Liberty Nursing Center Of Colerain Inc
LIBERTY NURSING CENTER OF COLERAIN INC in CINCINNATI, OH — inspection on August 27, 2025.
Found 6 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of the Minimum Data Set (MDS) assessment Resident #82 revealed the resident had moderately impaired cognition and required supervision with activities of daily living (ADLs.) Review of a written facility communication regarding Resident #82 dated 06/12/25 to the Better Business Bureau (BBB) (a private, non-profit organization with no governmental authority) revealed the letter contained Resident #82's name, diagnoses, weights, prescribed medications, and additional confidential information.
Interview on 08/21/25 at 1:28 P.M. with the Administrator confirmed the facility received communication via the mail from the BBB regarding a complaint about the facility made by Resident #82's family.
The Administrator stated he spoke with the BBB representative who said the facility did not have to respond to the complaint.
The Administrator confirmed he consulted the corporate office and was given direction to respond to the BBB regarding the complaint made by Resident #82's family.
The Administrator stated he emailed the response to the BBB dated 06/12/25 and verified the response contained private health information about Resident #82.
Review of the facility policy titled Confidentiality of Information and Personal Privacy dated October 2017 revealed the facility would safeguard the personal privacy of all resident personal and medical records and access to resident personal and medical records would be limited to authorized staff and business associates.This deficiency represents noncompliance investigated under Complaint OH00164348 (iQIES 1393019) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
366427 08/27/2025
Liberty Nursing Center of Colerain Inc 8440 Livingston Road Cincinnati, OH 45247
Review of hospital records for Resident #80 dated 06/06/25 to 06/08/25 revealed an x-ray of the resident's left foot showed a fracture to the resident's left ankle.
Orthopedics evaluated Resident #80, splinted the resident's left lower extremity, and scheduled the resident for follow-up with an orthopedist for 06/10/25.
Review of physician's orders for Resident #80 dated 06/08/25 to 08/02/25 revealed there were no orders for care of the left foot nor for care of a splint to the left foot.
Review of the care plan for Resident #80 revealed it did not include a care plan for the resident's left ankle fracture, a splint to the left foot, and care to be provided to the left foot.
Review of Minimum Data Set (MDS) assessment for Resident #80 dated 07/16/25 revealed the resident was cognitively intact and required assistance with mobility and toileting.
Interview on 08/19/25 at 3:05 P.M. with the Assistant Director of Nursing (ADON) confirmed Resident #80 had a splint on her left lower extremity upon return from the hospital on [DATE] but there were no orders or care plan in the resident's medical record that reflected the presence or care of the splint.
Interview on 08/25/25 at 1:40 P.M. with Registered Nurse (RN) #300 confirmed Resident #80's care plan did not reflect the presence of the resident's left ankle fracture, the splint to the left foot, and/or care for the fracture.
Review of the facility policy titled Medical Device Related Pressure Injury dated January 2018 revealed the use of medical devices should be reflected on the care plan, and if a device is not to be removed, then the orders should reflect that.This deficiency represents noncompliance investigated under Complaint Number OH00164348 (iQIES 1393019.)
366427 08/27/2025
Liberty Nursing Center of Colerain Inc 8440 Livingston Road Cincinnati, OH 45247
impairment and required assistance with bathing, toileting, and dressing.
Review of the care plan for Resident #85 dated 03/21/25 revealed the resident required assistance by staff with bathing/showers per schedule and as necessary and to provide a sponge bath when a full bath or shower could not be tolerated.
Review of shower sheets for Resident #85 from 04/01/25 to 05/22/25 revealed the resident had four recorded baths on the following dates: 04/06/25, 04/12/25, 05/01/25, and 05/22/25.
Interview on 08/26/25 at 3:00 P.M. with the Assistant Director of Nursing (ADON) confirmed there were only four shower/bath sheets completed for Resident #85.
The ADON confirmed the expectation was residents would be offered at least two baths/showers per week as scheduled, which should have been 15 showers/baths during the reviewed time period.This deficiency represents noncompliance investigated under Complaint Number 2576092 and Complaint Number OH00166049 (iQIES 1393018) and Complaint Number OH00164348 (iQIES 1393019)
366427 08/27/2025
Liberty Nursing Center of Colerain Inc 8440 Livingston Road Cincinnati, OH 45247
of the facility for a wound consult and received orders for wound care daily to the ulcer on the right
the treatment to the resident’s right lower leg ulcer were not implemented until 03/29/25 at 7:00 P.M.
Interview on 08/26/25 at 12:18 P.M. with Licensed Practical Nurse (LPN) #373 verified Resident #82 returned from the hospital on [DATE] with a non-pressure wound to the right lower leg.
The orders in the hospital after visit summary for a wet to dry dressing were not implement. LPN #373 confirmed Resident #82 returned from a wound clinic on 03/27/25 with updated orders for wound care to the right lower leg ulcer which were not implemented until 03/29/25.
This deficiency represents noncompliance investigated under Complaint Number 2576092 and Complaint Number OH00166049 (iQIES 1393018) and Complaint Number OH00165759 (iQIES 1393020) and Complaint Number OH00164258 (iQIES 1393015) and Complaint Number OH00164348 (iQIES 1393019)
366427 08/27/2025
Liberty Nursing Center of Colerain Inc 8440 Livingston Road Cincinnati, OH 45247
Review of the
on the assessment of the fall, staff and the physician will identify pertinent investigations to try to
This deficiency represents noncompliance investigated under Complaint Number OH00163748 (iQIES 1393014) and Complaint Number 2576092 and Complaint Number 2566204 and Complaint Number OH00166770 (iQIES 1393017) and Complaint Number OH00166404 (iQIES 1393016) and Complaint Number OH00165759 (iQIES 1393020) and Complaint Number OH00164258 (iQIES 1393015) and Complaint Number OH00164348 (iQIES 1393019).
366427 08/27/2025
Liberty Nursing Center of Colerain Inc 8440 Livingston Road Cincinnati, OH 45247
Review of the job description for the DON revealed the DON's primary purpose was planning, organizing, developing, and directing the day-to-day functions of the nursing department in accordance with rules, regulations, and guidelines that govern the long-term care facility and ensuring that all nursing personnel are following their respective job descriptions.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.