Inspection Reports for Arbor Palms

An unannounced health and safety case management visit was conducted to follow up on a fax received stating that the facility would be adding central air conditioning to the facility hallways.

The air conditioning installation was observed not to impede resident care or movement, with no health and safety concerns noted during the inspection.

The inspection was an unannounced case management visit to verify completion of renovations involving replacement of carpet with wood flooring in hallways and to ensure resident health and safety during the project.

No deficiencies were cited during the inspection. The facility completed the hallway flooring renovations as planned, maintaining resident safety by escorting residents as needed during the work.

An unannounced inspection was conducted for the purposes of an annual inspection to evaluate compliance with licensing requirements.

The facility was observed to be clean, sanitary, and in good repair with all required furnishings and safety equipment operational. However, deficiencies were cited related to medication administration documentation not being properly maintained.

An unannounced complaint investigation was conducted to investigate allegations that staff did not meet the resident's needs, specifically concerning a resident (R1) who had multiple falls and was allegedly left alone and ignored regarding toileting needs.

The investigation found that the facility had a proper fall prevention plan in place which was updated after each fall incident involving R1. Interviews and document reviews did not corroborate the allegations, and the complaint was deemed unsubstantiated.

The complaint alleged that R1 had three falls since July 2024, was often left alone, and staff ignored R1’s toileting needs. The investigation included interviews with staff, residents, and witnesses, and review of multiple incident reports and care plans. The falls were documented and addressed with updated fall prevention plans. The last fall was witnessed and assisted, indicating it could not have been prevented by the plan. The allegation was unsubstantiated due to lack of preponderance of evidence.

The inspection visit was an unannounced Case Management visit triggered by an incident report stating that a resident left the facility unassisted on 2024-06-05.

The inspection found that the facility did not comply with regulations regarding care of persons with dementia, as one dementia resident left the facility unsupervised. One deficiency was issued based on this finding.

The inspection was conducted as a pre-licensing visit to follow up on corrections identified during a prior visit on 2024-02-12 and to evaluate readiness for licensing as a Residential Care Facility for the Elderly (RCFE).

The facility was found to have ceased renovations in resident bedrooms, adjusted water temperatures to meet regulations, repaired ceiling tiles, and removed guinea pigs from a staff office, making it odor free. The facility was deemed ready to be licensed.

The inspection was conducted as a pre-licensing visit to evaluate the facility's readiness to operate as a Residential Care Facility for the Elderly (RCFE) with a capacity of 210 residents.

The facility was found to have appropriate structure, furnishings, signal systems, fire safety equipment, and recreational materials. Some corrections were noted including water temperature adjustments, ceiling tile repairs, and proper housing for guinea pigs. A follow-up visit will be conducted to verify corrections.

The visit was an office type, unannounced original licensing evaluation conducted via phone call to complete Component II of the licensing process for the facility.

The applicant and administrator successfully completed Component II by phone call, confirming understanding of Title 22 regulations including facility operation, staff qualifications, program policies, and application document requirements.

The visit was an office evaluation involving a phone call to complete Component II (COMP II) at the Centralized App Unit (CAB) to verify the applicant and administrator's understanding of Title 22 and related regulatory requirements.

The applicant and administrator successfully completed COMP II by phone, confirming understanding of facility operation, staff qualifications, program policies, and other regulatory areas. Technical assistance and document review were provided with no deficiencies or violations noted.