive disorder, anxiety disorder, other asthma, bradycardia, diabetes mellitus
due to underlying condition without complications, essential hypertension, insomnia, spinal stenosis and
muscle weakness.
Review of Resident #36's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the
resident to be cognitively intact and required total dependence with transfers, bed mobility, dressing,
toileting and personal hygiene. Resident #36 also required supervision with eating on the 01/07/19 MDS.
Review of Resident #36's medical record revealed the resident was discharged to the hospital on [DATE]
with cerebrovascular accident. Resident #36 did not return to the facility after being hospitalized on [DATE].
Further review of Resident #36's chart revealed the Ombudsman was not notified of Resident #36's
discharge to the hospital on [DATE].
Interview with LSW #300 on 03/19/19 at 11:56 A.M., verified the Ombudsman was not notified of Resident
#36's discharge to the hospital on [DATE].
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 4 of 14
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0656
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and
actions that can be measured.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review, facility policy review and staff interview, the facility failed to ensure residents had care plans
developed and implemented for a resident's respiratory care needs. This affected one (Resident #9) of 17
residents reviewed for care planning. The facility census was 36.
Findings include:
Record review revealed Resident #9 was admitted to the facility on [DATE] with the following diagnoses;
sepsis, acute kidney failure, pneumonia, schizoaffective disorder bipolar type, zoster without complications,
constipation, unspecified urinary incontinence, gastro-esophageal reflux disease without esophagitis,
essential primary hypertension, vascular dementia without behavioral disturbance, anogenital herpes viral
infection, hyperlipidemia, abnormalities of gait and mobility, vitamin D deficiency, hypercholesterolemia, age
related osteoporosis without current pathological fracture and anxiety disorder.
Review of Resident #9's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the
resident to be cognitively intact and require extensive assistance with bed mobility, transfers, dressing,
toileting and personal hygiene. Resident #9 also required supervision with eating.
Review of Resident #9's physician's orders revealed the resident was ordered Mucinex extended release 12
hour tablet two times a day for seven days for cough on 03/15/19. Resident #9 was also ordered albuterol
sulfate nebulization solution 2.5 milligrams (mgs) .083 percent 1 vial inhale orally every six hours as needed
for cough, shortness of breath and wheezing.
Review of Resident #9's care plan revealed resident did not have a care plan for her respiratory needs.
Interview with Resident #9 on 03/18/19 at 9:06 A.M. revealed the resident to report that she had a current
respiratory infection. Resident #9 stated she was receiving breathing treatments and that she had a history
of reoccurring respiratory infections.
Interview with Registered Nurse (RN) #35 on 03/19/19 at 3:30 P.M. verified Resident #9 did not have a care
plan for her respiratory needs. RN #35 confirmed resident was currently on Mucinex and breathing
treatments.
Review of the facility's Comprehensive Person Centered Care Plans dated December 2016 revealed a
comprehensive person centered care plan that includes measurable objectives and timelines to meet the
resident's physical, psychosocial and functional needs are developed and implemented for each resident.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 5 of 14
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0657
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed,
and revised by a team of health professionals.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review, resident interview, resident representative interview, facility policy review and staff interview,
the facility failed to ensure one (Resident #286) residents were revised to reflect changes in care and two
(#24 and #286) of 17 sampled residents' care plans were afforded the opportunity to participate in care
conference. The facility census was 36 residents.
Findings include:
1. Review of Resident #24's admission record, revealed she was admitted to the facility on [DATE], with
diagnoses including cerebral infarction, paranoid personality disorder, hallucinations, dysphagia, aphasia,
vascular dementia, anxiety disorders, mood disorder, disorganized schizophrenia, and bipolar disorder.
Review of the quarterly Minimum Data Set (MDS) dated [DATE], revealed the cognitively intact resident
required limited assistance with bed mobility, transfers, toilet use, and personal hygiene tasks. She was
able to walk and feed herself with supervision of staff.
Interview with Resident #24 on 03/18/19 at 10:35 A.M., she revealed she had not been to any care
conference meetings since moving to the 2nd floor unit. She further stated when she lived downstairs, she
used to meet with the interdisciplinary team.
During interview with the licensed social worker (LSW) #300, on 03/20/19 at 10:30 A.M., she confirmed she
had not invited the resident to care conference, and would do so now. She had no evidence the resident or
her responsible party had been invited to participate in care planning with the interdisciplinary team in the
past six months. She confirmed the resident was not invited to participate in the 10/05/18 and 01/31/19
care conferences. She brought in a letter that she sends to families and residents notifying them of care
conference dates. She stated she was behind on getting the letters out.
