476 Riddle Road, Cincinnati, OH 45220 · Hamilton County · (513) 281-8001
58 certified beds, about 50 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2005
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366316 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 26, 2024, inspectors cited 7 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 23 health citations since April 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 3.75 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
42.6% of nursing staff left within the year CMS measured (Ohio average 48.7%).
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.
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.
Inspectors wroteBased on closed medical record review, interview, and facility policy review, the facility failed to report an injury of unknown origin to the Ohio Department of Health (ODH). This affected one resident (#1) of five residents reviewed. The facility census was 56 at the time of survey. Findings Include:Review of the closed medical record revealed Resident #1, was admitted to the facility on [DATE] and discharged on 09/13/2025. Diagnoses included Discitis (thoracic region), Osteomyelitis of vertebra, Hypertensive Heart Disease with Heart Failure, Type II Diabetes Mellitus, and Chronic Diastolic Heart Failure. Review of the most recent Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed the resident had a BIMS of 12 out of 15 indicating mild cognitive deficits, he had no behaviors, did not reject care, and did not wander. Resident #1 was incontinent of bowel and bladder. [...]
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure resident pneumococcal vaccinations were up to date. This affected five (#15, #17, #18, #19, and #37) of five residents reviewed for pneumococcal vaccinations. The facility census was 51.
Inspectors wroteBased on review of the medical record and staff interview, the facility failed to complete a baseline care plan within 48 hours after admission. This affected one (#14) of 15 residents reviewed for baseline care plans. The facility census was 51.
Inspectors wroteBased on observation, medical record review, staff and resident interview, the facility failed to ensure residents were provided with timely and adequate personal hygiene. This affected three (#6, #14, and #23) of four residents reviewed for activities of daily living (ADLs). The facility census was 51.
Inspectors wroteBased on medical record review, staff interview, and review of a facility policy, the facility failed to appropriately assess pressure ulcers as required. This affected one (#51) of one resident reviewed for pressure ulcers. The facility census was 51.
Inspectors wroteBased on medical record review, staff interview, and review of a facility policy, the facility failed to ensure resident fall risks were assessed after falls to determine risk factors to the resident. This affected two (#23 and #27) of four residents reviewed for falls. The facility census was 51.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure nutritional assessments were completed and interventions were put into place timely for residents with significant weight loss and at risk for nutritional deficits. This affected two (#18 and #51) of four residents reviewed for nutrition. The facility census was 51.
Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to perform adequate hand hygiene and provide care in a manner to prevent potential contamination during wound and urinary catheter care. Additionally, the facility failed to ensure residents were placed on enhanced barrier precautions as required for residents with wounds and/or indwelling medical devices. This affected one (#51) resident of six residents reviewed for infection control measures. The facility census was 51.
Inspectors wroteBased on interview and record review, the facility failed to ensure a resident's pain was addressed. This affected one resident (#29) of one resident reviewed for pain. The facility census was 52.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure a resident's insulin pen was primed according to manufacturer guidelines resulting in a significant medication error. This affected one (Resident #8) of five residents observed for medication administration. The facility census was 52.
Inspectors wroteBased on medical record review, observation, and interviews, the facility failed to ensure nurses handled resident medications in a sanitary manner. This affected two (Residents #3 #22) of five residents observed for medication administration. Facility census was 52.
Inspectors wroteBased on medical record, observation, staff interview, and review of the facility policy the facility failed to timely implement treatment orders for residents with skin breakdown. This affected one (Resident #17) of three residents reviewed for skin breakdown. The facility census was 46.
Inspectors wroteBased on observations, medical record review, staff interviews and spread sheet review, the facility failed to serve the correct amount of puree food texture portions as listed on the menu spreadsheet. This affected four (#21, #35, #39 and #47) of four residents observed who required an ordered puree texture diet. The facility total census was 48.
Inspectors wroteBased on record review, observations, staff interview, and review of the facility policy, the facility failed to ensure medications were stored safely and not left unattended. This affected Resident #3 and had the potential to affect nine additional facility-identified residents (#2, #5, #8, #9, #17, #19, #20, #22, and #23) residing on the second floor who were cognitively impaired and independently mobile. The facility census was 49 residents.
Inspectors wroteBased on record review, observation, staff interview, and review of manufacturer's guidelines for glucometer use, the facility failed to ensure staff properly cleaned and disinfected glucometers after use. This affected Resident #45 and had the potential to affect 20 residents (#25, #26, #27, #28, #29, #30, #31, #33, #34, #35, #36, #37, #38, #39, #40, #42, #44, #47, #48, and #49) who the facility identified to receive blood glucose monitoring utilizing the same glucometer as Resident #45.
