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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E4 | F13 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 17, 2025 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| Jul 17, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Nov 9, 2022 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Nov 9, 2022 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Aug 21, 2019 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Aug 21, 2019 | Health | Health Standard | 7 | Potential harm | 1 | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D8 | E4 | F13 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 17, 2025 | K-0222 | 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. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2025 | |
| Jul 17, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2025 | |
| Jul 17, 2025 | K-0353 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 2 facilities.
3 facilities in 2 states. CMS chain ID 711.
Chain average overall rating (CMS): 4.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Episcopal Retirement Homes, Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2010 |
| Episcopal Retirement Services | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 19, 2015 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Episcopal Retirement Homes, Inc | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Mar 1, 2010 |
| Episcopal Retirement Services | Organization | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 19, 2015 |
| Episcopal Retirement Homes, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2010 |
| Episcopal Retirement Services | Organization | Operational / managerial control |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Marjorie P Lee Retirement Community 3550 Shaw Avenue, Cincinnati, OH 45208 CCN 365802 | 88 | Jan 29, 2026 | 211 harm | — |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Marjorie P Lee Retirement Community 3550 Shaw Avenue, Cincinnati, OH 45208 CCN 365802 | 88 | Jan 29, 2026 | 211 harm | — |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Arc at Cincinnati 4001 Rosslyn Drive, Cincinnati, OH 45209 CCN 365044SFF Candidate | 0.2 km | 130 | Jul 28, 2026 | 1307 harm | $191k | |
| Marjorie P Lee Retirement Community 3550 Shaw Avenue, Cincinnati, OH 45208 CCN 365802 | 3 km | 88 | Jan 29, 2026 | 211 harm | — | |
| Indianspring of Oakley 4900 Babson Place, Cincinnati, OH 45227 CCN 366380 | 3.2 km | 144 | Jul 1, 2025 | 382 harm | $17k | |
| St. Theresa Care Center 7010 Rowan Hill Drive, Cincinnati, OH 45227 CCN 365946 | 3.2 km | 99 | Jan 12, 2026 | 571 open | — | |
| Pleasant Ridge Healthcare Center 5501 Verulam, Cincinnati, OH 45213 CCN 365196 | 3.4 km | 99 | Jul 14, 2025 | 801 harm2 open | — | |
| Ayden Healthcare of Madeira 5970 Kenwood Road, Cincinnati, OH 45243 CCN 365186 | 3.5 km | 115 | Aug 14, 2026 | 1002 open | — | |
| Beechwood Home for Incurables 2140 Pogue Avenue, Cincinnati, OH 45208 CCN 365445 | 4.8 km | 80 | Jul 14, 2026 | 17 | — | |
| Fountain View Nursing & Rehabilitation 6922 Ohio Avenue, Cincinnati, OH 45236 CCN 365476 | 5 km | 98 | Jun 25, 2026 | 871 IJ | $16k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 366386 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 366386 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Sep 5, 2025 |
| Jul 17, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 5, 2025 |
| Jul 17, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2025 |
| Jul 17, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2025 |
| Jul 17, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 5, 2025 |
| Jul 17, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 5, 2025 |
| Nov 9, 2022 | K-0222 | 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. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 5, 2023 |
| Nov 9, 2022 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 5, 2023 |
| Nov 9, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 5, 2023 |
| Nov 9, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 5, 2023 |
| Nov 9, 2022 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 5, 2023 |
| Nov 9, 2022 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 5, 2023 |
| Nov 9, 2022 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 5, 2023 |
| Aug 21, 2019 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 10, 2019 |
| Aug 21, 2019 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 10, 2019 |
| Aug 21, 2019 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 10, 2019 |
| Aug 21, 2019 | K-0928 | Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 10, 2019 |
| Aug 21, 2019 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 10, 2019 |
| Aug 21, 2019 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 10, 2019 |
| Aug 21, 2019 | F-0761 | 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 10, 2019 |
| Aug 21, 2019 | F-0790 | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Oct 10, 2019 |
| Aug 21, 2019 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 10, 2019 |
| Aug 21, 2019 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Plan of correction, not yet verified Oct 10, 2019 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.96 (case-mix index 1.13).
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 9, 2025 |
| Beverly Edwards | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 20, 2021 |
| Bonita Fraser | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 15, 2022 |
| Laura Lamb | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 23, 2021 |
| Wendy Mccaughey | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 28, 2022 |
| Jeffrey Schlaudecker | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2020 |
| Emerson Stambaugh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2010 |
| Daniel Steward | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 21, 2019 |
| Dora Anim | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2018 |
| W. Cooper | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 1, 2016 |
| Reverend Darren Elin | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| John Fritschner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2016 |
| Joann Hagopian | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2016 |
| Alan Hartman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Gregory Hopkins | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2016 |
| Eric Kearney | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| John Koepke | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| Gerron Mcknight | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2018 |
| Jennifer Payne | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2018 |
| Apryl Pope | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Thomas Regan | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2020 |
| David Retford | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| Albert Smitherman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2019 |
| David Workman | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Elizabeth Zwilling | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Beverly Edwards | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Dec 20, 2021 |
| Laura Lamb | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 23, 2021 |
| Daniel Steward | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 21, 2019 |
| Episcopal Retirement Homes, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2010 |
| Episcopal Retirement Services | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 9, 2025 |
| Beverly Edwards | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 20, 2021 |
| Bonita Fraser | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2022 |
| Laura Lamb | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 23, 2021 |
| Wendy Mccaughey | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 28, 2022 |
| Jeffrey Schlaudecker | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2020 |
| Emerson Stambaugh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 1, 2010 |
| Daniel Steward | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 21, 2019 |