Ayden Healthcare of Madeira

5970 Kenwood Road · Cincinnati, OH · 45243 · 5135614111

115 certified beds For profit - Limited Liability company Chain: Ayden Healthcare

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

RN staffing in the bottom 10% nationally

0.21 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 25
Serious harm & abuse 20% 100
Staffing 20% 45
Federal penalties 15% 100
Trend 10% 70
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.133.48 min · 4.1 strong
RN hours / resident-day0.210.55–0.75
Weekend hours / resident-day2.87≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)none

Inspection citations (80 in the current record)

  • Potential for harm · D December 16, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected January 16, 2026 · Resident Rights

  • Potential for harm · D December 16, 2025

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected January 16, 2026 · Resident Rights

  • Potential for harm · D December 16, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E December 16, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected January 16, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D December 16, 2025

    Provide activities to meet all resident's needs.

    Corrected January 16, 2026 · Quality of Life and Care

  • Potential for harm · D December 16, 2025

    Assist a resident in gaining access to vision and hearing services.

    Corrected January 16, 2026 · Quality of Life and Care

  • Potential for harm · D December 16, 2025

    Provide enough food/fluids to maintain a resident's health.

    Corrected January 16, 2026 · Quality of Life and Care

  • Potential for harm · D December 16, 2025

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected January 16, 2026 · Quality of Life and Care

  • Potential for harm · D December 16, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected January 16, 2026 · Quality of Life and Care

  • Potential for harm · D December 16, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected January 16, 2026 · Pharmacy Service

  • Potential for harm · D December 16, 2025

    Ensure that residents are free from significant medication errors.

    Corrected January 16, 2026 · Pharmacy Service

  • Potential for harm · D December 16, 2025

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected January 16, 2026 · Administration

  • Potential for harm · D December 16, 2025

    Provide or obtain dental services for each resident.

    Corrected January 16, 2026 · Quality of Life and Care

  • Potential for harm · F December 16, 2025

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected January 16, 2026 · Nutrition and Dietary

  • Potential for harm · F December 16, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 16, 2026 · Nutrition and Dietary

  • Potential for harm · F December 16, 2025

    Dispose of garbage and refuse properly.

    Corrected January 16, 2026 · Nutrition and Dietary

  • Potential for harm · E December 16, 2025

    Provide and implement an infection prevention and control program.

    Corrected January 16, 2026 · Infection Control

  • Potential for harm · E December 16, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected January 16, 2026 · Infection Control

  • Potential for harm · D December 16, 2025

    Provide bedrooms that don't allow residents to see each other when privacy is needed.

    Corrected January 16, 2026 · Environmental

  • Potential for harm · E December 16, 2025

    Put firmly secured handrails on each side of hallways.

    Corrected January 16, 2026 · Environmental

  • Potential for harm · E December 16, 2025 · found via complaint

    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.

    Corrected January 16, 2026 · Resident Rights

  • Potential for harm · D December 16, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 16, 2026 · Quality of Life and Care

  • Potential for harm · E December 16, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 16, 2026 · Quality of Life and Care

  • Potential for harm · D December 16, 2025 · found via complaint

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Corrected January 16, 2026 · Nutrition and Dietary

  • Potential for harm · E December 16, 2025 · found via complaint

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected January 16, 2026 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365186 · certified since November 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.