Brookside Healthcare Center
315 Lilienthal Street, Cincinnati, OH 45204 · Hamilton County · (513) 471-8667
105 certified beds, about 100 residents a day · For profit - Individual · Medicare and Medicaid since 1993
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365925 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 17, 2025, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 24 health citations since November 2019, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.21 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.
29.1% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Health Care Facility Management, LLC, an affiliated group of 5 nursing homes.
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.
1011/19
1207/22
204/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 24 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
16D
4E
3F
Potential for minimal harm
0A
0B
0C
April 17, 2025Standard inspection · 2 citations
- F 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, record review and interview, the facility failed to ensure portion sizes were served as planned. This had the potential to affect all 94 residents in the facility.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, interview and policy review, the facility failed to maintain infection control principles during tracheostomy care. This affected one (Resident #19) of one resident observed for tracheostomy care. The facility identified one resident who currently has a tracheostomy. The facility census was 94.
July 27, 2022Standard inspection · 12 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record review, staff interview, review of information from the National Pressure Injury Advisory Panel (NPIAP), and policy review, the facility failed to assess and monitor a newly applied lower left extremity immobilizer for a pressure area. This resulted in Actual Harm when Resident #57 was readmitted to the facility with a left lower extremity immobilizer on 03/25/22. The immobilizer was not checked for skin breakdown causing a subsequent avoidable unstageable pressure ulcer that was found on 04/06/22. This affected one (Residents #57) of two residents reviewed for pressure ulcer care. The facility census was 93.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review and staff interview, the facility failed to ensure infection control precautions were followed and failed to ensure staff wore personal protective equipment (PPE) to prevent the spread of coronavirus (COVID-19). This affected four (Residents #80, #37, #31 and #33) residents and had the potential to affect all residents it the facility. The census was 93.
- 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 record review, observation, interview and policy review, the facility failed to appropriately secure and store resident medications which had the potential to affect all residents on the 400 [NAME] Hall (#2, #3, #5, #12, #17, #18, #19, #20, #32, #35, #36, #40, #41, #43, #46, #47, #52, #53, #54, #61, #63, #75, #81, #87, #88.) The facility also failed to discard expired medication which had the potential to affect all residents receiving medications from the 3 East medication cart (#9, #10, #13, #21, #22, #24, #25, #28, #30, #57, #64, #65, #68, #69, #72, #85, #341, #342) The census was 93.
- E Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on observation, interview, and review of facility meal times, the facility failed to ensure resident meals were delivered timely. This had the potential to affect 91 of 93 residents who received meals from the kitchen. The facility identified two residents (#27 and #44) who did not received food from the kitchen. The facility census was 93.
- 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 interview, observation, and record review, the facility failed to ensure residents received food items as printed on the dietary ticket and the facility failed to provide food portions and therapeutic diets as planned by the dietitian. This affected one (Resident #41) of six residents reviewed for dietary services, and this had the potential to affect 91 of 93 residents who received meals from the kitchen. The facility identified two residents (#27 and #44) who did not received food from the kitchen. The facility census was 93.
- E 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 interview, the facility failed to label and date stored foods, discard expired foods and maintain kitchen sanitation. This had the potential to affect 91 residents who received food from the kitchen. The facility census was 93.
- 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, interview and policy review, the facility failed to ensure the physician was notified of abnormal resident blood sugars as ordered. This affected one (Resident #82) of 16 residents with orders for routine blood sugar monitoring. The census was 93.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review and staff interview, the facility failed to complete and transmit a significant change Minimum Data Set (MDS) assessment for a resident that was admitted to hospice services. This affected one (Resident #57) of 19 residents reviewed for assessments. The facility census was 93.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, observation, and interview, the facility failed to ensure the resident assessment was accurate regarding the presence of gastrostomy tubes (g-tubes.) This affected one (Resident #33) of three residents in the facility with g-tubes. The census was 93.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on record review, observation, interview and policy review, the facility failed to ensure dependent residents were provided with adequate toenail care. This affected one (Resident #33) of 19 residents sampled. The census was 93.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review and staff interview, the facility failed to ensure residents smoked safely and in designated smoking areas. This affected one (Resident #39) of 39 residents reviewed for smoking. The facility census was 93.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on record review, observation, interview and policy review, the facility failed to ensure residents were provided with adequate care and management of gastrostomy tubes (g-tubes.) This affected one (Resident #33) of three residents in the facility with g-tubes. The census was 93.
