The Arbors Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at The Arbors Healthcare and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jun 14, 2022

  Based on observation, interview, and record review the facility failed to ensure that each resident received adequate supervision to prevent accidents for 3 of 3 Residents reviewed for accidents. (Residents #1, #2 and #3) The facility did not provide adequate training to van drivers to prevent accidents. Resident #1 slipped out of her wheelchair during transport and complained of back pain. She was taken to the emergency room and assessed for injury. A CT scan was performed and results showed [CONDITION(S)] (swelling) in the posterior low back. Resident complained of pain to her back. […]

• No harm, potential for more than minimal, patternF812Jan 14, 2026

  Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards in the facility's only kitchen reviewed for food service safety.The facility did not ensure foods in the freezer were labeled and dated when removed from their original packaging on 1/12/2025.These failures could place residents who received their meals from the kitchen at risk of foodborne illnesses.Findings included:During an observation on 1/12/2026 at 9:17 AM, the DM was present in the kitchen. […]

• No harm, potential for more than minimal, patternF755Feb 19, 2025

  Based on interview and record review the facility failed to provide pharmaceutical services including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals to meet the needs of each resident for 1 of 7 residents reviewed for pharmacy services. (Resident #1) The facility failed to provide a physician ordered medication of Estrace (estradiol), which was ordered to help reduce the thinning of vaginal and pelvic tissues, to Resident #1 for 32 days. This failure could place residents at risk for exacerbation of diagnoses or increased complications. […]

• No harm, potential for more than minimal, patternF690Oct 9, 2024

  Based on observations, interviews, and record review the facility failed to ensure a resident who was incontinent of bladder received appropriate treatment and services to prevent urinary tract infections for 2 of 3 residents (Resident # 9 and Resident # 25) reviewed for quality of care. The facility failed to ensure Residents # 9 and Resident # 25's indwelling catheters (drains urine from your bladder into a bag outside your body) had a securement device to anchor their catheters. […]

• No harm, potential for more than minimal, patternF641Jul 20, 2022

  Based on observation, interview and record review, the facility failed to ensure assessments accurately reflected the status for 5 of 13 residents reviewed for assessments. (Resident #21, Resident #14, Resident #42, Resident #25, Resident #3) - Resident #21's MDS did not address her falls and inaccurately coded the resident as having [CONDITION(S)]. -The facility inaccurately coded Resident #14's [MEDICATION(S)] (antiplatelet) as an anticoagulant on the MDS. - Resident #42's discharge MDS, place of discharge was incorrectly coded. - Resident #25's MDS inaccurately indicated the use of a ventilator. […]