Arbors at Carroll

In the surveyor’s words

From the most serious findings on record at Arbors at Carroll, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF803Jun 22, 2022

  Based on observation, review of facility menu, facility policy and procedure review and interview the facility failed to provide residents with the menu and inform residents of changes to the planned menu. This had the potential to affect 82 of 82 residents who consumed food from the kitchen. The facility identified one resident (#48) who ate nothing by mouth. The facility census was 83. Findings include: On 06/21/22 observations from 10:45 A.M. to 3:16 P.M. revealed to the right of the dining room was a spot for the menu to be posted. […]

• No harm, potential for more than minimal, widespreadF812Jun 22, 2022

  Based on observation, facility policy and procedure review and interview the facility failed to maintain the kitchen and food storage in a clean and sanitary manner to prevent contamination and/or food borne illness. This had the potential to affect 82 of 82 residents who consumed food from the kitchen. The facility identified one resident (#48) who ate nothing by mouth. The facility census was 83. Findings include: 1. Observation of the kitchen on 06/21/22 from 10:57 A.M. to 11:10 A.M. revealed in the reach-in refrigerator there was a stack of slices of white cheese wrapped in plastic that was unlabeled and undated, shredded cheese in a large container unlabeled and undated, a pan of scrambled eggs unlabeled and undated, and a pan of bacon unlabeled and undated. […]

• No harm, potential for more than minimal, widespreadF921Jun 22, 2022

  Based on observation and interview the facility failed to maintain a clean homelike environment ensuring the floors in resident common areas and resident privacy curtains were clean and maintained in a sanitary condition. This affected four residents (#16, #37, #56, and #67) and had the potential to affect all 83 residents residing in the facility. Findings include: 1. Observation on 06/21/22 at 12:20 P.M. of Resident #37 and Resident #67's room revealed the privacy curtain dividing the two beds was soiled. There were several rust-colored stains observed on the curtain. This observation was confirmed by State tested Nursing Aide (STNA) #115 at 12:25 P.M. Interview on 06/21/22 at 12:20 P.M. with Resident #37 revealed he did not think housekeeping did a thorough job. […]

• No harm, potential for more than minimal, patternF761Nov 25, 2025

  Based on record reviews, observations and interviews, the facility failed to ensure safe storage and labeling of medications. This affected eight residents (#49, #56, #57, #58, #62, #63, #68 and #70) of 29 who received medications for the medication cart on South Long Hall. The facility census was 95.Findings include: 1. Review of Resident # 49's medical record revealed she was admitted on [DATE] with diagnoses including lumbar spinal stenosis, diabetes type two, low back pain, idiopathic neuropathy, and hypertension. Review of the care plan dated 02/06/25 revealed Resident #49 had an impaired musculoskeletal status related to spinal stenosis and osteoarthritis with interventions including administering medications as ordered. […]

• No harm, potential for more than minimal, patternF803Feb 14, 2024

  Based on observation, staff interview, and facility policy review, the facility failed to ensure dietary spreadsheets were followed and all food items on the spreadsheets were offered to the residents according to their needs on a level three dysphagia diet. This affected 14 residents, (Residents #6, #10, #14, #17, #31, #33, #48, #59, #61, #64, #66, #72, #85, and #89) the facility identified as having physician orders for a level three dysphagia diet, out of 87 residents receiving meals from the kitchen. Resident #68 was identified by the facility as receiving nothing by mouth. […]