Scarlet Oaks Nursing and Rehabilitation Center
440 Lafayette Avenue, Cincinnati, OH 45220 · Hamilton County · (513) 861-0400
70 certified beds, about 64 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365978 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 23, 2025, inspectors cited 8 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 23 health citations since March 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 4.51 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
54.4% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Cch Healthcare, an affiliated group of 33 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.
603/19
505/22
411/24
801/25
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 23 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
4E
4F
Potential for minimal harm
0A
0B
0C
January 23, 2025Standard inspection, Complaint inspection · 8 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to ensure food was stored and served in accordance with professional standards for food safety. This deficient practice had the potential to affect all 65 residents who received food from the kitchen. The facility census was 65.
- 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 record review, staff interview and policy review, the facility failed to inform and provide written information regarding the resident's right to formulate an advance directive. This affected three (#16, #51, and #63) of three residents reviewed for advanced directives. The facility census was 65.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, staff interview, provider interview, email communication reviews and policy reviews, the facility failed to implement the policy to ensure a nurse practitioner (NP) immediately reported an allegation of abuse to facility management when made aware of the allegation, resulting in late reporting to the state agency by the facility. This affected one (#59) of three residents reviewed for abuse. The facility census was 65.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on record review, staff interviews, Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual review, and policy review, the facility failed to identify and complete a Significant Change in Status Assessment (SCSA) when a resident was discharged from Hospice care. This affected one (#48) of 20 sampled residents reviewed. The facility census was 65.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, staff interviews, record reviews, and policy reviews, the facility failed to ensure comprehensive person-centered care plans were developed and implemented. This affected four (#6, #11, #60, and #63) of 20 sampled residents reviewed. The facility census was 65.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on staff interview, record review, and policy review, the facility failed to ensure resident's who were at nutritional risk had weights completed per policy. This affected two (#60 and #63) of three residents reviewed for nutrition. The facility census was 65.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff interview, record review, and policy review, the facility failed to ensure staff obtained physician's orders for the use of supplemental oxygen. This affected one (#6) of two residents reviewed for oxygen therapy. The facility census was 65.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and record review, the facility failed to maintain appropriate infection control practices while providing tracheostomy care. This affected one (#51) of one resident observed for tracheostomy care. The facility census was 65.
November 21, 2024Complaint inspection · 4 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interviews and record review, the facility failed to ensure a handwashing sink with flowing water had a filter in place to prevent the spread of Legionella. This affected all 34 residents (#34, #35, #36, #37, #38, #39, #40, #41, #42, #43, #44, #45, #46, #47, #48, #49, #50, #51, #52, #53, #54. #55, #56, #57, #58, #59, #60, #61, #62, #63, #64, #65, #66 and #67) on the third floor but had the potential to affect all 62 residents who resided in the facility. The facility also failed to ensure there were handwashing stations in resident rooms who were in Enhanced Barrier Precautions (EBPs). [...]
- F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, staff interviews and record review, the facility failed to ensure water temperatures were maintained within an appropriate range. This affected all 62 residents who resided in the facility.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, staff interviews and record review, the facility failed to ensure dependent residents were provided assistance with eating in a timely manner. This affected five (#35, #42 #47, #48, and #67) of the nine residents identified by the facility who required assistance with eating. The facility census was 62.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, staff interviews and record review, the facility failed to maintain adequate staff levels to ensure the residents who required feeding assistance were timely provided with meals. This affected five (#35, #42 #47, #48, and #67) of the nine residents identified by the facility who required assistance with eating. The facility census was 62.
May 20, 2022Standard inspection · 5 citations
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview, and review of facility policy, the facility failed to ensure medication carts were locked while unattended, dispose of expired medications, and store-controlled medications in a separately locked, permanently affixed compartment in refrigerator. This had the potential to affect four residents (#17, #20, #26, and #55) of four residents reviewed for medication storage. The facility census was 62.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff and service contract interviews, review of facility polices, review of sanitation logs, the facility failed to ensure food was stored, prepared, distributed and served food in accordance with professional standards for food service safety. This had the potential to effect 55 of 62 residents of the facility, excluding Residents #56, #414, #19, #22, #04, #01 and #09) who facility identified as receiving enteral feedings and nothing by mouth (NPO). Facility census was 62.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review, resident interview, observation, staff interview, and review of facility policy, the facility failed to ensure a resident was assisted with nail care. This affected one resident (#35) out of five residents reviewed for assistance with Activities of Daily Living (ADL). The facility census was 62.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on medical record review, observations, staff interview, and review of facility policy, the facility failed to ensure a residents oxygen humidifier bottle contained water and was dated. This affected one resident (#35) of 16 residents identified as being on oxygen. The facility census was 62.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to ensure residents were offered influenza vaccinations. Additionally, the facility failed to ensure pneumonia vaccinations were administered after obtaining representative consent. This affected two residents (#5 and #19) of five residents reviewed for immunizations. The facility census was 62.
March 28, 2019Standard inspection · 6 citations
- F Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on personnel file review and staff interview, the facility failed to ensure a state tested nursing assistant (STNA) received 12 hours of annual in-services and an annual performance evaluation. This affected one STNA (#30) of the four STNA's reviewed. This had the potential to affect all 62 residents residing in the facility. Facility census was 62.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review, and staff interview, the facility failed to provide the Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) letter to resident when discharged from Medicare Part A Services. This affected two Residents (#19, & #21) out of three Residents reviewed for SNF Beneficiary Protection Notification Review. The facility census was 62.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on medical record review, staff interviews, review of personnel files, policy review and review of a job description, the facility failed to ensure licensed practical nurses (LPN) were intravenously (IV) certified when providing medications through a peripherally inserted central catheter (PICC). This affected one (#34) out of two residents who receive medications administered via a PICC line. The facility identified two residents who receive medications administered via PICC line. Facility census was 62.
