01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-07-18 | 11 | 2024-07-18 | 7 |
| Cycle 2 | 2021-06-10 | 13 | 2021-06-10 | 7 |
| Cycle 3 | 2019-01-31 | 15 | 2019-01-31 | 24 |
CMS CCN 3657142026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
St Leonard Hcc
8100 Clyo Road · Centerville, OH 45458 · Montgomery County
Certified beds150CMS provider file
Recent citation rows77current CMS citation release
Penalty rows4current 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.
02 / CITATION DETAIL
77 rows in the current release
3 rows carry G–L scope/severity codes; 0 carry J–L. 11 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-04-02 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-05-02 · complaint2025-09-17 · HEALTHF0689Severity D · isolated; potential for more than minimal 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 · 2025-10-14 · complaint2025-05-30 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-06-13 · complaint2025-05-30 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-06-13 · complaint2025-05-30 · HEALTHF0773Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Correction field: Deficient, Provider has date of correction · 2025-06-13 · complaint2024-10-22 · HEALTHF0552Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2024-11-01 · complaint2024-07-18 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-18 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-18 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-18 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-18 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-18 · HEALTHF0791Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-18 · 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 · 2024-09-092024-07-18 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-18 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-18 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-18 · FIREK0321Severity E · pattern; 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 · 2024-09-092024-07-18 · 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 · 2024-09-092024-07-18 · FIREK0351Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-18 · 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 · 2024-09-112024-07-18 · FIREK0753Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-07-18 · FIREK0754Severity E · pattern; potential for more than minimal harm
Miscellaneous Deficiencies
Provide properly sized and located linen or trash receptacles.
Correction field: Deficient, Provider has date of correction · 2024-09-092024-03-20 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-03-28 · complaint2024-03-20 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-03-28 · complaint03 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-07-18 | Fine | $46,780 | 0 |
| 2024-07-18 | Payment Denial | $0 | 27 |
| 2023-10-16 | Fine | $42,920 | 0 |
| 2023-10-16 | Payment Denial | $0 | 33 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CHI LIVING COMMUNITIESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/01/2014
- COMMONSPIRIT HEALTHOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST100% · since 11/01/2014
- SYLVANIA FRANCISCAN HEALTHOrganization · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 11/01/2014
- LIPSEY, PRENTICEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 11/01/2021
- MBANU, TERIKAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 01/05/2024
- MELFI, MITCHIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 05/23/2016
- CECIL, CAITLINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/18/2012
- FINN, CHRISTINAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2017
- GRUBBS, STACEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 03/26/2012
- HAZARD, TEDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/08/2017
- MUNROE, KYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/08/2015
- MURRIEL, SHELLYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 09/09/2024
- NAGEL, JENNIFERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/12/2015
- SNODGRASS, BARBARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/15/2016
- WINE, MATTHEWIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 10/01/2018
- IFFLAND, ALISAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/06/2017
- LIPSEY, PRENTICEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/01/2021
- REHMER, HEATHERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/25/2024
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 hours3.73per resident day
RN hours1.12per resident day
Weekend nurse hours3.42per resident day
Staff turnover50.3%CMS reported field