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Marjorie P Lee Retirement Community

3550 Shaw Avenue, Cincinnati, OH 45208 · Hamilton County · (513) 871-2090

88 certified beds, about 73 residents a day · Non profit - Corporation · Medicare and Medicaid since 1990

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365802 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 29, 2026, inspectors cited 3 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 4 health citations since December 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 5.30 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.

36.1% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Episcopal Retirement Homes, Inc., an affiliated group of 3 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 4 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
2D
0E
1F
Potential for minimal harm
0A
0B
0C
January 29, 2026Standard inspection · 3 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 · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on observation, record review, interview, and review of facility policy, the facility failed to store food items in a sanitary manner, failed to ensure proper hair covering was maintained in the kitchen, and failed to maintain the kitchen in a sanitary manner. This had the potential to affect all 71 residents who were identified as receiving food from the kitchen. Facility census was 71. Findings Include:Observation of walk-in freezer in the main kitchen area on 01/27/26 at 9:23 A.M. revealed open bags of plant-based meatballs and hamburger patties that were in unsealed bags, open to air and undated.
  2. D
    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.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2026
    Inspectors wroteBased on observation, record review, staff interview, and facility policy review, the facility failed to prepare pureed foods to ensure nutritive value and palatability were maintained. This affected one resident, (#13) who was identified as the only resident in the facility who require a pureed diet. The facility census was 71. Findings Include:Review of Resident #13's medical record revealed the resident was admitted to the facility on [DATE] with diagnoses including dementia with behavioral disturbance, malnutrition, urinary retention, anxiety disorder, depression, chronic constipation, atherosclerotic heart disease and osteoporosis. Review of Resident #13's Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was severely cognitively impaired, and was dependent for all activities of daily living including bed mobility and transfers. [...]
  3. 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, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure enhanced barrier precautions were implemented for one, Resident #13. This affected one of one resident reviewed for enhanced barrier precautions. Facility census was 71. Findings Include:Review of medical record for Resident #13 revealed an admission date of 02/26/21. Diagnoses included dementia with behavioral disturbance, malnutrition, urinary retention, anxiety disorder, depression, chronic constipation, atherosclerotic heart disease and osteoporosis. Resident #13's Minimum Data Set (MDS) assessment dated [DATE] revealed resident was severely cognitively impaired, was dependent for all activities of daily living including bed mobility and transfers. Resident #13 was coded as incontinent of bowel and bladder and is dependent for all incontinence care. [...]
April 4, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 22, 2025
    Inspectors wroteBased on medical record review, review of the facility incident report, review of Root Cause Analysis report, hospital record review, resident, visitor, and staff interviews, review of personnel file, and policy review, the facility failed to ensure a resident was positioned safely during personal care. This resulted in Actual Harm to Resident #10 on 02/16/25 when Certified Nursing Assistant (CNA) #150 did not position Resident #10 correctly while providing personal care in bed and did not call for assistance prior to moving the bed when the resident was in a compromised position resulting in Resident #10 sustaining a left hip fracture, a small scalp laceration to the front top of her head, an abrasion to the right forearm, and a bruise with eye bleed to the left eye. This affected one (Resident #10) of three residents reviewed for falls. The facility census was 73.
July 20, 2023Standard inspection · 0 citations
December 28, 2019Standard inspection · 0 citations

Fire safety inspections

17 fire safety citations on file: 6 on January 29, 2026, 7 on July 20, 2023, 4 on December 28, 2019.

Every fire safety citation17 citations
  1. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · January 29, 2026 · Corrected (the home has a date of correction)
  2. 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 · January 29, 2026 · Corrected (the home has a date of correction)
  3. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 29, 2026 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 29, 2026 · Corrected (the home has a date of correction)
  5. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · January 29, 2026 · Corrected (the home has a date of correction)
  6. E
    Provide properly protected cooking facilities.
    K 324 · January 29, 2026 · Corrected (the home has a date of correction)
  7. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 20, 2023 · Corrected (the home has a date of correction)
  8. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · July 20, 2023 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · July 20, 2023 · Corrected (the home has a date of correction)
  10. E
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · July 20, 2023 · Corrected (the home has a date of correction)
  11. E
    Provide properly protected cooking facilities.
    K 324 · July 20, 2023 · Corrected (the home has a date of correction)
  12. E
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · July 20, 2023 · Corrected (the home has a date of correction)
  13. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · July 20, 2023 · Corrected (the home has a date of correction)
  14. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · December 28, 2019 · Corrected (the home has a date of correction)
  15. E
    Install proper backup exit lighting.
    K 281 · December 28, 2019 · Corrected (the home has a date of correction)
  16. E
    Install corridor and hallway doors that block smoke.
    K 363 · December 28, 2019 · Corrected (the home has a date of correction)
  17. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · December 28, 2019 · Corrected (the home has a date of correction)

