Arbors At Delaware
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
#20 started screaming. She went in and removed the intruder to avoid an altercation. During an interview
on 11/06/25 at 8:38 A.M. to 8:50 A.M. with LPN #124 and #170 stated when a resident displays behaviors,
they are to document it in the resident's medical record. If only the CNA witnesses the behavior, they are to
record it in the task sheet and report to the nurse to place it in the resident's medical record. When the behaviors are present it is the responsibility of the staff to try non-pharmacological interventions to diffuse
the behaviors. During an interview on 11/06/25 at 8:55 A.M., LPN #110 stated when residents exhibit behaviors the nurse is to document the behavior in the medical record. LPN #110 also stated staff are to attempt non-pharmacological interventions to diffuse behaviors and those should be documented as well.
LPN #110 stated she had been working at the facility for four months. Resident #20's behaviors were less when she started here. LPN #110 stated he was not as anxious and less threatening. When he started smoking in September 2025, his behavior increased and he started to refuse care, be demanding, and if
the staff were late taking him for his break his anxiousness increased. He screamed and yelled out to anyone in the unit and he is less tolerable and very territorial During an interview on 11/06/25 at 12:36 P.M.,
the DON said psychiatric services were contacted today and they were waiting for a call back. She said psychiatric services were not consulted before because he hasn't had any behaviors until now. During a subsequent interview at 1:56 P.M. with the DON confirmed from 10/14/25 to 10/29/25 Resident #20 had nine episodes of having aggressive behavior documented in electronic health record under Target Behavior Task section and confirmed there was no nursing progress note that correlated to the behavior. Review of
the facility policy titled Abuse, Neglect, and Exploitation, dated 01/10/24, revealed the facility is to provide protections for the health, welfare, and rights of each resident by implementing policies and procedures that prohibit and prevent abuse and neglect. Instances of abuse of all residents, irrespective of any mental or physical condition, cause physical harm, pain, or mental anguish. It includes verbal abuse, sexual abuse, physical abuse and mental abuse. This deficiency represents non-compliance investigated under Complaint Number 2650764 and 2651377.
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ARBORS AT DELAWARE in DELAWARE, OH inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DELAWARE, OH, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from ARBORS AT DELAWARE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.