Inspection Reports for
Arbor Vista Senior Living

The complaint alleged that a facility staff person was sleeping in a resident's room. Five staff members denied the allegation. The resident (R1) is a temporary placement due to the Eaton Fires and requires 24-hour 1:1 staff supervision per a court order. Two third party caregivers were assigned beds in R1's room to provide supervision. Based on interviews, document reviews, and observations, the allegation was unsubstantiated.

The investigation found no health and safety concerns and determined that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation was unsubstantiated.

The complaint alleged that the facility had tarps over parts of the roof and possible leaks due to rain, and that utility vans were parked near the entrance. Staff denied these allegations, stating the tarp was a preventative measure after a minor leak last year that was repaired. Inspection and record review confirmed no current leaks or disrepair. The complaint was unsubstantiated.

The investigation found no evidence to substantiate the allegations of disrepair. Staff interviews, facility inspection including 14 resident rooms and the roof, and review of insurance documents indicated the facility was in good repair with no leaks or water damage observed. The allegation was determined to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included staff not treating residents with dignity and respect and failure to intervene in resident bullying. Interviews with staff and residents, as well as observations, did not corroborate these allegations. The facility has policies and practices to ensure privacy, dignity, and reporting of grievances.

The investigation found no corroboration for the allegations. Staff and resident interviews, as well as observations, indicated that residents are treated with dignity and respect, have privacy to report concerns, and that bullying incidents are rare and not witnessed. The allegations were determined to be unsubstantiated due to lack of evidence.

The complaint alleged that staff spoke inappropriately to a resident, including aggressive and embarrassing behavior and inappropriate comments. The investigation included interviews with staff and residents, review of incident reports, police information, and training logs. The allegation was unsubstantiated due to lack of sufficient evidence.

Interviews with staff and residents, as well as review of documentation, found insufficient evidence to substantiate the allegation. Most staff and residents denied the claim, and no disrespectful behavior was observed during the visit. The allegation was determined to be unsubstantiated.

The complaint alleged that facility staff abandoned a resident at the hospital after the resident was sent there for medical and psychiatric evaluations following incidents on 03/16/25 and 03/17/25. Interviews with staff and clients, and document reviews were conducted. The resident had prior behavioral issues and was sent to the hospital twice. The resident returned to the facility after hospital discharge and was later found overdosed and hospitalized again. Family and staff were involved in attempts to assist the resident. The investigation concluded there was no preponderance of evidence to prove the alleged violations occurred, resulting in an unsubstantiated finding.

The investigation included interviews with staff and clients, review of client records, and facility tour. No health and safety concerns were observed. Although some events related to the allegation occurred, there was insufficient evidence to substantiate that staff abandoned the resident at the hospital. The allegation was therefore unsubstantiated.

During the visit, no concerns were observed. The facility was found to be clean and orderly with sufficient beds, hygiene supplies, and food. Residents were informed about tap water usage restrictions due to water safety advisories, which were later lifted. Medications and files for relocated residents were secured, and sufficient staffing was available including five staff from the relocated facility.

The facility was found to be in compliance with all regulatory requirements, including infection control, operational requirements, physical plant and environment safety, staffing, personnel records, resident rights, planned activities, food service, medication administration, resident records, and disaster preparedness. No deficiencies were noted during the visit.

The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.

The investigation found that the allegations against the Administrator and Staff 1 were denied by staff and not corroborated by the majority of residents interviewed. There was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.

The complaint alleged that staff did not ensure safe keeping of a resident's personal property and cash. The allegation was unsubstantiated after investigation.

The investigation included file reviews and interviews with residents, staff, and the administrator. Residents and staff denied the allegation, and there was no preponderance of evidence to prove the violation occurred; therefore, the allegation was unsubstantiated.

The complaint involved allegations that staff made derogatory/racial statements towards a resident, yelled at residents, and did not treat residents with dignity and respect. After interviews with residents and staff, and review of records, the allegations were determined to be unsubstantiated due to insufficient evidence.

The investigation found insufficient evidence to substantiate allegations that staff made derogatory/racial statements, yelled at residents, or failed to treat residents with dignity and respect. Staff and resident interviews, record reviews, and observations indicated that while some residents perceived staff behavior negatively, the allegations could not be proven.

The facility was found to be in good repair both indoors and outdoors, with clean and well-maintained resident rooms and common areas. No deficiencies were noted during this visit.

The inspection found no deficiencies during the initial and continuation visits. The facility met all regulatory requirements including infection control protocols, medication storage, staff records, and safety equipment.

No deficiencies were observed during the visit. The facility was found to be operating within compliance, with proper infection control protocols, PPE supplies, and safety measures in place.

The complaint investigation was triggered by allegations regarding neglect/lack of supervision related to feeding and failure to notify a resident’s representative of condition changes. Both allegations were found unsubstantiated after review of documentation, interviews, and evidence.

After reviewing records, interviewing staff, and examining evidence, both allegations were found to be unsubstantiated due to insufficient evidence to prove the violations occurred. The resident refused food and medical treatment and did not return after hospitalization. The resident was their own responsible person and staff notifications were documented.

The complaint investigation was unsubstantiated. Allegations included illegal eviction of a resident and failure to ensure medication administration. Interviews with staff, residents, and review of records did not support the allegations.

The investigation found no evidence to support the eviction allegation, as no eviction notice was given or found in records. Medication administration was found to be compliant with physician orders, with residents taking medications as prescribed. Therefore, the allegations were unsubstantiated.

The complaint alleged verbal abuse by caregiver staff (S1) on April 4, 2022, involving yelling at resident (R1) and the Administrator. The allegation was unsubstantiated after interviews and document review.

The investigation found insufficient evidence to substantiate the allegation of verbal abuse. Interviews with staff, residents, and the resident's Durable Power of Attorney indicated that the staff spoke loudly due to the resident's hearing impairment, and no verbal abuse was confirmed.