Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Arc At Chillicothe during CMS and state inspections, most recent first.
The facility failed to prevent abuse when two residents engaged in a verbal and physical altercation in a dining room. One resident reported disliking another resident’s conversation, after which the other resident allegedly gave the middle finger, told the first resident to mind her own business, and struck her in the stomach with an open hand. Witnesses, including a visitor and HR staff, reported seeing both residents yelling, one resident attempting to hit the other, and both residents striking or swinging at each other in the chest area before staff intervened and separated them. The facility’s abuse policy affirms residents’ right to be free from abuse and defines abuse as the willful infliction of injury, yet this incident involved resident-to-resident physical and verbal abuse.
A resident fell and sustained a head injury after a CNA attempted to move her wheelchair over an air mattress cord left on the floor, rather than removing the hazard. The CNA lifted the back of the wheelchair, causing the resident to fall forward and strike her head on a mechanical lift, in violation of the facility's fall prevention policy.
A resident admitted with acute respiratory failure and pneumonia did not receive ordered lab tests. Despite a Nurse Practitioner's order for stat lab work, the tests were not completed, and no results were documented. The resident's daughter was informed of the oversight, and the facility's process for handling lab orders was not followed, as confirmed by the DON.
A resident with acute respiratory failure and moderate cognitive impairment experienced a delay in treatment due to the facility's failure to promptly report and review x-ray results indicating pneumonia. The x-ray was ordered but not acted upon until six days later, despite the resident's ongoing symptoms. The facility's process for handling diagnostic tests involved communication breakdowns, leading to the delay in initiating appropriate treatment.
The facility failed to ensure dietary staff fully covered their hair in the kitchen and improperly stored a chemical product in an unlocked cabinet in the dining room. The Dietary Manager and two Dietary Aides were observed with uncovered hair, violating the facility's hygiene policy. Additionally, a full container of All Purpose Cleaner was found in an unlocked cabinet, contrary to the chemical use procedures. These deficiencies potentially affected 89 of the 90 residents consuming food at the facility.
A facility failed to secure a controlled substance, Lorazepam, in a double-locked location for a resident. The medication was found in an unlocked cabinet in the South Hall Medication Room. The DON stated the medications were from the resident's home and should have been sent back with the family upon admission. The Lorazepam should have been counted by two nurses, documented, and placed in a double-locked controlled substance drawer or secured in a second locked location.
The facility failed to make the State Survey Results Binder readily accessible to residents, as it was located in a non-wheelchair accessible foyer requiring an electronic code for entry. Two residents were misinformed about the binder's location, and staff confirmed that residents needed assistance to access it, affecting all 90 residents.
A facility failed to follow a physician's wound care order for a resident with a stage 4 pressure ulcer. The resident's care plan included several diagnoses, and the physician's order specified using calcium alginate and an ABD pad. However, a hydrocolloid dressing was used instead, as confirmed by an LPN. The DON stated that all nurses are expected to follow the physician's orders.
A facility failed to timely obtain a urinalysis for a resident with acute kidney failure and diabetes, leading to a delay in diagnosing a urinary tract infection. A physician ordered the test, but the sample was collected and sent to the lab several days later, delaying results and treatment. The DON confirmed the test should have been completed within 24 hours, and the physician notified if there were collection issues.
Failure to Prevent Resident-to-Resident Physical and Verbal Abuse
Penalty
Summary
The facility failed to protect residents from abuse when two residents engaged in a physical and verbal altercation in the dining room. On 2/11/26 at approximately 2:40 p.m., the facility was notified of alleged resident-to-resident contact between R7 and R8, and an initial abuse investigation documented that the residents were separated immediately. The final abuse investigation dated 2/12/26 states that R7 reported she did not like a conversation R8 was having with another resident, that R8 gave her the middle finger and told her to mind her own business, then used an open hand to make physical contact with her stomach, after which R7 made physical contact with R8’s chest with her left hand. Facility interviews document that a visitor (V11) saw R7 trying to hit R8 while both were yelling, that R8 tried hitting or hit R7 and R7 continued trying to reach for R8, and that the HR staff member (V10) observed R7 hit R8 in the chest with her fist and then saw R8 start swinging back at R7. Two staff members overheard the argument in the dining room and separated the residents, and the Administrator later acknowledged there had been resident-to-resident abuse involving R7 and R8 that was reported to the state. R7 subsequently stated she had a verbal issue with R8 and that he hit her in the stomach after giving her the middle finger. The facility’s Abuse Prevention and Reporting policy affirms residents’ right to be free from abuse and defines abuse as the willful infliction of injury, but the incident demonstrates that residents were subjected to physical and verbal abuse by another resident.
