ARC at Cincinnati: Infection Control Failures - OH
Inspectors visited ARC at Cincinnati, a nursing facility at 4001 Rosslyn Drive, on six separate occasions between December 15 and December 19, 2025. Every time they checked the room of Resident 06, the nebulizer equipment was there on the table, uncovered and unbagged.
The resident was scheduled to receive albuterol sulfate every six hours and sodium chloride twice daily, both delivered by that same machine.
When inspectors interviewed Licensed Practical Nurse 02 on December 19, she confirmed that nebulizer equipment should be stored in a plastic bag when not in use. She said there was no bag in the room. She said she had meant to get one but got busy and forgot.
The Director of Nursing said the nurses should have covered the equipment and not left it sitting on the table. The Administrator said she expected the nebulizer to be stored properly.
Everyone agreed on what should have happened. Nobody had made it happen.
A second resident, Resident 37, had lived at the facility since June 2023. The inspection record lists a diagnosis of chronic obstructive pulmonary disease, obstructive sleep apnea, and moderate persistent asthma, along with congestive heart failure and a history of smoking. A cognitive assessment from November 2025 placed the resident in the range of severe cognitive impairment, with a score of seven on a fifteen-point scale. The resident used a CPAP machine.
On December 15, inspectors found the CPAP mask sitting out, unbagged. They returned on December 20. The mask was on the dresser. They came back December 21. The mask was on the dresser again.
A nursing aide, CNA 29, told inspectors that afternoon that he just placed CPAP masks on top of the dresser when residents weren't using them. That was his practice. He said it plainly.
CNA 31, interviewed the following day, said CPAP masks were supposed to be stored in a plastic bag when not in use. LPN 10 said the same thing. The Director of Nursing said the same thing.
She also said the facility had no written policy for storage of CPAP masks.
That detail sits at the center of what inspectors documented. The staff knew the expectation. The administrator knew it. The Director of Nursing knew it. There was no policy to formalize it, and the expectation went unmet for a resident with severe cognitive impairment who could not advocate for herself, whose lungs already carried the accumulated damage of COPD, asthma, sleep apnea, heart failure, and decades of smoking, and who relied on that mask to breathe through the night.
Respiratory equipment left open to the air in a nursing facility accumulates whatever is in that environment. In a room shared with other residents, that means exposure to airborne particles, bacteria, and whatever pathogens move through a facility where sick and elderly people live in close quarters. The canister, the connectors, the mask that fits over a face and channels air into compromised lungs — all of it sitting out.
The inspection was a complaint survey, meaning someone had raised a concern before inspectors arrived. The deficiency was rated at the level of minimal harm or potential for actual harm, affecting some residents.
The Director of Nursing told inspectors she expected staff to store CPAP masks in a plastic bag and not on a dresser or in a drawer. The Administrator said she expected equipment to be stored in a bag when not in use.
Resident 37, whose care plan had flagged altered respiratory status since July 2024, kept breathing through a mask that kept ending up on the dresser.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Arc At Cincinnati from 2025-12-23 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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
ARC AT CINCINNATI in CINCINNATI, OH was cited for violations during a health inspection on December 23, 2025.
Inspectors visited ARC at Cincinnati, a nursing facility at 4001 Rosslyn Drive, on six separate occasions between December 15 and December 19, 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.