Arbor Trail Rehab and Skilled Nursing Center

In the surveyor’s words

From the most serious findings on record at Arbor Trail Rehab and Skilled Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 30, 2025

  Based on observation, interview, and record review, the facility failed to ensure food items were stored, labeled, and discarded according to professional standard of practice. Findings include: During an observation while conducting an initial tour of the kitchen on 4/27/2025 at 9:07 AM, there were three ready-to-eat chicken sandwiches wrapped in a bag with a date label reading 4/21, eight pieces of unpackaged meat wrapped together with no identifier label or date, two plates of salad containing lettuce, tomato, eggs and ham with a label dated 4/23 in the refrigerator. […]

• No harm, potential for more than minimal, widespreadF812Mar 4, 2021

  Based on observation, record review, and interview, the facility failed to ensure the facility stored food in accordance with professional standards for food service safety. The facility also failed to ensure proper sanitation measures, by following their policies, were maintained in the kitchen regarding cleanliness of large equipment. Findings: A tour of the kitchen with the Certified Dietary Manager (CDM) on 3/1/2021 beginning at 9:00 AM showed a large box of tomatoes, approximately 50, were observed in the walk-in cooler. The tomatoes had dark black spots on them. Some of the tomatoes with dark black spots had a white furry substance growing on them. The box was completely open on the top with no covering. […]

• No harm, potential for more than minimal, patternF695Aug 25, 2022

  Based on observation, interview, and record review the facility failed to ensure residents receive respiratory care services for oxygen administration consistent with professional standards of practice for 4 of 5 residents reviewed for respiratory care, Residents #195, #61, #82, and #32 in a total sample of 33 residents. Findings include: 1) During an observation conducted on 8/22/2022 at 11:04 AM, Resident #195 was observed resting in bed with the head of his bed flat with 4 liters of oxygen being administered through a nasal cannula connected to an oxygen concentrator. […]

• No harm, potential for more than minimal, isolatedF641Apr 30, 2025

  Based on interview and record review, the facility failed to ensure Minimum Data Set (MDS) assessments were accurate for 2 of 8 residents reviewed, Resident #16, and #21. Findings include: 1) During an interview on 4/27/2025 at 9:32 AM, Resident #16 stated she had never had pneumonia in the facility. Review of Resident #16's MDS assessment dated [DATE] showed the resident had pneumonia under Infections under Section I. Active Diagnoses. During an interview on 4/29/2025 at 10:00 AM, the Infection Preventionist confirmed that Resident #16 did not have pneumonia while in the facility. […]

• No harm, potential for more than minimal, isolatedF684Apr 30, 2025

  Based on observation, record review, and interview, the facility failed to ensure residents received intravenous (IV) therapy in accordance with professional standards of practice for 1 of 3 residents reviewed for IV medication administration, Resident #156. Findings include: During an observation on 4/28/2025 at 12:38 PM, Staff A, Licensed Practical Nurse (LPN), was preparing Resident #156's Peripherally Inserted Central Catheter (PICC) line on her upper right arm for administration of Meropenem Intravenous Solution Reconstituted 1 gram (Meropenem). Staff A sanitized and flushed the PICC line with 10 ml (milliliters) of normal saline and initiated Meropenem 1 gram antibiotic via infusion pump. […]