Arbors at Oregon
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 99 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Above-median deficiencies (19 vs median 8.0)
Bottom 25% in OH · Meets national RN staffing standard · Above average staffing · Worst in ARBORS AT OHIO chain · $20,881 in fines
What this means for your family
While some residents report positive experiences with physical and respiratory therapy, the frequency of reports regarding severe neglect and medical mismanagement is alarming. If you choose this facility, we strongly recommend unannounced visits, frequent monitoring of your loved one's physical condition, and keeping a detailed log of all care provided.
Google Reviews
Google Reviews
99 reviews on Google“Arbors at Oregon receives highly polarized feedback, with many families reporting severe neglect, poor hygiene, and dangerous medical mismanagement. While some reviewers praise specific staff members and the therapy department, these positive experiences are frequently overshadowed by recurring reports of residents being left in soiled conditions, unresponsive call lights, and preventable medical crises. Families should approach this facility with extreme caution and consider alternative options.”
Quality Themes
Tap a score for detailsStrengths
- Dedicated respiratory therapy department
- Some individual nurses and aides noted as compassionate
- Effective in-house physical therapy for some patients
- Streamlined digital check-in process for visitors
Concerns
- Neglect and poor hygiene (soiled residents, odors, mold) (mentioned by 14 reviewers)
- Unresponsive staff and slow call-light response times (mentioned by 9 reviewers)
- Medical mismanagement and failure to address infections/sepsis (mentioned by 8 reviewers)
- Poor communication and lack of transparency with families (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 103 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the facility's focus on respiratory therapy, how do you coordinate that specialized care with daily nursing support to ensure residents receive consistent attention?
- 2I noticed there have been some recent challenges regarding facility cleanliness; what specific protocols are currently in place to ensure resident hygiene and room sanitation are maintained daily?
- 3Could you walk me through your process for communicating changes in a resident's health status or medical needs to family members, especially regarding infection management?
- 4With the current staffing levels, what is your internal policy for monitoring call lights to ensure that residents receive timely assistance?
- 5I appreciate that you actively respond to feedback online; how do you use that family input to make tangible improvements to the dining experience and daily activities?
- 6What is the protocol for escalating a medical concern if a family feels that a resident's symptoms are not being addressed quickly enough by the floor staff?
Personalized based on this facility's data
Key Review Excerpts
“They left my mother sitting in chair for hours in her own waste. While our family is trying to remove my mother from this place they than lie on my mother's referral saying she cannot sit down for more than 30 seconds.”
“My mom had a severe urinary tract infection. Mom died within a month of admission. Mom was rushed to st. Charles and diagnosed with severe septis went into hospice and died.”
“The staff has helped me maintain some dignity and has shown compassion. At my vulnerable moments they have been understanding and taking good care of me.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
7
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Arbors at Oregon has a concerning pattern of repeated issues across multiple areas, with nearly 40% of deficiencies (28 of 71) triggered by family complaints to authorities. The facility shows persistent problems with accident prevention and safety supervision, medication management, and basic care delivery that have recurred across surveys from 2019 to 2026. While the facility corrects issues when cited, the repeated nature of complaints and deficiencies in core care areas suggests ongoing quality concerns that families should investigate thoroughly before placement.
Jan 5, 2026Complaint5
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 27, 2025Complaint4
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Sep 30, 2024Complaint1
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Aug 5, 2024Complaint5
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Aug 5, 2024Routine17
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper power supply for life support equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 4, 2024Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Federal Penalties
Fine
Aug 27, 2025
$23,605
Fine
Aug 5, 2024
$20,881
Ownership & Operations
Who Operates This Facility
Arbors at Oregon
for profit
Chain Affiliation
Arbors at Ohio
16 facilities nationwide
Chain avg rating: 2.3/5 · Rank 15 of 16 (Worst)
Ownership & Management
Owners
Ark Opco Group, LLC
Owner · Organization
B&y Healthcare S CORP
Owner (parent company) · Organization
B&y Trust
Owner (parent company) · Organization
Cody Healthcare S CORP
Owner (parent company) · Organization
Craig Flashner 2007 Trust
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
99 reviews from families & visitors
Official Website
Visit arborsatoregon.com
Medicare data downloads
Original nursing home datasets
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