Brookside Healthcare Center
315 Lilienthal Street, Cincinnati, OH 45204 · Hamilton County · 105 certified beds · avg 100 residents/day · certified since Jul 28, 1993
Part of chain: HEALTH CARE FACILITY MANAGEMENT, LLC (5 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 27, 2022 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 30, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (24)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 17, 2025 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Apr 17, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jul 27, 2022 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jul 27, 2022 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 27, 2022 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 27, 2022 | E · Potential for harm, repeated | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Jul 27, 2022 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jul 27, 2022 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jul 27, 2022 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Jul 27, 2022 | D · Potential for harm, one-off | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Jul 27, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 27, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 27, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 27, 2022 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Nov 26, 2019 | F · Potential for harm, facility-wide | The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years. |
| Nov 26, 2019 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Nov 26, 2019 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Nov 26, 2019 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Nov 26, 2019 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Nov 26, 2019 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Nov 26, 2019 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Nov 26, 2019 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Nov 26, 2019 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Nov 26, 2019 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (12 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 10 | 0 | F |
| 2022 | 12 | 1 | G ▲ |
| 2025 | 2 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.89 | 3.45 | 3.95 | bottom 16% in Ohio; bottom 10% in the U.S. |
| Registered Nurse hours | 0.34 | 0.60 | 0.69 | bottom 10% in Ohio; bottom 14% in the U.S. |
| Weekend total nurse staffing | 2.72 | 3.07 | 3.50 | bottom 28% in Ohio; bottom 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.42 | 0.48 | bottom 45% in Ohio; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 29.1 | 48.7 | 45.8 | top 6% in Ohio; top 13% in the U.S. |
| RN turnover (%) | 60.0 | 43.9 | 42.9 | bottom 24% in Ohio; bottom 22% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.21, RN 0.38, weekend 3.02. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cobalt I Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2019 |
| Cobalt II Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2019 |
| Cobalt III Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2019 |
| Cobalt IV Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2019 |
| Ct Healthcare Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2019 |
| Ct Operations Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2019 |
| Minority Report LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2019 |
| Toledo HC Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2019 |
| Cobalt I Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Cobalt II Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Cobalt III Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Cobalt IV Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Ct Healthcare Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Groves, Donna | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/14/2023 |
| Marino, Peter | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2019 |
| Mathis, Stacy | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/05/2021 |
| Mathis, Stacy | Individual | ADP of the SNF | NOT APPLICABLE | 06/05/2025 |
| Minority Report LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Odenthal, Richard | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/10/2025 |
| Parkway Mgt Co LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Madonna Manor | 1.1 mi | Villa Hills, KY | ★☆☆☆☆ | 1/5 | |
| Ivy Woods Healthcare Center. | 2.8 mi | Cincinnati, OH | ★★★★☆ | 3/5 | |
| Bayley Place | 3.2 mi | Cincinnati, OH | ★★★★★ | 4/5 | |
| Aventura at West Park | 3.4 mi | Cincinnati, OH | ★☆☆☆☆ | 1/5 | |
| Edith Lane of Cincinnati | 3.4 mi | Cincinnati, OH | ★★☆☆☆ | 1/5 | |
| Harrison Pavilion Care Center | 3.6 mi | Cincinnati, OH | ★☆☆☆☆ | 2/5 | |
| Village Care Center | 3.6 mi | Erlanger, KY | ★★★★☆ | 4/5 | |
| Delhi Post-Acute | 3.7 mi | Cincinnati, OH | ★☆☆☆☆ | 2/5 | |
| Villaspring of Erlanger | 4.4 mi | Erlanger, KY | ★★★☆☆ | 2/5 | |
| Western Hills Retirement Village | 4.6 mi | Cincinnati, OH | ★★★★☆ | 3/5 | |
| The Pavilion at Kenton | 4.7 mi | Covington, KY | ★☆☆☆☆ | 1/5 | |
| Clifton Healthcare Center | 4.7 mi | Cincinnati, OH | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365925.