Harrison Pavilion Care Center: Hospital Transfer Failure - OH
The inspection at Harrison Pavilion Care Center, at 2171 Harrison Avenue, was completed November 26, 2025. It was not a routine survey. Someone filed a complaint, and inspectors came to investigate. What they documented was a failure to transfer, tagged under F0580, the federal deficiency code that covers a nursing home's obligation to act when a resident's condition requires outside medical care.
The report does not name the resident. It does not describe what condition went unaddressed, how long the delay lasted, or what happened to the person afterward. The inspection narrative, as released, is thin. But what it does say is this: the facility did not do what it was supposed to do when a resident needed to go to a hospital or treatment center.
Inspectors rated the harm as minimal, or potential for actual harm, a designation that sits at the lower end of the federal harm scale but still reflects a finding that something went wrong, and that a person's welfare was at stake. The violation affected few residents, according to the report.
That language, "few residents," is a federal classification. It means the problem was not widespread across the facility. It does not mean it was minor to the person it involved.
Harrison Pavilion is a licensed nursing facility operating under provider number 365065. The complaint that prompted this inspection was logged as Complaint Number 2622250. The report was printed April 13, 2026, months after the inspection itself, which is not unusual for federal documentation timelines.
What the report does not contain is also worth noting. There is no description of what medical symptoms the resident was experiencing. There is no account of which staff member made the decision not to transfer, or whether anyone escalated the concern before inspectors arrived. There is no explanation of how long the resident waited, or whether they eventually received the care they needed elsewhere.
Federal rules require nursing homes to transfer residents when the facility cannot meet their medical needs. That obligation exists because nursing homes are not hospitals. They do not have emergency departments or surgical suites or intensive care units. When a resident's condition exceeds what the staff and equipment on hand can manage, the facility is supposed to recognize that and act. The citation here says that recognition, or the action that should have followed it, did not happen the way it should have.
The plan of correction for this deficiency, if one has been submitted, is not included in the publicly available portion of this report. The Centers for Medicare and Medicaid Services notes that anyone seeking information on how the facility intends to correct the problem should contact Harrison Pavilion directly or reach out to the Ohio state survey agency.
What remains, in the public record, is a complaint, an inspection, and a finding. Someone at Harrison Pavilion needed to go to a hospital. The facility did not make that happen. An inspector came, reviewed what occurred, and wrote it down.
The resident's name is not in the report. Neither is what happened to them after.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Harrison Pavilion Care Center from 2025-11-26 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: August 22, 2026 · Our methodology
HARRISON PAVILION CARE CENTER in CINCINNATI, OH was cited for violations during a health inspection on November 26, 2025.
The inspection at Harrison Pavilion Care Center, at 2171 Harrison Avenue, was completed November 26, 2025.
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.