Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

MEADOWBROOK CARE CENTER

CINCINNATI, OH · 146 certified beds · Last Life Safety survey May 15, 2025

CMS Certification Number 365375 · first certified June 1978

Ownership

Operated by CCH HEALTHCARE · For profit - Limited Liability company

Ownership changed October 1, 2020 (change of ownership)from TRINITY HEALTHCARE CORPORATION

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within OH

37 citations — more than 93% of the 922 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 6 citations; the earlier surveys in the window averaged 15.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was May 2025. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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7 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 37 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 37 Life Safety citations above. The Physical Environment Index

F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F-0880 Provide and implement an infection prevention and control program.
F-0908 Keep all essential equipment working safely.
F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	37
Median facility in OH	16
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
January 30, 2020	9
November 16, 2023	22
May 15, 2025	6

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	3	2025-05-15
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.	2	2023-11-16
K-0712	Have simulated fire drills held at unexpected times.	2	2023-11-16
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2025-05-15
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2023-11-16
K-0353	Inspect, test, and maintain automatic sprinkler systems.	2	2025-05-15
K-0341	Install a fire alarm system that can be heard throughout the facility.	2	2023-11-16
K-0363	Install corridor and hallway doors that block smoke.	2	2025-05-15

What the citations cover

Citations by CMS category

Smoke Deficiencies 15
Miscellaneous Deficiencies 6
Emergency Preparedness Deficiencies 5
Egress Deficiencies 5
Other 6

Citations by CMS category
Category	Citations
Smoke Deficiencies	15
Miscellaneous Deficiencies	6
Emergency Preparedness Deficiencies	5
Egress Deficiencies	5
Gas, Vacuum, and Electrical Systems Deficiencies	3
Services Deficiencies	3

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 15, 2025 — 6 citations

Citations issued on May 15, 2025
Tag	What the surveyor checks	Status
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (June 11, 2025)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (June 11, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (June 11, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (June 11, 2025)
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has date of correction (June 11, 2025)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (June 11, 2025)

November 16, 2023 — 22 citations

Citations issued on November 16, 2023
Tag	What the surveyor checks	Status
E-0004	Develop and maintain an Emergency Preparedness Program (EP).	Deficient, Provider has date of correction (December 29, 2023)
E-0025	Create arrangements with other facilities to receive patients.	Deficient, Provider has plan of correction (December 29, 2023)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has plan of correction (December 29, 2023)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has plan of correction (December 29, 2023)
E-0042	Meet the requirements of an integrated health system.	Deficient, Provider has plan of correction (December 29, 2023)
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.	Deficient, Provider has date of correction (December 29, 2023)
K-0281	Install proper backup exit lighting.	Deficient, Provider has date of correction (December 29, 2023)
K-0311	Have an enclosure around a vertical opening shaft.	Deficient, Provider has date of correction (December 29, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (December 29, 2023)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (December 29, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (December 29, 2023)
K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours.	Deficient, Provider has date of correction (December 29, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (December 29, 2023)
K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.	Deficient, Provider has date of correction (December 29, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (December 29, 2023)
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has date of correction (December 29, 2023)
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has date of correction (December 29, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (December 29, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (December 29, 2023)
K-0754	Provide properly sized and located linen or trash receptacles.	Deficient, Provider has date of correction (December 29, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (December 29, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (December 29, 2023)

January 30, 2020 — 9 citations

Citations issued on January 30, 2020
Tag	What the surveyor checks	Status
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.	Deficient, Provider has date of correction (March 13, 2020)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (March 13, 2020)
K-0341	Install a fire alarm system that can be heard throughout the facility.	Deficient, Provider has date of correction (March 13, 2020)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (March 13, 2020)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (March 13, 2020)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (March 13, 2020)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (March 13, 2020)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (March 13, 2020)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (March 13, 2020)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.