Arbor Lake Nursing & Rehabilitation

Penalties

• Jul 25, 2025 — Fine ($607)
• Apr 15, 2025 — Payment Denial · payment denial 27 days
• Apr 15, 2025 — Fine ($14,069)

Inspection findings

1. May 19, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected May 20, 2026 · CMS health inspection

2. Sep 8, 2025 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0567 Resident Rights Deficiencies

     Honor the resident's right to manage his or her financial affairs.

     Corrected Sep 9, 2025 · CMS health inspection

3. Jul 25, 2025 Health · 5 findings
   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected Jul 26, 2025 · CMS health inspection

   • Serious Scope/severity G

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Jul 26, 2025 · 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 26, 2025 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0744 Quality of Life and Care Deficiencies

     Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

     Corrected Jul 26, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 26, 2025 · CMS health inspection

4. May 24, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0627 Resident Rights Deficiencies

     Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

     Corrected May 25, 2025 · CMS health inspection

5. Apr 15, 2025 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jun 11, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Apr 16, 2025 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 11, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Jun 11, 2025 · CMS health inspection

6. Aug 15, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0694 Quality of Life and Care Deficiencies

     Provide for the safe, appropriate administration of IV fluids for a resident when needed.

     Corrected Aug 16, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 16, 2024 · CMS health inspection

7. Jun 25, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     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 Jun 26, 2024 · CMS health inspection

8. Jun 3, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0624 Resident Rights Deficiencies

     Prepare residents for a safe transfer or discharge from the nursing home.

     Corrected Jun 4, 2024 · CMS health inspection

9. May 9, 2024 Health · 11 findings
   • Not serious Scope/severity D Complaint

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0584 Resident Rights Deficiencies

     Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

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

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0694 Quality of Life and Care Deficiencies

     Provide for the safe, appropriate administration of IV fluids for a resident when needed.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0698 Quality of Life and Care Deficiencies

     Provide safe, appropriate dialysis care/services for a resident who requires such services.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     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 May 10, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected May 10, 2024 · CMS health inspection

   • Not serious Scope/severity E

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected May 10, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0342 Smoke Deficiencies

     Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

     Corrected Jun 23, 2024 · 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 May 10, 2024 · CMS fire safety

10. Jan 3, 2024 Health · 3 findings
    • Not serious Scope/severity E Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Jan 4, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0777 Administration Deficiencies

      Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

      Corrected Jan 4, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      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 Jan 4, 2024 · CMS health inspection

11. Nov 9, 2023 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0623 Resident Rights Deficiencies

      Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

      Corrected Nov 10, 2023 · CMS health inspection

12. Apr 6, 2023 Health · 7 findings
    • Not serious Scope/severity D

      F0655 Resident Assessment and Care Planning Deficiencies

      Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      Corrected Apr 28, 2023 · CMS health inspection

    • 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 May 20, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0658 Resident Assessment and Care Planning Deficiencies

      Ensure services provided by the nursing facility meet professional standards of quality.

      Corrected May 17, 2023 · CMS health inspection

    • Not serious Scope/severity D

      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 May 17, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected May 17, 2023 · CMS health inspection

    • Not serious Scope/severity E

      K0223 Egress Deficiencies

      Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

      Corrected Apr 9, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0511 Services Deficiencies

      Have properly installed electrical wiring and gas equipment.

      Corrected Apr 9, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• DAILEY, ELIZABETH — adp of the snf, NOT APPLICABLE, since 01/01/2024
• GARETZ, DAVID — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• GURWITZ, SOLOMON — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 06/26/2025
• HAGINS, ELIZABETH — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/09/2025
• KAPLAN, ESTHER — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 06/26/2025
• KAPLAN, MORDECHAI — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/09/2025
• LEWIS, ADOLPHUS — adp of the snf, NOT APPLICABLE, since 01/01/1994
• MINDLE, ADAM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 03/09/2025
• RUFF, MICHAEL — corporate officer, NOT APPLICABLE, since 01/01/2024
• UNGER, JEFFREY — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 06/26/2025
• 901 PENNSYLVANIA AVE TX, LLC — adp of the snf, NOT APPLICABLE, since 01/01/2024
• ARBOR LAKE NURSING & REHABILITATION LLC — operational/managerial control, NOT APPLICABLE, since 01/01/2024
• CONTINUUM REHAB GROUP LLC — adp of the snf, NOT APPLICABLE, since 01/01/2024
• FRIO HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 01/01/2024
• GIBRALTAR TRUST — adp of the snf, NOT APPLICABLE, since 01/01/2024
• HANSEN HUNTER LLC — adp of the snf, NOT APPLICABLE, since 06/26/2025
• HANSEN HUNTER LLC — operational/managerial control, NOT APPLICABLE, since 04/01/2024
• LARCHMONT REALTY, LLC — adp of the snf, NOT APPLICABLE, since 01/01/2024
• MONTGOMERY SKY TRUST — adp of the snf, NOT APPLICABLE, since 01/01/2024
• OPCO CA SKILLED MGMT INC. — adp of the snf, NOT APPLICABLE, since 01/01/2024
• OPCO TEXAS SKILLED MGMT LLC — adp of the snf, NOT APPLICABLE, since 01/01/2024