Arc At Cincinnati

F 0583

Keep residents' personal and medical records private and confidential.

Level of Harm - Minimal harm or potential for actual harm

Based on medical record review, resident interview, staff interview, and facility policy review, the facility failed to ensure staff provided verbal reports to one another in a manner to protect the residents' health information. This had the potential to affect all 92 residents residing in the facility. The census was 92.Findings include:A Resident Council meeting was held on 12/16/25 beginning at 3:00 P.M. During the meeting Resident #68 stated he knew diagnoses and medications of other residents and had been accused of, knowing too much; however, Resident #68 stated he knew these things due to overhearing the nurses and nurse aides talking. Resident #68 stated he had told staff it was a violation of the Health Insurance Portability and Accountability Act (HIPAA). During the meeting, Resident #27 stated she also knew medical information about other residents, including some of the medications other residents were taking. Resident #27 further stated another resident (Resident #32) also heard information about other residents through her open door.Review of Resident #68's annual Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 11/13/25, revealed Resident #68 had a Brief Interview for Mental Status (BIMS) score of 14, which indicated the resident had intact cognition. Review of Resident #27's quarterly MDS assessment, with an ARD of 10/01/25, revealed Resident #27 had a BIMS score of 15, which indicated the resident had intact cognition. During an interview on 12/20/25 at 10:24 A.M., Resident #32 stated when staff gave report to one another, the resident was able to hear other residents' health information. Resident #32 further stated she knew what protected heath information included since

she was a former nurse. Review of Resident #32's quarterly MDS, with an ARD of 11/21/25, revealed Resident #32 had a BIMS score of 15, which indicated the resident had intact cognition. Licensed Practical Nurse (LPN) #3 was interviewed on 12/20/25 at 1:19 P.M. and stated shift report was held at the nurses' station, and she was sure residents overheard protected health information. LPN #3 stated she knew it was

a HIPAA violation all day long. The Director of Nursing (DON) was interviewed on 12/21/25 at 10:28 A.M. and stated nurses completed shift report at the nurses' stations, but stated each nurses' station had an office area or a medication room that allowed the nurses to meet privately. The DON stated she would not have expected the nurses to discuss residents' illnesses or medications where the information could be overheard by other residents. The DON stated if other residents' information was overheard, it was a HIPAA violation. The Administrator was interviewed on 12/21/25 at 3:46 P.M. and stated she expected staff to keep medical information about residents confidential. Review of a facility policy titled, Dignity, revised 02/2021, indicated staff are to protect confidential clinical information. Examples included verbal staff-to-staff communication (e.g. [exempli gratia, for example], change of shift reports) are conducted outside the hearing range of residents and the public.This deficiency represents non-compliance investigated under Complaint Number 2650678.

Residents Affected - Many

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date

these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE

TITLE

(X6) DATE

FORM CMS-2567 (02/99) Previous Versions Obsolete

Facility ID:

If continuation sheet

Event ID:

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at Cincinnati

4001 Rosslyn Drive Cincinnati, OH 45209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0656 Level of Harm - Actual harm Residents Affected - Few Note: The nursing home is disputing this citation.

FORM CMS-2567 (02/99) Previous Versions Obsolete

on 12/19/25 at 10:12 A.M., LPN #09 stated they only worked at the facility as needed. LPN #09 stated they could not remember the specifics surrounding the incident involving Resident #97 but confirmed the resident was dependent on staff, requiring total assistance for all care. During an interview on 12/19/25 at 10:32 A.M., the MDS/Care Plan Coordinator (MDS Coordinator) stated based on Resident #97's care plan and MDS, the resident was dependent on staff and required assistance from two staff for all care. The MDS Coordinator stated she expected staff to follow the care planned interventions. During an interview on 12/22/25 at 8:50 A.M., the Director of Nursing (DON) stated dependent care meant the resident was not able to participate in assisting with their care. The DON stated Resident #97 required assistance from two staff for all care, and it was her expectation that all staff followed resident care planned interventions.

Review of the facility policy titled, Falls-Clinical Protocol, revised 03/2018, indicated Treatment/Management included, 1. Based on the preceding assessment, the staff and physician will identify pertinent interventions to try to prevent subsequent falls and to address the risks of clinically significant consequences of falling.

This deficiency represents non-compliance investigated under Complaint Numbers 2614070.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at Cincinnati

4001 Rosslyn Drive Cincinnati, OH 45209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0684

Review of a facility policy titled, Transportation, Social Services, revised 12/2008, revealed the facility shall help arrange transportation for residents as needed.

Level of Harm - Actual harm

This deficiency represents non-compliance investigated under Complaint Number 2618734.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at Cincinnati

4001 Rosslyn Drive Cincinnati, OH 45209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0689 Level of Harm - Actual harm Residents Affected - Few Note: The nursing home is disputing this citation.

