Arbors at Woodsfield

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Oct 4, 2021

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated [DATE], Nursing Home Guidance from the Centers for Disease Control (CDC), review of the facility's policies and procedures, review of the facility's Coronavirus [CONDITION(S)] CoV-2 (Covid-19) outbreak timeline, review of the facility's contact tracing reports, review of employee timesheet reports, review of employee Covid-19 test results, review of staff/ visitor screening logs, review of personal protective equipment (PPE) inventory sheets, review of in-service attendance records regarding specimen collections using point of care (POC) testing, record review, and staff interview, the facility failed to ensure employees did not report to work with symptoms… […]

• Actual harm, isolatedF692May 29, 2022

  Based on observation, record review, review of medical nutrition therapy recommendations, facility policy and procedure review and interview the facility failed to timely address significant weight loss and/or communicate weight loss recommendations to appropriate staff. Actual Harm occurred on 05/25/22 when Resident #41 was assessed to have a 11.2 pound/11.07% severe weight loss in less than thirty days following her admission on 04/27/22. During this time period, the facility failed to implement timely comprehensive, individualized and effective interventions to prevent the weight loss, promote weight gain, communicate dietary recommendations to the physician and ensure an ordered dietary supplement was being consumed by the resident. […]

• No harm, potential for more than minimal, widespreadF812Apr 11, 2024

  Based on observations, interviews, and policy review, the facility failed to store and prepare foods in a sanitary manner. This had the potential to affect all 55 residents residing in the facility. Findings included: Observations on 04/08/24 between 9:15 A.M. and 9:18 A.M. revealed an eight-quart container of rice crispies in the dry storage room with a use by date of 03/27/24, two dozen hard-boiled eggs in the walk-in refrigerator with an expiration date of 03/10/24, half a white onion with a use by date of 04/04/24, a whole onion with a use by date of 04/06/24, a half a gallon of parmesan cheese with an expiration date of 03/27/24, and a bag of shredded cheddar cheese with an expiration date of 03/27/24. Interview on 04/08/24 at 9:20 A.M. […]

• No harm, potential for more than minimal, patternF550Apr 11, 2024

  Based on observation and interview, the facility failed to ensure all residents received a dignified dining experience when residents seated at a table were not served their meals at the same time. This affected four residents (#2, #8, #47, and #161) of 20 residents observed in the dining room. The facility census was 55. Findings included: Observation on 04/08/24 at 11:09 A.M. revealed Residents #2, #8, #47, and #161 were seated at a table together. Throughout the dining process, the following was observed: -11:09 A.M. Resident #8 received her meal, staff then began to serve other tables. -11:19 A.M. Resident #47 received a bowl of soup. -11:22 A.M. Resident #2 received her tray. -11:26 A.M. Resident #161 received her tray. Interview on 04/08/24 at 11:30 A.M. […]

• No harm, potential for more than minimal, patternF655Apr 11, 2024

  Based on medical record review and interview, the facility failed to ensure baseline care plans were developed and/or summaries of the baseline care plan were provided to the residents and their representatives. This affected five residents (#20, #24, #46, #58 and #263) of 23 residents whose care plans were reviewed. Findings include: 1. Review of Resident #58's medical record revealed diagnoses including left artificial shoulder joint, osteoarthritis of the left shoulder, morbid obesity, stage three chronic kidney disease, Stage two (shallow) pressure ulcer of the left heel, hypertension, generalized muscle weakness, difficulty walking, anxiety disorder, depressive disorder, vitamin D deficiency, hyperlipidemia, osteoarthritis of bilateral knees and of the right hip. […]