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Complaint Investigation

Forest Hills Healthcare Center.

April 30, 2026 · Cincinnati, OH · 8700 Moran Road
Citations 6
CMS Rating 4/5
Beds 138
Provider ID 366389
Healthcare Facility
Forest Hills Healthcare Center.
Cincinnati, OH  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

FOREST HILLS HEALTHCARE CENTER. in CINCINNATI, OH — inspection on April 30, 2026.

Found 6 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0565
Resident Rights Deficiencies

expressed the following concerns: noise at night, aides not staying on task on nightshift, not being assisted out of bed in time for activities, bathrooms not being cleaned properly, running out of food ordered, rooms not being cleaned on the weekends.

Review of the minutes revealed no follow-up to the concerns expressed by the residents in the Resident Council meetings.

Interview on 04/29/26 at 10:59 A.M. with Resident #132, the Resident Council President, with Resident #20 and with Resident #96 confirmed Resident Council meetings were no longer well attended. Resident #132 stated several residents who had regularly come to Resident Council have reported they stopped coming to the meetings because they felt nothing ever changed when they expressed concerns.

Interview on 04/29/26 at 11:13 A.M. with Resident #132 confirmed the former facility cook came to a meeting several months ago and listened to the food concerns expressed.

The cook told the residents he was going to make some changes to the menus and the preparation process to try to improve the flavor and presentation of the meals. Resident #132 stated nothing had changed and the food continued to be lacking flavor and was frequently cold.

Interview on 04/29/26 at 11:20 A.M. with Resident #96 verified concerns had been raised in Resident Council regarding staff using their cell phones during work time which caused a slow response to call lights and other assigned tasks. Resident #96 stated no changes had had been regarding cell phone usage by the staff, and she did not believe the concern had been addressed.

Interview on 04/29/26 at 3:12 P.M. with the Administrator confirmed the facility had no standard method of addressing concerns that were brought up in Resident Council meetings.

The Administrator verified concerns were addressed once the minutes of the meeting were completed but communication didn't get back to the residents.

The Administrator confirmed communication could be improved and done in a manner where information was formally disseminated to the residents, so they would know action had been taken on their concerns.This deficiency represents noncompliance investigated under Complaint Number 294964 and Complaint Number 2968329 and Complaint Number 2963128 and Complaint Number 2646120.

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 TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

366389 04/30/2026

Forest Hills Healthcare Center. 8700 Moran Road Cincinnati, OH 45244

Review of the Minimum Data Set (MDS) assessment for Resident #16 dated 04/13/26 revealed the resident had severely impaired cognition and required staff assistance with activities of daily living (ADLs.)

Review of the baseline care plan for Resident #16 dated 04/09/26 revealed the resident had an ADL self-care performance deficit due to her comorbidities.

The care plan did not include further details regarding the basic ADL care needs of the resident.

Interview on 04/29/26 at 12:37 P.M. with MDS Licensed Practical Nurse (LPN) #377 verified the information included in the chart for the baseline care plan did not include the basic information needed to care for the resident.

Review of the facility policy titled Baseline Care Plan/48 Hour Care Plan dated 03/01/26, revealed the baseline care plan would include information regarding the resident needs for assistance with activities of daily living.

This deficiency represents noncompliance investigated under Complaint Number 2963128.

366389 04/30/2026

Forest Hills Healthcare Center. 8700 Moran Road Cincinnati, OH 45244

Review of the medical record for Resident #1 revealed an admission date of 03/09/26 with diagnoses including anoxic brain damage, persistent vegetative state, and type two diabetes mellitus.

Review of the Minimum Data Set (MDS) assessment for Resident #1 dated 03/16/26 revealed the resident was in a persistent vegetative state with no discernible consciousness, was dependent on staff for all activities of daily living (ADLs), and had impaired range of motion to all extremities.

Review of the care plan for Resident #1 dated 04/27/26 revealed it did not include interventions related to the resident's impaired range of motion.

Interview on 04/29/26 at 12:37 P.M. with MDS Licensed Practical Nurse (LPN) #377 verified Resident #1's limited range of motion was not addressed on the care plan. MDS LPN #377 stated the information should be on the care plan, so the staff are aware of the limitations.

Review of the facility policy titled Plan of Care Overview undated revealed the care plan was the written treatment provided for a resident and the provision of optimal personalized care and services to enable the resident to live with dignity.

This deficiency represents noncompliance investigated under Complaint Number 2963128.

366389 04/30/2026

Forest Hills Healthcare Center. 8700 Moran Road Cincinnati, OH 45244

Review of the Minimum Data Set (MDS) assessment for Resident #113 dated 03/22/26 revealed the resident had intact cognition and required partial/moderate assistance with bathing and personal hygiene.

Observation on 04/27/26 at 11:50 A.M. revealed Resident #113's fingernails were long and extended approximately one half inch beyond the fingertip.

Interview 04/27/26 at 11:50 A.M. with Resident #113 confirmed he did not like having his fingernails so long because it interfered with his ability to press buttons on his tv remote.

Interview on 04/27/26 at 12:06 P.M. with Activity Director (AD) #370 verified Resident #113's fingernails were long and needed to be trimmed.

Observation on 04/28/26 at 10:14 A.M. revealed Resident #113's fingernails remained long and extended approximately one half inch beyond the fingertip.