FORM CMS-2567 (02/99) Previous Versions Obsolete

self-administration. The DON stated medications were not allowed to sit at bedside tables because of safety concerns. The DON stated that nurses were not expected to leave medications at bedside for residents to take when they awoke. The nurse reviewed the physician's orders for Resident #13 and stated that the resident had no orders for self-administration of medication. The Administrator was interviewed on [DATE REDACTED] at 3:18 PM and stated she was unaware of any resident in the facility that had been approved for self-administration of medications, and she expected medications not to be left in residents' rooms. The Administrator stated she expected the nurse to stay in the resident's room until medications were taken.

Review of a facility policy titled, Self-Administration of Medications, dated 2001, indicated As part of the evaluation comprehensive assessment, the interdisciplinary team (IDT) assesses each resident's cognitive and physical abilities to determine whether self-administering medications is safe and clinically appropriate for the resident.5. Review of the medical record revealed the facility admitted Resident #45 on [DATE REDACTED].

Diagnoses included traumatic subdural hemorrhage with loss of consciousness, cerebral infarction (stroke) due to unspecified occlusion or stenosis of an unspecified cerebral artery, and aphasia (a language disorder from brain damage that impaired speaking understanding, reading, or writing). Review of an annual MDS, with an ARD of [DATE REDACTED], revealed Resident #45 had a BIMS score of 12, which indicated the resident had moderate cognitive impairment. Review of Resident #45's Care Plan Report included a focus area, initiated [DATE REDACTED], indicating the resident had impaired cognitive function due to a non-traumatic subdural hematoma, craniotomy, medications, and depression. An observation of Resident #45's room on [DATE REDACTED] at 10:25 A.M. revealed a metal chair rail on the wall to the right side of Resident #45's bed was loose from the wall and left an approximate two-inch gap between the wall and the edge of the metal chair rail. The observation revealed the metal chair rail had sharp edges extending from the lower edge and other areas of the wooden wainscoting were splintered, including an approximate two-inch splinter. The Maintenance Director #55 was interviewed on [DATE REDACTED] at 10:15 AM. The Maintenance Director stated the danger of a board being loose from the wall or a splintered board in a resident's room would be access to electrical lines in the wall. The Maintenance Director #55 stated he had not been notified about any splintered wood or loose boards in a resident's room. The Maintenance Director #55 went to Resident #45's room and stated no one had reported the metal chair rail was loose from the wall and added that the edge was pointed and sharp. The Maintenance Director #55 further stated no one had reported how rough the wood was in Resident #45's room or the large splinter sticking out from the wood. The DON was interviewed on [DATE REDACTED] at 9:57 A.M., and stated because the metal chair rail was loose in Resident #45's room, the resident could cut themself. This deficiency represents non-compliance investigated under Complaint Numbers 2614070, 2621620, and 2618734.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at Cincinnati

4001 Rosslyn Drive Cincinnati, OH 45209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0697 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

get Resident #39's methadone. She stated it would take them a long time to send the medication out due to insurance reasons, needing prior authorization, or needing a new prescription. She stated when a new prescription or preauthorization was needed, she would call the NP, and the NP would send a prescription to the pharmacy. During a follow-up interview on 12/23/25 8:20 A.M., the NP #45 stated she had not been able to assess Resident #39 when they had gone without their methadone. She stated the nurses should reorder narcotic medication a minimum of three to five days before the medication ran out. She stated she did final rounds at 3:00 P.M. on Fridays and had the nurses check their narcotic cards to make sure that

they had enough medications for the weekend. She stated part of the problem with getting the methadone from the pharmacy was the nurses would reorder the methadone off an older prescription that had the wrong diagnosis, and it would stall the delivery of the medication. During an interview on 12/23/25 at 9:24 A.M., the DON stated the nurse and the pharmacy were responsible to ensure medications were available for administration and if they were not available, then the nurse should reorder the medication, get it from

the emergency kit if available, and notify the physician if the resident missed a dose. She stated if it was a routine medication, the resident should not miss more than one dose. She stated she was not sure why

they were not getting Resident #39's methadone timely but knew that one of the issues was the diagnosis of opioid dependence. She stated that when a resident was on routine medication, the nurse should order

the medication three to five days before the medication was gone. During an interview on 12/23/25 at 10:44 A.M., the Administrator stated the pharmacy filled the medication and the nurse checked it. If they were missing a medication, then they should check the emergency kit and if it was not available, then the nurse should notify the pharmacy so they could send it and call the provider if needed. She stated if they did not get a resolution, then the nurse should call the DON. She stated if the resident was taking a routine narcotic, an acceptable time for the resident to go without it would depend on the reason for the medication.

