Inspection Reports for Veranda Gardens
11784 Hamilton Ave, Cincinnati, OH 45231, OH, 45231
Back to Facility ProfileInspection Report Summary
The most recent inspection on November 18, 2025, found a deficiency related to inadequate assistance during incontinence care that resulted in a resident fall and injury. Earlier inspections showed a pattern of deficiencies involving resident care, medication management, staffing, food safety, and environmental maintenance, including an immediate jeopardy finding for inadequate nursing staff in October 2024. Complaint investigations substantiated issues such as failure to report suspected abuse, improper oral assessments, and unsafe food handling, while most complaints were addressed with corrective actions. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history reflects ongoing challenges with care and safety practices, with no clear trend of consistent improvement or worsening over time.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
9.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
113% worse than Ohio average
Ohio average: 4.6 deficiencies/yearDeficiencies per year
20
15
10
5
0
Census
Latest occupancy rate
89 residents
Based on a November 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 89
Deficiencies: 1
Date: Nov 18, 2025
Visit Reason
The inspection was conducted as a complaint investigation related to a fall incident involving Resident #13, triggered by concerns about inadequate assistance during incontinence care resulting in an avoidable fall.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number 2638584.
Findings
The facility failed to provide adequate assistance during incontinence care, resulting in Resident #13 falling from bed due to a side rail failure, causing a forehead laceration requiring hospital treatment. The facility identified equipment failure with the bed side rail and implemented corrective actions including bed replacement, staff education, and revised care plans.
Deficiencies (1)
Failed to provide adequate assistance while providing resident incontinence care resulting in an avoidable fall causing actual harm.
Report Facts
Facility census: 89
Residents reviewed for falls: 3
Residents affected: 1
Pain scale: 10
Date of fall incident: Jul 26, 2025
Date of survey completion: Nov 18, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #249 | Certified Nursing Assistant | Provided incontinence care to Resident #13 and witnessed fall incident |
| LPN #210 | Licensed Practical Nurse | Called to assist during fall incident and called 911 |
| Director of Nursing | Director of Nursing (DON) | Responded to fall incident, applied pressure to injury, and provided staff education |
| Maintenance Director #251 | Maintenance Director | Examined and replaced Resident #13's bed and conducted bed audits |
| Assistant Director of Nursing #225 | Assistant Director of Nursing (ADON) | Participated in corrective action meetings and staff education |
Inspection Report
Routine
Census: 89
Deficiencies: 10
Date: Oct 12, 2024
Visit Reason
Routine inspection of Veranda Gardens & Assisted Living to assess compliance with resident rights, medication management, resident care, staffing, infection control, and other regulatory requirements.
Findings
The facility was found deficient in multiple areas including failure to respond to resident council concerns, limited access to personal funds after hours, inaccurate medication assessments, unsafe medication administration practices, unsecured urostomy tubing, unclean oxygen concentrators, inadequate staffing on the 500-Hall resulting in immediate jeopardy, unlocked medication carts, incomplete medication documentation, and failure to implement enhanced barrier precautions and proper catheter bag placement.
Deficiencies (10)
Failed to provide responses to resident council concerns affecting seven residents.
Failed to ensure residents had access to personal funds after hours and weekends affecting two residents.
Failed to accurately code diuretic medication on Minimum Data Set assessments affecting one resident.
Failed to ensure medications were maintained in a safe and secure manner; nurse left controlled substance medication unattended.
Failed to secure urostomy catheter tubing to prevent accidental dislodgment affecting one resident.
Failed to clean oxygen concentrator filters weekly as ordered for two residents.
Failed to provide enough nursing staff on the 500-Hall resulting in immediate jeopardy to resident health and safety.
Failed to ensure medication carts were locked when unattended affecting one medication cart.
Failed to accurately document medication administration on the medication administration record for one resident.
Failed to ensure staff implemented Enhanced Barrier Precautions for one resident and failed to keep urinary catheter bag off the floor for one resident.