2. Review of Resident #286's medical record revealed she was admitted to the facility on [DATE] with
diagnoses including conductive hearing loss, transient ischemic attack, cerebral infarction, atherosclerotic
heart disease, hyperlipidemia, dementia, mood disorder, and hypertension.
Review of the quarterly MDS dated [DATE], revealed the resident had severe cognitive impairment and
required assistance with bed mobility, transferring, toilet use, dressing, and personal hygiene tasks. She
was able to walk on the unit and feed herself with supervision of staff.
Interview with Resident #286's responsible party on 03/19/19 at 09:10 A.M., revealed she had not been
invited to care conference with the interdisciplinary team in a long time.
Interview with LSW #300, on 03/20/19 at 10:30 A.M., confirmed she had not invited the resident or her
responsible party to care conference. She had no evidence the resident or her responsible party had been
invited to participate in care planning with the interdisciplinary team in the past six months. She confirmed
the resident was not invited to participate for the 11/02/18, 02/01/19, and 03/15/19.
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 6 of 14
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0657
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
3. Review of Resident #286's medical record revealed she was admitted to the facility on [DATE] with
diagnoses including conductive hearing loss, transient ischemic attack, cerebral infarction, atherosclerotic
heart disease, hyperlipidemia, dementia, mood disorder, and hypertension.
Review of Resident #286's care plan dated 02/01/17, revealed the resident was incontinent of bladder
related to chronic kidney disease and dementia. Interventions included cleanse peri-area with each
incontinence episode, encourage fluids during the day to promote prompted voiding responses, ensure and
assist the resident has unobstructed path to the bathroom, monitor/document for signs and symptoms of
urinary infection including pain, burning, blood tinged urine, cloudiness, no output, deepening of urine color,
increased pulse, increased temperature, urinary frequency, foul smelling urine, fever, chills, altered mental
status, change in behavior, and change in eating patterns, notify the physician of changes, and provide
toileting every two hours.
Review of the quarterly MDS dated [DATE], revealed the resident had severe cognitive impairment and
required assistance with bed mobility, transferring, toilet use, dressing, and personal hygiene tasks. She
was able to walk on the unit and feed herself with supervision of staff and was occasionally incontinent of
bowel and bladder.
Review of Resident #286's medical record revealed on 03/02/19 at 10:58 A.M., the resident was observed
to have two emesis' with coffee ground material. The physician was notified and gave orders to send the
resident to the hospital for an evaluation. The resident was admitted with a diagnosis of abdominal pain. On
03/05/2019 at 1:15 P.M., the nurse documented the resident returned back to the facility with an indwelling
urinary catheter in place due to urine retention. On 03/06/19 at 4:24 P.M., the nurse documented new
orders were obtained to change the indwelling urinary catheter once monthly, to change the drainage bag
twice monthly, and to administer catheter care with soap and water each shift.
Further record review revealed on 03/10/19 at 6:38 P.M., the nurse documented the indwelling urinary
catheter was discontinued due to the resident's attempts at pulling out the indwelling catheter. The bulb was
deflated and removed without difficulty. On 03/11/19 at 6:24 A.M., the nurse documented she obtained
physician orders to straight catheterize the resident every 12 hours related to urinary retention. At that time
350 cubic centimeters (cc) of urine was obtained. On 03/18/19 at 10:43 A.M., the nurse practitioner (NP)
gave orders to straight catheterize the resident three times daily.
During review of the above urinary incontinence care plan, it was revealed the care plan had not been
updated to reflect the placement of an indwelling urinary catheter and with the orders to straight catheterize
the resident every 12 then every eight hours. Interview on 03/20/19 at 9:30 A.M., with the Director of
Nursing (DON) verified the above care plan and confirmed it was the current care plan.
Review of policy titled Care Plans dated December 2016 revealed that the facility should review and update
the resident's care plan when a desired resident outcome was not met.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 7 of 14
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
Level of Harm - Minimal harm
or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, record review, policy review and staff interview, the facility failed to provide assistance with
grooming for two of 17 sampled residents (#286 and #5) out of a facility census of 36 residents.
Residents Affected - Few
Findings include:
1. Review of Resident #286's medical record, revealed she was admitted to the facility on [DATE] with
diagnoses including conductive hearing loss, transient ischemic attack, cerebral infarction, atherosclerotic
heart disease, hyperlipidemia, dementia, mood disorder, and hypertension.
