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

SCARLET OAKS NURSING AND REHABILITATION CENTER

CINCINNATI, OH · 70 certified beds · Last Life Safety survey January 23, 2025

CMS Certification Number 365978 · first certified September 1994

Ownership

Operated by CCH HEALTHCARE · For profit - Limited Liability company

  • Ownership changed February 1, 2016 (change of ownership)to SCARLET OAKS NURSING AND REHABILITATION CENTER LLC from PSOR LLC
24
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within OH

24 citations — more than 75% 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 2 citations; the earlier surveys in the window averaged 11. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: September 2026 to September 2027. This facility’s last Life Safety survey was January 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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Which alerts

2 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

4 of the 24 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)

4 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 24 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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.

This facility24OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility24
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
52019-03172022-0522025-01
Citations at each Life Safety survey
Survey dateCitations
March 28, 20195
May 20, 202217
January 23, 20252

Most-cited tags

Most-cited tags at this facility
K-02252K-09152K-03722K-03452E-00391K-03511K-03461K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.22022-05-20
K-0915Have proper power supply for life support equipment.22025-01-23
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22025-01-23
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22022-05-20
E-0039Conduct testing and exercise requirements.12022-05-20
K-0351Install an approved automatic sprinkler system.12019-03-28
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.12022-05-20
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12022-05-20

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Egress Deficiencies 6
  • Emergency Preparedness Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Egress Deficiencies6
Emergency Preparedness Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Miscellaneous Deficiencies1

Every citation on file

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

January 23, 2025 — 2 citations

Citations issued on January 23, 2025
TagWhat the surveyor checksStatus
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 21, 2025)
K-0915Have proper power supply for life support equipment.Waiver has been granted (February 21, 2025)

May 20, 2022 — 17 citations

Citations issued on May 20, 2022
TagWhat the surveyor checksStatus
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (July 1, 2022)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (July 1, 2022)
E-0037Establish staff and initial training requirements.Deficient, Provider has date of correction (July 1, 2022)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (July 1, 2022)
K-0222Add 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 (July 1, 2022)
K-0223Provide 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 (July 1, 2022)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (July 1, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 1, 2022)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (July 1, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 1, 2022)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (July 1, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (July 1, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (July 1, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 1, 2022)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (July 1, 2022)
K-0915Have proper power supply for life support equipment.Deficient, Provider has date of correction (July 1, 2022)
K-0916Have a battery powered remote alarm panel in a location accessible by operating personnel.Deficient, Provider has date of correction (July 1, 2022)

March 28, 2019 — 5 citations

Citations issued on March 28, 2019
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (May 3, 2019)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (May 3, 2019)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (May 3, 2019)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 3, 2019)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (May 3, 2019)

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