Arbors at Streetsboro

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Nov 26, 2024

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, medical record review, review of facility video surveillance, review of a local police report, facility policy review and interview, the facility failed to provide adequate supervision for Resident #03, who was assessed to be high risk for elopement, had a history of exit seeking behavior, resided on the secured memory care unit and had a wander guard (wearable device to help keep residents at risk of wandering safe) to prevent elopement. This resulted in Immediate Jeopardy and the potential for serious harm, injury and/or death on [DATE] at 12:44 P.M. […]

• Actual harm, isolatedF684Mar 3, 2026

  Based on observation, record review, review of fire department and hospital records, facility policy review, and interview, the facility failed to ensure Resident #59's physician orders were followed and care planned interventions were implemented to ensure comprehensive monitoring and evaluation was provided for Resident #59, who had an implanted cardiac pacemaker to prevent complications. An additional example was the facility failed to ensure Resident #22's physician orders were followed and care planned interventions implemented to timely treat a right lateral calf wound. This affected two resident's (#22 and #59) of three residents reviewed for quality of care. The facility identified four residents with pacemakers residing in the facility. Actual Harm occurred on [DATE] at 5:30 P.M. […]

• Actual harm, isolatedF690Mar 3, 2026

  Based on observation, record review, review of a fire department transportation reports, review of hospital After Visit Summaries, and interview, the facility failed to ensure residents were provided adequate monitoring and/or care per physician order to timely identify and seek interventions for complications of the residents urinary status including symptoms of a urinary tract infection. This affected two residents (#59 and #70) of three reviewed for urinary tract infections. The facility census was 55.Actual Harm occurred on 01/20/26 when Resident #70 began showing signs and symptoms of a urinary tract infection (UTI). […]

• Actual harm, isolatedF689Nov 14, 2023

  THE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, interviews with staff, review of the facility's fall investigation and facility policy and procedure the facility failed to prevent Resident #53's fall. This affected one out of three residents reviewed for falls. The facility census was 67. Actual Harm occurred on 06/25/23 when Hospitality Aide (HA) #75 was pushing Resident #53, who was dependent on staff for transfer, had impairment on one side of the upper body and impairment on both sides of the lower extremities and used a wheelchair for mobility outside in her wheelchair while talking on her phone. […]

• No harm, potential for more than minimal, widespreadF882Mar 3, 2026

  Based on record review, interview and review of facility policy, the facility did not ensure a designated Infection Preventionist provided oversight, monitoring and management of all components of the Infection Prevention and Control Program. This had the potential to affect all 55 residents in the facility. Findings Include: Review of immunization records for Resident #5, #16, #24, #40 and #61 revealed concerns with an unidentified staff member completing vaccination education and consent forms with the residents and/or responsible parties as followed: Review of Resident #5's immunization consent forms for Covid-19, influenza and pneumococcal vaccine's revealed education and all three consents were provided to the resident's daughter on 02/05/26 and the staff member obtaining verbal… […]