November 26, 2019Standard inspection · 10 citations
- F Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Inspectors wroteBased on personnel file review and staff interview, the facility failed to ensure a state tested nursing assistant (STNA) had an active nurse aide registry. This affected one (#25) out of three STNA personnel files reviewed. This had the potential to affect all residents residing in the facility. The facility census was 54 residents.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a residents advanced directive regarding code status matched in the medical record. This affected (#33) of 18 residents reviewed for physician's orders. The facility census was 54.
- 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 and staff interview, the facility failed to provide a copy of the transfer or discharge notification to the Ombudsman for discharges from the facility. This affected two (#12 and #50) of three residents reviewed for discharge notification. The facility census was 54.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a resident's hospice services were accurately coded on their significant change Minimum Data Sets (MDS) assessment. This affected one (#3) of 18 residents reviewed for accuracy of assessments. The facility census was 54.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased of medical record review, observation, and staff interview the facility failed to have physician orders for wound care orders in place on admission. This affected one (#152) out of four residents reviewed for wound care. The facility in-house census was 54.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure drug regimen review recommendations were appropriately addressed by the attending physician. This affected one (#33) of five residents reviewed for unnecessary medications. The facility census was 54.
- D 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.
Inspectors wroteBased on medical record review, and staff interview the facility failed to perform gradual dose reduction with anti-psychotic medications. This affected one (#33) out of five residents reviewed for unnecessary medications. Facility census was 54.
- D 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, and policy review, the facility failed to remove expired insulin from medication cart. This had to the potential to affect one (#32) out of one resident identified by the facility as receiving insulin on the fourth floor east hall medication cart. Facility census was 54.
- 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 and staff interview, the facility failed to have accurate physician's orders documented in the resident's medical record. This affected one (#22) of 18 residents reviewed for physician's orders. The facility census was 54.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on medical record review, observation and staff interview, the facility failed to resident's call lights were functioning in a manner to allow the resident to call for staff assistance. This affected one (#16) out of the 24 residents reviewed for call light functioning. The facility census was 54.
Fire safety inspections
15 fire safety citations on file: 5 on April 17, 2025, 7 on July 27, 2022, 3 on November 26, 2019.
Every fire safety citation15 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have properly located and lighted "Exit" signs.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide properly protected cooking facilities.