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.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)5.303.693.86
Registered nurses0.800.640.69
All nursing staff on weekends5.073.283.42
Nurse aides3.48
Licensed practical nurses1.02
Nursing staff turnover (share who left in a year)36.1%48.7%45.8%
Registered nurse turnover33.3%43.9%42.9%
Administrators who left0

CMS expects 3.39 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 5.39 on weekdays and 5.07 on weekends, 6% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.55 in April to June 2025 to 5.30 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.300.805.395.07 0.5%0 of 9073
Oct to Dec 20255.460.885.595.13 1.2%0 of 9275
Jul to Sep 20255.700.905.835.35 1.7%0 of 9271
Apr to Jun 20255.550.895.745.07 4.3%0 of 9173
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Ohio

JobMedianMiddle halfEmployed
Ohio, all employers
CNAs (nursing assistants)$18.76$17.93 to $21.4463,280
LPNs and LVNs$29.78$27.34 to $31.6839,900
Registered nurses$39.67$38.08 to $47.61143,730
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

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
6.75.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.40.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
8.13.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
14.06.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.13.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.78.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.424.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.812.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.81.8

Owners and operators

Legal business name: EPISCOPAL RETIREMENT HOMES, INC.. CMS links this home to Episcopal Retirement Homes, Inc., a group of 3 nursing homes averaging 4.7 stars overall.

NameRoleTypeShareSince
Episcopal Retirement Homes, Inc.Direct ownership interestOrganization01/01/1966
Anim, DoraCorporate directorIndividual01/01/2018
Cooper, W.Corporate directorIndividual01/01/2016
Elin, Reverend DarrenCorporate directorIndividual01/01/2023
Fritschner, JohnCorporate directorIndividual01/01/2016
Hagopian, JoannCorporate directorIndividual01/01/2016
Hartman, AlanCorporate directorIndividual01/01/2024
Hopkins, GregoryCorporate directorIndividual01/01/2016
Kearney, EricCorporate directorIndividual01/01/2023
Koepke, JohnCorporate directorIndividual01/01/2019
McKnight, GerronCorporate directorIndividual01/01/2018
Payne, JenniferCorporate directorIndividual01/01/2018
Pope, AprylCorporate directorIndividual01/01/2024
Regan, ThomasCorporate directorIndividual01/01/2020
Retford, DavidCorporate directorIndividual01/01/2024
Smitherman, AlbertCorporate directorIndividual01/01/2019
Woods, WilliamCorporate directorIndividual01/01/2024
Workman, DavidCorporate directorIndividual01/01/2022
Zwilling, ElizabethCorporate directorIndividual01/01/2021
Edwards, BeverlyCorporate officerIndividual12/20/2021
Lamb, LauraCorporate officerIndividual06/23/2021
Steward, DanielCorporate officerIndividual10/21/2019
Episcopal Retirement Homes, Inc.Operational/managerial controlOrganization01/01/1966
Edwards, BeverlyOperational/managerial controlIndividual12/20/2021
Fraser, BonitaOperational/managerial controlIndividual08/15/2022
Schlaudecker, JeffreyOperational/managerial controlIndividual01/01/2020
Steward, DanielOperational/managerial controlIndividual10/21/2019
Williams, AnthonyOperational/managerial controlIndividual03/26/2021
Episcopal Retirement Homes, Inc.Adp of the SNFOrganization01/06/2025
Edwards, BeverlyAdp of the SNFIndividual12/20/2021
Fraser, BonitaAdp of the SNFIndividual08/15/2022
Lamb, LauraAdp of the SNFIndividual11/27/2024
Schlaudecker, JeffreyAdp of the SNFIndividual01/01/2020
Steward, DanielAdp of the SNFIndividual10/21/2019
Williams, AnthonyAdp of the SNFIndividual03/26/2021

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. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on January 29, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on January 29, 2026: "Provide and implement an infection prevention and control program."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on April 4, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."

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 Marjorie P Lee Retirement Community's Medicare star rating?
CMS rates Marjorie P Lee Retirement Community 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Marjorie P Lee Retirement Community get at its last inspection?
3 health deficiencies at the standard inspection on January 29, 2026. The Ohio average is 10.5.
Has Marjorie P Lee Retirement Community been fined?
CMS lists no fines in the last three years.
Does Marjorie P Lee Retirement Community 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 Marjorie P Lee Retirement Community?
CMS lists 35 owners and managers, and links the home to Episcopal Retirement Homes, Inc.. Legal business name: EPISCOPAL RETIREMENT HOMES, INC..

Sources

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