She stated she knew there were issues with getting Resident #39's methadone but she did not remember

the details. Review of the facility policy titled, Pain Assessment and Management, revised 04/2025, indicated Implementing Pain Management Strategies 6. The medication regimen is implemented as ordered. Results of the interventions are documented and communicated directly to the provider when appropriate. Ongoing communication between the prescriber and the staff is necessary for the optimal and judicious use of pain medications. The policy also specified, Monitoring and Modifying Approaches 4. If the resident is prescribed opioid analgesics, monitor for the following side effects: b. Physical dependence which causes symptoms of withdrawal when opioid medication is stopped, or a dose is held or missed. 5.

Contact the provider immediately if the resident's pain or medication side effects are not adequately controlled.This deficiency represents non-compliance investigated under Complaint Number 2618734.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at Cincinnati

4001 Rosslyn Drive Cincinnati, OH 45209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0698 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

resident for every treatment. The DON stated that the dialysis communication sheet, when returned to the facility, should be uploaded to the resident ' s electronic medical chart and placed in the resident ' s hard (paper) chart. Review of a facility policy titled, End-Stage Renal Disease, Care of a Resident with, revised 09/2010, revealed, 4. Arrangements between this facility and the contracted ESRD [end stage renal disease] facility include all aspects of how the resident ' s care will be managed, including: a. how the care plan will be developed and implemented; b. how information will be exchanged between the facilities.This deficiency represents non-compliance investigated under Complaint Number 2618734.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at Cincinnati

4001 Rosslyn Drive Cincinnati, OH 45209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0760 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

procedure, active bleeding, or per doctor's orders. The DON stated staff were expected to administer Plavix per physician orders; after review of Resident #100's MAR, the DON stated the medication should not have been held for Resident #100 in April and May 2025. During an interview on 12/22/25 at 2:36 P.M., LPN #2 stated clopidogrel bisulfate was probably held because of the parameters of the medication. Review of a facility policy titled, Administering Medications, revised 04/2019, revealed medications are administered in a safe and timely manner and as prescribed. Medications are administered in accordance with prescriber orders, including any required time frame and medications are administered within one (1) hour of their prescribed time, unless otherwise specified (for example, before and after meal orders).This deficiency represents non-compliance investigated under Complaint Number 2650678 and Complaint Number

1. 2618734. Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at Cincinnati

4001 Rosslyn Drive Cincinnati, OH 45209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0761 Level of Harm - Minimal harm or potential for actual harm

and preparation areas in a clean, safe, and sanitary manner. The policy continues to read, if the facility has discontinued, outdated, or deteriorated medications or biologicals, the dispensing pharmacy is contacted for instructions regarding returning or destroying these items.

Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at Cincinnati

4001 Rosslyn Drive Cincinnati, OH 45209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

individual administering the medication initials the resident ' s MAR on the appropriate line after giving each medication and before administering the next one. As required or indicated for a medication, the individual administering the medication records in the resident ' s medical record to include the date and time the medication was administered, the dosage, the route of administration, the injection site (if applicable), any complaints or symptoms for which the drug was administered, any results achieved and when those results were observed, and the signature and title of the person administering the drug. This deficiency represents non-compliance investigated under Complaint Number 2650678.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at Cincinnati

4001 Rosslyn Drive Cincinnati, OH 45209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0880 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

respiratory infection. Review of Resident #06's physician's orders included an order dated 02/27/25 for albuterol sulfate 0.083 percent (%) nebulization solution 2.5 milligrams (mg)/3 milliliters (mL) via nebulizer every six hours and an order dated 07/18/24 for sodium chloride 3% (4 mL) via nebulizer every 12 hours.

Review of Resident #06's December 2025 Medication Administration Record (MAR) revealed the resident was scheduled to receive the albuterol sulfate every six hours at 12:00 A.M., 6:00 A.M., 12:00 P.M. and 6:00 P.M. and the sodium chloride every 12 hours at 6:00 A.M. and 6:00 P.M. During observations on 12/15/25 at 11:15 A.M., 12/16/25 at 9:36 A.M., 12/17/25 at 2:47 P.M., 12/18/25 at 8:45 A.M. and 12:36 P.M., and 12/19/25 at 11:35 A.M., revealed a nebulizer machine on Resident #06's over-the-bed table with the medication cannister and connectors lying on top of the table not stored in a bag. During an interview on 12/19/25 at 1:26 P.M., Licensed Practical Nurse (LPN) #02 stated nebulizer equipment should be stored in

a plastic bag when not in use. She said there was not a plastic bag in the room, and she meant to get one to put the resident's nebulizer equipment in but got busy with something else and forgot. During an

