Arbors at Marietta

In the surveyor’s words

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

• Actual harm, isolatedF689Dec 8, 2025

  Based on observation, record review, policy review and interview, the facility failed to ensure resident safety during facility provided transportation to prevent injury. In addition, the facility failed to ensure fall interventions were in place for residents at risk for falls. This affected two residents (#1 and #15) of three residents reviewed for falls. The facility census was 117. Actual Harm occurred on 10/27/25 when Resident #1, a resident dependent on staff for transportation, was on her way back to the facility from an appointment at a local hospital when Transport Aide (TA) #118 failed to ensure the wheel straps on the left side of Resident #1's wheelchair were secured appropriately. […]

• Actual harm, isolatedF689Jan 12, 2024

  Based on observation, medical record review, interviews, policy review, mechanical lift user manual review, and review of fall assessments, the facility failed to provide adequate assistance, supervision and/or interventions to prevent resident falls. The facility also failed to develop and implement adequate safety interventions for resident smoking to prevent accidents/injury. This affected five residents (#24, #42, #47, #70, and #80) of five residents reviewed for accidents. Actual psychosocial and physical harm occurred on 12/27/23 during a staff assisted transfer using a mechanical lift for Resident #47 resulting in a fall. During the transfer facility staff failed to provide a safe, clear, environment resulting in the lift becoming stuck under the resident's wheelchair. […]

• Actual harm, isolatedF600Jan 20, 2023

  Based on record review, observation, review of a facility self-reported incident (SRI) and facility investigation, facility policy review, and interview, the facility failed to ensure residents were free from sexual abuse when Resident #1 was sexually abused by Resident #2. This affected one (Resident #1) of three residents reviewed for sexual abuse. Actual physical and/or psychosocial harm occurred, applying the reasonable person concept, on 12/30/22 to Resident #1, a resident with impaired cognition and communication, when Resident #2 was found fondling the resident's breast. Findings include: Review of the medical record for the Resident #1 revealed an admitted [DATE]. […]

• Actual harm, isolatedF697Nov 15, 2022

  Based on closed record review, review of a facility self-reported incident (SRI) and the facility related investigation, review of controlled drug record/disposition forms and staff interview the facility failed to ensure Resident #86 was provided an adequate and effective pain management program, including the administration of as needed (PRN) narcotic pain medication as requested and to meet the resident's pain and total care needs. Actual Harm occurred beginning on 10/11/22 when Resident #86 requested the ordered narcotic pain medication ([MEDICATION(S)]) but was administered [MEDICATION(S)] (a stool softener) in place of the medication resulting in the resident having increased bowel movements during the night, increased pain and an inability to sleep. […]

• Actual harm, isolatedF686Mar 7, 2022

  Based on observations, medical record review, staff interview, and policy review, the facility failed to ensure one resident (Resident #94) did not develop an avoidable pressure ulcer that declined from a Stage 2 (partial-thickness loss of skin with exposed dermis, presenting as a shallow open ulcer. The wound bed is viable, pink or red, moist, and may also present as an intact or open/ruptured blister) to Unstageable (full-thickness skin and tissue loss in which the extent of tissue damage within the ulcer cannot be confirmed because the wound bed is obscured by slough or eschar) , failed to ensure one resident, (Resident #41)who was admitted with pressure ulcers, did not develop an additional Unstageable pressure ulcer, and failed to ensure one resident (Resident #2) did not develop a… […]