Arbors at Sylvania

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Jun 30, 2026

  Based on observation, resident and staff interview, and policy review, the facility failed to ensure resident bathrooms and shower rooms were kept in a clean and sanitary manner, and in good repair. This affected 11 residents (#20, #23, #24, #29, #35, #40, #54, #59, #60, #70, and #73) residing on the 400 hall and 39 residents (#1, #2, #3, #6, #7, #13, #14, #17, #18, #21, #25, #26, #27, #31, #32, #33, #34, #36, #37, #38, #39, #42, #43, #44, #47, #48, #49, #50, #52, #53, #55, #56, #58, #62, #63, #64, #66, #69, and #72) on the 100/200 hall. The facility census was 72.Findings include:Observation on 06/29/26 at 9:46 A.M. […]

• No harm, potential for more than minimal, patternF880Apr 17, 2025

  Based observation, staff interview and review of facility policy, the facility failed to ensure adequate infections control practices were carried out. This had the potential to affect the 38 residents (#55, #37, #4, #33, #50, #5, #29, #47, #17, #11, #35, #28, #26, #9, #44, #42, #41, #18, #51, #43, #67, #7, #15, #25, #30, #6, #277, #52, #24, #12, #22, #8, #36, #54, #13, #27, #1, and #49) who resided on the 100 and 200 hallways. The facility census was 73. Findings include: 1. Observation on 04/14/25 at 9:18 A.M. of the 200 hallway found four rooms identified as being on droplet isolation. Personal Protective Equipment (PPE) including gowns, gloves, respirators (N-95s), and a face shields were available for each room on the over the door organizer. […]

• No harm, potential for more than minimal, patternF805Dec 22, 2022

  Based on observation, staff interview, and review of the facility recipe, the facility failed to ensure pureed foods were the correct texture. This affected four residents (#3, #4, #8, and #27) the facility identified on a pureed diet. The facility census was 62. Findings include: Observation of dining on 12/19/22 at 11:45 A.M. revealed residents in the dining room eating lunch. Further observation of the pureed chicken pot pie revealed concerns regarding appropriate texture due to the varied appearance of the texture. Tasting on 12/19/22 at 11:56 A.M. of the pureed chicken pot pie by the surveyor and the Dietary Account Manager #367 confirmed it was not fully pureed. […]

• No harm, potential for more than minimal, isolatedF778Jun 30, 2026

  Based on review of the medical record, review of the facility's resident appointment calendar, resident interview, and staff interview, the facility failed to ensure transportation was timely scheduled for an echocardiogram. This affected one (#7) of three residents reviewed for medical appointments and transportation. The facility census was 72. Findings include:Review of the medical record for Resident #7 revealed an admission date of 12/08/23. Diagnoses included type two diabetes mellitus, congestive heart failure, atrial fibrillation, hypertension, chronic kidney disease stage three, and the presence of a cardiac pacemaker. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #7 had mild cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF760Dec 18, 2025

  Based on medical record review, facility investigation documents, review of an incident and accident log, review of a performance improvement document, staff interview, and review of a facility policy, the facility failed to ensure appropriate medications were ordered upon admission to prevent significant medication errors. This affected one (#100) of three residents reviewed for medications. The facility census was 70.Findings include:Review of the medical record for Resident #100 revealed an admission date of 08/18/25 and a discharge date of 09/03/25. […]