Forest Hills Center
FOREST HILLS CENTER in COLUMBUS, OH — inspection on November 6, 2025.
Found 2 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
Review of the progress note dated 09/21/25 for Resident #11 revealed an x-ray result with no acute osseous abnormality, very mild wrist arthritis and the on call CNP #233 was notified and no new orders were given.
Review of the provider note dated 09/22/25, written by CNP #233, revealed staff reported a discoloration of the patient's left hand and wrist on 09/22/25.
They stated that she did not allow the thumb to be touched and was able to move the left hand, but could not move the left thumb on command. It was an unknown injury. It stated the patient was not appropriately verbal and unable to recall any injury or event.
Staff denied any recent falls or injury.
Review of the progress note dated 09/22/25, revealed a new order for an x-ray to the left hand with concentration on thumb area.
Review of the progress note dated 09/23/25 revealed the x-ray results received with results of acute fracture of the proximal phalanx of the first digit. Resident #11 had a diagnosis of osteopenia. Resident #11 was unable to say how the incident happened due to dementia.
Review of the provider note dated 09/24/25, written by CNP #233, revealed a closed fracture of the phalanx of the finger.
Observation on 11/05/25 at 8:59 A.M. revealed Resident #11 had a brace on her left wrist and thumb.
Interview on 11/05/25 at 4:04 P.M. with the Director of Nursing (DON) revealed she suspected that maybe Resident #11 had placed her left hand near her wheel and it had become caught in the wheel.
The DON revealed that she would normally document the conclusion of the investigation in the interdisciplinary (IDT) progress notes.
The DON confirmed that the conclusion to the investigation was not documented in the IDT progress note and further confirmed the injury was not reported to the State agency.
Review of the facility policy titled Abuse, Neglect, and Exploitation dated 01/01/24 defined abuse as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting harm, pain or mental anguish, which can include staff to resident abuse and certain resident to resident altercations.
Abuse also includes the deprivation by an individual, including a caretaker, of goods or services that are necessary to attain or maintain physical, mental, and psychosocial well-being.
Instances of abuse of residents, irrespective of any mental or physical condition, cause physical harm, pain, or anguish.
Additionally, the facility policy stated under identification of abuse, neglect, and exploitation the possible indicators of abuse, include but are not limited to physical injury of a resident, of unknown source.
The facility policy titled Abuse, Neglect, and Exploitation dated 01/01/24 stated under the reporting/response section that the facility will have written procedures that include: reporting of all alleged violations to the Administrator, state agency, adult protective services and to all other required agencies (i.e. law enforcement when applicable) within specified timeframes: immediately, but not later than two hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than twenty-four hours if the events that cause the allegation do not involve abuse and do not involve serious bodily injury.
This deficiency represents an example of continued non-compliance investigated under Complaint Number
- Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/06/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Forest Hills Center
2841 East Dublin-Granville Road Columbus, OH 43231
SUMMARY STATEMENT OF DEFICIENCIES
Review of the provider note dated 09/22/25, written by CNP #233, revealed staff reported a discoloration of the patient's left hand and wrist on 09/22/25.
They stated that she did not allow the thumb to be touched and was able to move the left hand, but could not move the left thumb on command. It was an unknown injury. It stated the patient was not appropriately verbal and unable to recall any injury or event.
Staff denied any recent falls or injury.
Review of the progress note dated 09/22/25, revealed a new order for an x-ray to the left hand with concentration on thumb area.
Review of the progress note dated 09/23/25 revealed the x-ray results received with results of acute fracture of the proximal phalanx of the first digit. Resident #11 had a diagnosis of osteopenia. Resident #11 was unable to say how the incident happened due to dementia.
Review of the provider note dated 09/24/25, written by CNP #233, revealed a closed fracture of the phalanx of the finger.
Observation on 11/05/25 at 8:59 A.M. revealed Resident #11 had a brace on her left wrist and thumb.
Interview on 11/05/25 at 4:04 P.M. with the Director of Nursing (DON) revealed she suspected that maybe Resident #11 had placed her left hand near her wheel and it had become caught in the wheel.
The DON revealed that she would normally document the conclusion of the investigation in the interdisciplinary (IDT) progress notes.
The DON confirmed that the conclusion to the investigation was not documented in the IDT progress note.
Interview with the Administrator on 11/05/25 at 5:31 P.M. confirmed that he was aware that investigations had not been fully investigated previously and that it was something that would be discussed in future Quality Assurance Performance Improvement (QAPI) meetings.
The Administrator revealed that he and the Director of Nursing had been educated on how to thoroughly perform investigations.
Review of the facility policy titled Abuse, Neglect, and Exploitation dated 01/01/24 defined abuse as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting harm, pain or mental anguish, which can include staff to resident abuse and certain resident to resident altercations.
Abuse also includes the deprivation by an individual, including a caretaker, of goods or services that are necessary to attain or maintain physical, mental, and psychosocial well-being.
Instances of abuse of residents, irrespective of any mental or physical condition, cause physical harm, pain, or anguish.
Additionally, the facility policy stated under identification of abuse, neglect, and exploitation the possible indicators of abuse, include but are not limited to physical injury of a resident, of unknown source.
This deficiency represents an example of continued non-compliance investigated under Complaint Number
- Facility ID: