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Garden Park Health Care Center

3536 Washington Ave, Cincinnati, OH 45229 · Hamilton County · (513) 751-4900

60 certified beds, about 48 residents a day · For profit - Corporation · Medicare and Medicaid since 1980

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365529 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 7, 2025, inspectors cited 14 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 52 health citations since December 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.22 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.48 of those hours.

53.1% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Carecore Health, an affiliated group of 12 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.

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 52 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
38D
6E
8F
Potential for minimal harm
0A
0B
0C
May 14, 2026Complaint inspection · 1 citation
  1. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 1, 2026
    Inspectors wroteBased on observation, staff interview, and record review, the facility failed to follow contact precautions to help prevent the transmission of communicable infections. This affected two residents (Residents #44 and #78) of four residents reviewed for wound care. The facility census was 50.
April 1, 2026Complaint inspection · 1 citation
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 13, 2026
    Inspectors wroteBased on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure medications were delivered and administered in a timely manner. This affected one (Resident #11) two residents reviewed for medication administration. The facility census was 52 residents.
December 18, 2025Complaint inspection · 1 citation
  1. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2026
    Inspectors wroteBased on medical record review, observations, staff interview, and policy review, the facility failed to administer medications per physician orders resulting in four medication errors out of 41 opportunities or a 9.75 percent (%) medication error rate. This affected three (#4, #5, and #17) out of five residents observed for medication administration. The facility census was 46.
August 7, 2025Standard inspection, Complaint inspection · 14 citations
  1. F
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on personnel record review, staff interview, and review of the facility policy, the facility failed to ensure Certified Nursing Assistants (CNAs) received annual performance evaluations. This had the potential to affect all of the residents residing in the facility. The facility census was 48 residents.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on personnel record review, staff interview, and review of the facility policy, the facility failed to implement their tuberculosis (TB) control plan for tuberculosis testing of newly hired employees. This had the potential to affect all of the residents residing in the facility. Based on observation, staff interview, and review of the facility policy, the facility also failed to ensure staffed practiced appropriate hand hygiene during medication administration. This affected four (#11, #31, #36, and #47) of four residents observed for medication administration. The facility census was 48 residents.
  3. F
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on personnel record review, staff interview, and review of the facility policy, the facility failed to ensure Certified Nursing Assistants (CNAs) received at least twelve hours of in service annually. This had the potential to affect all of the residents residing in the facility. The facility census was 48.
  4. E
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on medical record review, review of facility Self-Reported Incidents (SRIs), review of facility incident investigations, resident interview, staff interview, and review of the facility policy, the facility failed to report allegations of resident-to-resident sexual abuse to the state agency within 24 hours. This affected four (Residents #2, #8, #11, #36) of four residents reviewed for abuse. The facility census was 48 residents.
  5. E
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on medical record review, review of facility Self-Reported Incidents (SRIs), review of facility incident investigations, resident interview, staff interview, and review of the facility policy, the facility failed to thoroughly and timely investigate allegations of resident-to-resident sexual abuse This affected four (Residents #2, #8, #11, #36) of four residents reviewed for abuse. The facility census was 48 residents.
  6. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on medical review, staff interview, and review of facility policy, the facility failed to notify the Ombudsman's office of resident hospitalizations and discharges from the facility. This affected one (Resident #56) of four residents reviewed for discharges. The facility census was 48 residents.
  7. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on medical record review, observation, resident staff interview, and review of the facility policy, the facility failed to ensure resident Minimum Data Set (MDS) assessments were accurately coded for falls and contractures. This affected one (Resident #31) of 14 residents reviewed for MDS assessment accuracy. The facility census was 48 residents.
  8. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on medical record review and staff interview, the facility failed to accurately complete the Pre-admission Screening and Resident Review (PASARR) for newly admitted residents. This affected one (Resident #11) of two residents reviewed for PASARR completion. The facility census was 48 residents.
  9. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on medical record review, observation, resident interview, and staff interview, the facility failed to develop a care plan for a hand contractures. This affected one (Resident #31) of 14 residents reviewed for care plans. The facility census was 48 residents.
  10. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on medical record review, resident interview, staff interview, and review of the facility policy, the facility failed to update care plans for residents who smoked cigarettes. This affected two (Residents #21 and #18) of four residents reviewed for smoking. The facility census was 48 residents.
  11. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on medical record review, observation, staff interview, and review of facility policy, the facility failed to provide appropriate hand and nail hygiene for dependent residents. This affected one (Resident #15) of four residents reviewed for hand and nail care. The facility census was 48 residents.
