Arbors West

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 27, 2025

  Based on observations, record review, and staff interviews, facility failed to maintain proper hand hygiene during food service. This had potential to affect all facility residents. Facility census was 82. Findings include 1. Observation and interview on 03/26/25 at 12:04 P.M. revealed [NAME] #177 was taking temperatures of the food items. [NAME] placed thermometer in the mashed potatoes getting a quarter size piece of potato on her thumb and pointer finger. The thermometer was wiped off and was then placed in the gravy by submerging [NAME] #177's thumb and pointer finger into the gravy while their hand was also still covered in mashed potato pieces. [NAME] #177 verified she put her soiled/dirty glove in the gravy mixture. 2. Interview and observation on 03/26/25 from 12:15 P.M. […]

• No harm, potential for more than minimal, widespreadF921Mar 27, 2025

  Based on observations, record review, and resident and staff interviews, facility failed to maintain the grounds in a clean and safe manner regarding cigarette butts on the property. This had potential to affect all facility residents. Facility census was 82. Findings include Observation on 03/25/25 at 8:48 A.M. revealed the sidewalk from the east hall exit of the facility to the designated smoking area had significant litter of cigarette butts along the fence and walkway. A second observation at 4:00 P.M. found hundreds of visualized cigarette butts. Interviews and observation on 03/26/25 at 1:40 P.M. with Residents #18 and #52 confirmed smoking area, sidewalk and grass area on the outside of the fence had tons of cigarette butts as people do not pick up after themselves. […]

• No harm, potential for more than minimal, widespreadF880May 27, 2022

  Based on observations, staff interview, review of Centers for Disease Control (CDC) guidance, and policy review, the facility failed to provide appropriately wear and use personal protective equipment (PPE) including N95 respirator and eye protection. Additionally, the facility failed to ensure staff appropriately performed hand hygiene during meal service. This had the potential to affect all 63 residents in the facility. The census was 63. Findings include: Observations on the night shift starting on 05/27/22 at 6:45 A.M. revealed State tested Nurse Aide (STNA) #41, who was working on the West unit, had no eye protection and was wearing an N95 respirator over a surgical mask with the lower strap of the N95 respirator under her chin. […]

• No harm, potential for more than minimal, widespreadF880Dec 8, 2021

  Based on observation, review of the medical records, resident and staff interviews, review of the Center for Disease Control and Prevention (CDC) guidance and the CDC COVID-19 Data Tracker, and facility policy review, the facility failed to ensure staff maintained contact isolation precautions for two (#17 and #32) of two residents identified as being in contact isolation. In addition, the facility failed to ensure eye protection was worn by staff at all times in the facility. This had the potential to affect all 70 residents residing in the facility. Findings include: 1. Review of Resident #32's medical record revealed the resident was admitted to the facility on [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF727Jul 6, 2021

  Based on record review, interview and policy review, the facility failed to provide services of a registered nurse for two of seven days. This had the potential to affect all residents who resided in the facility. The census was 69. Findings include: Review of the staffing schedule dated 06/25/21 through 07/01/21 revealed on 06/29/21 and on 07/01/21 there was no registered nurse (RN) scheduled. During interview on 07/01/21 at 4:51 P.M., the Assistant Director of Nursing stated the RN scheduled for those dates had quit with no notice on 06/27/21. […]