Review of Resident #286's activity of daily living (ADL) care plan dated 12/08/16 revealed the resident had
an Activities of Daily Living (ADL) deficit related to a diagnosis of dementia with cognitive deficits and a
diagnosis of schizophrenia. Interventions included the use of bilateral upper side rails to the bed, allowing
choices if possible regarding time for ADL's, set up of all materials needed to perform much of the care as
possible, staff to encourage independence, the provision of extensive assistance with bathing and dressing
tasks, staff to know the amount of support needed varies, resident will sometimes participate in care to a
greater degree than other times, encourage continued participation and provide positive feedback for
participation, and provide extensive assistance with personal hygiene.
Review of the quarterly MDS assessment dated [DATE], revealed the resident had severe cognitive
impairment and required assistance with bed mobility, transferring, toilet use, dressing, and personal
hygiene tasks. She was able to walk on the unit and feed herself with supervision of staff.
Observation on 03/18/19 at 11:05 A.M., revealed the resident was observed with a thick layer of black facial
hair on her chin.
Observation on 03/19/19 at 11:00 A.M., revealed Resident #286 still had facial hair on her chin.
Interview immediately following the observation with Licensed Practical Nurse (LPN) #23 and State Tested
Nurse Assistant (STNA) confirmed the facial hair on Resident #286.
2. Review of Resident #5's medical record revealed an admission date of 09/25/15 with diagnoses which
included end-stage dementia and chronic respiratory failure.
Review of Resident #5's revealed Minimum Data Set (MDS) assessment dated [DATE] revealed the
resident was cognitively impaired and was totally dependent on assistance of one staff for assistance with
personal hygiene.
Review of care plan for Resident #5 dated 02/12/16 revealed the resident had an activities of daily living
(ADL) self-care deficit related to end-stage dementia. Interventions included staff to assist with nail care
daily and as needed.
Review of Resident #5's nurse progress notes from 10/01/18 through 03/20/19 revealed no documented
evidence the resident's nails were trimmed.
Review of podiatrist visit notes for Resident #5 dated 10/06/18 and 12/12/18 revealed residents'
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 8 of 14
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0677
toenails were trimmed but notes are silent regarding trimming of resident's fingernails.
Level of Harm - Minimal harm
or potential for actual harm
Observations of Resident #5 on 03/18/19 at 10:40 A.M., and on 03/20/19 at 10:50 A.M. revealed the
fingernails on the residents right hand were approximately two inches long and did not appear to have been
trimmed recently.
Residents Affected - Few
Interviews on 03/20/19 at 10:40 A.M. with LPN #16 and with STNA #37 confirmed Resident #5's fingernails
on her right hand were thick and approximately two inches long. Interviews further confirmed that staff did
not attempt to cut Resident #5's fingernails on right hand because the nails were very thick and they were
not sure when Resident #5's nails were last trimmed.
Interview with the Director of Nursing (DON) on 03/19/19 at 12:06 P.M. confirmed Resident #5's fingernails
on her right hand were approximately two inches long and that she was unsure when the resident's
fingernails had last been trimmed. The DON further confirmed that she had attempted to trim resident's
fingernails, but that she had been unsuccessful in doing so due to the thickness of resident's nails.
Review of policy titled Care of Fingernails/Toenails dated October 2010 revealed the facility would keep
residents' fingernails trimmed and that nail care included regular trimming. Review of policy further revealed
the facility would review the resident's care plan to assess for any special needs of the resident.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 9 of 14
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0727
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Many
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on
a full time basis.
Based on record review, facility policy review and staff interview, the facility failed to ensure the services of
a Registered Nurse (RN) were used for at least eight consecutive hours a day, seven days a week. This had
the potential to affect all residents residing in the facility. The facility census was 36.
Findings include:
Review of the staffing schedule from 02/24/19 to 03/19/19 revealed there were no Registered Nurses (RNs)
at the facility on Saturdays or Sundays including 02/24/19, 03/02/19, 03/03/19, 03/09/19, 03/10/19,
03/16/19 and 03/17/19.
Review of RN time stamps revealed RN #35 did not work on 02/24/19, 03/02/19, 03/03/19, 03/09/19,
03/10/19, 03/16/19 and 03/17/19. There were no time stamps for any other RNs.
Interview with the Administrator and the Director of Nursing (DON) on 03/19/19 at 8:50 A.M. verified the
facility did not have RN coverage on 02/24/19, 03/02/19, 03/03/19, 03/09/19, 03/10/19, 03/16/19 and
03/17/19. The DON confirmed the facility only had RN coverage on Mondays, Tuesdays, Wednesdays,
Thursdays and Fridays and that the facility only had three RNs employed at the time of the survey. The
three RN's that were employed at the facility included the DON, RN #35 and Assistant Director of Nursing
(ADON) #400. The DON and the Administrator reported the facility did not have a staffing waiver.