  12. D
    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to provide treatment for a resident contractures. This affected one (Resident #31) of two residents reviewed for limited range of motion and contractures. The facility census was 48 residents.
  13. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure resident fall prevention interventions were in place as ordered by the physician and per the resident care plan. This affected one (Resident #31) of four residents reviewed for falls. The facility census was 48.
  14. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure insulin pens were properly labeled and dated upon opening. This affected three (Residents #4, #38, #51) and had the potential to affect 11 facility-identified residents with orders for insulin. The facility census was 48 residents.
February 3, 2025Complaint inspection · 1 citation
  1. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on observation, staff interview, and review of facility policy, the facility failed to maintain a clean and safe environment. This affected 36 residents (#01, #02, #03, #04, #05, #06, #078#08, #09, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #26, #27, #28, #29, #30, #31, #32, #33, #34, #35, #36, and #37). The facility census was 45.
January 16, 2025Complaint inspection · 4 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure the facility's dishwasher was maintained in a manner to prevent foodborne illness. This affected 46 residents out of 46 residents that resided at the facility as the facility identified all residents received food from the kitchen. The facility census was 46.
  2. D
    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
    F646 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on record review, and staff interview, the facility failed notify the state mental health authority with a significant change Pre-admission Screening And Resident Review (PASARR) for a resident with a change in their mental health condition. This affected two (#19 and #46) of three residents reviewed for significant change PASARR. The facility census was 46.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on observation, staff interviews and record review, the facility failed to develop care plans to address residents' dental needs, medical diagnoses and use of a prosthetic limb. This affected two (#28 and #19) of three residents reviewed for care planning. The facility census was 46.
  4. D
    Provide appropriate care/assistance for a resident with a prosthesis.
    F696 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 13, 2025
    Inspectors wroteBased on observation, staff interview and record review, the facility failed to ensure a resident's issues concerning a prosthetic limb were addressed in a timely manner. This affected one (#19) of two residents in the facility that had prosthesis. The facility census was 46.
September 19, 2024Complaint inspection · 2 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 24, 2024
    Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to report an allegation of misappropriation of resident funds to the Ohio Department of Health (ODH.) This affected one (Resident #33) of three residents reviewed for misappropriation. The facility census was 47 residents.
  2. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 24, 2024
    Inspectors wroteBased on medical record review, observation, interview, review of manufacturer's guidelines, and review of the facility policy, the facility failed to ensure medication error rates below five percent (%). This affected three (Residents #21, #26, and #27) of three reviewed for medication administration. The medication error rate was 11.1 % based on 36 medication opportunities and four observed errors. The facility census was 47 residents.
July 25, 2024Complaint inspection · 4 citations
  1. F
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on observations, staff and resident interviews, and review of facility policy, the facility failed to ensure a clean, safe, comfortable environment for all residents This affected all 46 residents who resided in the facility. The facility census was 46.
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 24, 2024
    Inspectors wroteBased on observations, staff interview, and review of facility policy, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. This had the potential to affect all 46 residents who resided in the facility.
  3. F
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) October 24, 2024
    Inspectors wroteBased on observations, staff interviews, record review, review of local Health Department records, and review of facility policy, the facility failed to maintain equipment in safe operating condition. This affected two (#24 and #27) of the five residents reviewed for beds /equipment. The facility also failed to ensure the dishwasher was maintained in working order. This had the potential to affect all 46 residents who resided in the facility.
  4. E
    Put firmly secured handrails on each side of hallways.
    F924 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 22, 2024
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure there were secured handrails throughout the hallway on the 200 unit. This had the potential to affect 15 (#22, #23, #24, #25, #26, #27, #28, #29, #30, #31, #32, #33, #34, #25, and #36) independently mobile residents residing on the 200-unit. The facility census was 46.
September 21, 2022Standard inspection · 11 citations
  1. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 23, 2022
    Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to ensure a medication regimen review was completed as required by a licensed pharmacist. This affected four (#16, #17, #29, and #44) out of four residents reviewed for medication review. The facility census was 51.
  2. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 2, 2023
    Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to have properly working call lights in all resident rooms. This affected four (#11, #20, #24, and #31) out of 11 residents residing on the unit. The facility census was 51.
  3. D
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2022
    Inspectors wroteBased on review of personnel funds documentation, staff interview and policy review, the facility failed to ensure resident fund authorization forms contained an authorized signature. This affected one (#19) out of five resident accounts reviewed. The facility census was 51.
  4. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2022
    Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to ensure forms indicating advance directives were accurately completed. This affected two (#13 and #47) out of three residents reviewed for advance directives. The facility census was 51.
