Marjorie P Lee Retirement Community
3550 Shaw Avenue, Cincinnati, OH 45208
Marjorie P Lee Retirement Community is a nursing home in Cincinnati, Ohio. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 5 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (513) 871-2090
- Last standard health inspection
- January 29, 2026 (9 months ago)
- Certified beds
- 88
- Residents per day, on average
- 69.7
- Ownership type
- Non profit - Corporation
- Legal business name
- Episcopal Retirement Homes, INC.
- Chain
- Episcopal Retirement Homes, INC.
- Takes part in
- Medicare and Medicaid
Fewer health citations than the Ohio average (4 vs 31).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
3 citations
Health inspection on January 29, 2026
CMS lists this as a standard inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 20, 2026.
Citation F0803. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 20, 2026.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on March 20, 2026.
6 citations
Fire safety inspection on January 29, 2026
CMS lists this as a standard inspection.
Citation K0291. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on March 20, 2026.
CMS has cited this home for K0291 2 times since 2023.
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on March 20, 2026.
Citation K0345. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on March 20, 2026.
CMS has cited this home for K0345 2 times since 2023.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on March 20, 2026.
CMS has cited this home for K0353 2 times since 2023.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on March 20, 2026.
CMS has cited this home for K0521 2 times since 2023.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on March 20, 2026.
CMS has cited this home for K0324 2 times since 2023.
CMS update of June 25, 2025
Star rating
The CMS health inspection star rating changed from 5 of 5 to 4 of 5.
1 citation
Health inspection on April 4, 2025
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
177 of 924 Ohio homes (19%) got a citation at the actual harm level in 2025.
Citation F0689. Severity G: actual harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on April 22, 2025.
CMS update of March 26, 2025
Ownership
CMS lists this home under a new chain.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of July 31, 2024
Staffing
Total nurse staffing reported to CMS went from 6.5 to 5.4 hours per resident per day.
CMS update of January 31, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 5 of 5.
7 citations
Fire safety inspection on July 20, 2023
CMS lists this as a standard inspection.
Citation K0353. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on October 13, 2023.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on October 13, 2023.
Citation K0918. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on October 13, 2023.
Citation K0291. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on October 13, 2023.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on October 13, 2023.
Citation K0341. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install a fire alarm system that can be heard throughout the facility.
CMS lists it as corrected on October 13, 2023.
Citation K0345. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on October 13, 2023.
4 citations
Fire safety inspection on December 28, 2019
CMS lists this as a standard inspection.
Citation K0225. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
CMS lists it as corrected on February 12, 2020.
Citation K0281. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install proper backup exit lighting.
CMS lists it as corrected on February 12, 2020.
Citation K0363. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on February 12, 2020.
Citation K0372. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on February 12, 2020.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- EPISCOPAL RETIREMENT HOMES, INC.Direct ownership interest · not applicable · since 01/01/1966
- EPISCOPAL RETIREMENT HOMES, INC.Operational/managerial control · not applicable · since 01/01/1966
- EDWARDS, BEVERLYOperational/managerial control · not applicable · since 12/20/2021
- FRASER, BONITAOperational/managerial control · not applicable · since 08/15/2022
- SCHLAUDECKER, JEFFREYOperational/managerial control · not applicable · since 01/01/2020
- STEWARD, DANIELOperational/managerial control · not applicable · since 10/21/2019
- WILLIAMS, ANTHONYOperational/managerial control · not applicable · since 03/26/2021
Questions
When was Marjorie P Lee Retirement Community last inspected?
CMS lists January 29, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Marjorie P Lee Retirement Community have?
CMS lists 4 health citations since April 4, 2025. CMS also calls these deficiencies.
Has Marjorie P Lee Retirement Community been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Marjorie P Lee Retirement Community?
Its CMS overall star rating is 5 of 5.
Is Marjorie P Lee Retirement Community a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.