Astoria Place of Silverton
6922 Ohio Avenue, Cincinnati, OH 45236 · Hamilton County · (513) 793-2090
98 certified beds, about 70 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365476 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 25, 2026, inspectors cited 6 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 49 health citations since December 2019, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $15,887 in the last three years; the largest was $15,887, and the latest is dated January 4, 2024.
Nurses and nurse aides worked 3.66 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.35 of those hours.
76.5% of nursing staff left within the year CMS measured (Ohio average 48.7%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 49 health citations on file.
June 25, 2026Standard inspection, Complaint inspection · 6 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and review of the facility documents and policy, the facility failed to maintain a clean and sanitary kitchen and failed to monitor temperatures of refrigerators and dish machines, and failed to monitor chemical concentration levels for the dish machine and for the three compartment sink. This had the potential to affect all of the residents residing in the facility with the exception of three facility-identified residents who did not receive meals prepared in the facility kitchen. The facility census was 75 residents.
- D 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.
Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to ensure a clean and safe environment for residents. This affected two (Residents #12 and #68) of 18 residents sampled. Based on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure resident rooms were stocked with paper towels. This affected two (Residents #11 and #68) of 18 residents sampled. The facility census was 75 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to ensure residents received wound care in a timely fashion. This affected one (Resident #11) of 18 residents sampled. The facility census was 75 residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to ensure residents received treatment of pressure ulcers. This affected one (Resident #11) of two resident reviewed for pressure ulcers. The facility census was 75 residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to ensure residents received medications as ordered. This affected one (Resident #68) of 18 residents sampled. The facility census was 75 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to follow enhanced barrier precautions (EBP) while providing wound care. This affected one (Resident #56) of three residents reviewed for wound care. Based on observation, staff interview, and review of the facility policy, the facility failed to ensure staff performed appropriate hand hygiene during meal service. This affected six (Residents #71, #8, #10, #20, and #23) of 18 residents sampled. The facility census was 75.
March 17, 2026Complaint inspection · 10 citations
- F Keep all essential equipment working safely.
Inspectors wroteBased on observations, staff interviews, review of dishwasher logs, and facility policy review, the facility failed to ensure the dishwasher was maintained in working order. This had the potential to affect all 70 residents residing in the facility. The facility census was 70.
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, resident interview, staff interview, and policy review, the facility failed to treat residents with dignity and respect by providing disposable cutlery and dishware during meal services. This affected 67 residents as the facility identified three residents (#42, #56 and #73) who were nothing by mouth (NPO) and did not receive food from the kitchen. The facility census was 70.
- E Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on medical record review, review of care plans, observations, staff interviews, and policy review, the facility failed to have call lights within reach. This affected four Residents (#33, #53, #55, and #58) reviewed for call lights. The facility census was 70.
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of medical records, review of Controlled Substance Records, review of hospice notes, staff interview, and review of facility policy, the facility failed to ensure residents were free of any significant medication errors. This affected four Residents (#117, #53, #54, and #55) of the the four residents reviewed for medication administration. The facility census was 70.
- E 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.
Inspectors wroteBased on observation, staff interview, record review and policy review, the facility failed to store and destroy controlled substances appropriately. This affected four Residents (#117, #132, #119, and #118) but had the potential to affect 56 residents who the facility identified as being independently mobile. The facility census was 70.
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, resident interview, staff interviews, review of the menu, review of the substitution log, and policy review, the facility failed to ensure they had an adequate supply of food to follow the menu. This affected 67 residents as the facility identified three Residents (#42, #56 and #73) who were nothing by mouth (NPO) and did not receive food from the kitchen. The facility census was 70.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interviews, and review of the facility policy, the facility failed to ensure food was stored, prepared and served in a safe and sanitary manner to prevent foodborne illness. This affected 67 residents as the facility identified three Residents (#42, #56 and #73) who were nothing by mouth (NPO) and did not receive food from the kitchen. The facility census was 70.
- D Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on staff interview, record review and policy review, the facility failed to ensure care conferences were conducted. This affected two Residents (#107 and #117) of the three residents reviewed for care conferences. The facility census was 70.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review, staff interview and policy review, the facility failed to notify the Medical Director/ Provider of residents leaving the facility Against Medical Advice (AMA). This affected two Residents (#105 and #107) of the three reviewed. The facility census was 70.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, staff interview, and review of facility policy, the facility failed to ensure physician orders were following when administering medications to residents. This affected three Residents (#53, #54, and #55) of the four residents reviewed for medication administration. The facility census was 70.
