Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ayden Healthcare Of Madeira during CMS and state inspections, most recent first.
Multiple residents experienced unclean and poorly maintained living environments, including dirty briefs left on the floor, unsightly and damaged curtains, missing furniture parts, broken glass, splattered walls, and debris in air conditioning units. These issues were confirmed by residents, LPNs, and environmental staff, and affected individuals with various medical and cognitive conditions.
The facility failed to provide required supervision for residents who smoke and did not thoroughly investigate or implement new interventions after multiple resident falls. Several residents were observed smoking without staff present, and care plans for smoking safety were incomplete or not followed. Multiple residents with cognitive and physical impairments experienced repeated falls, but there was no evidence of root cause analysis or updated fall prevention strategies, despite facility policy requiring such actions.
Several residents with physician-ordered therapeutic diets, including renal and gluten/lactose-free diets, were served foods and beverages not compliant with their dietary restrictions. Staff, including CNAs, LPNs, and dietary personnel, demonstrated a lack of knowledge about specific diet requirements and failed to follow meal tickets and orders. One resident requiring thickened liquids and no straws due to dysphagia was observed using straws and consuming regular liquids, with staff unaware of the restrictions. Facility policies for verifying diet accuracy were not followed, resulting in residents not receiving prescribed diets.
Two residents with severe cognitive impairment and high care needs were directly affected by unsanitary and unsafe conditions, including a heavily soiled carpet, stained hallway, dirty ceiling vents, a large hole in the wall, and missing baseboards. These deficiencies were confirmed by staff and were not addressed due to lack of proper cleaning equipment, with the potential to impact additional residents in the same unit.
A resident with lymphedema did not consistently receive prescribed lymphedema boot therapy as ordered, with multiple shifts lacking application and incomplete documentation in the MAR. The resident, who was cognitively intact and required staff assistance, reported never refusing the treatment, and staff interviews confirmed inconsistent application. The DON acknowledged the MAR was not set up to properly document the required therapy.
A resident did not receive their lunch meal as scheduled, despite requesting food from the alternative menu. Both the resident and the DON confirmed that the meal was not provided, which was not in accordance with the facility's policy requiring three daily meals at regular times.
A staff member was observed handling dirty dishes and then immediately unloading clean dishes from the dish machine without performing hand hygiene in between tasks. The staff member confirmed this lapse during an interview, and facility policy requires handwashing after handling dirty dishes. This failure had the potential to affect all residents receiving food from the kitchen.
A resident did not receive prescribed Adderall on multiple occasions due to unavailability, despite staff signing off on its administration. The DON was unaware of the missed doses until questioned by a surveyor, indicating a failure to adhere to the facility's medication administration policy.
A resident with ADHD did not receive prescribed Adderall on multiple occasions, despite the MAR indicating administration. Interviews confirmed the medication was unavailable, yet staff documented it as given. The facility's policy requires accurate recording of medication administration.
The facility failed to include activities in the care plans for three residents, despite their interests and cognitive abilities. Interviews confirmed that the responsibility for updating activity care plans was not met. The facility's policy requires comprehensive care plans within seven days of assessment, involving the care planning team, including the activity director.
The facility did not ensure eight consecutive hours of RN coverage on multiple days during the first quarter of 2024, as revealed by the PBJ report and staffing schedules. This deficiency, confirmed by the Administrator, potentially impacted all 92 residents.
The facility failed to provide perineal care for an incontinent resident, as documented only twice during night shifts over a 30-day period. The resident reported being left wet and cold until morning, and the DON confirmed the lack of documentation and stated the resident should be checked and changed every two hours.
