Arbors At Delaware
ARBORS AT DELAWARE in DELAWARE, OH — inspection on November 6, 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
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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