Arbors At Springfield
ARBORS AT SPRINGFIELD in SPRINGFIELD, OH — inspection on November 19, 2025.
Found 3 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
physician. On 06/23/25, the DON/designee audited all residents with splints for orders and skin assessed with no negative findings. On 06/23/25, the MDS nurse completed an audit of care plans for all residents with splints. On 06/23/25, the DON updated the Braden Scale (used to predict pressure injury risk) with a score of 14 indicating moderate risk. On 06/23/25, the DON/designee completed an audit of recent physician visits in the past two weeks for new orders with no negative findings. On 06/23/25, the DON placed an order for a soft air splint for FR #35. On 06/23/25, the DON/designee educated all nurses regarding after-visit summary for appointments and to clarify if devices are on the resident upon return from the appointment.
The DON/designee will audit all new residents with splints for orders, skin condition, and care plan updates weekly times four weeks.
The DON/designee will audit after visit summary for all residents with outside appointments for new orders and visual check of residents for new devices weekly for four weeks. An AD HOC Quality Assurance and Performance Improvement (QAPI) committee meeting was completed on 06/23/25.
Results of the audits will be reviewed in the QAPI Committee meeting for one month with revisions to the plan/change in monitoring as deemed by the QAPI committee.
This deficiency represents noncompliance investigated under Complaint number 2642319.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Arbors at Springfield
1600 Saint Paris Pike Springfield, OH 45504
SUMMARY STATEMENT OF DEFICIENCIES
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, observation, interview, and policy review, the facility failed to ensure fall interventions were in place.
This affected one (#33) of four residents reviewed for falls.
The facility census was 34.Findings include:
Review of the medical record for Resident #33 revealed an admission date of 07/02/25 with diagnoses including but not limited to anoxic brain damage, respiratory failure, cardiac arrest, and anxiety.
Review of the minimum data set (MDS) dated [DATE] revealed the resident had severe cognitive impairment. Resident #33 was dependent on staff for activities of daily living.
Review of the care plan dated 10/07/25 revealed the resident was at risk for falls related to anoxic brain damage and muscle weakness.
Interventions included perimeter overlay to air mattress and low bed.Observation on 10/20/25 at 1:27 P.M. of Resident #33 revealed the resident was lying in bed with an air mattress and the bed was in high position approximately chest high to surveyor with no one in the room.Interview on 10/20/25 at 1:32 P.M. with Certified Nursing Assistant (CNA #118) verified the bed was in high position with no one in the room. CNA #118 stated the resident's husband was in the room prior and would raise the bed when he visited. CNA #118 verified the husband was no longer at the facility and the bed was not lowered per care plan.Review of policy titled, Fall Prevention Program, dated 10/26/23 revealed the nurse will indicate the resident's fall risk and initiate interventions on the resident's baseline care plan.
Interventions will be monitored for effectiveness.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/19/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Arbors at Springfield
1600 Saint Paris Pike Springfield, OH 45504
SUMMARY STATEMENT OF DEFICIENCIES
Review of policy titled, Clean Dressing Change, dated 12/28/23 revealed policy explanation and compliance guidelines: explain the procedure to the resident and screen for privacy, multi-use wound care supplies should be dated and initialed when opened, set up clean field with needed supplies for wound cleansing and dressing application, establish area for soiled products to be placed, wash hands and put on clean gloves, place a barrier cloth or pad next to the resident under the wound to protect the bed linen and other body sited, loosen the tape and remove the existing dressing, remove gloves, wash hands and put on clean gloves, cleanse the wound as ordered, measure wound, wash hands and put on clean gloves, apply topical ointments or creams and dress the wound as ordered, secure dressing mark with date and initials, discard disposable items and gloves into appropriate receptacle and wash hands.
Facility ID: