ARC at Cincinnati: Infection Control Failures - OH
That finding was at the center of a December 2025 complaint inspection at ARC at Cincinnati, a nursing home at 4001 Rosslyn Drive. Inspectors returned to the same room on December 15, 16, 17, 18, and 19 and found the same thing each time: the nebulizer machine belonging to Resident 06, along with its medication canister and connectors, sitting loose on an over-the-bed table, uncovered, exposed.
The resident was prescribed albuterol sulfate every six hours and sodium chloride twice a day, both delivered by nebulizer.
When inspectors interviewed Licensed Practical Nurse 02 on December 19, she confirmed the 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, interviewed on December 23, said nurses should have covered the equipment and that leaving it out on the table created an infection control problem. The administrator said the same thing that morning: the equipment should be in a bag, and she expected it to be stored properly.
None of them had made sure it happened.
A second resident at the facility, Resident 37, had lived there since June 2023. The resident's diagnoses included chronic obstructive pulmonary disease, obstructive sleep apnea, and moderate persistent asthma, and the care plan noted a history of congestive heart failure and prior smoking. A cognitive assessment from November 2025 showed severe impairment, a BIMS score of seven. The resident used a CPAP machine.
Inspectors found the CPAP mask sitting uncovered on the dresser on December 15, then again on December 20, then again on December 21.
A certified nursing assistant, CNA 29, told inspectors on December 21 that he just put CPAP masks on top of the dresser when residents weren't using them. He said it plainly, without apparent awareness that this was the problem. Another aide, CNA 31, interviewed the following day, confirmed that CPAP masks were supposed to go in a plastic bag when not in use. LPN 10, interviewed December 21, said the same.
The Director of Nursing, when asked about the CPAP storage on December 22, said the facility did not have a written policy for it. She said she still expected staff to use a bag and not leave masks on dressers or in drawers. The administrator, interviewed December 21, said she expected the same.
What the facility expected and what its staff actually did were two different things, documented across multiple rooms and multiple days.
The inspection tagged the violations at a level of minimal harm or potential for actual harm. Respiratory equipment left uncovered collects airborne contaminants, dust, and pathogens, and then delivers them directly into the lungs of patients who already have compromised breathing. For a resident with COPD, asthma, and congestive heart failure, the margin for a respiratory setback is not wide.
The failures here were not complicated. No specialized training was required to put equipment in a bag. Every staff member interviewed knew it was supposed to happen. The LPN who forgot to get a bag for Resident 06's nebulizer knew. The aide who set Resident 37's CPAP mask on the dresser knew, or his colleague who corrected him the next day knew. The Director of Nursing knew, even while admitting there was no policy to back it up.
Inspectors documented the uncovered nebulizer on five separate visits over five days. The bag never appeared.
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.
That finding was at the center of a December 2025 complaint inspection at ARC at Cincinnati, a nursing home at 4001 Rosslyn Drive.
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.