Report Facts
Residents affected: 7
Residents affected: 2
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 2
Residents affected: 13
Medication carts affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #31 | Registered Nurse | Left controlled substance medication unattended and failed to observe medication administration |
| LPN #4 | Licensed Practical Nurse | Assigned nurse who failed to document medication administration |
| DON | Director of Nursing | Provided statements on staffing and medication documentation expectations |
| ADON | Assistant Director of Nursing | Observed medication administration and staffing issues on 500-Hall |
| STNA #9 | State Tested Nursing Assistant | Reported staffing and call light issues on 500-Hall |
| Scheduling Coordinator | Provided information on staffing assignments and scheduling | |
| ICP | Infection Control Practitioner | Provided statements on Enhanced Barrier Precautions |
Inspection Report
Complaint Investigation
Census: 91
Deficiencies: 2
Date: Apr 22, 2024
Visit Reason
The inspection was conducted as a complaint investigation related to concerns about the physical environment and infection control at the facility.
Complaint Details
This deficiency represents noncompliance investigated under Complaint Number OH00152473.
Findings
The facility failed to maintain resident rooms in good repair and under clean and sanitary conditions, affecting two residents. Specific issues included a soiled brief touching a bedside table, a nonfunctioning and dirty bathroom fan, a hole in a bathroom wall, stained ceiling tiles, and extensive scrapes on a wall behind a resident's bed.
Deficiencies (2)
Failure to maintain resident rooms in good repair and under clean and sanitary conditions, including soiled brief touching bedside table.
Nonfunctioning and dirty bathroom fan, hole in bathroom wall, stained ceiling tiles, and scrapes on wall behind resident's bed.
Report Facts
Facility census: 91
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #64 | Licensed Practical Nurse | Confirmed the soiled brief touching Resident #24's bedside table |
| Maintenance Director #55 | Maintenance Director | Confirmed bathroom fan was dirty and not functioning, ceiling tiles needed replacement, hole in bathroom wall, and scrapes on wall behind resident's bed |
| Assistant Director of Nursing #60 | Assistant Director of Nursing | Confirmed knowledge of concerns reported by Resident #23's representative and reported them to staff |
Inspection Report
Complaint Investigation
Census: 87
Deficiencies: 2
Date: Feb 27, 2024
Visit Reason
The inspection was conducted as part of an investigation of Complaint Number OH00150785, focusing on oral assessments and dietary staff competencies.
Complaint Details
The deficiencies were discovered during investigation of Complaint Number OH00150785.
Findings
The facility failed to ensure accurate oral assessments for residents, specifically Resident #6, and failed to ensure dietary staff had appropriate competencies for safe food handling, including improper hygiene practices observed during meal preparation.
Deficiencies (2)
Failed to ensure oral assessments were completed accurately for Resident #6.
Failed to ensure dietary staff had appropriate competencies and skill set to carry out safe food handling functions.
Report Facts
Residents affected: 1
Residents affected: 87
Census: 87
Employees mentioned
| Name | Title | Context |
|---|---|---|
| MDS Nurse #110 | Confirmed oral assessment was not completed for Resident #6 | |
| Dietary Staff #98 | Observed with poor hygiene practices during food handling | |
| [NAME] #222 | Observed placing grilled cheese sandwich into foil held against shirt |
Inspection Report
Complaint Investigation
Census: 90
Deficiencies: 1
Date: Nov 1, 2023
Visit Reason
The inspection was conducted as a complaint investigation related to an allegation of misappropriation of resident property involving Resident #63.
Complaint Details
This deficiency was an incidental finding discovered during the complaint investigation regarding misappropriation of Resident #63's property. The allegation was not reported to the state agency as required.
Findings
The facility failed to report an allegation of misappropriation to the state agency when Resident #63 alleged she did not receive correct change or receipt after a staff member purchased items for her. The facility reimbursed the resident $40 but did not report the incident as required. Interviews with the resident, family, and staff confirmed the failure to report and proper reimbursement documentation was lacking.
