Harrison Pavilion Care Center: Assessment Failures - OH
Federal health inspectors cited the facility on September 11, 2025, for failing to properly coordinate resident assessments with the pre-admission screening and resident review program, and for failing to make referrals for services when residents needed them. The deficiency fell under the category of resident assessment and care planning, the part of nursing home oversight that exists specifically to catch gaps before they become crises.
The violation was classified as isolated, meaning inspectors identified a specific instance rather than a pattern running through the facility. No actual harm was documented. But inspectors determined there was potential for more than minimal harm to whoever fell through that gap.
That distinction matters. The pre-admission screening and resident review program, known as PASRR, exists because nursing homes have historically housed people with serious mental illness or intellectual disabilities who needed specialized services the facility either could not or did not provide. The screening is supposed to happen before admission. The review is supposed to happen when a resident's condition changes in a meaningful way. When a facility fails to coordinate that process, a resident who needs psychiatric services, behavioral support, or specialized programming can sit in a nursing home bed without any of those things, sometimes for months, sometimes indefinitely.
The inspection did not specify which resident or residents were affected, or what services may have gone unreferenced. It documented a deficiency, a correction timeline, and moved on.
Harrison Pavilion was cited for nine deficiencies total during the September inspection. The assessment coordination failure was one piece of a larger picture inspectors assembled that day. Nine deficiencies in a single inspection is not an outlier in the nursing home industry, but it is not a clean record either. Each citation represents something inspectors found wrong, something that either caused harm or carried the potential for it.
The facility reported a correction date of October 20, 2025, roughly five weeks after the inspection. Whether that correction involved updating a policy, retraining staff, or identifying and following up with a specific resident whose assessment had been missed, the report does not say.
What the report does say, by implication, is that someone at Harrison Pavilion, at some point before September 11, was responsible for initiating or completing that coordination and did not. The assessment process is not passive. It requires staff to identify when a screening is needed, to contact the state agency that administers the program, to document the referral, and to follow through when services are recommended. Each of those steps is a place where something can go wrong quietly, without anyone noticing until an inspector walks through the door.
Nursing home inspections in Ohio are conducted by the Ohio Department of Health on behalf of the federal Centers for Medicare and Medicaid Services. Facilities that accept Medicare or Medicaid funding, which is nearly all of them, are subject to regular surveys and complaint investigations. The September inspection at Harrison Pavilion was a complaint inspection, meaning it was triggered by a complaint filed with the state, not a routine scheduled visit.
That detail is worth pausing on. Someone, a resident, a family member, a staff member, or a visitor, contacted state authorities with a concern serious enough to prompt an unannounced inspection. Inspectors arrived and found nine things wrong. Whether the original complaint was related to the assessment deficiency, to one of the other eight violations, or to something inspectors ultimately did not cite, the report does not say.
The nine deficiencies cited that day covered resident assessment and care planning, among other areas the report does not detail in this citation. Each deficiency was reviewed, classified by scope and severity, and assigned a correction deadline. Harrison Pavilion has reported compliance. The state will verify it.
For the resident at the center of the assessment deficiency, the one whose screening was not coordinated or whose referral was not made, the correction date of October 20 is the end of the administrative story. Whether that person received the services they needed, whether anyone went back and asked what they had been missing and for how long, the inspection record is silent on that.
The record closes. The resident remains.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Harrison Pavilion Care Center from 2025-09-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 21, 2026 · Our methodology
HARRISON PAVILION CARE CENTER in CINCINNATI, OH was cited for violations during a health inspection on September 11, 2025.
The violation was classified as isolated, meaning inspectors identified a specific instance rather than a pattern running through the facility.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.