interview on 12/23/25 at 9:24 A.M., the DON stated respiratory equipment should be covered when not in use. She stated the nurses should have covered the nebulizer equipment and not set it on the table for infection control reasons. During an interview on 12/23/25 at 10:44 A.M., the Administrator stated respiratory equipment should be stored in a bag when not in use, and she expected Resident #06's nebulizer equipment to be stored properly. 3. Review of the medical record revealed the facility admitted Resident #37 on 06/19/23. Diagnoses included chronic obstructive pulmonary disease (COPD), obstructive sleep apnea, and moderate persistent asthma. Review of a quarterly MDS, with an ARD of 11/10/2025 revealed Resident #37 had a Brief Interview for Mental Status (BIMS) score of seven, which indicated the resident had severe cognitive impairment. Review of Resident #37's Care Plan Report included a focus area initiated 07/05/24, indicating the resident had a history of altered respiratory status related to COPD, asthma, congestive heart failure (CHF), history of smoking, and obstructive sleep apnea, and use of a continuous positive airway pressure?(CPAP) machine. An observation on 12/15/25 at 12:01 P.M. , revealed Resident #37's CPAP mask was not stored in a plastic bag. An observation on 12/20/25 at 1:30 P.M. revealed Resident #37's CPAP mask was lying on the resident's dresser. The mask was not stored in a plastic bag. An observation on 12/21/25 at 1:22 P.M. revealed Resident #37's CPAP mask was lying on the resident's dresser and the mask was not stored in a plastic bag. During an interview on 12/21/25 at 1:30 P.M., CNA #29 verified he just placed CPAP masks on top of the dresser when they were not in use. During

an interview on 12/22/25 at 1:55 P.M. CNA #31 verified CPAP masks were to be stored in a plastic bag when not in use. During an interview on 12/21/2025 at 1:39 P.M., LPN # 10 stated CPAP masks should be stored inside a plastic bag when not in use. During an interview on 12/22/25 at 6:10 P.M., the DON stated

the facility did not have a policy for storage of CPAP masks. The DON stated she expected staff to store CPAP masks in a plastic bag and not on top of a dresser or in a drawer. During an interview on 12/21/25 at 2:54 P.M., the Administrator stated she expected staff to store CPAP masks in a bag when not in use.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/23/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Arc at Cincinnati

4001 Rosslyn Drive Cincinnati, OH 45209

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0943 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Note: The nursing home is disputing this citation.

FORM CMS-2567 (02/99) Previous Versions Obsolete

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Based on employee file reviews, staff interview and policy review, the facility failed to ensure four (Registered Nurse (RN) #4, RN #6, Licensed Practical Nurse (LPN) #9, and LPN #15) of eight sampled employees received training on abuse, neglect, and exploitation during orientation and annually as required by facility policy. This had the potential to affect all residents. The facility census was 92.A review of employee files revealed the facility hired Registered Nurse (RN) #4 on 04/12/2023, RN #6 was hired on 03/18/2024, and Licensed Practical Nurse (LPN) #9 on 02/15/2023. The employee files and in-service trainings revealed no documented evidence of abuse/neglect training within the past 12 months for RN #4, RN #6, or LPN #9.Review of LPN #15's employee file revealed the facility hired the LPN on 06/02/2025.

There was no documentation in LPN #15 ' s employee file or in-service trainings that the facility had provided abuse neglect training for the LPN. During an interview on 12/22/2025 at 8:50 A.M., the Director of Nursing (DON) stated they expected all staff to attend and complete all required in-services. The DON further stated that they expected the facility management team to monitor employee files to ensure compliance with the requirements. During an interview on 12/22/2025 at 9:11 A.M., the Administrator stated

they expected all staff to complete all required in-services and trainings. During an interview on 12/22/2025 at 1:53 P.M., Human Resources Director (HRD) #61 revealed she was responsibility for ensuring all required employee trainings were completed. HRD #61 revealed the required abuse training for the four nurses were missing, and she could not explain why they were not completed. A facility policy titled, Abuse Prevention/Reporting Policy and Procedure, updated 05/09/2018, revealed abuse prevention procedures included training which indicated:1. All new employees will receive training on the abuse policy.2. All employees will attend training during orientation, mandatory annual training and more often as determined by the facility.3. Training classes include at a minimum: a. Definitions of abuse, neglect, exploitation, and misappropriation of resident property. b. Reporting requirements regarding allegations of abuse, without fear of reprisals from any other individual whether they are staff, management, residents or visitors. c.

Appropriate interventions to deal with aggressive and catastrophic reactions to residents. d. Recognition of and appropriate interventions for burnout, frustration and stress that could lead to reactions resulting in abusive situations.This deficiency represents non-compliance investigated under Complaint Number 2656167 and Complaint Number 2618734.

Event ID:

Facility ID:

If continuation sheet