Interview at 04/28/26 at 10:14 A.M. with Resident #113 confirmed no one had offered to cut his fingernails since the previous day. 2.

Review of the medical record for Resident #1 revealed an admission date of 03/09/26 with diagnoses including anoxic brain damage, persistent vegetative state, and type two diabetes mellitus.

Review of the MDS assessment for Resident #1 dated 03/16/26 revealed the resident was in a persistent vegetative state with no discernible consciousness, was dependent on staff for all activities of daily living, and had impaired range of motion to all extremities.

Observation on 04/28/26 at 2:14 P.M. with Licensed Practical Nurse (LPN) # 309 revealed Resident #1's fingernails were long and extended approximately one quarter inch beyond the fingertip.

Interview on 04/28/26 at 2:14 P.M. with LPN #309 verified Resident #1's fingernails were long and needed to be trimmed.

Review of the facility policy titled Routine Resident Care undated revealed the facility would provide routine daily care including assistance with activities of daily living.

This deficiency represents noncompliance investigated under Complaint Number 2804249 and Complaint Number 2966392 and Complaint Number 2964964 and Complaint Number 2799354 and Complaint Number 2738678 and Complaint Number 2673312 and Complaint Number 2704933 and Complaint Number 2968329.

366389 04/30/2026

Forest Hills Healthcare Center. 8700 Moran Road Cincinnati, OH 45244

Review of the Minimum Data Set (MDS) assessment for Resident #17 dated 02/13/26 revealed the resident had intact cognition and required staff assistance with activities of daily living (ADLs).

Review of the physician's orders for Resident #17 revealed an order dated 03/27/26 for oxycodone 10 milligrams (mg) every six hours.

Review of the Medication Administration Record (MAR) for Resident #17 revealed the 6:00 P.M. evening dose of oxycodone for 04/27/26 was not signed off as administered.

Interview on 04/29/26 at 4:30 P.M. with Resident #17 confirmed the facility had run out of his routine oxycodone recently and he had missed a dose of scheduled pain medication.

Interview on 04/30/26 at 11:44 A.M with the Director of Nursing (DON) confirmed Resident #17 did not receive his 6:00 P.M. dose of oxycodone on 04/27/26 because the medication was not available for administration. 2.

Review of the medical record for Resident #55 revealed an admission date of 09/20/23 with diagnoses including polyneuropathy, diabetes mellitus type two, prostate cancer and anxiety disorder.

Review of the MDS assessment for Resident #55 dated 09/28/25 revealed resident had intact cognition and required staff assistance with ADLs.

Review of the physician's orders for Resident #55 revealed an order dated 02/19/26 for oxycodone-acetaminophen 5-325 mg one tablet every six hours.

Review of the MAR for Resident #55 revealed the 6:00 P.M. evening dose of oxycodone-acetaminophen was not signed off as administered.

Interview on 04/27/26 at 10:05 A.M. with Resident #55 confirmed in the previous month there was a day where he did not receive his scheduled pain medication because it was not available.

Interview on 04/29/26 at 4:00 P.M. with the DON confirmed Resident #55 did not receive his 6:00 P.M. dose of oxycodone-acetaminophen on 03/16/26 because the medication was not available for administration.This deficiency represents noncompliance investigated under Complaint Number 2704502 and Complaint Number 2656097 and Complaint Number 2673312.

366389 04/30/2026

Forest Hills Healthcare Center. 8700 Moran Road Cincinnati, OH 45244

Observation on 04/27/26 at 8:27 A.M. with DDS #505 of the walk-in freezer revealed it contained the following items: a bag frozen chicken breasts which were not sealed or dated, a bag of pork pizza topping which was not sealed or dated.Interview on 04/27/26 at 8:28 A.M. with DDS #505 verified there were undated and unsealed items in the walk -in freezer. 3.

Observation on 04/27/26 at 8:35 A.M. with DDS #505 revealed the reach-in cooler next to the counter utilized for tray line had a variety of pre-poured juices, milk, thickened beverages, and tea which were covered but were not dated.

Interview on 04/27/26 at 8:35 A.M. with DDS #505 verified there were undated items in the reach-in cooler. 4.

Observation on 04/30/26 at 9:26 A.M. with Licensed Practical Nurse (LPN) #380 revealed the refrigerator at the [NAME] nurses' station contained the following items: a plastic bag of food labeled with Resident #112's name and dated 04/21/26, three half-sandwiches wrapped in plastic but not dated.

Interview on 04/30/26 at 9:27 A.M. with LPN #380 verified the bag of Resident #112's food was dated 04/21/26 and the three sandwiches did not have a date.

Review of the facility policy titled Food Storage: Cold Foods dated February 2026 revealed all foods would be stored six inches above the floor and all foods would be stored wrapped or in covered containers, labeled, and dated. 5.

Observation on 04/30/26 at 9:16 A.M. revealed the personal refrigerator in Resident #20's room contained three undated bags of grapes with visible mold.

Interview on 04/30/26 at 9:17 A.M. with Certified Nursing Assistant (CNA) #314 verified the three bags of grapes were moldy and undated.

Review of the facility policy titled Storage of Resident Food undated revealed resident refrigerators would be monitored daily, food would be labeled appropriately, and unsafe foods, including food with mold, would be discarded.

This deficiency represents noncompliance investigated under Complaint Number 2708220.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CINCINNATI, OH, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from FOREST HILLS HEALTHCARE CENTER. or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.