Deficiencies (1)
Failure to timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Report Facts
Facility census: 90
Reimbursement amount: 40
Residents reviewed for misappropriation: 3
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Activity Worker #23 | Named in allegation of misappropriation for not providing receipt or change to Resident #63 | |
| Former Activity Director #30 | Mentioned in interview as not reimbursing Resident #63 or her daughter | |
| Administrator | Administrator | Interviewed and revealed failure to report the allegation to the state agency |
| State Tested Nurse Aide #19 | State Tested Nurse Aide (STNA) | Interviewed and provided information about reimbursement from Former Activity Director #20 |
| Former Activity Director #20 | Alleged to have given Resident #63's daughter $40 out of pocket to reimburse resident |
Inspection Report
Complaint Investigation
Census: 86
Deficiencies: 2
Date: Mar 24, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding staffing and food safety practices at Veranda Gardens & Assisted Living.
Complaint Details
This deficiency represents non-compliance investigated under Complaint Number OH00141071.
Findings
The facility failed to ensure a registered nurse was on duty for eight consecutive hours daily, affecting all 86 residents. Additionally, food and drink items were not stored and maintained in a safe and sanitary manner, with outdated items found in the walk-in refrigerator.
Deficiencies (2)
Failed to ensure a registered nurse worked in the facility for eight consecutive hours daily.
Failed to ensure food and drink items were stored and maintained in a safe and sanitary manner, including outdated items in storage.
Report Facts
Census: 86
Dates without RN coverage: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Confirmed average daily census and RN staffing gaps | |
| Dietary Manager (DM) #100 | Confirmed outdated food items and uncertainty about dating practices | |
| Registered Dietitian (RD) #125 | Confirmed proper food dating and discard procedures |
Inspection Report
Routine
Census: 87
Deficiencies: 3
Date: Jan 19, 2023
Visit Reason
The inspection was conducted to assess compliance with nutritional needs, food service, and food safety standards in the facility.
Findings
The facility failed to provide food portions and menus as planned by a Registered Dietitian, failed to offer alternative foods based on resident preferences, and failed to store, discard expired foods, and maintain food equipment in sanitary condition. These deficiencies affected multiple residents and had the potential to impact all residents receiving meals.
Deficiencies (3)
Failed to provide food portions and menus as planned by a Registered Dietitian, affecting residents #37 and #12.
Failed to offer alternative foods based on resident food preferences, affecting residents #12 and #75.
Failed to store foods properly, discard expired foods, and maintain food equipment in sanitary condition, affecting multiple residents.
Report Facts
Residents receiving meals: 82
Facility census: 87
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Diet Manager #550 | Diet Manager | Interviewed regarding juice machine repair and alternative food preparation |
| Registered Dietitian #600 | Registered Dietitian | Interviewed regarding juice machine repair and food preparation practices |
| Licensed Practical Nurse #93 | Licensed Practical Nurse | Verified labeling and dating of food containers |
Inspection Report
Complaint Investigation
Census: 77
Deficiencies: 18
Date: Jul 19, 2021
Visit Reason
The inspection was conducted based on complaints and concerns regarding resident care, medication administration, dental care, nutrition, safety, and regulatory compliance at Veranda Gardens & Assisted Living.
Complaint Details
The investigation was complaint-driven, substantiating multiple deficiencies related to resident care, safety, medication management, and regulatory compliance.
Findings
The facility was found deficient in multiple areas including failure to provide dignified care, accommodate resident needs, timely address resident council concerns, ensure mail delivery, display survey results, provide timely transfer notifications, develop comprehensive care plans, accurately obtain orthostatic blood pressures, maintain contracture devices, ensure safe environment and water temperatures, provide appropriate respiratory care and medication monitoring, discard expired medications, provide dental services, ensure therapeutic diets and assistive devices, and maintain accurate medical records.