  5. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2022
    Inspectors wroteBased on medical record review, observations, resident and staff interviews and policy review, the facility failed to provide a safe, clean, and homelike environment for residents. This affected three (#05, #08 and #23) out of three residents reviewed. The facility census was 51.
  6. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2022
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a significant change assessment was completed following discharge from hospice services. This affected one (#47) resident out of three residents reviewed for hospice services. The facility census was 51.
  7. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2022
    Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to ensure a Preadmission Screening and Resident Review (PASARR) was completed as required following admission to the facility. This affected one resident (#44) out of three residents reviewed for PASARR. The facility census was 51.
  8. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2022
    Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to develop appropriate care plans based on resident needs. This affected three (#25, #16 and #44) out of three residents reviewed for care plans. The facility census was 51.
  9. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2022
    Inspectors wroteBased on record review, observation, staff interview, and policy review, the facility failed to provide adequate supervision while residents were smoking. This affected three (#16, #23, and #25) out of three residents reviewed for smoking. The facility census was 51.
  10. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2022
    Inspectors wroteBased on medical record review, staff interview review of medication information from Medscape, the facility failed to ensure a resident was free from unnecessary psychotropic medications when the facility failed to monitor a residents laboratory (lab) work in response to the use of a psychotropic medication. This affected one (#25) out of five residents reviewed for unnecessary medications. Facility census was 51.
  11. D
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    F925 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 23, 2022
    Inspectors wroteBased on medical record review, observations, staff interview and policy review, the facility failed to maintain an effective pest control program regarding the presence of gnats in a resident's room. This affected one (#23) out of one resident reviewed for effective pest control. The facility census was 51.
December 30, 2019Standard inspection · 13 citations
  1. F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure proper disposal of smoking materials. This had to potential to affect all 56 residents residing in the facility .
  2. D
    Give residents a notice of rights, rules, services and charges.
    F572 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on review of Resident Council Minutes, resident and staff interviews, the facility failed to inform and explain the resident's rights at monthly resident council meetings. This had the potential to affect 14 Residents (#1, #11, #13, #14, #18, #30, #38, #40, #44, #45, #46, #54, #55, and #56) who attend Resident Council Meetings. The facility census was 56.
  3. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed properly document resident requested Advanced Directives. This had the potential to affect one resident (#25) of 24 reviewed for advanced directives. The facility census was 56.
  4. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on medical record review, observation, staff interview, resident interview, and review of facility policy, the facility failed to provide privacy for residents. This affected three residents (#25, #53, and #43) of 24 reviewed for privacy. The facility census was 56.
  5. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on observation, staff interview, resident interview, and review of facility policy, the facility failed to maintain a clean and homelike environment. This affected four Resident's rooms (#16, #18, #20, and #210) of 24 observed. The facility census was 56.
  6. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to complete Significant Change Minimum Data Set (MDS) assessments for residents following a qualifying status. This affected two Residents (#3 and #25) of 15 residents reviewed for significant changes. The facility census was 56.
  7. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on medical record review and staff interview, the facility failed to transmit the thirty day and quarterly Minimum Data Set (MDS) assessments for one Resident (#1) of 24 residents reviewed. The facility census was 56.
  8. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on medical record review, observation, staff and resident interviews, the facility failed to complete Minimum Data Set (MDS) assessments accurately. This affected four Residents ( #50, #53, #1 and #49) of 24 residents reviewed for accuracy of assessments. The facility census was 56.
  9. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on medical record review and staff interview, the facility failed to timely complete a Preadmission Screening and Resident Review (PASARR) Level 1 pre-screening for a newly admitted resident. This affected one Resident (#58) of one resident reviewed for PASARR screenings. The facility census was 56.
  10. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on medical record review, observation, staff interview, resident interview, interview with dental services consultant, resident guardian interview, and review of the facility policy, the facility failed to follow up on recommendations for dentures for two residents (#25 and #2) of four reviewed for Dental Services. The facility census was 56.
  11. D
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to coordinate care and services for a resident receiving hospice services. This affected one Resident (#25) of one reviewed for hospice services. The facility census was 56.
  12. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on medical record review, observation, staff and resident interviews, the facility failed to provide appropriate infection control measures while providing resident wound care. This affected one Resident (#25) of two reviewed for skin conditions. The facility census was 56.
  13. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2020
    Inspectors wroteBased on observation, resident and staff interview, and review of facility policy, the facility failed to maintain functional call lights for residents. This affected two rooms (#13 and #203) of 14 observed. The facility census was 56.

