Deficiency Index

Mount Notre Dame Health Center

Cincinnati, Ohio · CCN 366223

6 surveys since 2011, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
15
Surveys
6
Harm or worse
0
Immediate jeopardy
0
The record, 2011–2024
’11’15’20’24
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file4/6

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
40
Ownership
Non profit - Church related
Chain
Independent
County
Hamilton
Medicare-certified since
2001

CMS ratings

Overall
5
Health inspection
5
Staffing
4
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=2, floor 20).

Last survey on record

Nov 13, 2024

726 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day5.424.41
Registered-nurse hours per resident day0.77—
Annual nurse turnover40.6%50.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD266.7%E—F133.3%
No harm, potential for minimalA—B—C—
CMS’s current file: 3 of the 15 citations on record.

In the surveyor’s words

From the most serious findings on record at Mount Notre Dame Health Center, in the surveyor’s own words.

  • No harm, potential for more than minimal, isolatedF644Nov 13, 2024

    Based on interview, medical record review, and facility policy review, the facility failed to submit a new Level I Pre-admission screening and resident review (PASARR) when required for one (#4) of one sampled resident reviewed for PASARRs. The census was 39. Findings included: Review of an admission record revealed the facility admitted Resident #4 on 03/30/22. According to the admission record, the resident had a medical history that included diagnoses of anxiety disorder (onset 09/16/22), dementia (onset 10/01/22), major depressive disorder (onset 09/21/23), and delusional disorders (onset 11/06/24). […]

  • No harm, potential for more than minimal, isolatedF760Nov 13, 2024

    Based on interviews, medical record review, and facility policy review, the facility failed to follow vital sign parameters when administering blood pressure medications for two (#25 and #33) of five sampled residents reviewed for unnecessary medications. The census was 39. Findings included: 1. Review of an admission record indicated the facility admitted Resident #25 on 09/18/23. According to the admission record, the resident had a medical history that included diagnoses of congestive heart failure, hypertension (HTN), and atrial fibrillation. […]

Read all 15 findings in full →

Every survey on record

FindingsAt actual harm or above

  • Nov 13, 2024Standard2 findings
  • Sep 5, 2019Standard1 finding
  • Apr 14, 2016Standard2 findings
  • Oct 23, 2013—1 finding
  • Jul 12, 2012—2 findings
  • Mar 27, 2011—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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