- 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 ensure residents medication regimen was free from unnecessary medications regarding as needed orders for psychotropic medication that were not limited to 14 days. This affected three residents (#49, #36 and #27) out of five Residents reviewed for unnecessary medications. The facility census was 62.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on medical record review, observation, staff interview and policy review, the facility failed to ensure residents were free from medication errors. This affected one (#49) resident out of three residents observed for medication administration or seven errors out of 31 opportunities or a 22.58 percent (%) medication error rate. The facility census was 62.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, observation, staff and resident interview, and policy review, the facility failed to use appropriate infection control techniques and procedures while performing fasting blood sugars, and regarding the placement of indwelling urinary (foley) catheters collection bags. This affected one (#34) out of three residents observed during medication pass and one (#19) out of two residents reviewed for urinary catheters. This had the potential to affect four Residents (#6, #21, #34, & #114) identified by facility as needing fasting blood sugars and the facility identified two Residents (#6, & #19) with catheters on the unit. The facility census was 62.
Fire safety inspections
24 fire safety citations on file: 2 on January 23, 2025, 17 on May 20, 2022, 5 on March 28, 2019.
Every fire safety citation24 citations
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have proper power supply for life support equipment.
- F Provide emergency officials' contact information.
- F Establish emergency prep training and testing.
- F Establish staff and initial training requirements.
- F Conduct testing and exercise requirements.
- F Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- F Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 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 a battery powered remote alarm panel in a location accessible by operating personnel.
- E 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.
- E Have proper power supply for life support equipment.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- E Have exits that are accessible at all times.
- E Install an approved automatic sprinkler system.
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) | 4.51 | 3.69 | 3.86 |
| Registered nurses | 0.67 | 0.64 | 0.69 |
| All nursing staff on weekends | 4.03 | 3.28 | 3.42 |
| Nurse aides | 2.36 | ||
| Licensed practical nurses | 1.47 | ||
| Nursing staff turnover (share who left in a year) | 54.4% | 48.7% | 45.8% |
| Registered nurse turnover | 40.0% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.98 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 4.70 on weekdays and 4.03 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 20.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.83 in April to June 2025 to 4.51 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 | 4.51 | 0.67 | 4.70 | 4.03 | 20.3% | 0 of 90 | 64 |
| Oct to Dec 2025 | 4.47 | 0.84 | 4.66 | 3.99 | 7.3% | 0 of 92 | 63 |
| Jul to Sep 2025 | 4.74 | 0.82 | 5.02 | 4.01 | 5.5% | 1 of 92 | 65 |
| Apr to Jun 2025 | 4.83 | 0.64 | 5.09 | 4.17 | 13.7% | 0 of 91 | 63 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.9 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.4 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.1 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.2 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.0 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.1 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.8 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.3 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.8 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: SCARLET OAKS NURSING AND REHABILITATION CENTER LLC. CMS links this home to Cch Healthcare, a group of 33 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Scarlet Oaks Healthcare LLC | 5% or greater direct ownership interest | Organization | 100% | 02/01/2016 |
| Scarlet Realty LLC | 5% or greater security interest | Organization | 02/01/2016 | |
| Moore, Cynthia | W-2 managing employee | Individual | 02/01/2016 | |
| Oliverio, Susan | W-2 managing employee | Individual | 02/01/2016 | |
| Stern, Jacob | Operational/managerial control | Individual | 02/01/2016 |
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 January 23, 2025: "Provide enough food/fluids to maintain a resident's health."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on January 23, 2025: "Provide and implement an infection prevention and control program."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on May 20, 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."
- 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 23, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Seven Acres Senior Living at Clifton Cincinnati, 1.4 mi · 4 of 5 stars · 23 citations
- Clifton Healthcare Center Cincinnati, 1.5 mi · 4 of 5 stars · 23 citations
- Astoria Place of Cincinnati Cincinnati, 1.5 mi · 1 of 5 stars · 64 citations
- Garden Park Health Care Center Cincinnati, 1.6 mi · 2 of 5 stars · 52 citations
- Twin Towers Cincinnati, 2.4 mi · 5 of 5 stars · 12 citations
- Norwood Towers Post-Acute Cincinnati, 2.8 mi · 2 of 5 stars · 37 citations
- Lincoln Crawford Care Center Cincinnati, 2.8 mi · 3 of 5 stars · 19 citations
- Harrison Pavilion Care Center Cincinnati, 3 mi · 1 of 5 stars · 67 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 Scarlet Oaks Nursing and Rehabilitation Center's Medicare star rating?
- CMS rates Scarlet Oaks Nursing and Rehabilitation Center 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Scarlet Oaks Nursing and Rehabilitation Center get at its last inspection?
- 8 health deficiencies at the standard inspection on January 23, 2025. The Ohio average is 10.5.
- Has Scarlet Oaks Nursing and Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Scarlet Oaks Nursing and Rehabilitation 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 Scarlet Oaks Nursing and Rehabilitation Center?
- CMS lists 5 owners and managers, and links the home to Cch Healthcare. Legal business name: SCARLET OAKS NURSING AND REHABILITATION CENTER 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.