- 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 Have properly installed electrical wiring and gas equipment.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.21 | 3.69 | 3.86 |
| Registered nurses | 0.38 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.02 | 3.28 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 0.93 | ||
| Nursing staff turnover (share who left in a year) | 29.1% | 48.7% | 45.8% |
| Registered nurse turnover | 60.0% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.26 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 3.29 on weekdays and 3.02 on weekends, 8% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 3.21 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 | 3.21 | 0.38 | 3.29 | 3.02 | 0.0% | 0 of 90 | 100 |
| Oct to Dec 2025 | 3.11 | 0.28 | 3.17 | 2.96 | 0.0% | 0 of 92 | 100 |
| Jul to Sep 2025 | 3.15 | 0.30 | 3.23 | 2.96 | 0.0% | 0 of 92 | 99 |
| Apr to Jun 2025 | 3.26 | 0.31 | 3.38 | 2.95 | 0.0% | 0 of 91 | 96 |
| 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 | 1.3 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 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 | 2.4 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.6 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 1.6 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.5 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.4 | 8.8 | 15.4 |
Owners and operators
Legal business name: PRESERVE OPERATING CO LLC. CMS links this home to Health Care Facility Management, LLC, a group of 5 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ct Operations Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 09/01/2019 |
| Cobalt I Irrevocable Trust | Indirect ownership interest | Organization | 09/01/2019 | |
| Cobalt II Irrevocable Trust | Indirect ownership interest | Organization | 09/01/2019 | |
| Cobalt III Irrevocable Trust | Indirect ownership interest | Organization | 09/01/2019 | |
| Cobalt IV Irrevocable Trust | Indirect ownership interest | Organization | 09/01/2019 | |
| Ct Healthcare Holdings LLC | Indirect ownership interest | Organization | 09/01/2019 | |
| Minority Report LLC | Indirect ownership interest | Organization | 09/01/2019 | |
| Toledo Hc Holdings LLC | Indirect ownership interest | Organization | 09/01/2019 | |
| Marino, Peter | Corporate officer | Individual | 09/01/2019 | |
| Romeo, Dominic | Corporate officer | Individual | 04/01/2023 | |
| Tranquillo, Deborah | Corporate officer | Individual | 09/01/2019 | |
| Parkway Mgt Co LLC | Operational/managerial control | Organization | 09/01/2019 | |
| Groves, Donna | Operational/managerial control | Individual | 04/14/2023 | |
| Mathis, Stacy | Operational/managerial control | Individual | 04/05/2021 | |
| Romeo, Dominic | Operational/managerial control | Individual | 04/01/2023 | |
| Serota, Gretchen | Operational/managerial control | Individual | 02/01/2021 | |
| Odenthal, Richard | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/10/2025 | |
| Cobalt I Irrevocable Trust | Adp of the SNF | Organization | 09/01/2019 | |
| Cobalt II Irrevocable Trust | Adp of the SNF | Organization | 09/01/2019 | |
| Cobalt III Irrevocable Trust | Adp of the SNF | Organization | 09/01/2019 | |
| Cobalt IV Irrevocable Trust | Adp of the SNF | Organization | 09/01/2019 | |
| Ct Healthcare Holdings LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Minority Report LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Parkway Mgt Co LLC | Adp of the SNF | Organization | 06/10/2025 | |
| Preserve Re Holdings, LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Toledo Hc Holdings LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Mathis, Stacy | Adp of the SNF | Individual | 06/05/2025 | |
| Serota, Gretchen | Adp of the SNF | Individual | 06/05/2025 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on April 17, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on April 17, 2025: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on July 27, 2022: "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."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on July 27, 2022: "Assess the resident when there is a significant change in condition"
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.02 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Madonna Manor Villa Hills, 1.1 mi · 1 of 5 stars · 21 citations
- Ivy Woods Healthcare Center. Cincinnati, 2.8 mi · 4 of 5 stars · 37 citations
- Bayley Place Cincinnati, 3.2 mi · 5 of 5 stars · 16 citations
- Aventura at West Park Cincinnati, 3.4 mi · 1 of 5 stars · 39 citations
- Edith Lane of Cincinnati Cincinnati, 3.4 mi · 2 of 5 stars · 72 citations
- Harrison Pavilion Care Center Cincinnati, 3.6 mi · 1 of 5 stars · 67 citations
- Village Care Center Erlanger, 3.6 mi · 4 of 5 stars · 18 citations
- Delhi Post-Acute Cincinnati, 3.7 mi · 1 of 5 stars · 39 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 Brookside Healthcare Center's Medicare star rating?
- CMS rates Brookside Healthcare Center 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brookside Healthcare Center get at its last inspection?
- 2 health deficiencies at the standard inspection on April 17, 2025. The Ohio average is 10.5.
- Has Brookside Healthcare Center been fined?
- CMS lists no fines in the last three years.
- Does Brookside Healthcare Center 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 Brookside Healthcare Center?
- CMS lists 28 owners and managers, and links the home to Health Care Facility Management, LLC. Legal business name: PRESERVE OPERATING CO 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.