Arbors at Mifflin

In the surveyor’s words

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

• Immediate jeopardy, isolatedF678Dec 18, 2023

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on closed medical record review, staff interview, and review of the facility policy, the facility failed to initiate Cardiopulmonary Resuscitation (CPR) or call 911 for Emergency Medical Services (EMS) for Resident #69, who was found unresponsive, without a pulse/heartbeat and was identified as a full code status. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, negative health outcomes, and/or death when Resident #69 did not receive CPR and EMS was not contacted for medical services assistance. Resident #69 subsequently expired. […]

• Actual harm, isolatedF760Jan 18, 2023

  Based on record review and interview, the facility failed to ensure intravenous antibiotics were ordered from the pharmacy and administered to Resident #183 in a timely manner to treat sepsis (a life threatening blood infection). The facility census was 81 Actual Harm occurred on 12/22/22 when Resident #183 returned from the hospital with a diagnosis of sepsis. Physician ordered antibiotic, piperacillin sod-tazobactam solution use 0.375 grams (gm) intravenously every 12 hours for infection until 01/22/23, with a start date of 12/23/22. Piperacillin sod-tazobactam solution was not obtained from the pharmacy as ordered to treat sepsis until 12/26/22 for the evening dose. Resident #183 had an altered level of consciousness on 12/28/22 at 11:36 P.M. […]

• No harm, potential for more than minimal, widespreadF812May 22, 2024

  Based on observations, staff interviews, and policy review, the facility failed to datemark potentially hazardous food items in the walk-in cooler and maintain kitchen utensils in a safe and sanitary condition. This had the potential to affect all residents who reside in the facility and receive food from the kitchen. The facility census was 85. Findings include: 1. Observations of the kitchen on 05/19/24 at 8:30 A.M. to 8:37 A.M. with Dietary Manager #113 revealed in the walk-in cooler, there were two blocks of sliced orange cheese stored undated, an open block of ham was stored undated, an open block of turkey breast was stored undated, an open pork loin was stored undated, and a large box of colored eggs with a label of activities was stored undated. […]

• No harm, potential for more than minimal, patternF761Aug 20, 2021

  Based on observations, review of the facility's policy and staff interviews, the facility failed to ensure all medications were maintained securely. The facility had two medications carts and a large plastic tote of medications unsecured. This could potentially affect all residents in the building, except for the 20 residents on the secured unit. The facility census was 72. Findings include: 1. A tour of the facility was conducted on 08/20/21 starting at 7:11 A.M. The facility was split into four separate hallways (Unit A, B, C, and D), with a center nursing station. Unit D was a locked unit and was only accessible with a coded pad. […]

• No harm, potential for more than minimal, isolatedF684Dec 23, 2024

  Based on medical record review, interview, and facility policy review the facility failed to ensure antibiotics were administered as ordered and the physician was notified when the antibiotics were not available for administration. This deficient practice affected one resident (Resident #25) out of two residents reviewed for antibiotic medication orders. The facility's census was 87. Findings Include: A review of Resident #25's medical record revealed admitted [DATE] with diagnoses including but not limited to urinary tract infection (UTI), infection of prosthetic hip joint, osteoarthritis, and major depression disorder. Resident #25 required assistance from staff to complete Activities of Daily (ADL) tasks including transfers by a mechanical lift. […]