Florentine Gardens
409 Wards Corner Road, Loveland, OH 45140 · Clermont County · 80 certified beds · avg 74 residents/day · certified since Oct 3, 2014
Part of chain: FOUNDATIONS HEALTH SOLUTIONS (64 facilities, chain avg rating 4.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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.
All citations in the current public record (20)
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 |
|---|---|---|
| Jun 5, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jun 5, 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. |
| Jun 5, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Aug 1, 2022 | 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. |
| Aug 1, 2022 | E · Potential for harm, repeated | 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. |
| Aug 1, 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. |
| Aug 1, 2022 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Aug 1, 2022 | 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. |
| Aug 1, 2022 | D · Potential for harm, 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. |
| Aug 1, 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. |
| Aug 1, 2022 | 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. |
| Aug 1, 2022 | 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. |
| Aug 1, 2022 | 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. |
| Aug 1, 2022 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Aug 1, 2022 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. |
| Aug 1, 2022 | 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. |
| Jul 11, 2019 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Jul 11, 2019 | D · Potential for 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. |
| Jul 11, 2019 | D · Potential for 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. |
| Jul 11, 2019 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (13 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 4 | 0 | D |
| 2022 | 13 | 0 | F |
| 2025 | 3 | 0 | D |
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) | 2.99 | 3.45 | 3.95 | bottom 24% in Ohio; bottom 13% in the U.S. |
| Registered Nurse hours | 0.46 | 0.60 | 0.69 | bottom 30% in Ohio; bottom 31% in the U.S. |
| Weekend total nurse staffing | 2.59 | 3.07 | 3.50 | bottom 17% in Ohio; bottom 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.42 | 0.48 | bottom 25% in Ohio; bottom 28% in the U.S. |
| Total nursing staff turnover (%) | 42.9 | 48.7 | 45.8 | top 35% in Ohio; top 44% in the U.S. |
| RN turnover (%) | 61.5 | 43.9 | 42.9 | bottom 21% in Ohio; bottom 20% 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 3.32, RN 0.51, weekend 2.87. Staffing rating: 1/5.
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: 4/5 · short-stay residents: 5/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Colleran, Brian | Individual | Corporate Director | NOT APPLICABLE | 01/01/2019 |
| Colleran, Brian | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2019 |
| Colleran, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Colleran, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2019 |
| Foundations Health Solutions, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Foundations Health Solutions, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/08/2025 |
| Krystowski, John | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2018 |
| Krystowski, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2018 |
| Krystowski, John | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2018 |
| Nelson, Naveena | Individual | ADP of the SNF | NOT APPLICABLE | 10/03/2014 |
| Ritterbach, Laura | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/31/2025 |
| Ritterbach, Laura | Individual | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "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 |
|---|---|---|---|---|---|
| Otterbein Loveland | 1.9 mi | Loveland, OH | ★☆☆☆☆ | 2/5 | |
| Arbors at Milford | 2.7 mi | Milford, OH | ★★☆☆☆ | 2/5 | abuse |
| The Laurels of Milford | 2.8 mi | Milford, OH | ★★★★☆ | 4/5 | |
| Twin Lakes | 3.3 mi | Cincinnati, OH | ★★★★★ | 5/5 | |
| Montgomery Care Center | 3.4 mi | Cincinnati, OH | ★★★☆☆ | 3/5 | |
| S.e.m. Haven Health Care Center | 3.5 mi | Milford, OH | ★★★★★ | 4/5 | |
| Meadowbrook Care Center | 3.7 mi | Cincinnati, OH | ★☆☆☆☆ | 1/5 | |
| Kenwood Terrace Healthcare Center | 3.8 mi | Cincinnati, OH | ★★★★☆ | 3/5 | |
| Courtyard at Seasons | 3.8 mi | Cincinnati, OH | ★★★★☆ | 3/5 | |
| Madeira Healthcare Center | 3.9 mi | Cincinnati, OH | ★★★★☆ | 3/5 | |
| Loveland Care Center | 4.3 mi | Loveland, OH | ★★★☆☆ | 3/5 | |
| Blue Ash Health & Rehab | 4.4 mi | Cincinnati, OH | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 366421.