Failure to Maintain Clean, Comfortable, and Homelike Resident Environment
Penalty
Summary
The facility failed to provide a clean, comfortable, and homelike environment for multiple residents, as evidenced by direct observations, record reviews, and interviews. Several rooms were found with significant cleanliness and maintenance issues. For example, one resident had a dirty brief left on the floor for over an hour, which was confirmed by both the resident and an LPN. Other rooms had window curtains that were improperly hung, faded, wrinkled, and with hems detached, as well as missing drawer fronts, broken glass picture frames with shards of glass, loose wallpaper, and unpainted plastered areas. These conditions were verified by both residents and the Environmental Director, who acknowledged the need for repairs or replacements. Additional observations included rooms with air conditioning units containing fabric softener sheets and food debris, walls with brownish/red splatters and exposed drywall, and areas of black substance on the floor. Residents reported that these unsightly and unclean conditions had been present since they moved into their rooms, and some had attempted to clean the areas themselves without success. Maintenance staff confirmed the presence of these issues, including the splattered walls, exposed drywall, and debris in the air conditioning units. In another instance, a resident's window shade was found to have brown splatter that had not been cleaned for over four years, as confirmed by both the resident and an LPN. The report documents that these deficiencies affected residents with various medical conditions, including chronic obstructive pulmonary disease, diabetes, morbid obesity, and cognitive impairments. The findings were substantiated through interviews with residents, nursing staff, and maintenance personnel, all of whom confirmed the ongoing nature of the environmental deficiencies.
Failure to Supervise Smoking and Investigate/Reassess Falls
Penalty
Summary
The facility failed to ensure adequate supervision for residents who smoke, as well as to thoroughly investigate falls and implement appropriate interventions to prevent future incidents. Three residents with a history of smoking were observed or documented as smoking without required staff supervision, contrary to their care plans and facility policy. One resident was found outside smoking alone and unable to re-enter the building, while two others were observed smoking in the designated area without staff present, and one was not wearing the required protective apron. Staff interviews confirmed that residents were allowed to smoke unsupervised, and documentation revealed missing or incomplete care plans for smoking safety. Additionally, the facility did not conduct thorough investigations or implement new interventions following multiple falls experienced by five residents. Medical record reviews and fall investigation reports showed repeated falls for these residents, with no evidence of root cause analysis or updated fall prevention strategies. In several cases, residents with cognitive impairments or physical limitations experienced multiple unwitnessed or witnessed falls, yet their care plans and interventions remained unchanged. Interviews with the DON confirmed the lack of documentation and absence of new interventions after these incidents. Facility policies required staff to identify and implement interventions based on residents' risks and causes of falls, and to re-evaluate and adjust interventions if falls continued. Despite these policies, the records reviewed indicated that staff did not consistently follow these procedures, resulting in repeated falls without documented efforts to address underlying causes or prevent recurrence. The deficiency was identified through medical record review, staff and resident interviews, observation, and policy review.
Failure to Provide Therapeutic Diets as Ordered
Penalty
Summary
The facility failed to ensure that therapeutic diets were provided as ordered by physicians for four residents reviewed. Residents with specific dietary needs, such as those on renal diets or requiring gluten and lactose-free diets, were observed receiving foods and beverages that were not in accordance with their prescribed diets. For example, residents with renal diet orders received foods such as milk, cheese, sausage, ham, and vegetable soup, all of which were listed as restricted items for renal diets according to the facility's own therapeutic diet definition sheet. Additionally, residents reported receiving high-sodium snacks and orange juice, which were also restricted. Staff interviews revealed a lack of knowledge regarding the specific dietary restrictions for residents on therapeutic diets. Certified Nursing Assistants (CNAs), Licensed Practical Nurses (LPNs), and dietary staff were unable to identify which foods were restricted for residents on renal diets or gluten and lactose-free diets. Meal tickets and dietary orders were not consistently followed, and staff confirmed that residents were regularly served foods that were not compliant with their dietary restrictions. One resident with gluten and lactose sensitivity reported abdominal pain after consuming a supplement containing milk protein and stated that she routinely received inappropriate foods, leading her to rely on food brought in by her family. Another resident with an order for a mechanically altered diet and thickened liquids due to dysphagia was observed using straws and consuming unthickened liquids, contrary to physician orders. Staff were unaware of the order prohibiting straws and had not been thickening the resident's liquids. Documentation showed that the resident had been non-compliant with the diet order, but staff had not consistently documented refusals or set up care conferences as required by facility policy. Facility policies required meals to be checked against therapeutic diet spreadsheets and meal tickets, but these procedures were not followed, resulting in residents not receiving diets as ordered.
