Arbor View Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Arbor View Nursing & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF600Jul 31, 2025

  Based on observation, interview, and record review, the facility failed to ensure a resident's right to be free from abuse, neglect, misappropriation of resident property and exploitation for 7 of 7 residents (Residents #65, #19, #20, #44, #54, #23, and Unknown) reviewed for abuse. The facility failed to ensure Resident #65 was not injured after entering Resident #19's room on 6/23/2025, when Resident #19 had known aggressive behaviors related to other residents entering his room. The facility failed to ensure Resident #20 was protected from abuse after entering Resident #19's room on 7/5/2025. The facility failed to ensure Resident #44 was not injured after entering Resident #19's room on 7/5/2025. An IJ was identified on 7/24/2025 related to Resident #19 (items 1-3). […]

• Immediate jeopardy, patternF689Jul 31, 2025

  Based on observation, interview, and record review, the facility failed to ensure each resident receives adequate supervision and assistance devices to prevent accidents for 2 of 3 residents (Residents #19 and #44) investigated for accidents. The facility failed to ensure Resident #19 received adequate supervision to prevent physical aggression towards other residents. The facility failed to ensure Resident #44's received adequate supervision to prevent falls with interventions to prevent further injury when the resident had falls at the facility on 05/12/2025, 05/19/2025, 05/23/2025, and on 07/23/2025 and unwitnessed injuries on 05/01/2025 and 07/05/2025. The falls on 05/12/2025 and 07/23/2025 both resulted in hip fractures. An Immediate Jeopardy was identified on 07/29/2025. […]

• Immediate jeopardy, patternF812Jun 14, 2024

  Based on observations, interviews, and record reviews, the facility failed to store and prepare food in accordance with professional standards for food service safety for 1 of 1 kitchen. Ground beef at 71 degrees F (danger zone temperature) and frozen shelled eggs were being used to prepare meatloaf for the lunch meal on 6/11/24. The ground beef and shelled eggs were not thawed correctly. An IJ was identified on 06/11/24. The IJ template was provided to the facility on [DATE] at 5:15 PM. While the IJ was removed on 06/12/24, the facility remained out of compliance at a scope of pattern and a severity level of no actual harm that is not immediate jeopardy because the facility needed to install new refrigerators, safely store foods, and establish temperature logs for the refrigerators. […]

• Immediate jeopardy, patternF584Jan 22, 2024

  Based on observation, interview and record review the facility failed to provide comfortable and safe temperature levels maintained within a range of 71 to 81 degrees Fahrenheit for 7 of 7 residents (Resident #s 1, 2, 3, 5 on Hall 100 Male Secured Unit) and (Resident #s 4, 6, 7 - Hall 200) reviewed for environment. The facility presented with 2 non-functioning Heating Ventilation and Air Conditioning [HVAC] systems, which resulted in cold resident room interior temperatures (low 50s - 60s Fahrenheit) for residents living in 100 Hall (Male Secured Unit) and 200 Hall. Facility leadership was aware the HVAC systems were not adequately functioning since October 2023. An Immediate Jeopardy (IJ) situation was identified on 01/17/24. […]

• Immediate jeopardy, patternF600Dec 21, 2023

  Based on observation, interview, and record review, the facility failed to ensure that each resident had the right to be free from abuse for 1 of 3 (Resident #3) residents reviewed for abuse. The facility failed to protect Resident #3 from verbal abuse by an unknown staff member. The facility failed to protect Resident #3 from verbal abuse by LVN J. These failures resulted in an identification of an Immediate Jeopardy (IJ) on 12/19/2023 at 11:03 a.m. While the IJ was removed on 12/21/2023, the facility remained out of compliance at no actual harm that is not immediate with a scope identified as pattern due to the facility's need to complete in-service training and evaluate the effectiveness of the corrective systems. […]