Arbors At Carroll
ARBORS AT CARROLL in CARROLL, OH — inspection on November 25, 2025.
Found 1 citation. 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
1000 units; give two tables by mouth in the morning, Ferrous Sulfate Oral Tablet 325 mg; give one tablet by mouth one time a day, Folic Acid Oral Tablet 400 mcg; give one tablet by mouth in the morning, Gabapentin (medication used to treat seizures and nerve pain) Oral Capsule 300 mg; give one capsule by mouth three times a day, Levetiracetam (medication used to treat seizures) Oral Tablet 750 mg; give one tablet by mouth every morning and at bedtime, Magnesium Oxide Oral Tablet 400 mg; give one tablet by mouth in the morning, Pristiq (medication used to treat depression) Oral Tablet Extended Release 50 mg; give one tablet by mouth in the morning and Tylenol Extra Strength (ES) Oral Tablet 500 mg; give 1000 mg by mouth every morning and at bedtime.Review of Resident #70's MAR dated 09/25/25 revealed RN #521 signed the following medication were administered as ordered; Pristiq 50 mg, Tylenol ES 500 mg, Cholecalciferol 1000 units, Ferrous Sulfate 325 mg, Folic Acid 400 mcg, Gabapentin 300 mg, Levetiracetam 750 mg and Magnesium Oxide 400 mg.Observation on 09/25/25 at 8:18 A.M of South Long Hall nursing medication cart with RN #521 revealed eight medicine cups in the top drawer with initials on them. RN #521 revealed the filled medicine cups belonged to Residents #49, #56, #57, #58, #62, #63, #68 and # 70.
Interview on 09/25/25 at 8:20 A.M. with RN #521 revealed she had pre-pulled the morning medications for the eight residents and placed the medicine cups in the top drawer to dispense later.
Further interview with RN #521 revealed she was not allowed to have pre-pulled medicine. RN stated, I know I'm not allowed to pre pull meds like that, I'm really not supposed to do that. RN #521 also verified all the medications in each medicine cup for each of the eight residents.Interview on 09/29/25 at 11:30 A.M. with the Director of Nursing (DON) revealed nurses should pull medications at the time they are administering them to the resident, they are not allowed to pre pull medications.This deficiency represents non-compliance investigated under Complaint Number 2614688.
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