Failure to Maintain Safe and Sanitary Environment
Penalty
Summary
The facility failed to maintain a safe, functional, and sanitary environment, as evidenced by multiple observations and staff interviews. In the 500 hall, the carpet was heavily soiled at the entrances to several rooms, with a three-foot-long stain at the start of the hallway and three ceiling vents covered in brown debris. The Environmental Director confirmed the lack of a carpet cleaning machine and was unaware of when the carpets were last shampooed, indicating that only a vacuum was available for cleaning. These conditions were directly observed and verified by staff. In a room shared by two residents with severe cognitive impairment and significant care needs, there was a baseball-sized hole in the wall near the bathroom door and missing baseboards along several walls. These environmental deficiencies were confirmed by a State Tested Nursing Assistant during the survey. The facility's own policy required a safe, clean, and comfortable environment, but these standards were not met, affecting the two residents directly and potentially impacting others in the same hall.
Failure to Consistently Apply and Document Lymphedema Boot Therapy
Penalty
Summary
The facility failed to provide care and services as ordered for a resident with lymphedema, as evidenced by inconsistent application and documentation of lymphedema boots. The resident was admitted with diagnoses including lymphedema and had intact cognition. Physician orders specified that nursing staff were to apply lymphedema boots for one hour, twice daily, to reduce swelling. However, review of the Medication Administration Records (MAR) for several months showed incomplete and inconsistent documentation, with no clear evidence that the boots were applied as ordered. The MAR did not allow for proper documentation of the required one-hour duration, and entries were often marked only as 'on' or 'off' without time specifics. Multiple observations and interviews confirmed that the resident did not have the lymphedema boots applied during several day and night shifts, and the resident reported never refusing the treatment. The resident stated she could not apply the boots herself and required assistance, which was not consistently provided. Staff interviews corroborated that the boots were rarely applied, and the DON acknowledged the MAR was not set up to document the treatment as ordered. There was no documented evidence that the boots were applied as prescribed or that the resident refused the treatment.
Failure to Provide Timely Lunch Meal to Resident
Penalty
Summary
The facility failed to provide a resident with three meals a day as required by policy. On observation, a resident had not received their lunch by 2:10 P.M., despite having requested a ham sandwich and a bowl of soup from the alternative menu. The resident confirmed in an interview that they had not received lunch at that time. The DON also confirmed that the resident did not receive their lunch. Review of the facility's policy indicated that lunch should be served daily at 12:30 P.M., but this was not followed in this instance.
Failure to Perform Hand Hygiene Between Handling Dirty and Clean Dishes
Penalty
Summary
A deficiency was identified when a staff member in the kitchen was observed handling both dirty and clean dishes without performing hand hygiene in between tasks. The staff member loaded dirty dishes onto racks, pushed them through the dish machine, and then immediately unloaded clean dishes from the other side without washing her hands or using any hand hygiene measures. This process was repeated multiple times, with the staff member alternating between handling dirty and clean dishes without any observed handwashing or sanitizing of hands. During an interview, the staff member confirmed that she did not perform hand hygiene after handling dirty dishes and before touching clean ones. She explained that her coworker had stepped away, and she was trying to keep the workflow moving. The facility's policy, reviewed as part of the investigation, requires employees to wash their hands after handling dirty dishes. This failure to follow hand hygiene protocols had the potential to affect all 87 residents who received food from the kitchen.
Failure to Administer Medications as Ordered
Penalty
Summary
The facility failed to provide medications as ordered by a physician, affecting one resident out of three reviewed for medication administration. The resident, who was cognitively intact and required assistance with activities of daily living, had a physician's order for Adderall to be administered twice daily. However, the controlled drug administration records and Medication Administration Records (MAR) revealed that the medication was not administered on multiple occasions over a period of several weeks. Interviews with the resident and the Director of Nursing (DON) confirmed that the Adderall was not available for administration on the specified dates, and staff had sometimes signed off the medication as administered in the MAR when it was not available. The DON was unaware of the missed doses until questioned by the surveyor. The facility's policy on administering medications required that medications be administered in accordance with the orders, including any required time frame, which was not adhered to in this case.