Fire safety inspections

61 fire safety citations on file: 12 on August 7, 2025, 17 on October 24, 2024, 10 on July 24, 2024, 11 on September 21, 2022, 11 on December 30, 2019.

Every fire safety citation61 citations
  1. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · August 7, 2025 · Corrected (the home has a date of correction)
  2. F
    Meet requirements for outpatient facilities located next to inpatient facilities separated by fire resistive construction.
    K 132 · August 7, 2025 · Corrected (the home has a date of correction)
  3. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · August 7, 2025 · Corrected (the home has a date of correction)
  4. F
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 7, 2025 · deficient, provider has
  5. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 7, 2025 · Corrected (the home has a date of correction)
  6. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · August 7, 2025 · Corrected (the home has a date of correction)
  7. F
    Install an approved automatic sprinkler system.
    K 351 · August 7, 2025 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 7, 2025 · Corrected (the home has a date of correction)
  9. F
    Install corridor and hallway doors that block smoke.
    K 363 · August 7, 2025 · Not yet corrected
  10. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · August 7, 2025 · Corrected (the home has a date of correction)
  11. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 7, 2025 · Corrected (the home has a date of correction)
  12. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 7, 2025 · Corrected (the home has a date of correction)
  13. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · October 24, 2024 · Corrected (the home has a date of correction)
  14. F
    Provide emergency officials' contact information.
    E 31 · October 24, 2024 · Corrected (the home has a date of correction)
  15. F
    Conduct testing and exercise requirements.
    E 39 · October 24, 2024 · Corrected (the home has a date of correction)
  16. F
    Use approved construction type or materials.
    K 161 · October 24, 2024 · Corrected (the home has a date of correction)
  17. F
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · October 24, 2024 · Corrected (the home has a date of correction)
  18. F
    Install an approved automatic sprinkler system.
    K 351 · October 24, 2024 · Corrected (the home has a date of correction)
  19. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · October 24, 2024 · Corrected (the home has a date of correction)
  20. F
    Have simulated fire drills held at unexpected times.
    K 712 · October 24, 2024 · Corrected (the home has a date of correction)
  21. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 24, 2024 · Corrected (the home has a date of correction)
  22. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 24, 2024 · Corrected (the home has a date of correction)
  23. E
    Install proper backup exit lighting.
    K 281 · October 24, 2024 · Corrected (the home has a date of correction)
  24. E
    Have an enclosure around a vertical opening shaft.
    K 311 · October 24, 2024 · Corrected (the home has a date of correction)
  25. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 24, 2024 · Corrected (the home has a date of correction)
  26. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · October 24, 2024 · Corrected (the home has a date of correction)
  27. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 24, 2024 · Corrected (the home has a date of correction)
  28. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · October 24, 2024 · Corrected (the home has a date of correction)
  29. E
    Ensure proper usage of power strips and extension cords.
    K 920 · October 24, 2024 · Corrected (the home has a date of correction)
  30. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · July 24, 2024 · Corrected (the home has a date of correction)
  31. E
    Install proper backup exit lighting.
    K 281 · July 24, 2024 · Corrected (the home has a date of correction)
  32. E
    Have properly located and lighted "Exit" signs.
    K 293 · July 24, 2024 · Corrected (the home has a date of correction)
  33. E
    Install an approved automatic sprinkler system.
    K 351 · July 24, 2024 · Corrected (the home has a date of correction)
  34. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 24, 2024 · Corrected (the home has a date of correction)
  35. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · July 24, 2024 · Corrected (the home has a date of correction)
  36. E
    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
    K 362 · July 24, 2024 · Corrected (the home has a date of correction)
  37. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 24, 2024 · Corrected (the home has a date of correction)
  38. E
    Have power receptacles that are properly grounded.
    K 912 · July 24, 2024 · Corrected (the home has a date of correction)
  39. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 24, 2024 · Corrected (the home has a date of correction)
  40. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · September 21, 2022 · Corrected (the home has a date of correction)
  41. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 21, 2022 · Corrected (the home has a date of correction)
  42. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 21, 2022 · Corrected (the home has a date of correction)
  43. F
    Install corridor and hallway doors that block smoke.
    K 363 · September 21, 2022 · Corrected (the home has a date of correction)
  44. F
    Provide a written emergency evacuation plan.
    K 711 · September 21, 2022 · Corrected (the home has a date of correction)
  45. F
    Have simulated fire drills held at unexpected times.
    K 712 · September 21, 2022 · Corrected (the home has a date of correction)
  46. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · September 21, 2022 · Corrected (the home has a date of correction)
  47. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · September 21, 2022 · Corrected (the home has a date of correction)
  48. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · September 21, 2022 · Corrected (the home has a date of correction)
  49. E
    Provide properly protected cooking facilities.
    K 324 · September 21, 2022 · Corrected (the home has a date of correction)
  50. E
    Have elevators that firefighters can control in the event of a fire.
    K 531 · September 21, 2022 · Corrected (the home has a date of correction)
  51. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · December 30, 2019 · Corrected (the home has a date of correction)
  52. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 30, 2019 · Waiver
  53. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · December 30, 2019 · Corrected (the home has a date of correction)
  54. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 30, 2019 · Corrected (the home has a date of correction)
  55. F
    Ensure proper usage of power strips and extension cords.
    K 920 · December 30, 2019 · Corrected (the home has a date of correction)
  56. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · December 30, 2019 · Corrected (the home has a date of correction)
  57. E
    Install an approved automatic sprinkler system.
    K 351 · December 30, 2019 · Waiver
  58. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 30, 2019 · Waiver
  59. E
    Install corridor and hallway doors that block smoke.
    K 363 · December 30, 2019 · Waiver
  60. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 30, 2019 · Corrected (the home has a date of correction)
  61. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · December 30, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
July 24, 2024Payment Denial 29 days from October 24, 2024

