All citations for Arbors West

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Arbors West

Last standard health inspection on record

March 27, 2025

Showing 1 to 25 of 65 citations

  1. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  2. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Widespread (many residents). CMS level F.

    Health citation F-0921, Environmental Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  3. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  4. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  5. No harm, with potential for more than minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  6. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  7. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  8. No harm, with potential for more than minimal harm

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  9. No harm, with potential for more than minimal harm

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  10. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  11. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of June 27, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2019).

  12. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of June 27, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 26, 2019).

  13. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  14. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  15. No harm, with potential for more than minimal harm

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0805, Nutrition and Dietary Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  16. No harm, with potential for more than minimal harm

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0232, Egress Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  17. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  18. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  19. No harm, with potential for more than minimal harm

    Have properly installed electrical wiring and gas equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  20. No harm, with potential for more than minimal harm

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of March 27, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 30, 2025).

  21. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  22. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  23. No harm, with potential for more than minimal harm

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  24. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

  25. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of April 12, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.