July 9, 2025Complaint inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and interview, the facility failed to ensure the kitchen was maintained in a clean and sanitary manner. This had the potential to affect 70 out of 71 residents in the facility. One resident (#67) was unable to consume food from the kitchen per diet order. The census was 71. Observation on 07/07/25 at 10:15 A.M. of the kitchen revealed the floor of the walk-in refrigerator had a pooling of water with a brownish tint. Interview on 07/07/25 at 10:15 A.M. with Dietary Manager (DM) #710 verified the pooling of water on the floor in the walk-in refrigerator. DM #710 stated she was newer to the position and had no information regarding the issue in the walk-in refrigerator. This deficiency represents non-compliance investigated under Complaint Number 1308977.
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on record review, observations, staff interviews, and policy review, the facility failed to maintain a clean, safe, and homelike environment. This affected one resident (#72) and had the potential to affect all residents residing in the facility. The census was 71.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, staff interview, and review of facility policy, the facility failed to ensure care and services to prevent falls were implemented timely and appropriately. This affected one resident (#13) of 23 residents reviewed for falls. The facility census was 71. Record review for Resident #13 revealed the resident was admitted to the facility on [DATE] and had diagnoses which included Alzheimer's disease, dementia with behavioral disturbances, and hypertension. Review of the facility Fall Risk Assessment, dated 04/15/25, revealed the resident was assessed to be at moderate risk for falls. Review of the facility incident log revealed Resident #13 experienced a fall in the facility on 05/10/25. [...]
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observation, interview and review of the medication administration policy the facility failed to provide medications while adhering to proper infection control procedures during administration. This affected one resident (Resident #53) out of three observed during medication administration. The facility census was 71.
April 8, 2025Complaint inspection · 1 citation
- D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on record review, family interview, staff interview, and policy review, the facility failed to provide evidence of a refund being issued within thirty days of discharge. This affected one (110) of the two residents reviewed for personal accounts. The facility census was 59.
September 11, 2024Complaint inspection · 2 citations
- D Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Inspectors wroteBased on medical record review, staff interviews, and policy review, the facility failed to allow a resident to remain in the facility and not transfer or discharge the resident without justification and proper documentation. This affected one (#61) resident out of three residents reviewed for transfer and discharge. The facility census was 53.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review, staff interviews, and policy review, the facility failed to give proper notice before a transfer or discharge. This affected one (#61) resident out of three residents reviewed for transfer and discharge. The facility census was 53.
July 1, 2024Complaint inspection · 2 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on review of the facility menu, observation, resident interview, staff interview, and review of the facility policy, the facility failed to provide palatable food to meet resident nutritional needs. This had the potential to affect all residents residing in the facility. The facility census was 55 residents.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to accurately and timely document resident wound treatments. This affected one (Resident #48) resident of three residents reviewed for treatments. The facility census was 55 residents.
May 29, 2024Complaint inspection · 4 citations
- F Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation, staff interviews, record review and review of facility policy, the facility failed to maintain an effective pest control program. This had the potential to affect all 53 residents who resided at the facility. The facility census was 53.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on record review, staff interviews, and review of the facility policy, the facility failed to ensure a written discharge notice with provision of the discharge was provided to resident upon discharge to the community. This affected one resident (#56) out of three residents reviewed. The facility census was 53.
- D Prepare residents for a safe transfer or discharge from the nursing home.
Inspectors wroteBased on record review, staff interviews, and review of the facility policy, the facility failed to ensure a safe and orderly discharge. This affected one resident (#56) out of three residents reviewed. The facility census was 53.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on record review, observation, staff interviews, and review of facility policy, the facility failed to provide a clean, safe, and sanitary environment. This directly affected three residents (#14, #25, and #42) but had the potential to affect all 18 residents (#01, #02, #03, #04, #05, #06, #07, #08, #09, #10, #11, #12, #13, #14, #15, #16, #25 and #42) who resided on the memory care unit. The facility census was 53.
April 29, 2024Complaint inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observations, staff interviews and policy review, the facility staff failed to perform hand washing/hand hygiene after providing incontinence care and before applying barrier cream, repositioning, and clothing adjustments. This affected two (#4 and #26) of three residents review for incontinence care. The facility census was 52.
March 28, 2024Complaint inspection · 1 citation
- E 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.