Failure to Maintain Hazard-Free Environment Results in Resident Fall
Penalty
Summary
A deficiency occurred when a resident's environment was not kept free of hazards, resulting in a fall. The incident involved a certified nursing assistant (CNA) who was preparing a resident in her room. The CNA encountered cords from an air mattress that were lying on the floor in front of the resident's wheelchair. While attempting to move the wheelchair over the cord, the CNA lifted the back of the wheelchair, causing the resident to fall forward out of the chair and hit her head on a mechanical lift. The resident sustained a bleeding injury to the right side of her head, which required cleansing and monitoring. The facility's fall prevention policy requires that resident environments be kept free of clutter and hazards, and that appropriate interventions be implemented based on individual risk assessments. In this case, the CNA did not remove the cord from the resident's path before attempting to move the wheelchair, and lifted the wheelchair in a manner that led to the resident's fall. The Director of Nursing confirmed that the CNA should have moved the cord and not lifted the wheelchair, indicating a failure to follow established safety protocols.
Failure to Complete Ordered Lab Tests for Resident
Penalty
Summary
The facility failed to ensure that laboratory testing was completed as ordered for a resident who was admitted with a primary diagnosis of acute respiratory failure with hypoxia. The resident was supposed to have stat lab work done following a follow-up visit by a Nurse Practitioner, who also ordered the continuation of an antibiotic for pneumonia. However, the lab order, which was placed in the computer to be completed the following day, was not executed, and no lab results were documented in the resident's records. The resident's daughter reported that upon admission, the resident had been complaining of a cough and sore throat, which led to an x-ray and a pneumonia diagnosis. She was informed that labs were to be done, but later discovered from a nurse that the labs were never completed. The facility's process for handling lab orders involves filling out a paper form and placing it in an accordion file for the lab to collect. The Director of Nursing confirmed that the lab work was not done as it should have been. The facility's policy requires a licensed nurse to ensure that lab orders are communicated to the laboratory and that results are reported to the physician promptly.
Delayed Reporting of Diagnostic Test Results
Penalty
Summary
The facility failed to ensure timely reporting and review of diagnostic testing results for a resident with a primary diagnosis of acute respiratory failure with hypoxia. The resident, who had moderate cognitive impairment, was ordered a repeat chest x-ray by a Nurse Practitioner due to a history of bilateral pleural effusions. The order was noted by nursing staff two days later, and the x-ray results, which indicated right basilar opacity suggestive of pneumonia, were reported on the same day. However, the results were not acted upon until six days later when an antibiotic was ordered. The delay in treatment was highlighted by the resident's daughter, who reported that her father had been complaining of a cough and sore throat upon admission, but no immediate action was taken. The facility's process for handling x-ray orders involved placing the order in the computer, scheduling the exam, and faxing results to the provider. However, there was a breakdown in communication and follow-up, as the results were not promptly forwarded to the medical group for review. The Director of Nursing acknowledged that the x-ray order should have been processed and completed earlier, which would have allowed for timely initiation of treatment.
Non-compliance with Hair Coverage and Chemical Storage Policies
Penalty
Summary
The facility failed to ensure that dietary staff adhered to the established hygiene policy requiring complete hair coverage while in the kitchen. During an observation, the Dietary Manager and two Dietary Aides were found with hair not fully covered, contrary to the facility's policy. The Dietary Manager's bangs were exposed, and she acknowledged the oversight, stating that her hair had slipped out. Similarly, the Dietary Aides had uncovered hair on the sides and back of their heads, which they admitted was against the kitchen staff's requirements. This lack of compliance with the hair covering policy was observed during a time when the Dietary Manager was substituting as a cook. Additionally, the facility did not comply with its housekeeping chemical use procedures, which mandate that all chemicals be stored in a locked cabinet or remain in the user's line of sight. A full container of All Purpose Cleaner was found in an unlocked lower cabinet in the dining room, posing a potential risk to residents. The Dietary Manager was unaware of how the chemical ended up in the cabinet and confirmed that it should have been locked to prevent resident access. These deficiencies potentially affected 89 of the 90 residents who consume food at the facility.
