Scarlet Oaks Nursing and Rehabilitation Center

Name: Scarlet Oaks Nursing and Rehabilitation Center
Address: 440 LAFAYETTE AVENUE, Cincinnati, OH, 45220, US
Telephone: 5138610400

440 Lafayette Avenue, Cincinnati, OH 45220 · Hamilton County · 70 certified beds · avg 64 residents/day · certified since Sep 9, 1994

Part of chain: CCH HEALTHCARE (33 facilities, chain avg rating 2.5★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.47

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 (25)

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
Jan 23, 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.
Jan 23, 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.
Jan 23, 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
Jan 23, 2025	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.
Jan 23, 2025	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.
Jan 23, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jan 23, 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.
Jan 23, 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.
Nov 21, 2024	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
Nov 21, 2024	F · Potential for harm, facility-wide	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Nov 21, 2024	E · Potential for harm, repeated	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. · from a complaint
Nov 21, 2024	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
Aug 24, 2023	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. · from a complaint
Aug 24, 2023	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. · from a complaint
May 20, 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.
May 20, 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.
May 20, 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.
May 20, 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.
May 20, 2022	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 28, 2019	F · Potential for harm, facility-wide	The facility did not observe each nurse aide's job performance or provide regular training as required.
Mar 28, 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.
Mar 28, 2019	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Mar 28, 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.
Mar 28, 2019	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 28, 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 increased between the last two inspection cycles (5 → 8).

Year	Citations	Worst severity that year
2019	6	F
2022	5	E
2023	2	D
2024	4	F
2025	8	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)	3.47	3.45	3.95	top 38% in Ohio; bottom 35% in the U.S.
Registered Nurse hours	0.52	0.60	0.69	bottom 44% in Ohio; bottom 41% in the U.S.
Weekend total nurse staffing	3.11	3.07	3.50	top 37% in Ohio; bottom 37% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.51	0.42	0.48	top 26% in Ohio; top 32% in the U.S.
Total nursing staff turnover (%)	54.4	48.7	45.8	bottom 33% in Ohio; bottom 26% in the U.S.
RN turnover (%)	40.0	43.9	42.9	top 43% in Ohio; top 46% 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 4.51, RN 0.67, weekend 4.03. 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: 3/5 · long-stay residents: 5/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Scarlet Oaks Healthcare LLC	Organization	5% or Greater Direct Ownership Interest	100%	02/01/2016
Moore, Cynthia	Individual	W-2 Managing Employee	NOT APPLICABLE	02/01/2016
Oliverio, Susan	Individual	W-2 Managing Employee	NOT APPLICABLE	02/01/2016
Scarlet Realty LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	02/01/2016
Stern, Jacob	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2016

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"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?"
"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
Seven Acres Senior Living at Clifton	1.4 mi	Cincinnati, OH	★★★★☆	3/5
Clifton Healthcare Center	1.5 mi	Cincinnati, OH	★★★☆☆	2/5
Astoria Place of Cincinnati	1.5 mi	Cincinnati, OH	★☆☆☆☆	1/5	abuseSFF
Garden Park Health Care Center	1.6 mi	Cincinnati, OH	★★☆☆☆	1/5
Twin Towers	2.4 mi	Cincinnati, OH	★★★★★	4/5
Norwood Towers Post-Acute	2.8 mi	Cincinnati, OH	★★☆☆☆	1/5
Lincoln Crawford Care Center	2.8 mi	Cincinnati, OH	★★★☆☆	2/5	abuse
Harrison Pavilion Care Center	3.0 mi	Cincinnati, OH	★☆☆☆☆	2/5
Woods Edge Rehab and Nursing	3.1 mi	Cincinnati, OH	★★☆☆☆	1/5
Ohio Living Llanfair	3.1 mi	Cincinnati, OH	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Cincinnati →

Facility data as of CMS processing date 2026-08-01. CCN 365978.

The Care File

Visit checklist — Scarlet Oaks Nursing and Rehabilitation Center

440 Lafayette Avenue, Cincinnati, OH 45220 · 5138610400

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "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?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 365978 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)