Harrison Pavilion Care Center: Medication Errors - OH
The citation, issued September 11 under a complaint inspection, placed the facility in deficiency status for pharmacy service failures. Inspectors classified the violation at Scope/Severity Level D, meaning the problem was isolated and no actual harm was documented at the time inspectors were on site. But the classification also means inspectors concluded the potential for more than minimal harm existed.
That distinction matters. A medication error that has not yet hurt someone is not a medication error that cannot.
The medication error finding was one of nine separate deficiencies inspectors cited at Harrison Pavilion during the same visit. The inspection report does not detail the specific drugs involved, the residents affected, or the nature of the errors themselves. What the record shows is that inspectors found the facility's pharmacy practices inadequate to protect residents from significant mistakes, and that regulators agreed the finding warranted a formal citation.
Harrison Pavilion reported a correction date of October 20, 2025, roughly five weeks after inspectors walked through the door.
Nursing home residents are among the most medically complex patients in any care setting. Many take a dozen or more medications daily, with doses calibrated to conditions that shift week to week. An error in that environment, whether a wrong drug, a wrong dose, a missed administration, or a harmful combination, can move quickly from paperwork problem to medical crisis.
The inspection report does not say which of those categories applied here. It does not name a resident. It does not describe what a nurse or pharmacist did or failed to do. The finding exists in the record as a category, a severity level, and a correction date.
Nine deficiencies in a single inspection is not a routine outcome. Most nursing home inspections produce some findings, but a complaint inspection that returns nine citations suggests inspectors arrived with specific concerns and found evidence across multiple areas of care. The medication error citation was one piece of that picture.
Harrison Pavilion Care Center is located in Cincinnati, Ohio. The facility has not responded publicly to the inspection findings, and the inspection report does not include a statement from facility administrators.
The correction date the facility reported, October 20, means the facility told regulators it had addressed the medication error problem within about six weeks of the inspection. Whether that correction involved retraining staff, revising medication administration protocols, changing pharmacy oversight procedures, or something else entirely, the inspection report does not say. Correction dates in federal nursing home records reflect what a facility has reported to regulators, not an independent verification that the problem is resolved.
What the September inspection captured was a moment in time: a facility where, on that day, inspectors determined residents were not adequately protected from significant medication errors. The finding sits in the federal record alongside eight others from the same visit, a cluster that raises questions the inspection report alone cannot answer.
For the residents living at Harrison Pavilion during that period, the question was not abstract. It was whether the person handing them their morning medications had the right pills in the right doses, and whether anyone in the building was watching closely enough to catch it if they did not.
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 22, 2026 · Our methodology
HARRISON PAVILION CARE CENTER in CINCINNATI, OH was cited for violations during a health inspection on September 11, 2025.
The citation, issued September 11 under a complaint inspection, placed the facility in deficiency status for pharmacy service failures.
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.