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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Located at 440 Lafayette Avenue in Cincinnati’s Clifton neighborhood, Scarlet Oaks operates 87 beds for skilled nursing, assisted living, memory care, and respite care. Founded in 1909 and currently administered by Tunecia Campbell, the facility serves a mix of Medicare, Medicaid, and private-pay residents with an average stay of 101 days. Current occupancy is 90%, above the Ohio average of 78.7%.
The facility’s 2-star CMS rating reflects substantial compliance issues documented in recent complaint investigations.
In January 2025, inspectors found the facility failed to immediately report an abuse allegation from a ventilator-dependent resident against a night shift nurse. The resident reported being verbally abused, kicked, and pinched. A nurse practitioner learned of the allegation on December 31, 2024, but did not report it to administration that day. The facility finally notified state regulators four days later, on January 3, 2025, missing the required two-hour reporting deadline for physical abuse.
An August 2023 complaint inspection documented more serious care failures. Inspectors discovered maggots in the hairline of a resident with total ADL dependence who required ventilator support and had excessive oral secretions. This same resident lacked a comprehensive care plan for tracheostomy care, listing only “suction as necessary” despite requiring specialized attention to hygiene and secretion management given her ventilator dependence and moist trach ties.
These documented failures in abuse reporting and basic hygiene care management for vulnerable residents align with the facility’s ongoing regulatory challenges.
Nursing hours at 3 hours 37 minutes per resident per day fall 6% below state average.
The facility reported a marginal operating loss of $64,600 in 2023 despite $14.3 million in revenue.
Resident satisfaction surveys show some strength in care and meal satisfaction, though environment and culture scores fall below state averages.
The facility’s compliance record reflects failures in both immediate reporting obligations and adequate care for complex medical needs, establishing a pattern of concern beyond routine deficiencies.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 85th out of 203 homes in Ohio for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 50m per day | ▲ 32% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 1h 19m per day | ▲ 36% State avg: 58m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 19m per day | ▲ 8% State avg: 2h 8m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 0m per day | ▲ 22% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▲ 69% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 36m per day | ▲ 46% State avg: 25m per day · National avg: 29m per day |
Lower than the Ohio average: 78.7%Scarlet Oaks is administrated by Tunecia Campbell.
In Ohio, the Department of Health, Bureau of Survey and Certification conducts unannounced onsite inspections to evaluate the quality of care and environment in all licensed facilities.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Ohio state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | OH Average | vs. OH Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 28 | 2 | This facility has 1300% more total citations than a typical Ohio nursing home (28 vs. OH avg 2).↑ 1300% worse |
|
Citations per year
Average citations per year since 2019.
| 4 | 0.3 | This facility has 1233% more citations per year than a typical Ohio nursing home (4 vs. OH avg 0.3).↑ 1233% worse |
|
Citations per inspection
Average citations per inspection.
| 4.7 | 1 | This facility has 370% more citations per inspection than a typical Ohio nursing home (4.7 vs. OH avg 1).↑ 370% worse |
Inspections
| This Facility | OH Average | vs. OH Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 6 | 2 | This facility has 200% more total inspections than a typical Ohio nursing home (6 vs. OH avg 2).↑ 200% worse |
Every two years, the Ohio Department of Aging and the Office of the State Long-Term Care Ombudsman organizations conduct a satisfaction survey among residents in long-term care facilities to assess their quality of care and life.
Ohio average: 65 / 100
Ohio average: 55 / 100
Ohio average: 95 / 100
Ohio average: 61 / 100
Ohio average: 86 / 100
Ohio average: 62 / 100
Ohio average: 58 / 100
Ohio average: 38 / 100
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Based on the RCF Resident Satisfaction Survey 2022-23, Final Results
Scores represent percent of positive resident responses for each item, excluding "don't know" and "not applicable" responses and instances where the question was skipped.
Ohio average 6.7
Last Health inspection on Jan 2025
Ohio average 30.9
Ohio average 4.59
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 30 citations resulted from standard inspections; 11 of 30 resulted from complaint investigations; and 1 of 30 came from combined inspections (standard and complaint).
100% better than Ohio averageOhio average: 0.3
11% worse than Ohio averageOhio average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
43% more staff per resident than Ohio average
7% better than Ohio average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
19 total: 10 full-time employees and 9 contractors.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
37 total: 16 full-time employees and 21 contractors.
37
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursHelps with daily care and mobility.
99 total: 43 full-time employees and 56 contractors.
