Arbors at Pomeroy

In the surveyor’s words

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

• Immediate jeopardy, patternF684Jul 3, 2025

  Based on observation, medical record review, review of Emergency Medical Service (EMS) reports, review of hospital records, review of National Weather Service website, review of a facility investigation, and resident and staff interviews, the facility failed to ensure adequate and proper interventions were provided to prevent resident heat stroke during an outside activity. The facility also failed to ensure outdoor activities were planned and provided to meet the safety and total care needs of residents. This resulted in Immediate Jeopardy and actual harm and/or adverse health outcomes on 06/21/25 when facility staff took 13 residents to the zoo with the outside temperature reaching 88 degrees with a heat index of 90. The residents were at the zoo from approximately 12:00 P.M. […]

• Immediate jeopardy, patternF600Jul 17, 2023

  The following deficiency represents an incident of past non-compliance that was subsequently corrected prior to this survey. Based on observation, record review, review of a facility Self-Reported Incident (SRI) and investigation including witness statements, review of the facility Abuse policy and staff and resident interviews, the facility failed to ensure Resident #27 was free from staff to resident physical and verbal abuse. This resulted in Immediate Jeopardy and actual psychosocial and physical harm on 07/05/23 at approximately 11:00 A.M. […]

• Actual harm, isolatedF689Dec 4, 2023

  Based on observation, record review, review of the facility's fall investigation, staff interview, and policy review, the facility failed to ensure Resident #55 was provided the assistance needed to prevent an avoidable fall from occurring that resulted in major injury to the resident and failed to ensure Resident #44's room was free of a safety hazard (an electrical heated curling iron). This affected two residents (#55 and #44) of three residents reviewed for accidents. The facility census was 65. Actual harm occurred on 09/26/23 when Resident #55, who was severely cognitively impaired was observed ambulating in the hall, without the use of her walker, and was only educated by a staff member that she needed her assistive device when ambulating. […]

• Actual harm, isolatedF600Nov 17, 2022

  Based on review of a self reporting incident (SRI), medical record review, resident interview, staff interview and policy review, the facility failed to ensure one resident (Resident #65) was free from physical abuse. This affected one of six residents reviewed for abuse. Actual Harm occurred to Resident #65 when Resident #1, who was known to be aggressive and wander throughout the facility, entered her room and struck the resident with a closed fist multiple times resulting in a hematoma to her left forehead, a bloody nose and a black eye. Findings include: 1. A review of self reporting incident (SRI) # 1 revealed an allegation of physical abuse was reported on 11/12/22. The initial source of the investigation was a staff member and the alleged perpetrator was another resident. […]

• Actual harm, isolatedF688Apr 13, 2022

  Based on observation, record review, facility policy and procedure review and interview the facility failed to develop and implement comprehensive and individualized restorative nursing services to ensure interventions and treatments were provided to prevent a decline in range of motion or maintain current range of motion (ROM) status for all residents. Actual Harm occurred for Resident #49, who was admitted with no limitations to range of motion, when the facility failed to timely identify and implement effective interventions to prevent and treat contractures to the resident's bilateral lower extremities. […]