Bethesda North
An acute care hospital in Cincinnati, Ohio 45242
10500 Montgomery Road, Cincinnati, Ohio 45242. (513) 865-1111.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 2 deficiencies cited in the last three years (needs attention)
- 465 beds
Each figure’s source sits beside it, in its section below.
What these words mean4
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Condition-level deficiency
- For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.
What did inspectors find?
The last inspection on record was on Feb 11, 2025: a complaint inspection.
2 deficiencies cited in the last three years, 1 of them at condition level, the most serious.
1 deficiency at condition level, the more serious of CMS’s two levels
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Jan 2025. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Jan 7, 2025: complaint inspection2 deficiencies
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Nursing Services
“NURSING SERVICES CFR(s): 482.23 The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse. This Condition is not met as evidenced by: 28999 Based on record review, interview and policy review, the facility failed to ensure a patient on a telemetry unit was assessed timely when his heart rate slowed. The patient ultimately expired. The facility census was 380. See A395”
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Rn Supervision Of Nursing Care
The inspectors’ words, 1,291 words
“RN SUPERVISION OF NURSING CARE CFR(s): 482.23(b)(3) A registered nurse must supervise and evaluate the nursing care for each patient. This Standard is not met as evidenced by: 28999 Based on record review, interview and policy review, the facility failed to ensure failed to ensure a patient on a telemetry unit was assessed timely when his heart rate slowed. The patient ultimately expired. This affected one (Patient #8) of ten patients reviewed and had the potential to affect all patients on cardiac telemetry monitoring. The facility census was 380. Findings include: Record review revealed Patient #8 was transported to the Emergency Department (ED) on 12/18/24 at 1:20 PM for evaluation of visual hallucinations, confusion, and disorientation. The patient was alert and oriented and able to provide history. The history was augmented by a family member who was at the bedside. According to the patient, he was admitted to the facility a few weeks prior for abdominal pain and diagnosed with an acute appendicitis that was managed non-operatively. The patient was discharged home on a 10 day course of antibiotics. He was instructed to return to the hospital for fevers greater than 101.5 degrees Fahrenheit (F), inability to tolerate a diet, or unexpected pain. The patient’s family member also revealed that the patient had recently been diagnosed with an oropharyngeal tumor for which he planned to follow up with oncology at another hospital later that week. Patient #8 patient denied any headache, fever, chest pain, cough, flu-like symptoms, abdominal pain, change in appetite, vomiting, syncope, fall or injury. A physician’s history and physical stated the patient reported he felt “reasonably well today” all things considered. The patient’s vital signs on admission were blood pressure 133/60, pulse 89, temperature 99.8 degrees F, respirations 20, and oxygen saturation of 100 percent. Review of the laboratory values revealed an elevated white count of 46.8 (reference range 3.6-10.5 thousands per microliter). The WBC was up from 20.1 about two weeks prior. Prior to any further laboratory testing, the patient was medicated with one liter of normal saline and Zosyn, an antibiotic. Patient #8 was admitted to a telemetry unit at 11:20 PM. Admission orders included telemetry monitoring using a portable device that continuously monitors patient/electrocardiogram, respiratory rate, and/or oxygen saturations while automatically transmitting information to a central monitor. Review of the telemetry monitoring revealed at 11:56 PM, the cardiac rhythm was a normal sinus rhythm with a heart rate of 95 beats per minute. At 2:24 AM, Patient #8’s heart rate dropped to 27 beats per minute. At 2:26 AM, the patient’s heart rate was 17 beats per minute. At 2:36 AM, Staff I, the monitor technician, sent a message to Staff J, the acute care technician, through the Voalte hospital communication system stating that the patient’s leads were off and asked Staff J if she could fix them. Staff J immediately responded yes, she would. The medical record revealed Staff J entered the patient’s room to fix the leads at approximately 2:50 AM. The patient was unresponsive and, at 2:56 AM, a code blue button on the wall was pressed. There was no documentation the Registered Nurse, Staff H, was notified Patient #8’s heart rate had dropped. Review of the code blue sheet revealed medications were given and cardiopulmonary resuscitation (CPR) was started. At 3:08 AM, Patient #8 was in asystole, no heart beat. At 3:11 AM, Patient #8 regained a heart beat and CPR was paused. At 3:12 AM, Patient #8’s blood pressure was 159/68 at 3:12:43 AM. The patient was transported to the facility’s Intensive Care Unit at 3:17 AM. A physician’s significant event progress note stated after return of spontaneous circulation was achieved, she reviewed the telemetry monitor at the nurse’s station and noted there was a bradycardic episode at 2:23 AM that evolved into asystole at 2:26 AM. The note stated at 2:36 AM, Staff I requested that Staff J change the leads on the patient and Staff J went to the room at approximately 2:50 AM and found the patient unresponsive. A critical care physician’s progress note on 12/19/24 at 3:38 PM stated he met with the patient’s family and explained that if the patient had another event of cardiac arrest, CPR may be futile. The family chose to transition care to a Do Not Resuscitate Comfort Care Arrest (DNR CCA). Palliative care was consulted. The patient never regained consciousness and died on 12/20/24 at 6:51 PM. During an interview on 01/02/25 at 1:30 PM Staff