Arbor Hills Rehabilitation And Healthcare Center

Inspection findings

1. Aug 15, 2025 Health · 8 findings
   • Not serious Scope/severity D

     F0656 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.

     Corrected Aug 18, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Aug 18, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Aug 18, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 18, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Aug 20, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Aug 20, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0363 Smoke Deficiencies

     Install corridor and hallway doors that block smoke.

     Corrected Aug 20, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Aug 18, 2025 · CMS fire safety

2. Jun 13, 2024 Health · 10 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Jul 2, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jul 2, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jul 2, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0690 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.

     Corrected Jul 2, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0693 Quality of Life and Care Deficiencies

     Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

     Corrected Jul 2, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jul 2, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jul 2, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0761 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.

     Corrected Jul 2, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 2, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0929 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

     Corrected Jun 12, 2024 · CMS fire safety

3. Apr 13, 2023 Fire Safety · 1 finding
   • Not serious Scope/severity E

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Apr 14, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• BOLT, BRETTON — 5% or greater indirect ownership interest, since 12/01/2020
• FALLON, JOHN — corporate officer, NOT APPLICABLE, since 12/01/2020
• HERDRICH, WILLIAM — corporate director, NOT APPLICABLE, since 12/01/2020
• KIRLEY, FRANCIS — corporate officer, NOT APPLICABLE, since 12/01/2020
• KIRLEY, FRANCIS — 5% or greater indirect ownership interest, since 12/01/2020
• KIRLEY, FRANCIS — operational/managerial control, NOT APPLICABLE, since 12/01/2020
• KIRLEY, FRANCIS — corporate director, NOT APPLICABLE, since 12/01/2020
• LEE, BRIAN — corporate officer, NOT APPLICABLE, since 12/01/2020
• REID, JOHN — corporate director, NOT APPLICABLE, since 12/01/2020
• WILLIAMS, PHYLLIS — w-2 managing employee, NOT APPLICABLE, since 12/01/2020
• NEXION HEALTH LEASING, INC. — operational/managerial control, NOT APPLICABLE, since 12/01/2020
• NEXION HEALTH LEASING, INC. — 5% or greater indirect ownership interest, since 12/01/2020
• NEXION HEALTH OF OHI INC — 5% or greater direct ownership interest, 100%, since 12/01/2020
• NEXION HEALTH OF OHI INC — operational/managerial control, NOT APPLICABLE, since 12/01/2020
• NEXION HEALTH, INC. — operational/managerial control, NOT APPLICABLE, since 12/01/2020
• NEXION HEALTH, INC. — 5% or greater indirect ownership interest, since 12/01/2020