99
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,133 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 43 | 56 | 99 | 13,406 | 92 | 100% | 9.1 |
| Licensed Practical Nurse | 16 | 21 | 37 | 6,723 | 92 | 100% | 10 |
| Registered Nurse | 10 | 9 | 19 | 3,738 | 92 | 100% | 9.5 |
| Qualified Activities Professional | 7 | 0 | 7 | 2,607 | 92 | 100% | 9.7 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,473 | 89 | 97% | 7.6 |
| RN Director of Nursing | 3 | 0 | 3 | 925 | 72 | 78% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 676 | 72 | 78% | 7.7 |
| Qualified Social Worker | 0 | 5 | 5 | 535 | 69 | 75% | 6.3 |
| Physical Therapy Assistant | 0 | 4 | 4 | 516 | 67 | 73% | 7.1 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 488 | 67 | 73% | 5.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 463 | 61 | 66% | 7.6 |
| Dietitian | 1 | 0 | 1 | 447 | 59 | 64% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 443 | 59 | 64% | 7.5 |
| Physical Therapy Aide | 0 | 5 | 5 | 441 | 65 | 71% | 6.6 |
| Administrator | 1 | 0 | 1 | 428 | 57 | 62% | 7.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 244 | 40 | 43% | 6.1 |
| Dental Services Staff | 1 | 0 | 1 | 71 | 12 | 13% | 5.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 7.9 |
Includes penalties issued in 2023
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
83% lower than Ohio averageOhio average: $69K
46% fewer fines than Ohio averageOhio average: 1.9
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Ohio averageOhio average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jul 12, 2023 · $12K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 12, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
4.7
19% better than Ohio averageOhio average: 5.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
7.3
43% better than Ohio averageOhio average: 12.7
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
5.0%
26% better than Ohio averageOhio average: 6.8%
Percent of long-stay residents whose ability to move independently worsened
4.1%
54% better than Ohio averageOhio average: 8.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
12.6%
43% better than Ohio averageOhio average: 22.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Ohio averageOhio average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
5.3%
37% worse than Ohio averageOhio average: 3.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Ohio averageOhio average: 0.5%
Percent of long-stay residents who lose too much weight
9.2%
48% worse than Ohio averageOhio average: 6.2%
Percent of long-stay residents who have depressive symptoms
5.8%
76% better than Ohio averageOhio average: 24.0%
Percent of long-stay residents who received an antipsychotic medication
1.9%
78% better than Ohio averageOhio average: 8.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.3%
In line with Ohio averageOhio average: 92.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.8%
8% worse than Ohio averageOhio average: 94.5%
Number of hospitalizations per 1,000 long-stay resident days.
2.50
41% worse than Ohio averageOhio average: 1.77
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.71
7% better than Ohio averageOhio average: 1.83
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
57.9%
26% worse than Ohio averageOhio average: 78.0%
Percent of short-stay residents who newly received an antipsychotic medication
1.7%
35% worse than Ohio averageOhio average: 1.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
33.3%
56% worse than Ohio averageOhio average: 75.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
26.2%
In line with Ohio averageOhio average: 25.1%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.6%
25% worse than Ohio averageOhio average: 12.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Ohio averageOhio average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
18.9%
65% worse than Ohio averageOhio average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
24% of new residents, usually for short-term rehab.
58% of new residents, often for short stays.
18% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
68Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Scarlet Oaks based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #62 / 203Payroll — State benchmarkedThis home is ranked 62nd out of 203 homes in Ohio for payroll. Shows total annual staff payroll benchmarked to the Ohio average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Housing Options: Private Rooms
Building Type: Mid-rise
Fitness and Recreation
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
5.7 miles from city center
Estimated distance in miles from Cincinnati's city center to Scarlet Oaks's address, calculated via Google Maps.
Add your location
Scarlet Oaks is located in Cincinnati, Ohio.
Here are the financial assistance programs available to residents in Ohio.
The information below is reported by the Ohio Department of Health, Bureau of Survey and Certification.
| Ohio Living Llanfair |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Cincinnati (College Hill) | 49
Facility
49
OH AVG
80
Rank
#238 / 323 | 71.4% | -9% | 4.21 | -69% | +19% | $0 | 17 | 4.3 | - | 34 | - |
73
Facility
73
OH AVG
40
Rank
#55 / 705 | Ann Roller | $5.8M | $3.0M | 52.6% | 365470 | ||||
| The Seasons |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Cincinnati | 45
Facility
45
OH AVG
80
Rank
#249 / 323 | - | - | 4.60 | +49% | +30% | $0 | 22 | 7.3 | - | 39 | - |
34
Facility
34
OH AVG
40
Rank
#409 / 705 | Ga Hc Reit II Trs Midwest Ccrc Holdings, LLC | $6.6M | $4.4M | 66.7% | 365798 | ||||
| Mallard Cove Senior Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Sharonville | 46
Facility
46
OH AVG
80
Rank
#248 / 323 | - | - | 5.90 | +15% | +67% | $0 | 16 | 4.0 | - | 34 | A+ |
48
Facility
48
OH AVG
40
Rank
#277 / 705 | Asad Ali | $2.0M | $2.6M | 129.8% | 366467 | ||||
| Scarlet Oaks |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Cincinnati (Clifton) | 87
Facility
87
OH AVG
80
Rank
#126 / 323 | 74.7% | -5% | 3.62 | +4% | +2% | $11.6k | 30 | 4.3 | 1 | 63 | A+ |
13
Facility
13
OH AVG
40
Rank
#602 / 705 | Scarlet Oaks Healthcare LLC | $14.3M | $6.6M | 46.3% | 365978 | ||||
| Clovernook Health Care LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Cincinnati (College Hill) | 126
Facility
126
OH AVG
80
Rank
#55 / 323 | - | - | 3.55 | -34% | 0% | $0 | 38 | 2.5 | 1 | 106 | A+ |
18
Facility
18
OH AVG
40
Rank
#561 / 705 | Clovernook Healthcare Holdings LLC | $15.0M | $7.5M | 50.1% | 365551 |
Scarlet Oaks is in the Clifton neighborhood of Cincinnati.
Scarlet Oaks has a walk score of 13. Car-dependent. Most errands require a car, with limited nearby walkable options.
Scarlet Oaks's occupancy is 75%.
The team at Scarlet Oaks can be reached at [email protected].
Tunecia Campbell is the administrator of Scarlet Oaks.
Scarlet Oaks has 87 beds.
Yes — there are 5 photos of Scarlet Oaks in the photo gallery on this page.
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