CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3658022026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Marjorie P Lee Retirement Community

3550 Shaw Avenue · Cincinnati, OH 45208 · Hamilton County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds88CMS provider file
Recent citation rows21current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-01-2932026-01-296
Cycle 22023-07-2012023-07-207
Cycle 32019-12-2802019-12-284
02 / CITATION DETAIL

21 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-01-29 · HEALTHF0803Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2026-01-29 · HEALTHF0812Severity F · widespread; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2026-01-29 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2026-01-29 · FIREK0291Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2026-01-29 · FIREK0321Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2026-01-29 · FIREK0324Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2026-01-29 · FIREK0345Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2026-01-29 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2026-01-29 · FIREK0521Severity F · widespread; potential for more than minimal harm

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Correction field: Deficient, Provider has date of correction · 2026-03-20
2025-04-04 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-04-22 · complaint
2023-07-20 · FIREK0291Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2023-10-13
2023-07-20 · FIREK0324Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2023-10-13
2023-07-20 · FIREK0341Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Correction field: Deficient, Provider has date of correction · 2023-10-13
2023-07-20 · FIREK0345Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Correction field: Deficient, Provider has date of correction · 2023-10-13
2023-07-20 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2023-10-13
2023-07-20 · FIREK0521Severity F · widespread; potential for more than minimal harm

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Correction field: Deficient, Provider has date of correction · 2023-10-13
2023-07-20 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Correction field: Deficient, Provider has date of correction · 2023-10-13
2019-12-28 · FIREK0225Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Correction field: Deficient, Provider has date of correction · 2020-02-12
2019-12-28 · FIREK0281Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Install proper backup exit lighting.

Correction field: Deficient, Provider has date of correction · 2020-02-12
2019-12-28 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2020-02-12
2019-12-28 · FIREK0372Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2020-02-12
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • EPISCOPAL RETIREMENT HOMES, INC.Organization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 01/01/1966
  • ANIM, DORAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2018
  • COOPER, W.Individual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2016
  • ELIN, REVEREND DARRENIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2023
  • FRITSCHNER, JOHNIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2016
  • HAGOPIAN, JOANNIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2016
  • HARTMAN, ALANIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • HOPKINS, GREGORYIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2016
  • KEARNEY, ERICIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2023
  • KOEPKE, JOHNIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2019
  • MCKNIGHT, GERRONIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2018
  • PAYNE, JENNIFERIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2018
  • POPE, APRYLIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • REGAN, THOMASIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2020
  • RETFORD, DAVIDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • SMITHERMAN, ALBERTIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2019
  • WOODS, WILLIAMIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • WORKMAN, DAVIDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2022

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours5.30per resident day
RN hours0.80per resident day
Weekend nurse hours5.07per resident day
Staff turnover36.1%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Cincinnati ledger →
Advanced Health Care Of Cincinnati46 beds · CMS overall 3/534 citation rowsAlois Alzheimer'S Care Center93 beds · CMS overall 4/517 citation rowsAnderson, The100 beds · CMS overall 1/528 citation rowsArc At Cincinnati130 beds · CMS overall 1/5128 citation rowsAstoria Place Of Cincinnati97 beds · CMS overall 1/590 citation rowsAstoria Place Of Silverton98 beds · CMS overall 2/5102 citation rowsAtlantes The30 beds · CMS overall 5/512 citation rowsAventura At West Park125 beds · CMS overall 1/592 citation rows
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.