Complete Care at Arbors

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Jan 27, 2021

  COMPLAINT#: NJ 0, NJ 7 Based on interviews, medical record (MR) review, and review of other pertinent facility documentation on 1/15/21, 1/20/21, and 1/27/21, it was determined that the facility failed to provide services necessary to prevent physical harm for a resident (Resident #2) with a known history and diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #2 expressed to the Licensed Practical Nurse (LPN #1) at approximately 11:40 p.m. that the resident's family member did not want him/her to go home, and the resident was not sure if he/she wanted to live anymore. LPN #1 stayed with Resident #2 for approximately 5 minutes and then left Resident #2 alone. […]

• Actual harm, isolatedF656Jan 27, 2021

  C#: NJ 0, NJ 7 Based on interviews, medical record reviews and review of pertinent facility documentation on 1/15/21, 1/20/21 and 1/27/21, it was determined that the facility failed to revise and implement care plan interventions for a resident (Resident #2) with a Depressive disorder who demonstrated mood and behavioral changes in the presence of staff and then committed suicide. This deficient practice was evident in 1 of 3 care plans reviewed as evidenced by the following: According to the Admission Record Resident #2 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, patternF658Mar 27, 2025

  Based on observation, interview, and review of medical records, it was determined that the facility failed to provide necessary treatment services, consistent with professional standards of clinical practice by not a.) securing medications during medication administration observation for 1 of 3 nurses; b.) notifying a physician regarding a resident's refusal of medication for 1 of 1 residents (Resident #31); c.) applying skin protective devices as ordered by a physician for 1 of 2 residents (Resident #8) reviewed for pressure ulcers; and d.) destroying unused medication properly during medication observation for 1 of 3 nurses. […]

• No harm, potential for more than minimal, patternF677Mar 27, 2025

  Complaint # NJ175184, NJ176084, NJ179637 Based on observations, interviews, and review of pertinent facility documents, the facility failed to ensure residents who required assistance with their daily activities of living (ADLs) a.) received incontinence care and b.) staff answered resident call systems to provide care and services. This deficient practice was identified for 1 of 4 residents reviewed for bowel and bladder (Resident #65); 2 of 8 residents observed during incontinence rounds (Resident # 29 and Resident #63); and on 1 of 2 nursing units (Rosewood). The evidence was as follows: 1. […]

• No harm, potential for more than minimal, patternF880Mar 27, 2025

  Based on observations, interviews, record review and other pertinent facility documentation it was determined that the facility failed to use appropriate infection control practices to prevent the spread or reduce the risk of infection by ensuring a.) proper use of personal protective equipment (PPE) for residents on enhanced barrier precautions (EBP) for 2 of 2 residents reviewed for EBP (Resident #81 and #397), b.) label and date piston syringe irrigation kit (a device intended for medical purposes that consists of a calibrated hollow barrel and a movable plunger) in a manner to prevent contamination for infection control identified for 1 of 1 resident reviewed for tube feeding (Resident #64), and c.) respiratory device tubing and mouthpiece/ mask were stored in protective covering… […]