Failure to Secure Controlled Substance in Double-Locked Location
Penalty
Summary
The facility failed to secure a controlled substance medication in a double-locked location for a resident reviewed for medication storage. During an observation, a plastic bag containing medications labeled with the resident's name, including a bottle of Lorazepam 0.5mg tablets, was found in an unlocked cabinet in the South Hall Medication Room. Lorazepam is a Schedule IV controlled substance prescribed for anxiety. The Director of Nursing (DON) stated that these medications were brought from the resident's home and should have been sent back with the family upon the resident's admission. The DON acknowledged that the Lorazepam should have been counted by two nurses, documented on the facility's Controlled Drug Record/Disposition Form, and placed in a double-locked controlled substance drawer or secured in a second locked location within the Medication Room.
Inaccessible Survey Results Binder
Penalty
Summary
The facility failed to ensure that the annual State Survey Results were readily and easily accessible to residents, which is a violation of the residents' rights as outlined in the facility's Resident Rights Policy. The policy guarantees residents the right to examine survey results, but the Survey Results Binder was located in a cabinet drawer in the front foyer, an area that was not wheelchair accessible and required an electronic code for entry. Residents did not have access to this code, effectively preventing them from accessing the survey results independently. During a Resident Council Meeting, two residents were informed by the Activities Director that the Survey Results Binder was located at the East Wing Nursing Station. However, when one of the residents requested to see the binder, it was not found at that location. The Activities Director later confirmed that the binder had been moved to the front foyer during a facility remodel in 2017. Staff interviews revealed that residents would need assistance to access the binder, as they could not reach the foyer on their own. This oversight potentially affected all 90 residents residing in the facility.
Failure to Follow Wound Care Orders
Penalty
Summary
The facility failed to apply the correct treatment to a wound for one resident, identified as R6, who was reviewed for wounds. R6's care plan, initiated on 5/6/2024, includes diagnoses such as a wedge compression fracture, Alzheimer's disease, difficulty in walking, musculoskeletal symptoms, and protein-calorie malnutrition. R6 was assessed to be at moderate risk for skin breakdown and had a facility-acquired stage 4 pressure ulcer on the left buttock. The physician's order dated 8/12/24 specified cleansing the wound, patting it dry, applying calcium alginate, and covering it with an ABD pad daily and as needed. However, on 8/20/24, a hydrocolloid dressing was observed on R6's wound, which was not in accordance with the physician's order. The LPN confirmed the treatment order and stated that other nurses sometimes used the hydrocolloid dressing when the ABD pad became soiled. The Director of Nursing stated that all nurses are expected to follow the physician's orders.
Delayed Urinalysis Collection and Testing
Penalty
Summary
The facility failed to obtain a urinalysis in a timely manner for a resident who was being reviewed for urinary tract infections. The resident had medical diagnoses including acute kidney failure, type 2 diabetes mellitus with hyperglycemia, difficulty in walking, and lack of coordination. A physician ordered a urinalysis on June 28, 2024, but the urine sample was not collected until July 2, 2024, and sent to the lab on July 3, 2024. The microbiology results detected Escherichia coli Extended Spectrum Beta-Lactamase (ESBL) in the urine. The Director of Nursing confirmed that the urinalysis should have been completed the same day or the next day after the order was given, and if there were difficulties in collecting the sample, the physician should have been notified. This delay in collecting and sending the urine sample resulted in a delay in obtaining the urinalysis results and subsequent treatment for the resident's urinary tract infection.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Chillicothe
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lacon Rehab And Nursing | 9.7 mi | — | 7 | 1 |
| Lutheran Hillside Village | 10.1 mi | — | 1 | 0 |
| Arcadia Care Peoria Heights | 10.8 mi | — | 9 | 0 |
| Goldwater Care Peoria Heights | 10.8 mi | — | 24 | 3 |
| Snyder Village | 10.9 mi | — | 0 | 0 |
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