Burlington House Rehab & Alzheimer's Care Center
2222 Springdale Road · Cincinnati, OH · 45231 · 5138517888
122 certified beds For profit - Limited Liability company Chain: Health Care Facility Management, LLC
Why this verdict
- Carries CMS’s abuse warning icon.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 2 times under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.83 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 38% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Potential for harm · E March 17, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · D May 12, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 6, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 19, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected October 4, 2024 · Environmental
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Potential for harm · D May 30, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 20, 2024 · Quality of Life and Care
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Potential for harm · D May 2, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 2, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 2, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected June 20, 2024 · Quality of Life and Care
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Potential for harm · D May 2, 2024
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.
Corrected June 20, 2024 · Pharmacy Service
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Potential for harm · E May 2, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected June 20, 2024 · Environmental
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Potential for harm · D June 28, 2023 · found via complaint
Provide or obtain dental services for each resident.
Corrected July 7, 2023 · Quality of Life and Care
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Immediate jeopardy · J May 8, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 12, 2023 · Quality of Life and Care
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Potential for harm · D May 8, 2023
Ensure each resident receives an accurate assessment.
Corrected June 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 12, 2023 · Resident Assessment and Care Planning
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Potential for harm · F May 8, 2023
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.
Corrected June 12, 2023 · Pharmacy Service
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Potential for harm · F May 8, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected June 12, 2023 · Nutrition and Dietary
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Potential for harm · F May 8, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 12, 2023 · Nutrition and Dietary
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Potential for harm · F May 8, 2023
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected June 12, 2023 · Administration
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Potential for harm · F May 8, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected June 12, 2023 · Administration
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Potential for harm · F May 8, 2023
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected June 12, 2023 · Administration
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Potential for harm · D May 8, 2023
Keep all essential equipment working safely.
Corrected June 12, 2023 · Environmental
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Potential for harm · F May 8, 2023
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected June 12, 2023 · Administration
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Actual harm · G November 7, 2019
Provide enough food/fluids to maintain a resident's health.
Corrected December 16, 2019 · Quality of Life and Care
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Potential for harm · D November 7, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 16, 2019 · Resident Rights
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Potential for harm · D November 7, 2019
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.
Corrected December 16, 2019 · Resident Rights
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 365892 · certified since August 20, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.