Forest Hills Center
Inspection Findings
F-Tag F0609
F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
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
- 2656924. 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
11/06/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Forest Hills Center
2841 East Dublin-Granville Road Columbus, OH 43231
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-Tag F0610
F 0610 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
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.
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
- 2656924. FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
FOREST HILLS CENTER in COLUMBUS, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 COLUMBUS, 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 CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.