Review of the facility's Staffing policy dated April 2007 revealed the facility would maintain adequate staffing
on each shift to ensure that residents needs, and services are met. The policy also reported registered
nursing staff will be available to provide and monitor the delivery of resident care services.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 10 of 14
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0755
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a
licensed pharmacist.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review and staff interview, the facility failed to administer medication as ordered by the physician.
This affected one (Resident #20) of seven residents reviewed for unnecessary medications. The census
was 36.
Findings include:
Review of record revealed Resident #20 was admitted on [DATE] with diagnoses which included major
depressive disorder and insomnia.
Review of care plan for Resident #20 dated 01/10/17 revealed resident experienced difficulty falling and
staying asleep. Interventions included administer hypnotic medication as ordered and monitor effectiveness.
Review of physician orders for Resident #20 revealed an order for Ambien 10 milligrams (mg) every night
for insomnia. Review of pharmacist's recommendation dated 05/07/18 for Resident #20 read, Resident has
had an order for ambien 10 mg hour of sleep (hs) since 12/17. Consider a dose decrease to five mg to
determine the minimal effective dose.
Review of physician response to pharmacist's recommendation dated 05/07/18 revealed a physicians order
written, signed, and dated by Resident #20's physician to decrease ambien to five mg every night.
Review of Minimum Data Set (MDS) assessment for Resident #20 dated 01/15/19 revealed the resident
was cognitively intact and resident received a hypnotic medication on seven out of seven days during the
assessment period.
Review of Medication Administration Record (MAR) for March 2018 for Resident #20 revealed the
resident's Ambien was not decreased to five mg every night, but was administered at 10 mg every night.
Review of MAR for March 2019 for Resident #20 revealed Ambien 10 mg was administered every night.
Interview with the Director of Nursing (DON) on 03/20/19 at 10:55 A.M. confirmed the physician's order
dated 05/07/18 to decrease Resident #20's Ambien from 10 mg to 5 mg was not followed.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 11 of 14
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0758
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated,
prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic
medications are only used when the medication is necessary and PRN use is limited.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review, policy review and staff interview, the facility failed to provide non-pharmacological
interventions for a resident receiving a routine hypnotic medication. This affected one (Resident #20) of
seven residents reviewed for unnecessary medications. The census was 36.
Findings include:
Review of Resident #20's medical record revealed the resident was admitted on [DATE] with diagnoses
which included major depressive disorder and insomnia.
Review of care plan for Resident #20 dated 01/10/17 revealed resident experienced difficulty falling and
staying asleep. Interventions included administer hypnotic medication as ordered and monitor effectiveness,
assist with positioning, avoid caffeine late in days, discourage days naps, snack at night, calm quiet
environment.
Review of physician orders for Resident #20 revealed an order dated 10/15/17 for Ambien 10 milligrams
(mg) every night for insomnia.
Review of Medication AR for March 2019 for Resident #20 revealed Ambien 10 mg was administered every
night.
Review of record for Resident #20 revealed the record was silent regarding implementation of
non-pharmacological interventions for insomnia for resident.
Interview with the Director of Nursing (DON) on 03/20/19 at 10:55 A.M. confirmed Resident #20 had
received Ambien every night since 10/15/17 and the resident's record did not include documentation of
implementation of non-pharmacological interventions.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 12 of 14
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0761
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Some
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted
professional principles; and all drugs and biologicals must be stored in locked compartments, separately
locked, compartments for controlled drugs.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based upon
record review, observation, staff interview, and policy review, the facility failed to discard expired oral
medications and failed to appropriately store and label injectable medications. This had the potential to
affect 20 residents (#2, #3, #4, #5, #7, #8, #9, #10, #12, #15, #18, #19, #20, #25, #26, #27, #29, #31, #33,
#34) residing on the first floor who receive house stock medications from the first floor medication room.
This had the potential to affect one (Resident #15) with an order for injectable insulin of 20 residents
residing on the first floor who receive medications from the first floor cart. The census was 36.
Findings include:
Review of Resident #15's medical record revealed an admission date of [DATE] with diagnoses including
diabetes mellitus.
Review of physician orders for Resident #15 revealed an order for a Victoza insulin injection once daily for
treatment of diabetes mellitus.
Observation of the medication room on the first floor with Licensed Practical Nurse (LPN) #21 on [DATE] at
2:58 P.M. revealed a house stock bottle of calcium tablets with an expiration date of 01/19 was being stored
in the room.