Deficiencies (18)
Failed to promote enhancement of quality of life to ensure cognitively impaired residents were treated in a dignified manner, including failure to provide appropriate clothing for Resident #169.
Failed to accommodate a resident's needs by providing a means for transportation to and from activities of interest due to missing specialized wheelchair for Resident #38.
Failed to timely address resident council concerns regarding staffing, dietary, and laundry issues affecting multiple residents.
Failed to ensure residents received mail on Saturdays due to no receptionist present, affecting all residents.
Failed to display state agency survey results in a manner accessible to residents and visitors.
Failed to provide timely notification of hospital transfer to resident/representative and Ombudsman for Resident #119.
Failed to develop a comprehensive care plan for dental care and services for Resident #66.
Failed to ensure physician ordered orthostatic blood pressures were accurately obtained for Resident #321.
Failed to ensure devices to prevent and minimize contractures were in place as ordered for Resident #48.
Failed to provide a safe environment free from accident hazards, including failure to maintain appropriate water temperatures in residents' rooms affecting multiple residents.
Failed to ensure residents had physician orders for oxygen and failed to date oxygen tubing and humidification for Resident #30 and #32.
Failed to ensure pharmacist recommendations were reviewed and acted upon timely for Residents #32 and #57.
Failed to administer insulin as ordered resulting in significant medication error for Resident #32.
Failed to discard expired medications appropriately, with expired medications found in multiple medication storage areas.
Failed to ensure dental referral was completed for Resident #66 with complaints of oral pain, resulting in actual harm due to ongoing pain and significant weight loss.
Failed to provide therapeutic diets as ordered by the physician for Residents #9 and #34, including missing supplements.
Failed to provide fluids in appropriate assistive devices based on resident needs and physician orders for Resident #38.
Failed to ensure medical record documentation was accurate regarding wound care, tube feedings, and antipsychotic medication for Residents #3, #119, and #66.
Report Facts
Facility census: 77
Residents affected: 1
Residents affected: 1
Residents affected: 7
Residents affected: 77
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 3
Residents affected: 5
Residents affected: 2
Residents affected: 2
Residents affected: 1
Residents affected: 24
Residents affected: 2
Residents affected: 1
Residents affected: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #450 | Licensed Practical Nurse | Reported facility waiting on family to bring clothes for Resident #169; verified missing magic cup and expired mouthwash |
| STNA #510 | State Tested Nursing Aide | Reported Resident #66 has impaired cognition and facility waiting on family to bring clothes |
| SSD #700 | Social Services Designee | Denied anyone informing her Resident #169 did not have clothing; stated facility has donations |
| DA #675 | Director of Activities | Reported facilitating resident council meeting; denied giving department heads resident council forms |
| RN #885 | Manager of Clinical Services - Registered Nurse | Confirmed no posting of survey results; unable to provide discharge notification documentation for Resident #119 |
| LPN #465 | Licensed Practical Nurse | Verified Resident #66 had not been to dentist; verified Resident #48 not wearing carrot splints; verified Zyprexa not self-administered |
| RN #440 | Registered Nurse | Confirmed Resident #48 not wearing carrot splints; confirmed oxygen tubing and humidification not dated for Resident #32; verified Resident #30 receiving oxygen without order |
| STNA #615 | State Tested Nursing Assistant | Reported Resident #38 enjoyed bingo but unable to get her up due to missing wheelchair |
| LPN #710 | Licensed Practical Nurse | Observed Resident #47 bed elevated with rails up; verified Resident #38 bed in high position |
| DM #850 | Dietary Manager | Verified expired food items in resident snack refrigerator |
| Housekeeping Supervisor #825 | Housekeeping Supervisor | Confirmed dental appointment made for Resident #66 but resident not yet seen |
| RN #525 | Registered Nurse | Verified water pitcher with straw on Resident #38 bedside table |
| STNA #505 | State Tested Nursing Assistant | Verified water pitcher with straw on Resident #38 bedside table |
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