A, Regulatory Compliance Staff and Staff B,the Director of Nursing stated the medical record lacked documentation the primary RN was notified of the change in the patient’s electrocardiogram or the need to have the leads changed. The change in the patient’s electrocardiogram was not escalated to the Charge Nurse, the Administrative Supervisor, the Assistant Nurse Manager, the Nurse Manager, or the Director. It was confirmed that from 2:23 AM - 2:50 AM, 27 minutes, the Staff I did not notify the primary RN, Staff H, nor escalate the patient’s monitor issues. Staff B stated that Staff I was terminated due to her failure to follow the policy for escalation of ELECTROCARDIOGRAM changes. During an interview on 01/02/25 at 11:00 AM, Staff H stated he went to lunch at approximately 2:15 AM. He notified Staff I that he was going to lunch. He returned from lunch after 30 minutes and went into another patient’s room that needed to go to the bathroom. Staff H stated he never received a call regarding Patient #8 until the code blue was called. During an interview on 01/02/25 at 11:30 AM, Staff K, an acute care technician, stated Staff J was floated to the unit and it was her first time working on the unit. Staff K stated that Staff J asked her to help with her patients as she was unsure how things worked on the unit. Staff J asked her to show her how to change the leads on Patient #8 and when they went in the room, the patient appeared to be sleeping. Staff J lightly touched the patient while she called his name. Staff J called his name a little louder and the patient still did not answer. Staff K stated she she pressed the code blue button on the wall. During an interview on 01/02/25 at 12:30 PM, Staff J stated that she had only been a float pool acute care technician since 10/01/24. Although she has worked as an ACT on different units, this was the first time she had worked on this unit. She also had never placed leads before and thought she needed help. Staff J stated she asked another staff to help her. When she received the message to change the leads, she didn’t realize there was any urgency. Staff J stated since this incident, a nurse showed her how to place leads and she has placed them twice. The facility policy titled “Telemetry Escalation Protocol” stated when a Unit Clerk Monitor Watcher (UCMW) calls a primary RN with monitor issues such as a patient being off the monitor, a change of rhythm, or batteries or leads needing replacing, and there is no answer, he/she must escalate the unresolved issue to the charge nurse. If the issue remains unresolved after three minutes, the issue must be escalated to the Administrative Supervisor. If the issue remains unresolved after three minutes, the UCMW must escalate the issue to the Assistant Nurse Manager and then escalate to the Nurse Manager and then escalate to the Director. The protocol lists the Voalte extensions for the Charge Nurse, Administrative Supervisor, Assistant Nurse Manager, Nurse Manager, and Director and further instructs UCMW’s to escalate up the chain command every three minutes until the issue is resolved.”
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Feb 11, 2025 | Complaint inspection | No deficiencies cited |
| Jan 7, 2025 | Complaint inspection | 2 deficiencies cited |
| Dec 12, 2024 | Complaint inspection | No deficiencies cited |
| Jan 8, 2024 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System. for it is 3 of 5.
- Of the measures behind its CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System., CMS counts against the national value: mortality, 0 better and 1 worse of 8; safety of care, 3 better and 0 worse of 8; readmission, 0 better and 2 worse of 9.
- Patients rate it 3 of 5 in CMS’s patient survey (1,897 surveys completed, Oct 1, 2024 to Sep 30, 2025): 72% rated it 9 or 10 out of 10, and 72% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), better than the national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 9.8%, heart failure 10.7%, pneumonia 15.4%, COPD 8.9%, stroke 11.6%, heart bypass surgery 1.9%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 15%, heart failure 21.7%, pneumonia 18.9%, COPD 19.6%, heart bypass surgery 10.2%, hip or knee replacement 6.4%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 155 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 57% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 1 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jul 1, 1966.
- Ownership: voluntary non-profit - church.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- Cited at For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
- Voluntary non-profit - Church.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 74% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Trihealth Inc. runs it.
- 21 owners or officers are people: Ralph Michael (corporate director); Kristin H Coppage (corporate director); Mark C Clement (corporate officer); John Andrew Devoe (corporate officer); John Andrew Devoe (managing employee (on the payroll)); Michael Crofton (corporate officer); Michael Crofton (managing employee (on the payroll)); Theodore Torbeck (corporate director); Rance Duke (corporate director); Robert H Collins (corporate director); Steve Gracey (corporate officer); Steve Gracey (managing employee (on the payroll)); Phillip Castellini (corporate director); Cynthia Booth (corporate director); Philip Foster (corporate director); Quint Studer (corporate director); Lorraine Stephens (corporate director); Angela Lee (managing employee (on the payroll)); Kathy M Kelly (corporate director); Sara Duffy (corporate director); Lisa M Konerman (managing employee (on the payroll)).
- CMS’s Provider of Services file records 2 changes of ownership.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
How does it compare nearby?
- Of the 13 hospitals CMS lists in Hamilton County, 8 have an overall star rating from CMS: 1 rated 5 of 5, 5 rated 4 of 5, 2 rated 3 of 5.
- CMS rates this one 3 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.