Inspectors wroteBased on observations, staff and resident interviews, and policy review, the facility failed to ensure the residents were provided a clean, functional, homelike environment. This affected two residents (#37 and #40) and had the potential to affect 34 residents (#18, #19, #20, #21, #22, #23, #24, #25, #26, #27, #28, #29, #30, #31, #32, #33, #34, #35, #36, #38, #39, #41, #42, #43, #44, #45, #46, #47, #48, #49, #50, #51, #52, and #53) of 53 residents residing in the facility.
February 8, 2024Complaint inspection · 3 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to ensure the dishwasher temperature and water temperatures in the kitchen were maintained in manner to promote kitchen sanitation. This affected 54 of the 54 residents who the facility identified as receiving food from the kitchen. The facility census was 54.
- E 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.
Inspectors wroteBased on observation, record review and staff interview, the facility failed to provide a comfortable, safe, and homelike environment by ensuring the residents had water. This affected 23 (#01, #03, #05, #07, #10, #12 #14, #16, #19, #24, #27, #29, #32, #33, #34, #37, #38, #39, #40, #44, #45, #46 and #52) of the 54 residents who resided at the facility.
- E Keep all essential equipment working safely.
Inspectors wroteBased on observations, resident and staff interviews and review of facility policy, the facility failed to maintain essential equipment to provide hot water to the residents. This directly affected 23 (#01, #03, #05, #07, #10, #12 #14, #16, #19, #24, #27, #29, #32, #33, #34, #34, #34, #37, #38, #39, #40, #44, #46 and #52) of the 54 residents reviewed for safe and comfortable hot water temperatures. This also had the potential to affect all 54 residents who resided in the facility.
January 4, 2024Complaint inspection · 2 citations
- J Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on medical record review, review of a Self-Reported Incident (SRI), staff interviews, review of employee timeclock punch reports, review of the local police report, review of witness statements, review of an employee personnel file and facility policy review, the facility failed to ensure one cognitively impaired resident (#20) was free from physical abuse by facility staff. [...]
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observation and staff interview, the facility failed to store, prepare, distribute, and serve foods in accordance with professional standards for food service safety. This had the potential to affect all 62 residents who received food from the kitchen. The facility census was 62.
April 14, 2023Standard inspection · 4 citations
- E 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.
Inspectors wroteBased on observation, and resident and staff interview, the facility failed to ensure a safe, clean comfortable and homelike environment. This affected 23 residents (#03, #09, #12, #14, #16, #19, #27, #32, #34, #36, #37, #40, #41, #42, #45, #48, #50, #52, #53, #57, #60, #62, and #63) of 61 residents reviewed for a homelike environment. The facility census was 61.
- E Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on observation, resident and staff interviews, the facility failed to ensure residents were given the correct grievance official during monthly resident council meetings and aware of the designated grievance official. This directly affected six (#13, #18, #22, #31, #37, and #48) residents interviewed during the resident council meeting and had the potential to affect all 61 residents in the facility. The Facility census was 61.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on medical record review, staff and resident interview, and policy review, the facility failed to ensure residents and representatives had the opportunity to participate in care conferences. This affected one resident (#09) out of one resident reviewed for care conferences participation. The facility census was 61.
- C Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Inspectors wroteBased on observation, and resident and staff interviews, the facility failed to display the state agency survey results where residents and visitors could visibly access them. This directly affected six residents (#13, #18, #22, #31, #37, and #48) of six residents interviewed during the resident council meeting and had the potential to affect all 61 residents in the facility. The facility census was 61.
December 18, 2019Standard inspection · 9 citations
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation and interview, the facility failed to ensure meals served were palatable. This had the potential to affect all 82 residents who received meals from the kitchen. The census was 82.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to label, date, and discard expired food items from the walk-in refrigerator and freezer. This had the potential to affect all 82 residents. The census was 82.
- E 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.
Inspectors wroteBased on observation and interview, the facility failed to keep rooms clean and in proper repair. This affected one resident on the 400 hall (Resident #45), and 11 (Resident #14, #21, #23, #37, #38, #44, #52, #53, #59, #60, and #281) residents on the dementia unit. The facility census was 82.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and interview, the facility failed to ensure care planning conferences were being held. This affected four (Residents #17, #26, #33 and #57) of six residents reviewed for care planning conferences. The facility census was 82.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review, interview and policy review, the facility failed to implement their policy for abuse by not reporting to the State Agency or investigating an allegation of abuse. This affected one (Resident #15) of two residents reviewed for abuse. The census was 82.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, interview and policy review, the facility failed to report allegations of abuse to the State Agency. This affected one (Resident #15) of two residents reviewed for abuse. The facility census was 82.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review, interview, and policy review the facility failed to thoroughly investigate an allegation of abuse. This affected one (Resident #1) out of two residents reviewed for abuse. The census was 82.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on record review, observation and interview, the facility failed to provide an individualized activity program designed to meet the interests and total care needs of the residents on the dementia unit. This affected two (#21 and #49) out of 29 residents reviewed for activities. The facility census was 82.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation and interview, the facility failed to ensure all resident call lights were in working order. This affected three (rooms [ROOM NUMBER]) of 26 resident rooms. The facility census was 82.
