Inspection Reports for The Arbor Inn

The visit was conducted as an addendum to the Original Licensing Study Report to approve the conversion of 8 assisted living beds into 4 memory care beds, relocate secured doors for added security, and adjust bed counts in specific rooms, resulting in a total licensed capacity decrease from 136 to 129 beds.

The facility's bathing room is handicap accessible with emergency pull cords, and the relocation of doors for the memory care unit was completed with no fire safety deficiencies. The recommendation is to approve the bed conversions and door relocations, increasing memory care beds from 32 to 33 and decreasing total licensed beds to 129.

The document serves as a renewal notification for The Arbor Inn's Home for the Aged license following an administrative review of licensing activity over the past year.

The administrative review revealed substantial compliance with the public health code and administrative rules regulating home for the aged facilities, resulting in license renewal.

The inspection was conducted in response to complaints alleging that residents did not receive their medications on time, lacked regular showers, and were handled roughly by staff.

The investigation substantiated violations regarding untimely medication administration and incomplete shower records, indicating residents did not always receive medications as prescribed and some shower records were incomplete. The allegation of rough handling by staff was not substantiated based on staff interviews, observations, and training program review.

The complaint was received on 2024-03-13 from Adult Protective Services alleging medication administration delays, lack of regular showers, and rough handling of residents. The investigation substantiated the medication and shower allegations but did not substantiate the rough handling allegation.

The document serves as a renewal notification for The Arbor Inn's Home for the Aged license, confirming substantial compliance with public health code and administrative rules over the past year.

An administrative review revealed substantial compliance with applicable regulations, resulting in the renewal of the facility's license effective January 28, 2024.

The inspection was conducted in response to complaints alleging residents were not getting showers on time, the facility was understaffed, medication errors were occurring, and the facility was not clean.

The investigation found that residents were receiving showers as scheduled and the facility was adequately staffed. However, medication errors were substantiated with multiple residents not receiving medications as prescribed. The facility was found to be clean and well-maintained.

The complaint alleged residents were not getting showers on time, the facility was understaffed, medication errors were occurring, and the facility was not clean. The medication error allegation was substantiated; other allegations were not.

The inspection was conducted as a renewal licensing study for The Arbor Inn facility to assess compliance with applicable rules and regulations.

The facility was found to be in non-compliance with several rules including failure to update resident service plans annually, lack of implementation of a quality review program, incomplete medication administration records with no physician notification for refusals, inadequate ventilation in certain rooms, and improper handling and storage of food utensils.

The inspection was conducted following a complaint alleging that Resident A was assaulted by Resident B, with concerns about lack of supervision during the incident.

The investigation confirmed that Resident A was assaulted by Resident B after entering his apartment without permission. The facility failed to provide adequate supervision and protection, leaving residents unsupervised for 13 minutes during the incident. Resident A sustained serious injuries and later passed away. Additional findings included inadequate service plan updates for Resident A's wandering and elopement risks.

The complaint was received on 2023-06-13 from Adult Protective Services reporting that Resident A was hospitalized following a physical attack by Resident B. The complaint was substantiated with violations established.

The inspection was conducted in response to complaints alleging lack of an organized program for protection, care, and abuse; insufficient staffing in the memory care unit; cold food; and inadequate cleaning.

The investigation substantiated violations related to lack of an organized program for protection and care, and serving cold food. The allegation of insufficient staffing in the memory care unit and inadequate cleaning were not substantiated. Observations and documentation supported these conclusions.

The complaint alleged the facility lacked an organized program for protection, care, and abuse; the memory care unit lacked two staff members on duty; food was served cold; and the facility lacked cleaning. Some allegations were substantiated (protection program and food temperature), while others were not (staffing and cleaning).

The facility requested to convert one sitting room and 14 additional beds from its 120 assisted living beds to serve the population diagnosed with Alzheimer and/or Dementia, designating them as the memory care unit, including relocation of locking doors for added security.

The facility was approved to convert 14 existing beds to memory care, increasing memory care beds from 18 to 32, with a total licensed capacity adjusted to 136 beds. The bathing room is handicap accessible with emergency pull cords, and security measures including relocated locking doors were implemented for the memory care unit.

The facility requested to convert one sitting room and 14 additional beds from its 120 beds to serve a population diagnosed with Alzheimer and/or Dementia, designating these as the memory care unit, including relocation of locking doors for added security.

The bathing room is handicap accessible with emergency pull cords for assistance. Fire safety inspections showed no deficiencies, and the facility was approved to increase memory care beds from 18 to 32, with total capacity remaining 138.

The inspection was initiated due to a complaint alleging that the facility required family members to provide overnight care for a resident and that care staff failed to respond when the resident became unresponsive in the dining area.

The investigation established a violation regarding the facility's requirement for family members to provide overnight care without proper assistance or alternate placement as per their policy. However, the allegation that care staff failed to respond to the resident becoming unresponsive was not substantiated.

The complaint alleged that the facility informed the family that they needed to provide overnight care for the Resident of Concern and that care staff noticed the resident became unresponsive in the dining area but did not respond. The first allegation was substantiated; the second was not.

The facility requested to convert 18 of its 138 beds to serve a population diagnosed with Alzheimer and/or Dementia, designating these beds as a memory care unit.

The inspection found that the memory care unit hallways and rooms are secured with keypad and key access, windows open only three inches, and the bathing room is handicap accessible with emergency pull cords. The fire safety inspection reported no deficiencies.