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.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.223.693.86
Registered nurses0.480.640.69
All nursing staff on weekends2.673.283.42
Nurse aides1.90
Licensed practical nurses0.83
Nursing staff turnover (share who left in a year)53.1%48.7%45.8%
Registered nurse turnover50.0%43.9%42.9%
Administrators who left2

CMS expects 3.96 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 3.44 on weekdays and 2.67 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.42 in April to June 2025 to 3.22 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.220.483.442.67 17.9%0 of 9048
Oct to Dec 20253.640.503.952.85 8.3%0 of 9245
Jul to Sep 20253.250.373.412.85 14.9%0 of 9247
Apr to Jun 20253.420.423.593.01 21.6%0 of 9145
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%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.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
2.05.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.63.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
5.21.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
2.16.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.33.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
13.38.815.4

Owners and operators

Legal business name: GARDEN PARK HEALTH CARE CENTER LLC. CMS links this home to Carecore Health, a group of 12 nursing homes averaging 2.2 stars overall.

NameRoleTypeShareSince
Customers Bank5% or greater mortgage interestOrganization08/14/2020
Hertanu, JosephManaging control - governing bodyIndividual08/15/2018
Carecore Health LLCOperational/managerial controlOrganization08/15/2018
Hertanu, ChaimOperational/managerial controlIndividual08/15/2018
Hertanu, JosephOperational/managerial controlIndividual08/15/2018
Serota, GretchenOperational/managerial controlIndividual01/01/2024
Strickland, JenniferOperational/managerial controlIndividual12/30/2024
Carecore Health LLCAdp of the SNFOrganization08/15/2018
Fasten Halberstam LLPAdp of the SNFOrganization08/01/2018
Garden Park Real Estate Holdings, LLCAdp of the SNFOrganization08/01/2021
Hertanu, ChaimAdp of the SNFIndividual08/15/2018
Hertanu, JosephAdp of the SNFIndividual05/17/2019
Serota, GretchenAdp of the SNFIndividual04/16/2026
Strickland, JenniferAdp of the SNFIndividual12/30/2024

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.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 13 problems in this area, most recently on August 7, 2025: "Ensure each resident receives an accurate assessment."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 10 problems in this area, most recently on August 7, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on April 1, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  4. 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 August 7, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.67 hours per resident per day, below the Ohio average of 3.28.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is Garden Park Health Care Center's Medicare star rating?
CMS rates Garden Park Health Care Center 2 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Garden Park Health Care Center get at its last inspection?
14 health deficiencies at the standard inspection on August 7, 2025. The Ohio average is 10.5.
Has Garden Park Health Care Center been fined?
CMS lists no fines in the last three years.
Does Garden Park Health Care 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 Garden Park Health Care Center?
CMS lists 14 owners and managers, and links the home to Carecore Health. Legal business name: GARDEN PARK HEALTH CARE CENTER LLC.

Sources

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