Arbor Hills Nursing Center

In the surveyor’s words

From the most serious findings on record at Arbor Hills Nursing Center, in the surveyor’s own words.

• Actual harm, isolatedF688Nov 1, 2024

  Based on observation, interviews, and record review the facility failed to identify and address a decline in range of motion (ROM - how far a joint can move or stretch) for one of two residents (Resident 27) reviewed for limited range of motion. This failure resulted in a decline Resident 27's full movement potential of his hands (such as fully closing his hands to grasp or make a fist), which made it difficult for Resident 27 to cut up food items and fully grasp utensils during meals. […]

• No harm, potential for more than minimal, patternF804Nov 1, 2024

  Based on observation, interview and record review, the facility failed to ensure food served was in a palatable (pleasant and appealing), flavorful manner that maintained the nutritional value of the menu items served. This failure had the potential to decrease residents' meal intake and contribute to weight loss. The facility census was 86. Cross-Reference F867 Findings: During a dining observation on 10/29/24 the following confidential resident food concerns occurred: - 8:26 A.M., did not like the food, bad taste. - 9 A.M., did not like food: processed meat, cold food, mashed vegetables, spicy dinner last night .lost weight per preference but also due to not liking the food . - 9:16 A.M., breakfast always scrambled eggs, cold food. - 9:21 A.M., food was always cold. […]

• No harm, potential for more than minimal, patternF806Nov 1, 2024

  Based on observations, interviews, and record reviews, the facility failed to provide food that accommodates resident's preferences for one of 20 residents (Resident 72) sampled. This failure had the potential for Resident 72 to experience poor meal intake and weight loss due to foods they do not like or tolerate. Findings: A review of Resident 72's Admission Record indicated Resident 72 was admitted to the facility on [DATE] with diagnoses which included a history of heart failure (a heart disorder which causes the heart to not pump the blood efficiently, sometimes resulting in leg swelling). […]

• No harm, potential for more than minimal, patternF812Nov 1, 2024

  Based on observation, interview, and record review, the facility failed to ensure food safety and sanitation practices in dietary services were maintained according to standards of practice when: 1. Two individual sized cereal containers were found on the floor under the food shelves of the dry pantry storage. 2. One large food can item was dented. 3. Food boxes stored above the red line (18 inch) mark from the ceiling from fire sprinkler clearance. 4. Five food seasonings was previously used without an opened date. 5. One dish machine did not have a proper air gap system to adequately prevent backflow of contaminated fluids. 6. A red sanitation bucket was placed on top of a food production table. […]

• No harm, potential for more than minimal, patternF677Apr 15, 2022

  Based on observation, interview, and record review, the facility failed to ensure residents who required assistance with toileting, were provided assistance when requested and in a timely manner for six residents (Residents 39, 163, 162, 20, 10 and 8) and for six out of seven confidential residents (CR). This failure had the potential for residents to not have their toileting needs met and to experience a health decline or to lose the ability to control bowel and or bladder. Findings: 1. […]