Arc at Cincinnati

In the surveyor’s words

From the most serious findings on record at Arc at Cincinnati, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Sep 15, 2022

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on medical record review, staff interview, local police department detective interview, Sexual Assault Nurse Examiner (SANE) interview, local Ombudsman interview, review of the facility Abuse Prevention/Reporting policy, review of the facility employee handbook, review of the outside hospital records, review of the facility Self-Reported Incident (SRI), review of the local law enforcement report, review of the local county inmate search, review of the Ohio Revised Code (ORC) 2907-02 (11A), review of the personnel record, review of the facility personnel time punches, review of the acknowledgement of receipt of the employee handbook, review of the facility… […]

• Actual harm, isolatedF684Feb 10, 2026

  Based on medical record review, review of the hospital records, staff interview, and policy review, the facility failed to ensure timely treatment of a left leg fracture. This resulted in Actual Harm when Resident #91 complained of a new onset of left leg pain on 12/18/25. After examination, Nurse Practitioner (NP) #235 ordered X-rays for the wrong limb. Upon realizing the error, NP #235 ordered X-rays for the correct limb on 12/19/25; however, the X-rays were not completed until 12/21/25, revealing Resident #91 had a suspected bicondylar fracture of the left distal femur. Resident #91 was sent to the hospital for evaluation and treatment on 12/22/25 where the resident required surgery for an Open Reduction and Internal Fixation (ORIF) on 12/24/25. […]

• Actual harm, isolatedF656Dec 23, 2025

  Based on medical record review, interviews, review of facility investigation documents, and policy review, the facility failed to implement person-centered care planned interventions. This resulted in Actual Harm when Resident #97 was being bathed by one staff member, had a spasm in one leg, fell out of the bed, and sustained fractures in both legs. This affected one (Resident #97) of three residents reviewed for falls. The facility census was 92.Findings Included: Review of the medical record revealed the facility admitted Resident #97 on 07/04/19. Diagnoses included absolute glaucoma, binge eating disorder, abnormal posture, bariatric surgery status, muscle weakness, difficulty in walking, and the need for assistance with personal care. […]

• Actual harm, isolatedF689Dec 23, 2025

  Based on medical record review, observation, staff and resident interview, review of facility investigation documents, and policy review, the facility failed to provide adequate supervision and assistance for a resident who was dependent on two staff for bathing. This resulted in Actual Harm when Resident #97 was being bathed by one staff member, had a spasm in one leg, fell out of the bed, and sustained fractures in both legs. This affected one (Resident #97) of three residents reviewed for falls. Additionally, the facility failed to ensure the environment was free of accident hazards. This affected four (Residents #80, #86, #45, and #13) of 37 sampled residents. […]

• Actual harm, isolatedF697Dec 23, 2025

  Based on medical record review, staff and resident interviews, review of the hospital record, and policy review, the facility failed to ensure ordered pain medication was available for administration. This resulted in Actual Harm, when Resident #39 missed three days of methadone (a medication to treat severe pain) a total of nine doses, had increased pain, called nine-one-one (911), and went to the emergency room. This affected one (Resident #39) of two residents reviewed for pain medication use. The facility census was 92. Findings Include:Based on medical record review, staff and resident interviews, review of the hospital record, and policy review, the facility failed to ensure ordered pain medication was available for administration. […]