Carmel Manor
100 Carmel Manor Road, Fort Thomas, KY 41075 · Campbell County · 95 certified beds · avg 87 residents/day · certified since Jul 5, 1990
Part of chain: CARMELITE SISTERS FOR THE AGED & INFIRM (9 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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)
▲ Immediate jeopardy, one-off · Jul 24, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 4, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 24, 2025 · F-0607 · triggered by a complaint
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 4, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 24, 2025 · F-0610 · triggered by a complaint
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 4, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 24, 2025 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 4, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jul 24, 2025 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 4, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Mar 15, 2025 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 16, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Mar 15, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 16, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 24, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Dec 16, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 15, 2025 · F-0657 · triggered by a complaint
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Why it matters: Delays or gaps in care planning mean staff may work without a clear, current roadmap for the resident's daily care and treatment.
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: Apr 16, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 17, 2022 · F-0656
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
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: Apr 22, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (38)
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 |
|---|---|---|
| Dec 1, 2025 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Dec 1, 2025 | F · Potential for harm, facility-wide | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Dec 1, 2025 | F · Potential for harm, facility-wide | 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. |
| Dec 1, 2025 | 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. |
| Dec 1, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Dec 1, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Dec 1, 2025 | 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. |
| Dec 1, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Dec 1, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Dec 1, 2025 | 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. · from a complaint |
| Dec 1, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Dec 1, 2025 | 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. |
| Jul 24, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 24, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Jul 24, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Jul 24, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jul 24, 2025 | ▲ J · Immediate jeopardy, one-off | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Jul 24, 2025 | ▲ G · Actual 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. · from a complaint |
| Jul 24, 2025 | 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. · from a complaint |
| Jul 24, 2025 | E · Potential for harm, repeated | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · from a complaint |
| Mar 15, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Mar 15, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 15, 2025 | ▲ G · Actual harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint |
| Mar 15, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 15, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Mar 15, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Mar 15, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| May 5, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Mar 17, 2022 | ▲ G · Actual harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 17, 2022 | ▲ G · Actual 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. |
| Mar 17, 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. |
| Mar 17, 2022 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 17, 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. |
| Mar 17, 2022 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Mar 17, 2022 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 17, 2022 | 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. |
| Mar 17, 2022 | 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. |
| Mar 17, 2022 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 12).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 10 | 2 | G ▲ |
| 2023 | 1 | 0 | D |
| 2025 | 27 | 9 | J ▲ |
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)
3 fines totaling $305,116, plus 2 Medicare payment denial periods.
| Date | Type | Amount / length |
|---|---|---|
| Jul 24, 2025 | Fine | $291,840 |
| Jul 24, 2025 | Payment Denial | 110 days from Aug 28, 2025 |
| Mar 15, 2025 | Fine | $6,500 |
| Mar 15, 2025 | Fine | $6,776 |
| Mar 15, 2025 | Payment Denial | 4 days from Apr 12, 2025 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Kentucky avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.11 | 3.71 | 3.95 | top 19% in Kentucky; top 35% in the U.S. |
| Registered Nurse hours | 0.73 | 0.74 | 0.69 | top 35% in Kentucky; top 33% in the U.S. |
| Weekend total nurse staffing | 3.82 | 3.27 | 3.50 | top 18% in Kentucky; top 29% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.53 | 0.48 | top 45% in Kentucky; top 36% in the U.S. |
| Total nursing staff turnover (%) | 79.0 | 46.4 | 45.8 | bottom 2% in Kentucky; bottom 2% in the U.S. |
| RN turnover (%) | 75.0 | 41.8 | 42.9 | bottom 6% in Kentucky; bottom 9% 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 4.03, RN 0.72, weekend 3.75. Staffing rating: 3/5.
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: 1/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Baniewicz, Mary | Individual | Corporate Director | NOT APPLICABLE | 04/01/2020 |
| Brauley, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 04/01/2018 |
| Brauley, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2018 |
| Brown, Ann | Individual | Corporate Director | NOT APPLICABLE | 04/01/2020 |
| Desmond, Walter | Individual | Corporate Director | NOT APPLICABLE | 04/01/2012 |
| Dominick, Kathleen | Individual | Corporate Director | NOT APPLICABLE | 04/01/2020 |
| Gathers, Patricia | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2021 |
| Haas, Adam | Individual | Corporate Director | NOT APPLICABLE | 04/01/2013 |
| Haley, Margaret | Individual | Corporate Director | NOT APPLICABLE | 04/01/2021 |
| Haley, Margaret | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2021 |
| Itticheria, Achamma | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/04/2025 |
| Itticheria, Achamma | Individual | ADP of the SNF | NOT APPLICABLE | 11/04/2025 |
| Klein, Matt | Individual | Corporate Director | NOT APPLICABLE | 04/01/2015 |
| McCartney, Ann | Individual | Corporate Director | NOT APPLICABLE | 04/01/2020 |
| McCauley, Patrick | Individual | Corporate Director | NOT APPLICABLE | 04/01/2013 |
| McWeeney, Brian | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 11/15/2025 |
| Millette, Catherine | Individual | Corporate Director | NOT APPLICABLE | 04/01/2018 |
| Millette, Catherine | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2018 |
| Mullen, Bobette | Individual | Corporate Director | NOT APPLICABLE | 08/01/2024 |
| O'Brien, Deborah | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 11/15/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "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 |
|---|---|---|---|---|---|
| Highlandspring of Ft Thomas | 1.5 mi | Fort Thomas, KY | ★★★☆☆ | 3/5 | |
| St Elizabeth Ft Thomas SNF | 1.7 mi | Fort Thomas, KY | ★★★★☆ | 5/5 | |
| Residence at Salem Woods | 2.8 mi | Cincinnati, OH | ★★★★★ | 5/5 | |
| The Pavilion at Kenton | 3.2 mi | Covington, KY | ★☆☆☆☆ | 1/5 | |
| Rosedale Green | 3.4 mi | Covington, KY | ★★★★☆ | 5/5 | |
| Mount Washington Care Center | 4.0 mi | Cincinnati, OH | ★★★☆☆ | 2/5 | |
| Coldspring Transitional Care Center | 4.3 mi | Cold Spring, KY | ★★☆☆☆ | 2/5 | |
| Carecore at Margaret Hall | 4.8 mi | Cincinnati, OH | ★★☆☆☆ | 1/5 | |
| Beechwood Home for Incurables | 5.0 mi | Cincinnati, OH | ★★★★★ | 4/5 | |
| Lincoln Crawford Care Center | 5.2 mi | Cincinnati, OH | ★★★☆☆ | 2/5 | abuse |
| Marjorie P Lee Retirement Community | 5.3 mi | Cincinnati, OH | ★★★★★ | 4/5 | |
| The Seasons at Alexandria | 5.9 mi | Alexandria, KY | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 185208.