F 0583
Keep residents' personal and medical records private and confidential.
Level of Harm - Minimal harm
or potential for actual harm
Based on observation, staff interview and review of the facility policy, the facility failed to maintain the
confidentiality of residents' medical records. This affected one (Resident #178) and had the potential to
affect all of the residents residing in the facility. The facility census was 122 residents. Findings
include:Observation on 11/05/25 at 11:07 A.M. revealed the laptop on top of the medication cart in the 400
hall was open and displayed Resident #178's name and medication list. The cart was unattended by staff
and Resident #178's private health information was viewable by residents, staff, and visitors passing by the
cart. Interview on 11/05/25 at 11:10 A.M. with Registered Nurse (RN) #825 confirmed she had left the
laptop on top of the 400-hall medication cart unattended with Resident #178's private health information
visible to residents, staff, and visitors passing by the cart. Observation on 11/05/25 at 11:14 A.M. revealed
the laptop on top of the medication cart in the 400-hall was open and displayed multiple resident records.
The cart was unattended by staff and multiple resident records were accessible to residents, staff, and
visitors passing by the cart. Interview on 11/05/25 at 11:17 A.M. with RN #825 confirmed she had left the
laptop on top of the 400-hall medication cart unattended with multiple resident records accessible to
residents, staff, and visitors passing by the cart. Interview on 11/06/25 at 1:55 P.M. with the Administrator
confirmed all nursing staff are to lock their laptop screens when walking away from the medication cart to
ensure the privacy of resident health information. Review of the facility policy titled Health Insurance
Portability and Accountability Act undated revealed staff should ensure computer screens are turned off so
a passerby would not see or have access to residents' private health information. Staff should not walk
away from open medical records.
Residents Affected - Few
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
Page 1 of 2
Event ID:
366389
Printed: 05/15/2026
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
366389
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
11/06/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Forest Hills Healthcare Center.
8700 Moran Road
Cincinnati, OH 45244
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 0685
Assist a resident in gaining access to vision and hearing services.
Level of Harm - Minimal harm
or potential for actual harm
Based on medical record review, staff interview, resident interview, and review of the facility policy, the
facility failed to ensure residents received vision services as needed. This affected one (Resident #186) of
three residents reviewed for ancillary services. The facility census was 122 residents.Findings
include:Review of the medical record for Resident #186 revealed an admission date of 03/04/20 diagnoses
including Alzheimer's disease, major depressive disorder, and hypertension. Review of the physician's
orders for Resident #186 revealed an order dated 04/03/23 for the resident to be seen by an outside eye
doctor as needed. Review of the Minimum Data Set (MDS) assessments for Resident #186 dated 12/06/24,
03/08/25, and 06/08/25 revealed the resident had adequate vision and did have corrective lenses. Review
of the physician's orders for Resident #186 revealed an order dated 01/05/25 revealed Latanoprost eye
drops at bedtime for glaucoma. Review of the care plan for Resident #186 initiated 03/25/25 revealed the
resident had impaired visual function and had a diagnosis of glaucoma. Interventions included the following:
arrange consultation with and eye care practitioner as needed, observe/document/report acute eye
problems to the medical provider. Review of the care conference progress note for Resident #186 dated
06/30/25 revealed the Social Services Designee (SSD) educated the resident on the availability of ancillary
services available to residents. Resident #186 wanted to be seen by the facility eye doctor. SSD sent a
referral in for Resident #186 to be seen. Review of the MDS assessment for Resident #186 dated 09/08/25
revealed Resident #186 had severely impaired cognition, required staff assistance with activities of daily
living (ADLs.), had adequate vision and was not coded for use of corrective lenses. Interview on 11/06/25 at
9:50 A.M. with Director of Social Services (DSS) #335 confirmed the facility had sent in a referral for
Resident #186 to be seen by the facility eye doctor in June 2025 but the resident had not been seen by an
eye doctor since her admission to the facility in 2020. Interview on 11/06/25 at 9:55 A.M. with Resident
#186 confirmed she wore glasses, but she did not know where they were. Interview on 11/06/25 at 1:15
P.M. with Certified Nursing Assistant (CNA) #775 confirmed the aide had worked for the facility for nine
months and had never seen Resident #186 wearing glasses. Interview on 11/06/25 at 1:55 P.M. with the
Administrator confirmed the staff were unable to find glasses Resident #186's glasses. The Administrator
confirmed Resident #186 had not been seen by the facility eye doctor since her admission to the facility.
Review of the facility policy titled Social Services dated 2017 revealed the facility would ensure residents
were referred for eye care appointments as needed. This deficiency represents noncompliance investigated
under Complaint Number 2655929.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
366389
If continuation sheet
Page 2 of 2
