Arbor Hills Care & Rehab Center
ARBOR HILLS CARE & REHAB CENTER in FERGUSON, MO — inspection on February 20, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 02/19/26 at 11:45 P.M., the Administrator said the staff monitoring resident smoke breaks were responsible to supervise the residents while they were smoking, pass out cigarettes and ensure residents were safe while smoking.
Cigarettes should have been disposed of in the self-closing ash can.
The flowerpot/planter and trash cans were not appropriate areas to dispose of cigarette butts. No one should throw their cigarette butts onto the ground.
There should not be any trash in the self-closing ash cans or the cigarette receptacles.
Housekeeping and Maintenance were responsible for maintaining the smoking areas. It should be cleaned at least daily. If the cigarette butts were not disposed of appropriately, it could lead to a fire.
She expected staff to educate residents about the proper way to dispose of cigarette butts and show them where to dispose of them correctly. 27439252737724
265883 02/20/2026
Arbor Hills Care & Rehab Center 800 Chambers Road Ferguson, MO 63135
Review of Resident #52's annual MDS, dated [DATE], showed:-Diagnoses included dysphagia (swallowing disorder) following unspecified cerebrovascular disease (stroke), chronic systolic (congestive) heart failure, and muscle weakness;-Moderate depression.
Review of the resident's care plan, in use at the time of survey, showed:-Focus: Resident has emphysema/chronic obstructive pulmonary disease with (COPD, lung disease) exacerbation;-Goal: Resident will be free of signs and symptoms of respiratory infections through review date;-Interventions included: Give aerosol or bronchodilators as ordered.
Monitor/document any side effects and effectiveness.
Monitor for difficulty breathing on exertion and for signs and symptoms of acute respiratory insufficiency.
Review of the POS, dated 2/18/26, showed:-An order, dated 12/14/25, for budesonide inhalation suspension 0.5 milligrams (mg)/2 ml, 0.5mg inhaled orally two times a day for COPD exacerbation;-An order, dated 5/7/24, for arformoterol tartrate inhalation nebulization solution, 15 micrograms (mcg)/2 ml, 15 mcg inhaled orally two times a day for COPD exacerbation.
Observation on 2/17/26 at 9:46 A.M., showed the resident on his/her back in bed, with the head of bed elevated approximately 30 degrees. A nebulizer mask laid across his/her lap with nebulizer machine turned on.
Observations on 2/18/26 at 7:27 A.M. through 12:35 P.M., showed soiled clothing on top of the nebulizer tubing, machine, and mask, which were balled up on a chair.
During an interview on 2/19/26 at approximately 3:18 P.M., LPN F said the Certified Medication Technician (CMT) or Nurse should remove the nebulizer mask from a protective pad, place the medication in the cup, apply the mask to the resident, turn on the machine, and remain nearby to observe for nosebleeds or excessive coughing. No formal monitoring was required.
During an interview on 2/20/26 at approximately 2:45 P.M., the DON said she expected the nebulizer to be stored on a clean surface and for the mask and tubing to be in a plastic bag with a date and changed every week. 6.
During an interview on 2/20/25 at 9:22 A.M. the facility's Corporate Nurse said the facility did not have a policy that specified best practices for cleaning and storing nebulizer masks or glucometers. 2737724
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.