Medication Administration Documentation Failure
Penalty
Summary
The facility failed to accurately document medication administration for a resident diagnosed with osteoarthritis and ADHD. The resident was cognitively intact and required assistance with activities of daily living. A physician's order was in place for the administration of Adderall, five milligrams, two tablets twice daily. However, the controlled drug administration records indicated that Adderall was not administered on several dates, while the Medication Administration Records (MAR) inaccurately documented that the medication was given on some of these dates. Interviews with the resident and the Director of Nursing (DON) confirmed the discrepancies in medication administration. The resident reported not receiving Adderall for approximately two weeks, and the DON acknowledged that the medication was unavailable on specific dates. Despite this, staff had signed off on the MAR as if the medication had been administered. The facility's policy on administering medications requires that the individual administering medications record the administration in the medical record, which was not adhered to in this case.
Failure to Include Activities in Resident Care Plans
Penalty
Summary
The facility failed to develop comprehensive care plans that included activities for three residents, affecting their overall care. Resident #9, who was cognitively intact and required assistance with various activities of daily living, had interests in arts and crafts. However, the care plan for this resident did not include any activities. Similarly, Resident #13, who was also cognitively intact and required supervision and assistance with daily activities, had interests in word puzzles and watching television, but their care plan was also missing activities. Resident #45, with cognitive skills for independent decision-making and requiring set-up assistance for daily living activities, had interests in arts, crafts, bingo, cards, and board games, yet their care plan lacked any mention of activities. Interviews with the Activities Director and the RN MDS Coordinator confirmed that the responsibility for completing and updating residents' activity care plans was not fulfilled for these residents. The facility's care planning policy mandates that a comprehensive care plan be developed within seven days of completing the resident assessment (MDS) and should be based on the resident's comprehensive assessment. The policy also specifies that the care planning team, including the activity director/coordinator, is responsible for developing these individualized care plans. Despite these guidelines, the care plans for Residents #9, #13, and #45 were incomplete, lacking the necessary inclusion of activities.
Failure to Maintain Required RN Coverage
Penalty
Summary
The facility failed to maintain the required eight consecutive hours of Registered Nurse (RN) coverage, as mandated by regulations, during the first quarter of the 2024 fiscal year. This deficiency was identified through a review of the Payroll-Based Journal (PBJ) report and staffing schedules, which revealed multiple days without the necessary RN coverage. Specifically, on 02/03/24, 02/04/24, 02/10/24, 02/11/24, 02/17/24, 02/18/24, 03/30/24, and 03/31/24, no RN was scheduled for the required duration. The absence of RN coverage was confirmed through an interview with the Administrator, who acknowledged the lack of scheduled RN hours on these dates. This deficiency had the potential to affect all 92 residents residing in the facility.
Failure to Provide Perineal Care for Incontinent Resident
Penalty
Summary
The facility failed to ensure perineal care was provided for a resident who was incontinent of bladder and bowel. Medical record review for the resident revealed an admission with multiple diagnoses, including congestive heart failure, asthma, hypotension, and neuromuscular dysfunction of the bladder. The resident required extensive assistance with activities of daily living (ADL) and was coded as incontinent. Despite the care plan indicating the need for perineal care with each incontinence episode, documentation showed only two instances of perineal care being provided during the night shift over a 30-day period. The resident reported that STNAs put two incontinent pads on her at night and did not check her until the morning, leaving her wet and cold. The Director of Nursing confirmed the lack of documentation and stated that the resident should be checked and changed every two hours. The facility's policy on incontinence care did not provide directions for documentation related to the task. The deficiency was identified during a complaint investigation and was verified through medical record reviews, observations, and interviews with the resident and staff. The facility census at the time was 87, and this deficiency affected one of three residents reviewed for incontinent care.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Cincinnati
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Indianspring Of Oakley | 1.5 mi | — | 0 | 0 |
| Madeira Healthcare Center | 1.7 mi | — | 1 | 0 |
| Astoria Place Of Silverton | 1.8 mi | — | 10 | 0 |
| St. Theresa Care Center | 1.9 mi | — | 3 | 0 |
| Arc At Cincinnati | 2.1 mi | — | 36 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.