Interview with LPN #21 on [DATE] at 2:58 P.M. confirmed the house stock bottle of calcium tablets was
expired and should have been discarded.
Observation of the medication cart for the first floor with LPN #21 [DATE] at 3:12 P.M., revealed the cart
contained an open Victoza insulin pen for Resident #15 which did not have a date indicating when it had
been opened.
Interview with LPN #21 on [DATE] at 3:12 P.M. confirmed the open Victoza insulin pen for Resident #15 did
not have a date indicating when it had been opened.
Interview with the Director of Nursing (DON) on [DATE] at 9:20 A.M., confirmed there were no residents on
the first floor who had current orders for calcium tablets, but the expired bottle of house stock tablets should
have been discarded. DON further confirmed that insulin pens should be dated once opened in order to
determine when the pen has expired and should be discarded.
Review of facility policy titled Storage of Medications dated [DATE] revealed the facility would destroy
discontinued medications.
Review of online medication resource Medscape on [DATE] revealed Victoza insulin pens expire within 30
days after opening.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 13 of 14
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
365734
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
03/20/2019
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Chamberlin Healthcare Center
3889 East Galbraith Road
Cincinnati, OH 45236
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0842
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in
accordance with accepted professional standards.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
record review, observation, staff interview and policy review, the facility failed to document the amount of
nutritional supplement taken by a resident. This affected one (Resident #3) of nine residents observed for
medication administration. The census was 36.
Findings include:
Review of care plan for Resident #3 dated 09/06/18 revealed resident had potential for alteration in
nutritional status due to dementia. Interventions included provide oral nutritional supplements as ordered by
the physician.
Review of Minimum Data Set (MDS) dated [DATE] for Resident #3 revealed resident was cognitively
impaired and required extensive assistance of one staff with eating.
Review of Medication Administration Record (MAR) for Resident #3 for March 2019 revealed an order
dated 02/21/19 for the resident to receive Ensure Plus three times per day. Review of MAR further revealed
the resident received the supplement three times per day but the amount of supplement consumed by the
resident was not documented.
Observation of Resident #3 on 03/19/19 at 10:00 A.M. confirmed Licensed Practical Nurse (LPN) #16
offered resident 240 ml of Ensure Plus. Resident consumed half of the cup of supplement and refused the
rest.
Interview with LPN #16 on 03/19/19 at 10:00 A.M. confirmed the nurse did not document the amount of
supplement consumed by Resident #3.
Interview with Registered Dietitian (RD) #600 on 03/19/19 at 2:37 P.M., confirmed Resident #3 should be
offered 240 milliliters (ml) of the supplement Ensure Plus three times daily and that staff should document
the amount of supplement consumed by the resident.
Interview with the Director of Nursing (DON) on 03/20/10 at 11:20 A.M., verified the nurses should
document a percentage of nutritional supplements or actual mls consumed on the residents MAR. The
DON also verified it did not occur for Resident #3's Ensure Plus ordered on 02/21/19.
Review of facility policy titled Supplements dated 09/2016 revealed nursing staff would document the
amount of supplements consumed.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
365734
If continuation sheet
Page 14 of 14
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Back to topCitations
16 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0161GeneralS&S Fpotential for harm
Use approved construction type or materials.
- 0222GeneralS&S Fpotential for harm
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- 0345GeneralS&S Fpotential for harm
Have approved installation, maintenance and testing program for fire alarm systems.
- 0521GeneralS&S Fpotential for harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
F711 - Physician Visits
Provide a written emergency evacuation plan.
F712 - Frequency of physician visits
Have simulated fire drills held at unexpected times.
F656 - Comprehensive Care Plans
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F657 - Comprehensive Care Plans
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F758 - Medication Errors
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
F761 - Labeling of Drugs and Biologicals
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F842 - Resident-identifiable information
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F569 - Notice of certain balances
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
F623 - Transfer and discharge-
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F677 - A resident who is unable to carry out activities of daily living receives
Provide care and assistance to perform activities of daily living for any resident who is unable.
F727 - Except when waived under paragraph (f) or (g) of this section, the
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F755 - Pharmacy Services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
FAQ · About this visit
Common questions about this visit
What happened during the March 20, 2019 survey of CHAMBERLIN HEALTHCARE CENTER?
This was a inspection survey of CHAMBERLIN HEALTHCARE CENTER on March 20, 2019. The surveyor cited 16 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at CHAMBERLIN HEALTHCARE CENTER on March 20, 2019?
Yes, 16 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Use approved construction type or materials."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.