Arbor View Care Center

A licensure complaint, prompted by #CO40159, was completed on 1/28/26. A deficiency was cited. Based on observation, record review, and interview, the residence failed to have an effective pest control policy toensure the eradication of pests, including mice affecting 30 current residents.Findings include:1. Records ReviewThe residence' s Pest Control Policy, developed on 11/23/2015 and last reviewed on 8/10/2023 stated the facility' s policy is to prevent, eliminate, and/or control pests through an organization-wide program. The policy specified "Resident ' s Responsibility" include keeping food items in closed containers, throwing out old food, not accumulating garbage, trash and clutter, and reporting evidence and sightings of pests to staff.Review of an Orkin billing statement dated from 1/9/2025 to 1/23/2026 revealed a technician inspected the perimeter and exterior equipment. The technician documented "minor rodent traffic" in exterior bait stations and placed "Contract with Lumitrack" bait to target mice.2. ObservationObservations on 1/28/2026 at 8:45 a.m. revealed mouse traps placed inside the residence' s main entrance. Additional bait stations were observed surrounding the exterior of the facility3. InterviewsResident #1 was interviewed on 1/28/2026 at 10:25 a.m. She stated she saw a mouse emerging from under her bed on 1/27/2026. She further stated she previously left food outside her door to feed squirrels but stopped after the door mesh was broken. She said maintenance placed a trap in her room.Resident #2 was interviewed on 1/28/2026 at 10:32 a.m. She stated she saw a mouse in her closet on 1/27/2026. She said she ate meals in her bedroom but did not feed wildlife.Staff #1 was interviewed on 1/28/2026 at 8:15 a.m. He identified that many residents attract mice by feeding squirrels through open windows and patio doors. While he was uncertain of the exact entry points, he noted that staff attempts to mitigate the issue by placing foam or steel wool in baseboard heaters. Staff #1 is aware that the rodent problem has existed for the three years he has been employed at the facility. He has seen mice in the residents rooms and has ca..

A relicensure survey was completed on 2/18/25. A deficiency was cited. A change of ownership occurred on 5/21/24. Based on record review and interview, the residence failed to develop and implement an involuntary discharge grievance policy which included all required elements, affecting 34 current residents.Findings include:The residence' s discharge criteria policy and the grievance policy, both dated 8/10/23, failed to include all required elements.On 2/18/25 at 2:00 p.m., the administrator stated she was unaware of the missing elements from the residence' s discharge and grievance policies. She acknowledged the deficient practice and stated she would have the policy updated as soon as possible.

A licensure complaint prompted by #CO31199 was completed on 3/16/23. Deficiencies were cited. Based on interview and record review the residence failed to comply with authorized practitioner' s orders associated with medication administration affecting two of four sample residents (#2,#5). Findings include,1. Residence PolicyThe residence' s medication administration policy, dated 1/1/22, read in part: Interventions would be used to avoid medication errors (staff education, audits, medication order clarifications). 2. Resident #2 was admitted to the resid.. Based on interview and record review the residence failed to ensure that only medication that has been ordered by a practitioner was administered to residents affecting one of four sample residents (#4). Findings include:The residence' s medication administration policy, dated 1/1/22, read in part: The residence shall only administer medications upon the written order of a licensed practitioner or other authorized practitioner. Resident #4 was admi.. Based on interview and record review the residence failed to ensure the residence had accurate medication administration records (MARs) affecting two of four sample residents (#2, #5).Findings include:1. Residence PolicyThe residence' s medication administration policy, dated 1/1/22, read in part: For residents whose medications are monitored or administered by the residence staff, a current record shall be maintained of the resident' s medications .. Based on observation, interview and record review the residence failed to coordinate care with known external service providers affecting two of two sample residents (#2, #3). (Cross-reference Q1060 and Q1124) Specifically, on 12/14/23 Resident #3' s practitioner diagnosed her with a stage 2 pressure injury and ordered external home health services to provide wound care. The residence provided no assistance in coordinating care and services with external home heal.. Based on observation, interview and record review, the residence failed to discharge a resident that required more services than could be routinely provided, affecting one sample resident (#2). (Cross-reference Q1160)Findings include:Specifically, Resident #2 was admitted to the residence on 9/15/22 with diagnoses that included dysphagia, benign prostatic hyperplasia, constipation, chronic obstructive pulmonary disease and legal blindness. Upon admissio.. Based on observation, record review and interview, the residence failed to not keep a resident with a stage 3 pressure sore that did not have a terminal condition and was not receiving continuing care from an external service provider, affecting one sample resident (#3) with a stage 3 pressure sore. (Cross-reference Q1160)Specifically, Resident #3 was admitted to the hospital on 2/21/23 due to sepsis from a heel wound. On 3/9/23, a wound practitioner from her pra.. Based on record review and interview, the residence failed to have, readily available, a roster of current residents which contained emergency contact information along with a residence diagram showing room location, affecting 18 current residents. Findings include: On 3/16/23 at 8:03 a.m., the resident care coordinator (RCC) provided a current resident roster, dated 3/16/23. The resident roster contained room numbers, resident last names and first initials. A.. THIS PORTION OF THE REPORT IS FOR INFORMATIONAL PURPOSES ONLY.No response is necessary. The residence was advised they must review and maintain the following processes in accordance with existing Assisted Living Residence program regulations.12.14 A device that facilitates a resident' s well-being and/or independence may be used only if all of thefollowing criteria are met:(A) The resident has the functional ability to alter his or her position;(B) The residen..

PLEASE NOTE: The emergency rules regarding COVID-19 Vaccination were suspended effective 7/14/22. As such, a revisit could not be conducted for this event to determine compliance with the cited deficiency