Inspectors wroteBased on personnel file review, interview and policy review, the facility failed to ensure staff were checked against the Nurse Aide Registry prior to employment. This had the potential to affect all 40 residents residing in the facility.
Inspectors wroteBased on observation, record review, interview and policy review, the facility failed to address a slow weight loss, failed to provide the appropriate diet and failed to ensure supervision was provided during meals. This affected two (Residents #32 and #17) of six residents identified with significant weight loss. The facility census was 40.
Inspectors wroteBased on record review and interview, the facility failed to notify the Ombudsman when a resident was transferred to the hospital. This affected two (Residents #2 and #37) of four residents reviewed for hospitalizations. The in-house facility census was 40.
Inspectors wroteBased on record review, staff interview and review of the facility's Legionella policy, the facility failed to follow their plan for monitoring water temperatures for the prevention of Legionella. This had the potential to affect all 52 residents residing in the facility.
Inspectors wroteBased on policy review, review of facility self reported incidents (SRI) , medical record review, and staff interview, the facility to follow their abuse policy by not immediately reporting and thoroughly investigating allegations of abuse. This affected two (Resident #20 and #21) of four residents reviewed for abuse. The facility census was 52.
Inspectors wroteBased on policy review, review of facility self reported incidents (SRI), medical record review, and staff interview, the facility failed to immediately report allegations of abuse. This affected two (Resident #20 and #21) of four residents reviewed for abuse. The facility census was 52.
Inspectors wroteBased on staff interview, record review, policy review and review of facility's self-reported incidents (SRI), the facility failed to conduct a thorough abuse investigation. This affected one (Resident #21) of four residents reviewed for abuse. The facility census 52.
Inspectors wroteBased on observation, staff interview, review of facility policy, and review of the Clinical Resource information sheet, the facility failed to ensure expired medications were not available for resident use. This affected two of three medication carts reviewed for expired medications. The facility identified three residents receiving insulin and one resident receiving oyster shell calcium with vitamin D. The facility census was 52.
20 fire safety citations on file: 4 on June 26, 2024, 10 on April 29, 2021, 6 on April 11, 2019.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.75 | 3.69 | 3.86 |
| Registered nurses | 0.55 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.13 | 3.28 | 3.42 |
| Nurse aides | 2.42 | ||
| Licensed practical nurses | 0.78 | ||
| Nursing staff turnover (share who left in a year) | 42.6% | 48.7% | 45.8% |
| Registered nurse turnover | 0.0% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.33 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.00 on weekdays and 3.13 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.96 in April to June 2025 to 3.75 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.75 | 0.55 | 4.00 | 3.13 | 4.8% | 0 of 90 | 50 |
| Oct to Dec 2025 | 3.78 | 0.58 | 4.02 | 3.19 | 1.1% | 0 of 92 | 50 |
| Jul to Sep 2025 | 3.67 | 0.61 | 3.89 | 3.10 | 0.4% | 0 of 92 | 54 |
| Apr to Jun 2025 | 3.96 | 0.52 | 4.22 | 3.32 | 1.4% | 0 of 91 | 49 |
| 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.
Staff pay reports
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 7.1 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.9 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.8 | 8.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Seven Acres Senior Living at Clifton's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Ohio: 147 better, 20 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 13 eligible stays.
11.2% this home
No different from the national rate
US median of homes 10.7% · Ohio: 3 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 33 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Ohio: 1 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 20 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Ohio55.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 13 residents counted.
0.0% this home
Median of homes: Ohio0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 20 residents counted.
0.0% this home
Median of homes: Ohio1.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 20 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Ohio100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 2 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: HAMILTON HEALTHCARE ASSOCIATES, LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Klingerman, David | 5% or greater indirect ownership interest | Individual | 10% | 03/01/2023 |
| Jersey Shore State Bank | 5% or greater mortgage interest | Organization | 03/01/2023 | |
| Nijak, Jennifer | Operational/managerial control | Individual | 03/01/2023 | |
| Serota, Gretchen | Operational/managerial control | Individual | 03/01/2023 | |
| Liberty Healthcare Mgt LLC | Adp of the SNF | Organization | 03/01/2023 | |
| Nijak, Jennifer | Adp of the SNF | Individual | 03/01/2023 | |
| Serota, Gretchen | Adp of the SNF | Individual | 03/01/2023 |
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.
Chosen from this home's own inspection record.
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.