HILLEBRAND NURSING AND REHABILITATION CENTER Inspection Report, Violations & Safety Grade (CINCINNATI, Ohio)

4320 BRIDGETOWN ROAD, CINCINNATI, Ohio 45211

Phone: 5135744550

CMS Overall:3/5

Overview & Bed Count

Certified Beds

108

Avg Residents/Day

99.5

Ownership

For profit - Individual

Provider Type

Medicare and Medicaid

County

Hamilton

Sprinkler Systems

Partial

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall3/5

Health2/5

Staffing3/5

Quality5/5

Nurse Staffing Check

Metric	This Facility	Ohio Avg	Difference
RN Hours per Resident per Day	0.51	0.64	-0.13
Total Nurse Hours per Resident per Day	3.57	3.71	-0.14
CMS Staffing Rating	3/5	2.4/5	-
Nursing Staff Turnover	28.3%	49%	-

Health Citation History

32 health citations on record

Date	Category	Description	Severity
2026-03-26	Nursing and Physician Services Deficiencies	Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.	F – Moderate Harm Potential
2026-03-26	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D – Moderate Harm Potential
2026-03-26	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D – Moderate Harm Potential
2026-03-26	Resident Rights Deficiencies	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.	D – Moderate Harm Potential
2026-03-26	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D – Moderate Harm Potential
2026-03-26	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D – Moderate Harm Potential
2026-03-26	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D – Moderate Harm Potential
2026-03-26	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2026-03-26	Nutrition and Dietary Deficiencies	Provide special eating equipment and utensils for residents who need them and appropriate assistance.	D – Moderate Harm Potential
2026-03-26	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2026-03-26	Infection Control Deficiencies	Develop and implement policies and procedures for flu and pneumonia vaccinations.	D – Moderate Harm Potential
2025-03-04	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D – Moderate Harm Potential
2024-06-28	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J – Immediate Jeopardy
2023-11-14	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D – Moderate Harm Potential
2023-02-22	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2023-02-22	Resident Rights Deficiencies	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.	E – Moderate Harm Potential
2023-02-22	Pharmacy Service Deficiencies	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.	E – Moderate Harm Potential
2023-02-22	Resident Rights Deficiencies	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.	D – Moderate Harm Potential
2023-02-22	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D – Moderate Harm Potential
2023-02-22	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D – Moderate Harm Potential
2023-02-22	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D – Moderate Harm Potential
2023-02-22	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2023-02-22	Quality of Life and Care Deficiencies	Assist a resident in gaining access to vision and hearing services.	D – Moderate Harm Potential
2023-02-22	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D – Moderate Harm Potential
2023-02-22	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2023-02-22	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D – Moderate Harm Potential
2023-02-22	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D – Moderate Harm Potential
2023-02-22	Pharmacy Service Deficiencies	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.	D – Moderate Harm Potential
2023-02-22	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D – Moderate Harm Potential
2020-02-06	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F – Moderate Harm Potential
2020-02-06	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D – Moderate Harm Potential
2020-02-06	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	C – Minimal Harm Potential

Fire Safety Citation History

33 fire safety citations on record

Date	Category	Description	Severity
2026-03-26	Emergency Preparedness Deficiencies	Conduct risk assessment and an All-Hazards approach.	F – Moderate Harm Potential
2026-03-26	Emergency Preparedness Deficiencies	Conduct testing and exercise requirements.	F – Moderate Harm Potential
2026-03-26	Smoke Deficiencies	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	F – Moderate Harm Potential
2026-03-26	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	E – Moderate Harm Potential
2026-03-26	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential
2023-02-22	Egress Deficiencies	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	F – Moderate Harm Potential
2023-02-22	Egress Deficiencies	Install emergency lighting that can last at least 1 1/2 hours.	F – Moderate Harm Potential
2023-02-22	Smoke Deficiencies	Provide properly protected cooking facilities.	F – Moderate Harm Potential
2023-02-22	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2023-02-22	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	F – Moderate Harm Potential
2023-02-22	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2023-02-22	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	E – Moderate Harm Potential
2023-02-22	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	E – Moderate Harm Potential
2020-02-06	Construction Deficiencies	Use approved construction type or materials.	F – Moderate Harm Potential
2020-02-06	Egress Deficiencies	Have properly located and lighted "Exit" signs.	F – Moderate Harm Potential
2020-02-06	Smoke Deficiencies	Install a fire alarm system that can be heard throughout the facility.	F – Moderate Harm Potential
2020-02-06	Smoke Deficiencies	Have approved installation, maintenance and testing program for fire alarm systems.	F – Moderate Harm Potential
2020-02-06	Smoke Deficiencies	Install an approved automatic sprinkler system.	F – Moderate Harm Potential
2020-02-06	Smoke Deficiencies	Inspect, test, and maintain automatic sprinkler systems.	F – Moderate Harm Potential
2020-02-06	Services Deficiencies	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	F – Moderate Harm Potential
2020-02-06	Miscellaneous Deficiencies	Provide a written emergency evacuation plan.	F – Moderate Harm Potential
2020-02-06	Miscellaneous Deficiencies	Have simulated fire drills held at unexpected times.	F – Moderate Harm Potential
2020-02-06	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	F – Moderate Harm Potential
2020-02-06	Gas, Vacuum, and Electrical Systems Deficiencies	Have generator or other power source capable of supplying service within 10 seconds.	F – Moderate Harm Potential
2020-02-06	Gas, Vacuum, and Electrical Systems Deficiencies	Have proper medical gas storage and administration areas.	F – Moderate Harm Potential
2020-02-06	Smoke Deficiencies	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.	E – Moderate Harm Potential
2020-02-06	Smoke Deficiencies	Provide properly protected cooking facilities.	E – Moderate Harm Potential
2020-02-06	Smoke Deficiencies	Properly select, install, inspect, or maintain portable fire extinguishes.	E – Moderate Harm Potential
2020-02-06	Smoke Deficiencies	Install corridor and hallway doors that block smoke.	E – Moderate Harm Potential
2020-02-06	Services Deficiencies	Have properly installed electrical wiring and gas equipment.	E – Moderate Harm Potential
2020-02-06	Services Deficiencies	Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly.	E – Moderate Harm Potential
2020-02-06	Miscellaneous Deficiencies	Have restrictions on the use of highly flammable decorations.	E – Moderate Harm Potential
2020-02-06	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	E – Moderate Harm Potential

Total Penalties & Fines

$16,801

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2024-06-28	Fine	$16,801	-

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