Fire safety inspections
38 fire safety citations on file: 14 on June 25, 2026, 1 on October 7, 2024, 18 on April 14, 2023, 5 on December 18, 2019.
Every fire safety citation38 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- F Provide properly sized and located linen or trash receptacles.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Have proper power supply for life support equipment.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F 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.
- F Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F Provide properly protected cooking facilities.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Have restrictions on the use of highly flammable decorations.
- E Have restrictions on the use of portable space heaters.
- E Ensure proper usage of power strips and extension cords.
- F 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.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 4, 2024 | Fine | $15,887 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.66 | 3.69 | 3.86 |
| Registered nurses | 0.35 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.22 | 3.28 | 3.42 |
| Nurse aides | 2.39 | ||
| Licensed practical nurses | 0.92 | ||
| Nursing staff turnover (share who left in a year) | 76.5% | 48.7% | 45.8% |
| Registered nurse turnover | 87.5% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.54 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.84 on weekdays and 3.22 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.00 in April to June 2025 to 3.66 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.66 | 0.35 | 3.84 | 3.22 | 2.2% | 0 of 90 | 70 |
| Oct to Dec 2025 | 2.99 | 0.33 | 3.11 | 2.70 | 0.0% | 0 of 92 | 74 |
| Jul to Sep 2025 | 3.08 | 0.28 | 3.16 | 2.87 | 0.0% | 0 of 92 | 73 |
| Apr to Jun 2025 | 3.00 | 0.35 | 3.12 | 2.71 | 0.0% | 0 of 91 | 68 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.5 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.1 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.0 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.7 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.7 | 8.8 | 15.4 |
Owners and operators
Legal business name: ASTORIA PLACE OF SILVERTON LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bh Ventures LLC | 5% or greater direct ownership interest | Organization | 10% | 06/29/2018 |
| Brandman, Gittel | 5% or greater direct ownership interest | Individual | 40% | 06/29/2018 |
| Goldberg, Yehudit | 5% or greater direct ownership interest | Individual | 06/29/2018 | |
| Nudell, Michael | 5% or greater direct ownership interest | Individual | 25% | 06/29/2018 |
| Bank Leumi USA | 5% or greater security interest | Organization | 06/29/2018 | |
| Weinschneider, Raphael | W-2 managing employee | Individual | 11/11/2019 | |
| Brandman, Joseph | Corporate officer | Individual | 06/29/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 16 problems in this area, most recently on June 25, 2026: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 9 problems in this area, most recently on June 25, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 6 problems in this area, most recently on March 17, 2026: "Keep all essential equipment working safely."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on June 25, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.22 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Parkview Northwest Healthcare Center Cincinnati, 1 mi · 4 of 5 stars · 35 citations
- Chamberlin Healthcare Center Cincinnati, 1 mi · 5 of 5 stars · 25 citations
- Ayden Healthcare of Madeira Cincinnati, 1.8 mi · 1 of 5 stars · 79 citations
- Pleasant Ridge Healthcare Center Cincinnati, 2 mi · 4 of 5 stars · 44 citations
- Mount Notre Dame Health Center Cincinnati, 2.4 mi · 5 of 5 stars · 3 citations
- Kenwood Terrace Healthcare Center Cincinnati, 2.4 mi · 4 of 5 stars · 51 citations
- Courtyard at Seasons Cincinnati, 2.5 mi · 4 of 5 stars · 23 citations
- Madeira Healthcare Center Cincinnati, 2.6 mi · 4 of 5 stars · 34 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Astoria Place of Silverton's Medicare star rating?
- CMS rates Astoria Place of Silverton 2 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Astoria Place of Silverton get at its last inspection?
- 6 health deficiencies at the standard inspection on June 25, 2026. The Ohio average is 10.5.
- Has Astoria Place of Silverton been fined?
- Yes. CMS lists 1 fine totaling $15,887 in the last three years.
- Does Astoria Place of Silverton accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Astoria Place of Silverton?
- CMS lists 7 owners and managers. Legal business name: ASTORIA PLACE OF SILVERTON LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.